ATI Capstone NCLEX Review2025 A & B/ ATI Comprehensive 2025 A
&B
Your child can take a tub bath tomorrow."
Your child can resume a regular diet when you return home."
You won't be able to input any data until you reset your password."
You should keep your child home from school for 2 days."
You can use my password on another terminal, but just this one time.
You can remove the pressure dressing from the site in 4 hours." - ANSYou should keep
your child home from school for 2 days."
yogurt - ANSyogurt
Yelow sclera
WHO YOU GONNA CALL? (Thrombolytics) - ansStreptokinase (Streptase). Call right
away! Must be administered within 4 to 6 hours of onset of symptoms.
When two insulins are to be mixed, withdraw the ___ insulin first to avoid contaminating
the stock vial with ___ insulin. - ansshort-acting; NPH
Wheat
WHAT'S THE RISK (Thrombolytics) - ansIncreased bleeding. These medications should
only be given while the client is closely monitored. Baseline platelet and blood counts
(including aPTT, PT, and INR) should be carefully assessed. Venipunctures and SQ
and IM injections should be limited.
WHAT'S THE GOAL? (Thrombolytics) - ansRestoration of circulation, as evidenced by
relief of chest pain, and reduction of initial ST segment injury pattern as shown on ECG.
What teaching should the nurse provide to a client that is taking montelukast? -
ansadvise client to take the medication once daily at bedtime; leukotriene modifiers are
used for long-term therapy of asthma in adults and children, and to prevent exercise-
induced bronchospasm
What should the nurse do if the wrong medication was administered to a client? -
ansthe nurse should acknowledge the error and report it to the provider for further
orders, monitor the client for adverse effects, and complete an incident report per
institutional policy after notifying the health care provider
What interactions may occur with antiplatelets? - ansAvoid concurrent use of
medications that enhance bleeding, including NSAIDs, heparin,and warfarin.
Corticosteroids should be avoided as they may increase aspirin effects. Concurrent use
of aspirin may reduce hypertensive action of beta blockers.
What instructions should the nurse provide to a client that is taking their first dose of
doxazosin mesylate? - ansFirst-dose orthostatic hypotension can occur with doxazosin.
The nurse should instruct clients to change positions slowly and to lie down if feeling
dizzy, lightheaded or faint; the nurse should instruct clients to avoid activities requiring
mental alertness for the first 12 to 24 hours.
What do clients who are taking antiplatelets need to know? - ansObserve for signs of
weakness, dizziness, and headache and report them if they occur. These may be signs
of hemorrhagic stroke. Bleeding time should be assessed carefully. Coffee ground
emesis or bloody, tarry stools should be reported. Watch for bruising, petechiae, and
bleeding gums.
What are contraindications to salicylate acid therapy? - ansSalicylate acid is a category
D agent and should not be administered to pregnant clients. Salicylate acid is
contraindicated in clients with bleeding disorders and thrombocytopenia. Salicylate acid
,ATI Capstone NCLEX Review2025 A & B/ ATI Comprehensive 2025 A
&B
should not be given to children or adolescents with fever or recent chickenpox due to
the risk of Reye syndrome.
Weight loss
Weighs 12 kg (26.5 Ib)
Weigh the client three times per week.
WEC 8,000/mm
Wear clean gloves when cleansing the tracheostomy site.
WBC count 9,800/mm°
WBC 7.000/mm
warn the client that the staff will use seclusion as a consequence if there are repeated
reports of hallucination.
Vomiting
Void every 2 hours while awake."
Vitamin C increases absorption of iron, but also increases incidence of - ansGI
complications. Avoid vitamin C intake when taking medication.
veracity
vary the client's activities daily.
Vardenafil (Levitra)
Vancomycin can cause - ansinfusion reactions; red man syndrome is an infusion
reaction that results in rashes, flushing, tachycardia, and hypotension. For this reason,
vancomycin should be administered over a 60 minute period
valerian - ansIncreases GABA to prevent insomnia. Promotes sleep with increased
effect over time; there is a risk of dependence. May cause drowsiness and depression.
