ATI EXAM ms
Exam Solution ms
Prioritization Delegation & Assignment NCLEX Cartes ms ms ms ms ms ms
2026 A+ GRADE ASSURED COMPLETE SOLUTIONS AND ms ms ms ms ms ms ms
VERIFIED ANSWERS (0E28E) ms ms
QUESTION 1 ms
Ans: 4 As charge nurse, you must assess the performance and attitude of the staff in r
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
elation to this client. After data are gathered from the nurses, additional information
ms ms ms ms ms ms ms ms ms ms ms ms ms
can be obtained from the records and the client as necessary. The educator may be of
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms m
assistance if a knowledge deficit or need for performance improvement is the proble
s ms ms ms ms ms ms ms ms ms ms ms ms
m. Focus: Supervision, prioritization
ms ms ms
ANSWER
You are the charge nurse. A client with chronic pain reports to you that the nurses have not been r
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
esponding to requests for pain medication. What is your initial action? 1. Check the medication admi
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
nistration records (MARs) for the past several days. 2. Ask the nurse educator to provide in-
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
service training about pain management. 3. Perform a complete pain assessment on the client and ta
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ke a pain history. 4. Have a conference with the nurses responsible for the care of this client.
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 2 ms
Ans: 3 Beliefs, attitudes, & familial influence are part of the sociocultural dimension of
ms ms ms ms ms ms ms ms ms ms ms ms ms
pain. Location and radiation of pain address the sensory dimension. Describing pain
ms ms ms ms ms ms ms ms ms ms ms ms ms
& its effects addresses the affective dimension. Activity level and function address the
ms ms ms ms ms ms ms ms ms ms ms ms ms
behavioral dimension. Asking about knowledge addresses cognitive dimension. Focus:
ms ms ms ms ms ms ms ms ms
Prioritization 3. ms
ANSWER
Family members are encouraging your client to "tough out the pain" rather than risk drug addiction
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms m
to narcotics. The client is stoically abiding. You recognize that the sociocultural dimension of pain is
s ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms m
the current priority for the client. Which question will you ask? 1. " Where is the pain located, & do
s ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
es it radiate to other parts of your body?" 2. " How would you describe the pain, and how is it affe
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
cting you?" 3. " What do you believe about pain medication and drug addiction?" 4. " How is the pai
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
n affecting your activity level and your ability to function?" 5. " What information do you need abou
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
t pain, healing, and addiction?"
ms ms ms ms
,QUESTION 3 ms
Ans: 1 Gabapentin is an antiepileptic drug, but it is also used to treat diabetic neurop
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
athy. Corticosteroids are for pain associated with inflammation. Hydromorphone is a s
ms ms ms ms ms ms ms ms ms ms ms
tronger opioid, and it is not the first choice for chronic pain that can be managed wit
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
h other drugs. Lorazepam is an anxiolytic that may be ordered as an adjuvant Medicat
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ion. Focus: Prioritization
ms ms
ANSWER
A client with diabetic neuropathy reports a burning, electrical-
ms ms ms ms ms ms ms ms
type pain in the lower extremities that is worse at night and not responding to nonsteroidal anti-
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
inflammatory drugs. Which medication will you advocate for first? 1. Gabapentin (Neurontin) 2. Corti
ms ms ms ms ms ms ms ms ms ms ms ms ms
costeroids 3. Hydromorphone (Dilaudid) 4. Lorazepam (Ativan)
ms ms ms ms ms ms
QUESTION 4 ms
Ans: 3 Cancer pain generally worsens with disease progression, & the use of opioids is
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
more generous. Fibromyalgia is more likely to be treated with nonopioid and adjuvan
ms ms ms ms ms ms ms ms ms ms ms ms ms
t medications. Trigeminal neuralgia is treated with antiseizure medications such as ca
ms ms ms ms ms ms ms ms ms ms ms
rbamazepine (Tegretol). Phantom limb pain usually subsides after ambulation begins.
