ATI QUESTIONS TO REVIEW BEFORE EXIT &
NCLEX:2026/ 2027 QUESTIONS AND VERIFIED ANS
100% CORRECT GRADED A+
A nurse is providing dietary teaching to a pt who has late-stage chronic kidney dx
(CKD). Which of the following nutrients should the nurse instruct the pt to increase in
their diet?:
a. Calcium
b. Phospohorus
c. Potassium
d. Sodium - CORRECT ANSWES -- ANSWER=A
RATIONALE:
-A pt who has CKD can develop hypocalcemia due to the reduced production of active
vitamin D, which is needed for Ca++ absorption. The pt should supplement dietary Ca+
+
A nurse is caring for a client with severe peripheral arterial disease of the right lower
extremity. Which intervention is appropriate?
A.) Apply cold compresses to the affected extremity
B.) Apply warm compresses to the affected extremity
C.) Keep the affected extremity above the level of the heart
D.) Keep the affected extremity below the level of the heart - CORRECT ANSWES --
ANSWER--->D.) Keep the affected extremity below the level of the heart
RATIONALE: The nurse should NEVER apply direct heat to the limb. Sensitivity is
decreased in the affected limb & burns may result
A nurse is providing care for a client with a Jackson-Pratt drain. Which of the following
nursing interventions has the highest priority?
A.) Securing the tube and drainage bulb to the pt
B.) Keeping the drainage bulb depressed to manual suction
C.) "Milking" the tubing before emptying the drain
D.) Cleansing the insertion site of the tube w/betadine - CORRECT ANSWES --
ANSWER-->B.) Keeping the drainage bulb depressed to manual suction
,RATIONALE: Securing the tubing helps to keep tension from being placed on the tubing
& bulb. While this is helpful, maintaining the bulb to suction is the highest priority
nursing intervention
A client is scheduled for surgery. Which of the following findings should the nurse report
to the provider prior to surgery?
A.) Serum potassium of 3.8 mEq/L
B.) A missing identification band
C.) Increased anxiety level
D.) A decrease in BP - CORRECT ANSWES -- ANSWER-->D.) A decrease in BP
RATIONALE: If a missing ID band is noted the nurse can recreate the band prior to
proceeding to the operating room. The ID band is a method of properly identifying a pt &
necessary for care
A client is undergoing cystoscopy. Which of the following interventions should the nurse
include in the client's plan of care?
A.) Provide education on home urinary catheter care
B.) Monitor for infection for 48-72 hours following procedure
C.) Increase oral fluid intake to flush contrast dye from system
D) Educate pt on the need for anticoagulant therapy - CORRECT ANSWES --
ANSWER--->B) Monitor for infection for 48-72 hours following procedure
RATIONALE: Cystoscopy does not require administration of contrast dye
A nurse is caring for a post-operative client who underwent thoracic surgery 7 hours
prior, and now has in place a chest tube for drainage. What finding would require the
nurse to contact the provider immediately?
A.) Chest tube & tubing become disconnected during pt transfer
B) Pt complains of left-sided chest pain of 7 on pain scale when performing incentive
spirometry
C) Chest tube drainage measures 80 mLs/hr of red blood
D) Diminished breath sounds auscultated in left lower lobe - CORRECT ANSWES --
ANSWER-->C) Chest tube drainage measures 80mL/hr of red blood
RATIONALE: If the tubing separates the RN will ask the pt to exhale as much air as
they can to remove air from the pleural space & the nurse would cleanse the tips &
reconnect the tubing
A nurse is reinforcing teaching with a client who has been recently diagnosed with
osteoporosis. Which of the following should be included?
A.) Increase intake of dietary calcium
,b. Walking for one to two hours daily is recommended.
c. Eliminate safety hazards in the home
d. Long-term estrogen replacement therapy will be required. - CORRECT ANSWES --
ANSWER-->C.) Eliminate safety hazards in the home
RATIONALE: Intake of calcium alone is not a treatment for osteoporosis, but calcium is
an important part of a prevention program to promote bone health. Most people do not
get enough calcium in their diet, and therefore calcium supplements are needed.
A nurse is evaluating placement of a nasogastric (NG) tube. Which of the following is
the least reliable method to determine correct NG tube placement?
a. Aspirate to collect gastric content.
b. Test pH of gastric contents
c. Ask the client to talk.
d. Inject air into tube and listen over abdomen. - CORRECT ANSWES -- ANSWER--
>D.) Inject air into tube and listen over abdomen
RATIONALE: Other than X-ray, aspiration of gastric contents with pH testing is the most
reliable method to determine correct NG tube placement. A pH of 4 or less is expected.
A nurse is caring for a client with heart failure. Which of the following interventions
should the nurse take if the client is experiencing dyspnea?
a. Place client in high Fowler's position.
b. Place client in the reverse trendelenberg position
c. Perform coughing and deep breathing exercises every 8 hours.
d. Obtain serial ABGs every 8 hours. - CORRECT ANSWES -- ANSWER-->A) Place pt
in high fowler's position
RATIONALE: Placing the client in reverse trendelenberg would not promote lung
expansion and improve oxygenation as well as high Fowler's position.