Should be used cautiously in clients with mental health disorders. Avoid use in
pregnancy or while breastfeeding.
Use short phrases when talking to the client - ANSUse short phrases when talking to
the client
U-se is contraindicated in clients with low platelet counts or uncontrolled bleeding.
Use cool water to flush the cerumen from the ear canal.
Use a recliner when sitting for long periods.
Urinary retention
Urinary incontinence
understanding of the teaching?
Tropisetron (Navoban)
Transferring the client from the bed to a chair
Tooth erosion
Thrombolytic Agents - ansThrombolytic Agents are CLOT BUSTERS. They work
QUICKLY to restore circulation. As such, they increase a client's risk for bleeding.
THINK GHOSTBUSTERS WITH THROMBOLYTIC AGENTS
The task requires a specific sequence of steps.
The task is within the AP's range of function to perform.
The task involves making ongoing judgments about client data. - ANSThe task involves
making ongoing judgments about client data.
The task can be performed in the same manner for most clients.
The nurse should begin discharge planning upon the client's admission.
,ATI Capstone NCLEX Review2025 A & B/ ATI Comprehensive 2025 A
&B
The nurse is responsible for providing a written prescription for a client home care
referral." - ANSThe nurse should begin discharge planning upon the client's admission.
The nurse checks the volume of the aspirate
The nurse checks the pH of the aspirate. - ANSThe nurse adds food coloring to the tube
feeding.
The nurse administers 15 mL of water before administering the feeding.
The nurse adds food coloring to the tube feeding.
The HbA1c value is altered by eating habits the day before the test.
The HbA1c value determines long-term blood glucose control for the past 120 days.
the following actions should the nurse take?
The charge nurse can log on for you and watch you input the data. - ANSYou won't be
able to input any data until you reset your password."
Teaching a client to perform deep breathing exercises
take?
Take the medication on an empty stomach.
Tadalafil (Cialis)
Tachypnea - ANSBleeding
Tachycardia
Sunken fontanels
Sunflower seeds
Suggest that the client wear facility clothing until the prosthesis fitting
Suggest that the client decide about reconstruction as soon as possible.
Suction the client's tracheostomy every 6 hr.
subjective sources of data - ansWhat the client tells the nurse
Stroke upward on the lateral aspect of the newborn's foot.
Stroke the newborn's cheek toward their mouth. - ANSStroke the newborn's cheek
toward their mouth.
Strawberries - ANSBananas
strategies should the nurse include to help the client progress toward acceptance of this
body image alteration?
Steps of the Nursing Process - ansassessment/data collection, analysis/data collection,
planning, implementation, evaluation; ADPIE
Statins (HMG-CoA Reductase Inhibitors) side effects - ansWhen you think 'statins' think
that we need to protect the liver and muscles stat: there is a risk of hepatotoxicity. It is
important to obtain a baseline liver function and to monitor liver function tests after 12
weeks and then every 6 months and to avoid alcohol. There is also a risk of myopathy
and peripheral neuropathy. Clients should be told to report muscle weakness and/or
aches, pain, tingling, and tenderness. CK levels will be monitored periodically during
treatment as well.
Statins (HMG-CoA Reductase Inhibitors) common meds - ansAtorvastatin (Lipitor)
Statins (HMG-CoA Reductase Inhibitors) - anstreat primary hypercholesterolemia, for
prevention of coronary events (primary and secondary), for protection against MI and
stroke for clients with diabetes, and to help increase HDL levels in clients with primary
hypercholesterolemia; You want your LOW (LDL) LOW and your HIGH (HDL) HIGH.
statements should the nurse include?
, ATI Capstone NCLEX Review2025 A & B/ ATI Comprehensive 2025 A
&B
Stand directly in front of the client and instruct them to sit down.
st. John's wort
Speak to the client in a low, calm voice.