ms ms ms ms ms ms ms ms ms ms
Focus: Prioritization ms
ANSWER
Which client is most likely to receive opioids for extended periods of time? 1. A client with fibromya
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
lgia 2. A client with phantom limb pain in the leg 3. A client with progressive pancreatic cancer 4. A
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
client with trigeminal neuralgia
ms ms ms ms
QUESTION 5 ms
Ans: 1 Oral hygiene is within the scope of duties of the UAP. It is the responsibility of
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
the nurse to observe response to treatments and to help the patient deal with loss or
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
anxiety. The UAP can be directed to weigh the patient but should not be expected to k
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
now when to initiate that measurement. Focus: Delegation
ms ms ms ms ms ms ms
ANSWER
You are caring for a patient with esophageal cancer. Which task could be delegated to a UAP? 1. Ass
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
isting the patient with oral hygiene 2. Observing the patient's response to feedings 3. Facilitating exp
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ression of grief or anxiety 4. Initiating daily weighings
ms ms ms ms ms ms ms ms
QUESTION 6 ms
Ans: 4 The patient's physical condition is currently stable, but emotional needs are aff
ms ms ms ms ms ms ms ms ms ms ms ms ms
ecting his or her ability to receive the information required to make an informed deci
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
, sion. The other diagnoses are relevant, but if the patient leaves the clinic the interven
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
tions may be delayed or ignored. Focus: Prioritization
ms ms ms ms ms ms ms
ANSWER
2. A 56-year-old patient comes to the walk-
ms ms ms ms ms ms ms
in clinic reporting scant rectal bleeding and intermittent diarrhea & constipation for past several mo
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
nths. There is a history of polyps & family history of colorectal cancer. While you are trying to teach
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
about colonoscopy, the patient becomes angry and threatens to leave. What is the priority diagnosis
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
? 1. Diarrhea/ Constipation related to altered bowel patterns 2. Deficient Knowledge related to the d
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
isease process & diagnostic procedure 3. Risk for Deficient Fluid Volume related to rectal bleeding a
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
nd diarrhea 4. Anxiety related to unknown outcomes & perceived threats to body integrity
ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 7 ms
Ans: 1 Pancreatic cancer more common African-
ms ms ms ms ms ms
Americans, males, & smokers. Other associated factors include alcohol use, diabetes, o
ms ms ms ms ms ms ms ms ms ms ms
besity, history of pancreatitis, exposure to organic chemicals, consumption of a high-
ms ms ms ms ms ms ms ms ms ms ms
fat diet, & previous abdominal irradiation. Focus: Prioritization
ms ms ms ms ms ms ms
ANSWER
Which patient is at greatest risk for pancreatic cancer? 1. An elderly African-
ms ms ms ms ms ms ms ms ms ms ms ms
American man who smokes 2. Young white obese woman with gallbladder disease 3. A young Africa
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
n-American man with type 1 diabetes 4. An elderly white woman who has pancreatitis
ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 8 ms
Ans: 2, 3, 5, 6, 7 Mouthwash should not include alcohol, because it has drying action t
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
hat leaves mucous membranes more vulnerable. Insertion of suppositories, probes, or
ms ms ms ms ms ms ms ms ms ms ms
tampons into the rectal or vaginal cavity is not recommended. All other options are a
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ppropriate. Focus: Prioritization, knowledge ms ms ms
ANSWER
Patients receiving chemotherapy are at risk for thrombocytopenia related to chemotherapy or diseas
ms ms ms ms ms ms ms ms ms ms ms ms
e processes. Which actions are needed for patients who must be placed on bleeding precautions? (Se
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
lect all that apply.) 1. Provide mouthwash with alcohol for oral rinsing. 2. Use paper tape on fragile
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
skin. 3. Provide a soft toothbrush or oral sponge. 4. Gently insert rectal suppositories. 5. Avoid aspiri
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
n or aspirin-
ms ms
containing products. 6. Avoid overinflation of blood pressure cuffs. 7. Pad sharp corners of furniture.
