ATI NCLEX Questions with Correct
Answers
A client is exhibiting early signs of hemorrhage. Which findings should the nurse
anticipate?
1. Cold, clammy skin
2. Heart rate 120/min
3. Weak, thready pulse
4. Blood pressure 80/60 - ....ANSWER ...-2. Heart rate 120/min
An older adult client reports recurring calf pain after walking one to two blocks
that disappears with rest. The client has weak pedal pulses, and skin on the left
lower leg is shiny and cool to the touch. Which nursing intervention is appropriate
at this time?
1. Position the left leg dependently
2. Elevate the left leg above the heart
3. Immobilize the left leg to prevent further injury
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,4. Assess dorsiflexion and extension of the left foot - ....ANSWER ...-1.
Position the left leg dependently
A client who has just been diagnosed with rheumatoid arthritis is required to
receive 3 months of methotrexate therapy. The nurse recognizes which of the
following are adverse effects associated with the therapy? SATA
1. WBC 1,200
2. Weight gain 2.27 kg (5 lbs.)
3. Oral temperature of 37.2 (99)
4. Urine Specific Gravity 1.003
5. Platelets 5,000 - ....ANSWER ...-1. WBC 1,200
5. Platelets 5,000
A nurse prepares a staff in-service on incident reports. Which information should
the nurse include? SATA
1. Risk management investigates the incident
2. A copy of report is placed in client's health record
3. Reports include description of incident and actions taken
4. Reports are confidential and not shared with noninvolved staff
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,5. Completion of report should be documented in the nurses' notes -
....ANSWER ...-1. Risk management investigates the incident
3. Reports include description of incident and actions taken
4. Reports are confidential and not shared with noninvolved staff
A nurse is unsure of the proper technique when caring for a client who is
prescribes enteral feedings. Which action should the nurse take?
1. Ask the charge nurse for step-by-step directions
2. Call the provider for specific instructions
3. Consult the unit procedure manual for guidance
4. Delegate task to a LPN to complete the feedings. - ....ANSWER ...-3.
Consult the unit procedure manual for guidance
A nurse admits a client from a long-term care facility. Which action should be
implemented? SATA
1. Verify the admission medications prescribed by the provider
2. Review the current medication regimen with the client
3. Obtain the most recent list of mediations from the long-term care facility
4. Locate a list of discharge medications from the most recent hospitalization.
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, 5. Discuss any discrepancies with the health care provider - ....ANSWER ...-
1. Verify the admission medications prescribed by the provider
2. Review the current medication regimen with the client
3. Obtain the most recent list of medications from the long-term care facility
5. discuss any discrepancies with the health care provider
A nurse cares for a client with terminal lung cancer. Which action should be
delegated to the UAP? SATA
1. Encourage client to express feelings about the terminal diagnosis
2. Assist the client to ambulate to the bedside chair twice a day
3. Demonstrate to client the proper use of a bronchodilator inhaler
4. Complete vital signs that include oxygen saturation every 4 hours
5. Obtain a urine specimen from the client's indwelling bladder catheter -
....ANSWER ...-2. Assist the client to ambulate to the bedside chair twice a
day
4. Complete vital signs that include oxygen saturation every 4 hours
A nurse cares for a group of clients on a med-surg unit. Which client should be
delegated to the LPN? SATA. A client with
1. Newly diagnosed DM2
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Answers
A client is exhibiting early signs of hemorrhage. Which findings should the nurse
anticipate?
1. Cold, clammy skin
2. Heart rate 120/min
3. Weak, thready pulse
4. Blood pressure 80/60 - ....ANSWER ...-2. Heart rate 120/min
An older adult client reports recurring calf pain after walking one to two blocks
that disappears with rest. The client has weak pedal pulses, and skin on the left
lower leg is shiny and cool to the touch. Which nursing intervention is appropriate
at this time?
1. Position the left leg dependently
2. Elevate the left leg above the heart
3. Immobilize the left leg to prevent further injury
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,4. Assess dorsiflexion and extension of the left foot - ....ANSWER ...-1.
Position the left leg dependently
A client who has just been diagnosed with rheumatoid arthritis is required to
receive 3 months of methotrexate therapy. The nurse recognizes which of the
following are adverse effects associated with the therapy? SATA
1. WBC 1,200
2. Weight gain 2.27 kg (5 lbs.)
3. Oral temperature of 37.2 (99)
4. Urine Specific Gravity 1.003
5. Platelets 5,000 - ....ANSWER ...-1. WBC 1,200
5. Platelets 5,000
A nurse prepares a staff in-service on incident reports. Which information should
the nurse include? SATA
1. Risk management investigates the incident
2. A copy of report is placed in client's health record
3. Reports include description of incident and actions taken
4. Reports are confidential and not shared with noninvolved staff
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
,5. Completion of report should be documented in the nurses' notes -
....ANSWER ...-1. Risk management investigates the incident
3. Reports include description of incident and actions taken
4. Reports are confidential and not shared with noninvolved staff
A nurse is unsure of the proper technique when caring for a client who is
prescribes enteral feedings. Which action should the nurse take?
1. Ask the charge nurse for step-by-step directions
2. Call the provider for specific instructions
3. Consult the unit procedure manual for guidance
4. Delegate task to a LPN to complete the feedings. - ....ANSWER ...-3.
Consult the unit procedure manual for guidance
A nurse admits a client from a long-term care facility. Which action should be
implemented? SATA
1. Verify the admission medications prescribed by the provider
2. Review the current medication regimen with the client
3. Obtain the most recent list of mediations from the long-term care facility
4. Locate a list of discharge medications from the most recent hospitalization.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
, 5. Discuss any discrepancies with the health care provider - ....ANSWER ...-
1. Verify the admission medications prescribed by the provider
2. Review the current medication regimen with the client
3. Obtain the most recent list of medications from the long-term care facility
5. discuss any discrepancies with the health care provider
A nurse cares for a client with terminal lung cancer. Which action should be
delegated to the UAP? SATA
1. Encourage client to express feelings about the terminal diagnosis
2. Assist the client to ambulate to the bedside chair twice a day
3. Demonstrate to client the proper use of a bronchodilator inhaler
4. Complete vital signs that include oxygen saturation every 4 hours
5. Obtain a urine specimen from the client's indwelling bladder catheter -
....ANSWER ...-2. Assist the client to ambulate to the bedside chair twice a
day
4. Complete vital signs that include oxygen saturation every 4 hours
A nurse cares for a group of clients on a med-surg unit. Which client should be
delegated to the LPN? SATA. A client with
1. Newly diagnosed DM2
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