Speak in a louder than usual tone of voice during conversation.
Spaghetti with meat sauce
SLOWEST: Long-acting insulins: Insulin glargine (Lantus) - ansONSET: 1 hour
SLOW: Intermediate-acting insulins: NPH insulin (Humulin N) - ansONSET: 1 to 2
hours.
Slow respirations
Sleep on a soft mattress.
Simvastatin (Zocor)
Showing the client how to use an incentive spirometer
should the nurse take?
Sexual abuse is most often committed by a person who the child does not know.
Serosa
Sepsis
sepsis
secondary subjective data - answhat others tell the nurse; what the client had told them
secondary objective sources of data - ansData the nurse collects from other sources;
family, friends, caregivers, health care professionals, literature review, medical records,
etc.
Search the client's personal belongings. - ANSSearch the client's personal belongings.
Salicylate acid therapy is used in what type of clients? - ansSalicylate acid inhibits
platelet aggregation and is often used in the treatment and prevention of thrombosis.
Salicylate acid is commonly prescribed to clients with coronary artery disease to prevent
thrombus formation.
Routine care
Rosuvastatin (Crestor)
R-isk for bleeding is the major side effect that clients should be educated about. Clients
should be educated to monitor for bleeding, including bleeding gums, bruises,
hematuria, and petechiae.
reviewing the findings and the client's medical record, which of the
Restrict the client's intake of iodized salt. - ANSIncrease the dosage of levothyroxine.
Respiratory rate 68/min - ANSBP 64/42 mm Hg
Respiratory rate 18/min
Request a prescription for antidiarrheal medication.
report to the provider?
Report of pain as 6 on a scale of O to 10
Replace lovastatin with cholestyramine.
Reorient the client to date and time with each encounter.
Remove the client's top sheet after placing a bath blanket over it.
Remind the client to use a cotton swab periodically to remove cerumen.
recommendations should the nurse make?
recommendations should the nurse make?
&B
Your child can take a tub bath tomorrow."
Your child can resume a regular diet when you return home."
You won't be able to input any data until you reset your password."
You should keep your child home from school for 2 days."
You can use my password on another terminal, but just this one time.
You can remove the pressure dressing from the site in 4 hours." - ANSYou should keep
your child home from school for 2 days."
yogurt - ANSyogurt
Yelow sclera
WHO YOU GONNA CALL? (Thrombolytics) - ansStreptokinase (Streptase). Call right
away! Must be administered within 4 to 6 hours of onset of symptoms.
When two insulins are to be mixed, withdraw the ___ insulin first to avoid contaminating
the stock vial with ___ insulin. - ansshort-acting; NPH
Wheat
WHAT'S THE RISK (Thrombolytics) - ansIncreased bleeding. These medications should
only be given while the client is closely monitored. Baseline platelet and blood counts
(including aPTT, PT, and INR) should be carefully assessed. Venipunctures and SQ
and IM injections should be limited.
WHAT'S THE GOAL? (Thrombolytics) - ansRestoration of circulation, as evidenced by
relief of chest pain, and reduction of initial ST segment injury pattern as shown on ECG.
What teaching should the nurse provide to a client that is taking montelukast? -
ansadvise client to take the medication once daily at bedtime; leukotriene modifiers are
used for long-term therapy of asthma in adults and children, and to prevent exercise-
induced bronchospasm
What should the nurse do if the wrong medication was administered to a client? -
ansthe nurse should acknowledge the error and report it to the provider for further
orders, monitor the client for adverse effects, and complete an incident report per
institutional policy after notifying the health care provider
What interactions may occur with antiplatelets? - ansAvoid concurrent use of
medications that enhance bleeding, including NSAIDs, heparin,and warfarin.
Corticosteroids should be avoided as they may increase aspirin effects. Concurrent use
of aspirin may reduce hypertensive action of beta blockers.