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 9 ms
Ans: 2 Administering enemas & antibiotics is within the scope of practice of LPNs/ LV
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
Ns. Although some states an facilities may allow LPN/ LVN to administer blood, in gen
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
eral, administering blood, providing preoperative teaching, & assisting with central lin
ms ms ms ms ms ms ms ms ms ms
e insertion are responsibilities of RN. Focus: Assignment
ms ms ms ms ms ms ms
Exam Solution ms
Prioritization Delegation & Assignment NCLEX Cartes ms ms ms ms ms ms
2026 A+ GRADE ASSURED COMPLETE SOLUTIONS AND ms ms ms ms ms ms ms
VERIFIED ANSWERS (0E28E) ms ms
QUESTION 1 ms
Ans: 4 As charge nurse, you must assess the performance and attitude of the staff in r
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
elation to this client. After data are gathered from the nurses, additional information
ms ms ms ms ms ms ms ms ms ms ms ms ms
can be obtained from the records and the client as necessary. The educator may be of
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms m
assistance if a knowledge deficit or need for performance improvement is the proble
s ms ms ms ms ms ms ms ms ms ms ms ms
m. Focus: Supervision, prioritization
ms ms ms
ANSWER
You are the charge nurse. A client with chronic pain reports to you that the nurses have not been r
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
esponding to requests for pain medication. What is your initial action? 1. Check the medication admi
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
nistration records (MARs) for the past several days. 2. Ask the nurse educator to provide in-
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
service training about pain management. 3. Perform a complete pain assessment on the client and ta
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ke a pain history. 4. Have a conference with the nurses responsible for the care of this client.
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 2 ms
Ans: 3 Beliefs, attitudes, & familial influence are part of the sociocultural dimension of
ms ms ms ms ms ms ms ms ms ms ms ms ms
pain. Location and radiation of pain address the sensory dimension. Describing pain
ms ms ms ms ms ms ms ms ms ms ms ms ms
& its effects addresses the affective dimension. Activity level and function address the
ms ms ms ms ms ms ms ms ms ms ms ms ms
behavioral dimension. Asking about knowledge addresses cognitive dimension. Focus:
ms ms ms ms ms ms ms ms ms
Prioritization 3. ms
ANSWER
Family members are encouraging your client to "tough out the pain" rather than risk drug addiction
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms m
to narcotics. The client is stoically abiding. You recognize that the sociocultural dimension of pain is
s ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms m
the current priority for the client. Which question will you ask? 1. " Where is the pain located, & do
s ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
es it radiate to other parts of your body?" 2. " How would you describe the pain, and how is it affe
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
cting you?" 3. " What do you believe about pain medication and drug addiction?" 4. " How is the pai
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
n affecting your activity level and your ability to function?" 5. " What information do you need abou
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
t pain, healing, and addiction?"
ms ms ms ms
,QUESTION 3 ms
Ans: 1 Gabapentin is an antiepileptic drug, but it is also used to treat diabetic neurop
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
athy. Corticosteroids are for pain associated with inflammation. Hydromorphone is a s
ms ms ms ms ms ms ms ms ms ms ms
tronger opioid, and it is not the first choice for chronic pain that can be managed wit
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
h other drugs. Lorazepam is an anxiolytic that may be ordered as an adjuvant Medicat
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ion. Focus: Prioritization
ms ms
ANSWER
A client with diabetic neuropathy reports a burning, electrical-
ms ms ms ms ms ms ms ms
type pain in the lower extremities that is worse at night and not responding to nonsteroidal anti-
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
inflammatory drugs. Which medication will you advocate for first? 1. Gabapentin (Neurontin) 2. Corti
ms ms ms ms ms ms ms ms ms ms ms ms ms
costeroids 3. Hydromorphone (Dilaudid) 4. Lorazepam (Ativan)
ms ms ms ms ms ms
QUESTION 4 ms
Ans: 3 Cancer pain generally worsens with disease progression, & the use of opioids is
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
more generous. Fibromyalgia is more likely to be treated with nonopioid and adjuvan
ms ms ms ms ms ms ms ms ms ms ms ms ms
t medications. Trigeminal neuralgia is treated with antiseizure medications such as ca
ms ms ms ms ms ms ms ms ms ms ms
rbamazepine (Tegretol). Phantom limb pain usually subsides after ambulation begins.