A nurse is providing education to a client with coronary artery disease. Which of the
following cholesterol values should the nurse identify as a goal for this client?
a. HDL-C level 60 mg/dL
b. HDL-C level 20 mg/dL
c. LDL-C level 98 mg/dL
d. LDL-C level 120 mg/dL - CORRECT ANSWES -- ANSWER-->A) HDL-C level 60
mg/dL
RATIONALE: While a value of <130 mg/dL is an accepted normal value, this client has
coronary artery disease and a value below 70 mg/dL is desirable for clients diagnosed
with CVD or who are diabetic.
, A client is recovering from acute respiratory distress syndrome (ARDS). Which clinical
manifestation requires immediate attention by the nurse?
a. Increase in pulse rate
b. A decrease in temperature
c. A decrease in blood pressure
d. Increased oxygen saturation - CORRECT ANSWES -- ANSWER-->C) A decrease in
BP
RATIONALE:An increase in a client's pulse rate is a finding that needs additional data
collection because it may be indicative of an autonomic response to pain, anxiety, and
other
A nurse is caring for a client with a new onset bowel obstruction. What assessment
finding would be anticipated when completing an abdominal assessment?
a. Hyperactive bowel sounds.
b. Hypoactive bowel sounds.
c. Normal bowel sounds.
d. Absent bowel sounds. - CORRECT ANSWES -- ANSWER-->A) Hyperactive bowel
sounds
RATIONALE: Hypoactive bowel sounds may be found in later stages of obstruction, but
hyperactive bowel sounds are typical in early stages of obstruction.
A client is admitted to the hospital with a diagnosis of Grave's disease. Which of the
following findings should be reported to the provider immediately?
a. Hyperactive deep tendon reflexes
b. Increase in white blood cell count from 6,000 mm3 to 8,000 mm3
c. Increase in temperature from 99.5 F to 100.5 F
d. Increased number of stools - CORRECT ANSWES -- ANSWER-->C) increase in
temp from 99.5 to 100.5 F
RATIONALE: Hyperactive deep tendon reflexes are a common manifestation of Grave's
disease.
A nurse is caring for a client at risk for atelectasis. Which of the following should the
nurse monitor for manifestations of atelectasis?
a. Intake and output
b. Pulse oximetry
c. Lung sounds
d. Daily weight - CORRECT ANSWES -- ANSWER-->B) pulse oximetry
NCLEX:2026/ 2027 QUESTIONS AND VERIFIED ANS
100% CORRECT GRADED A+
A nurse is providing dietary teaching to a pt who has late-stage chronic kidney dx
(CKD). Which of the following nutrients should the nurse instruct the pt to increase in
their diet?:
a. Calcium
b. Phospohorus
c. Potassium
d. Sodium - CORRECT ANSWES -- ANSWER=A
RATIONALE:
-A pt who has CKD can develop hypocalcemia due to the reduced production of active
vitamin D, which is needed for Ca++ absorption. The pt should supplement dietary Ca+
+
A nurse is caring for a client with severe peripheral arterial disease of the right lower
extremity. Which intervention is appropriate?
A.) Apply cold compresses to the affected extremity
B.) Apply warm compresses to the affected extremity
C.) Keep the affected extremity above the level of the heart
D.) Keep the affected extremity below the level of the heart - CORRECT ANSWES --
ANSWER--->D.) Keep the affected extremity below the level of the heart
RATIONALE: The nurse should NEVER apply direct heat to the limb. Sensitivity is
decreased in the affected limb & burns may result
A nurse is providing care for a client with a Jackson-Pratt drain. Which of the following
nursing interventions has the highest priority?
A.) Securing the tube and drainage bulb to the pt
B.) Keeping the drainage bulb depressed to manual suction
C.) "Milking" the tubing before emptying the drain
D.) Cleansing the insertion site of the tube w/betadine - CORRECT ANSWES --
ANSWER-->B.) Keeping the drainage bulb depressed to manual suction
,RATIONALE: Securing the tubing helps to keep tension from being placed on the tubing
& bulb. While this is helpful, maintaining the bulb to suction is the highest priority
nursing intervention
A client is scheduled for surgery. Which of the following findings should the nurse report
to the provider prior to surgery?
A.) Serum potassium of 3.8 mEq/L
B.) A missing identification band
C.) Increased anxiety level
D.) A decrease in BP - CORRECT ANSWES -- ANSWER-->D.) A decrease in BP
RATIONALE: If a missing ID band is noted the nurse can recreate the band prior to
proceeding to the operating room. The ID band is a method of properly identifying a pt &
necessary for care
A client is undergoing cystoscopy. Which of the following interventions should the nurse
include in the client's plan of care?