What instructions should the nurse provide to a client that is taking their first dose of
doxazosin mesylate? - ansFirst-dose orthostatic hypotension can occur with doxazosin.
The nurse should instruct clients to change positions slowly and to lie down if feeling
dizzy, lightheaded or faint; the nurse should instruct clients to avoid activities requiring
mental alertness for the first 12 to 24 hours.
What do clients who are taking antiplatelets need to know? - ansObserve for signs of
weakness, dizziness, and headache and report them if they occur. These may be signs
of hemorrhagic stroke. Bleeding time should be assessed carefully. Coffee ground
emesis or bloody, tarry stools should be reported. Watch for bruising, petechiae, and
bleeding gums.
What are contraindications to salicylate acid therapy? - ansSalicylate acid is a category
D agent and should not be administered to pregnant clients. Salicylate acid is
contraindicated in clients with bleeding disorders and thrombocytopenia. Salicylate acid
,ATI Capstone NCLEX Review2025 A & B/ ATI Comprehensive 2025 A
&B
should not be given to children or adolescents with fever or recent chickenpox due to
the risk of Reye syndrome.
Weight loss
Weighs 12 kg (26.5 Ib)
Weigh the client three times per week.
WEC 8,000/mm
Wear clean gloves when cleansing the tracheostomy site.
WBC count 9,800/mm°
WBC 7.000/mm
warn the client that the staff will use seclusion as a consequence if there are repeated
reports of hallucination.
Vomiting
Void every 2 hours while awake."
Vitamin C increases absorption of iron, but also increases incidence of - ansGI
complications. Avoid vitamin C intake when taking medication.
veracity
vary the client's activities daily.
Vardenafil (Levitra)
Vancomycin can cause - ansinfusion reactions; red man syndrome is an infusion
reaction that results in rashes, flushing, tachycardia, and hypotension. For this reason,
vancomycin should be administered over a 60 minute period
valerian - ansIncreases GABA to prevent insomnia. Promotes sleep with increased
effect over time; there is a risk of dependence. May cause drowsiness and depression.
Should be used cautiously in clients with mental health disorders. Avoid use in
pregnancy or while breastfeeding.
Use short phrases when talking to the client - ANSUse short phrases when talking to
the client
U-se is contraindicated in clients with low platelet counts or uncontrolled bleeding.
Use cool water to flush the cerumen from the ear canal.
Use a recliner when sitting for long periods.
Urinary retention
Urinary incontinence
understanding of the teaching?
Tropisetron (Navoban)
Transferring the client from the bed to a chair
Tooth erosion
Thrombolytic Agents - ansThrombolytic Agents are CLOT BUSTERS. They work
QUICKLY to restore circulation. As such, they increase a client's risk for bleeding.
THINK GHOSTBUSTERS WITH THROMBOLYTIC AGENTS
The task requires a specific sequence of steps.
The task is within the AP's range of function to perform.
The task involves making ongoing judgments about client data. - ANSThe task involves
making ongoing judgments about client data.
The task can be performed in the same manner for most clients.
The nurse should begin discharge planning upon the client's admission.
,ATI Capstone NCLEX Review2025 A & B/ ATI Comprehensive 2025 A
&B
The nurse is responsible for providing a written prescription for a client home care
referral." - ANSThe nurse should begin discharge planning upon the client's admission.
The nurse checks the volume of the aspirate
The nurse checks the pH of the aspirate. - ANSThe nurse adds food coloring to the tube
feeding.
The nurse administers 15 mL of water before administering the feeding.
The nurse adds food coloring to the tube feeding.
The HbA1c value is altered by eating habits the day before the test.
The HbA1c value determines long-term blood glucose control for the past 120 days.
the following actions should the nurse take?
The charge nurse can log on for you and watch you input the data. - ANSYou won't be
able to input any data until you reset your password."
Teaching a client to perform deep breathing exercises
take?