ms ms ms ms ms ms ms ms ms ms
Focus: Prioritization ms
ANSWER
Which client is most likely to receive opioids for extended periods of time? 1. A client with fibromya
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
lgia 2. A client with phantom limb pain in the leg 3. A client with progressive pancreatic cancer 4. A
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
client with trigeminal neuralgia
ms ms ms ms
QUESTION 5 ms
Ans: 1 Oral hygiene is within the scope of duties of the UAP. It is the responsibility of
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
the nurse to observe response to treatments and to help the patient deal with loss or
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
anxiety. The UAP can be directed to weigh the patient but should not be expected to k
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
now when to initiate that measurement. Focus: Delegation
ms ms ms ms ms ms ms
ANSWER
You are caring for a patient with esophageal cancer. Which task could be delegated to a UAP? 1. Ass
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
isting the patient with oral hygiene 2. Observing the patient's response to feedings 3. Facilitating exp
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ression of grief or anxiety 4. Initiating daily weighings
ms ms ms ms ms ms ms ms
QUESTION 6 ms
Ans: 4 The patient's physical condition is currently stable, but emotional needs are aff
ms ms ms ms ms ms ms ms ms ms ms ms ms
ecting his or her ability to receive the information required to make an informed deci
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
, sion. The other diagnoses are relevant, but if the patient leaves the clinic the interven
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
tions may be delayed or ignored. Focus: Prioritization
ms ms ms ms ms ms ms
ANSWER
2. A 56-year-old patient comes to the walk-
ms ms ms ms ms ms ms
in clinic reporting scant rectal bleeding and intermittent diarrhea & constipation for past several mo
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
nths. There is a history of polyps & family history of colorectal cancer. While you are trying to teach
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
about colonoscopy, the patient becomes angry and threatens to leave. What is the priority diagnosis
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
? 1. Diarrhea/ Constipation related to altered bowel patterns 2. Deficient Knowledge related to the d
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
isease process & diagnostic procedure 3. Risk for Deficient Fluid Volume related to rectal bleeding a
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
nd diarrhea 4. Anxiety related to unknown outcomes & perceived threats to body integrity
ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 7 ms
Ans: 1 Pancreatic cancer more common African-
ms ms ms ms ms ms
Americans, males, & smokers. Other associated factors include alcohol use, diabetes, o
ms ms ms ms ms ms ms ms ms ms ms
besity, history of pancreatitis, exposure to organic chemicals, consumption of a high-
ms ms ms ms ms ms ms ms ms ms ms
fat diet, & previous abdominal irradiation. Focus: Prioritization
ms ms ms ms ms ms ms
ANSWER
Which patient is at greatest risk for pancreatic cancer? 1. An elderly African-
ms ms ms ms ms ms ms ms ms ms ms ms
American man who smokes 2. Young white obese woman with gallbladder disease 3. A young Africa
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
n-American man with type 1 diabetes 4. An elderly white woman who has pancreatitis
ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 8 ms
Ans: 2, 3, 5, 6, 7 Mouthwash should not include alcohol, because it has drying action t
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
hat leaves mucous membranes more vulnerable. Insertion of suppositories, probes, or
ms ms ms ms ms ms ms ms ms ms ms
tampons into the rectal or vaginal cavity is not recommended. All other options are a
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ppropriate. Focus: Prioritization, knowledge ms ms ms
ANSWER
Patients receiving chemotherapy are at risk for thrombocytopenia related to chemotherapy or diseas
ms ms ms ms ms ms ms ms ms ms ms ms
e processes. Which actions are needed for patients who must be placed on bleeding precautions? (Se
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
lect all that apply.) 1. Provide mouthwash with alcohol for oral rinsing. 2. Use paper tape on fragile
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
skin. 3. Provide a soft toothbrush or oral sponge. 4. Gently insert rectal suppositories. 5. Avoid aspiri
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
n or aspirin-
ms ms
containing products. 6. Avoid overinflation of blood pressure cuffs. 7. Pad sharp corners of furniture.
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 9 ms
Ans: 2 Administering enemas & antibiotics is within the scope of practice of LPNs/ LV
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
Ns. Although some states an facilities may allow LPN/ LVN to administer blood, in gen
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
eral, administering blood, providing preoperative teaching, & assisting with central lin
ms ms ms ms ms ms ms ms ms ms
e insertion are responsibilities of RN. Focus: Assignment
ms ms ms ms ms ms ms