A.) Provide education on home urinary catheter care
B.) Monitor for infection for 48-72 hours following procedure
C.) Increase oral fluid intake to flush contrast dye from system
D) Educate pt on the need for anticoagulant therapy - CORRECT ANSWES --
ANSWER--->B) Monitor for infection for 48-72 hours following procedure
RATIONALE: Cystoscopy does not require administration of contrast dye
A nurse is caring for a post-operative client who underwent thoracic surgery 7 hours
prior, and now has in place a chest tube for drainage. What finding would require the
nurse to contact the provider immediately?
A.) Chest tube & tubing become disconnected during pt transfer
B) Pt complains of left-sided chest pain of 7 on pain scale when performing incentive
spirometry
C) Chest tube drainage measures 80 mLs/hr of red blood
D) Diminished breath sounds auscultated in left lower lobe - CORRECT ANSWES --
ANSWER-->C) Chest tube drainage measures 80mL/hr of red blood
RATIONALE: If the tubing separates the RN will ask the pt to exhale as much air as
they can to remove air from the pleural space & the nurse would cleanse the tips &
reconnect the tubing
A nurse is reinforcing teaching with a client who has been recently diagnosed with
osteoporosis. Which of the following should be included?
A.) Increase intake of dietary calcium
,b. Walking for one to two hours daily is recommended.
c. Eliminate safety hazards in the home
d. Long-term estrogen replacement therapy will be required. - CORRECT ANSWES --
ANSWER-->C.) Eliminate safety hazards in the home
RATIONALE: Intake of calcium alone is not a treatment for osteoporosis, but calcium is
an important part of a prevention program to promote bone health. Most people do not
get enough calcium in their diet, and therefore calcium supplements are needed.
A nurse is evaluating placement of a nasogastric (NG) tube. Which of the following is
the least reliable method to determine correct NG tube placement?
a. Aspirate to collect gastric content.
b. Test pH of gastric contents
c. Ask the client to talk.
d. Inject air into tube and listen over abdomen. - CORRECT ANSWES -- ANSWER--
>D.) Inject air into tube and listen over abdomen
RATIONALE: Other than X-ray, aspiration of gastric contents with pH testing is the most
reliable method to determine correct NG tube placement. A pH of 4 or less is expected.
A nurse is caring for a client with heart failure. Which of the following interventions
should the nurse take if the client is experiencing dyspnea?
a. Place client in high Fowler's position.
b. Place client in the reverse trendelenberg position
c. Perform coughing and deep breathing exercises every 8 hours.
d. Obtain serial ABGs every 8 hours. - CORRECT ANSWES -- ANSWER-->A) Place pt
in high fowler's position
RATIONALE: Placing the client in reverse trendelenberg would not promote lung
expansion and improve oxygenation as well as high Fowler's position.
A nurse is providing education to a client with coronary artery disease. Which of the
following cholesterol values should the nurse identify as a goal for this client?
a. HDL-C level 60 mg/dL
b. HDL-C level 20 mg/dL
c. LDL-C level 98 mg/dL
d. LDL-C level 120 mg/dL - CORRECT ANSWES -- ANSWER-->A) HDL-C level 60
mg/dL
RATIONALE: While a value of <130 mg/dL is an accepted normal value, this client has
coronary artery disease and a value below 70 mg/dL is desirable for clients diagnosed
with CVD or who are diabetic.
, A client is recovering from acute respiratory distress syndrome (ARDS). Which clinical
manifestation requires immediate attention by the nurse?
a. Increase in pulse rate
b. A decrease in temperature
c. A decrease in blood pressure
d. Increased oxygen saturation - CORRECT ANSWES -- ANSWER-->C) A decrease in
BP
RATIONALE:An increase in a client's pulse rate is a finding that needs additional data
collection because it may be indicative of an autonomic response to pain, anxiety, and
other
A nurse is caring for a client with a new onset bowel obstruction. What assessment
finding would be anticipated when completing an abdominal assessment?
a. Hyperactive bowel sounds.
b. Hypoactive bowel sounds.
c. Normal bowel sounds.
d. Absent bowel sounds. - CORRECT ANSWES -- ANSWER-->A) Hyperactive bowel
sounds
RATIONALE: Hypoactive bowel sounds may be found in later stages of obstruction, but
hyperactive bowel sounds are typical in early stages of obstruction.
A client is admitted to the hospital with a diagnosis of Grave's disease. Which of the
following findings should be reported to the provider immediately?
a. Hyperactive deep tendon reflexes
b. Increase in white blood cell count from 6,000 mm3 to 8,000 mm3
c. Increase in temperature from 99.5 F to 100.5 F
d. Increased number of stools - CORRECT ANSWES -- ANSWER-->C) increase in
temp from 99.5 to 100.5 F
RATIONALE: Hyperactive deep tendon reflexes are a common manifestation of Grave's
disease.
A nurse is caring for a client at risk for atelectasis. Which of the following should the
nurse monitor for manifestations of atelectasis?
a. Intake and output
b. Pulse oximetry
c. Lung sounds
d. Daily weight - CORRECT ANSWES -- ANSWER-->B) pulse oximetry
