ATI Questions to Review Before Exit &
NCLEX | Latest Version | 2025/2026 |
Correct & Verified
A nurse is caring for a client who has a new colostomy. Which action should the nurse take first?
A. Apply skin barrier paste
✔✔B. Assess the stoma for color and moisture
C. Measure the stoma opening
D. Empty the pouch when it's half full
A client with asthma is prescribed montelukast. What should the nurse include in teaching?
A. Take the medication during acute attacks
B. Use it as a rescue inhaler
✔✔C. Take it once daily in the evening
D. Stop taking it if symptoms improve
A nurse is caring for a client with suspected meningitis. Which of the following is the priority?
A. Administer antipyretics
B. Obtain consent for lumbar puncture
1
,C. Monitor intake and output
✔✔D. Initiate droplet precautions
A nurse is reviewing lab values for a client on warfarin. Which finding should be reported?
✔✔A. INR 5.2
B. INR 2.1
C. PT 15 seconds
D. Hematocrit 38%
A client is scheduled for a cardiac catheterization. Which finding requires immediate notification
of the provider?
✔✔A. Allergy to shellfish
B. History of hypertension
C. Intake of low-fat diet
D. Elevated cholesterol
A nurse is preparing to administer timolol eye drops to a client with glaucoma. What instruction
should the nurse provide?
2
,A. Rub the eyes after administration
B. Tilt the head back and look upward
C. Administer drops directly on the pupil
✔✔D. Press on the nasolacrimal duct after instilling
A nurse is teaching a client with newly diagnosed type 1 diabetes about insulin injections. Which
statement by the client indicates understanding?
A. "I will inject insulin into the same spot each time."
✔✔B. "I will rotate injection sites to avoid lumps."
C. "I will mix long-acting and rapid-acting insulin together."
D. "I will store opened insulin in the freezer."
A nurse is assessing a client who has fluid volume excess. Which finding should the nurse
expect?
✔✔A. Bounding pulse
B. Dry mucous membranes
C. Increased hematocrit
D. Hypotension
3
, A nurse is preparing a client for a bronchoscopy. Which of the following is a priority
intervention?
A. Educate on deep breathing exercises
✔✔B. Confirm the client has been NPO
C. Assess bowel sounds
D. Instruct the client to void
A client with Cushing’s syndrome asks why they are bruising easily. What is the best response?
A. "Your immune system is overactive."
✔✔B. "Your blood vessels are more fragile due to hormone changes."
C. "You may have anemia, which causes bruising."
D. "You’re not getting enough vitamin C."
A nurse is caring for a client with a potassium level of 6.2 mEq/L. Which food should be
restricted?
✔✔A. Baked potatoes
B. White rice
4
NCLEX | Latest Version | 2025/2026 |
Correct & Verified
A nurse is caring for a client who has a new colostomy. Which action should the nurse take first?
A. Apply skin barrier paste
✔✔B. Assess the stoma for color and moisture
C. Measure the stoma opening
D. Empty the pouch when it's half full
A client with asthma is prescribed montelukast. What should the nurse include in teaching?
A. Take the medication during acute attacks
B. Use it as a rescue inhaler
✔✔C. Take it once daily in the evening
D. Stop taking it if symptoms improve
A nurse is caring for a client with suspected meningitis. Which of the following is the priority?
A. Administer antipyretics
B. Obtain consent for lumbar puncture
1
,C. Monitor intake and output
✔✔D. Initiate droplet precautions
A nurse is reviewing lab values for a client on warfarin. Which finding should be reported?
✔✔A. INR 5.2
B. INR 2.1
C. PT 15 seconds
D. Hematocrit 38%
A client is scheduled for a cardiac catheterization. Which finding requires immediate notification
of the provider?
✔✔A. Allergy to shellfish
B. History of hypertension
C. Intake of low-fat diet
D. Elevated cholesterol
A nurse is preparing to administer timolol eye drops to a client with glaucoma. What instruction
should the nurse provide?
2
,A. Rub the eyes after administration
B. Tilt the head back and look upward
C. Administer drops directly on the pupil
✔✔D. Press on the nasolacrimal duct after instilling
A nurse is teaching a client with newly diagnosed type 1 diabetes about insulin injections. Which
statement by the client indicates understanding?
A. "I will inject insulin into the same spot each time."
✔✔B. "I will rotate injection sites to avoid lumps."
C. "I will mix long-acting and rapid-acting insulin together."
D. "I will store opened insulin in the freezer."
A nurse is assessing a client who has fluid volume excess. Which finding should the nurse
expect?
✔✔A. Bounding pulse
B. Dry mucous membranes
C. Increased hematocrit
D. Hypotension
3
, A nurse is preparing a client for a bronchoscopy. Which of the following is a priority
intervention?
A. Educate on deep breathing exercises
✔✔B. Confirm the client has been NPO
C. Assess bowel sounds
D. Instruct the client to void
A client with Cushing’s syndrome asks why they are bruising easily. What is the best response?
A. "Your immune system is overactive."
✔✔B. "Your blood vessels are more fragile due to hormone changes."
C. "You may have anemia, which causes bruising."
D. "You’re not getting enough vitamin C."
A nurse is caring for a client with a potassium level of 6.2 mEq/L. Which food should be
restricted?
✔✔A. Baked potatoes
B. White rice
4