Take the medication on an empty stomach.
Tadalafil (Cialis)
Tachypnea - ANSBleeding
Tachycardia
Sunken fontanels
Sunflower seeds
Suggest that the client wear facility clothing until the prosthesis fitting
Suggest that the client decide about reconstruction as soon as possible.
Suction the client's tracheostomy every 6 hr.
subjective sources of data - ansWhat the client tells the nurse
Stroke upward on the lateral aspect of the newborn's foot.
Stroke the newborn's cheek toward their mouth. - ANSStroke the newborn's cheek
toward their mouth.
Strawberries - ANSBananas
strategies should the nurse include to help the client progress toward acceptance of this
body image alteration?
Steps of the Nursing Process - ansassessment/data collection, analysis/data collection,
planning, implementation, evaluation; ADPIE
Statins (HMG-CoA Reductase Inhibitors) side effects - ansWhen you think 'statins' think
that we need to protect the liver and muscles stat: there is a risk of hepatotoxicity. It is
important to obtain a baseline liver function and to monitor liver function tests after 12
weeks and then every 6 months and to avoid alcohol. There is also a risk of myopathy
and peripheral neuropathy. Clients should be told to report muscle weakness and/or
aches, pain, tingling, and tenderness. CK levels will be monitored periodically during
treatment as well.
Statins (HMG-CoA Reductase Inhibitors) common meds - ansAtorvastatin (Lipitor)
Statins (HMG-CoA Reductase Inhibitors) - anstreat primary hypercholesterolemia, for
prevention of coronary events (primary and secondary), for protection against MI and
stroke for clients with diabetes, and to help increase HDL levels in clients with primary
hypercholesterolemia; You want your LOW (LDL) LOW and your HIGH (HDL) HIGH.
statements should the nurse include?
, ATI Capstone NCLEX Review2025 A & B/ ATI Comprehensive 2025 A
&B
Stand directly in front of the client and instruct them to sit down.
st. John's wort
Speak to the client in a low, calm voice.
Speak in a louder than usual tone of voice during conversation.
Spaghetti with meat sauce
SLOWEST: Long-acting insulins: Insulin glargine (Lantus) - ansONSET: 1 hour
SLOW: Intermediate-acting insulins: NPH insulin (Humulin N) - ansONSET: 1 to 2
hours.
Slow respirations
Sleep on a soft mattress.
Simvastatin (Zocor)
Showing the client how to use an incentive spirometer
should the nurse take?
Sexual abuse is most often committed by a person who the child does not know.
Serosa
Sepsis
sepsis
secondary subjective data - answhat others tell the nurse; what the client had told them
secondary objective sources of data - ansData the nurse collects from other sources;
family, friends, caregivers, health care professionals, literature review, medical records,
etc.
Search the client's personal belongings. - ANSSearch the client's personal belongings.
Salicylate acid therapy is used in what type of clients? - ansSalicylate acid inhibits
platelet aggregation and is often used in the treatment and prevention of thrombosis.
Salicylate acid is commonly prescribed to clients with coronary artery disease to prevent
thrombus formation.
Routine care
Rosuvastatin (Crestor)
R-isk for bleeding is the major side effect that clients should be educated about. Clients
should be educated to monitor for bleeding, including bleeding gums, bruises,
hematuria, and petechiae.
reviewing the findings and the client's medical record, which of the
Restrict the client's intake of iodized salt. - ANSIncrease the dosage of levothyroxine.
Respiratory rate 68/min - ANSBP 64/42 mm Hg
Respiratory rate 18/min
Request a prescription for antidiarrheal medication.
report to the provider?
Report of pain as 6 on a scale of O to 10
Replace lovastatin with cholestyramine.
Reorient the client to date and time with each encounter.
Remove the client's top sheet after placing a bath blanket over it.
Remind the client to use a cotton swab periodically to remove cerumen.
recommendations should the nurse make?
recommendations should the nurse make?
