Virtual ATI NCLEX-RN Review 2026/2027 | Virtual-ATI RN NCLEX
Review Study Guide & Practice Questions | ATI Virtual-ATI Green
Light NCLEX-RN Prep, NCLEX Clinical Judgment, NGN-Style Case
Studies, Comprehensive Nursing Review, Adult Medical-Surgical,
Pharmacology, Fundamentals, Maternal-Newborn, Pediatrics, Mental
Health, Community Health, Leadership & Management, Prioritization,
Delegation, Safety, Dosage Calculations, Focused Remediation, Test-
Taking Strategies, Comprehensive Predictor & Detailed Rationales
Question 1: A nurse is assessing a client who has been taking
furosemide for heart failure. Which of the following findings should
the nurse identify as an adverse effect of this medication?
A. Hypertension
B. Hypokalemia
C. Hypercalcemia
D. Bradycardia
CORRECT ANSWER: B. Hypokalemia
Rationale: Furosemide is a loop diuretic that inhibits sodium and chloride
reabsorption in the ascending loop of Henle, leading to increased excretion
of potassium. Hypokalemia is a common and potentially dangerous adverse
effect that can precipitate dysrhythmias, especially in clients taking digitalis.
Hypertension, hypercalcemia, and bradycardia are not typical adverse
effects of furosemide.
Question 2: A nurse is caring for a client who is receiving a blood
transfusion. Which of the following findings should the nurse
report immediately as a sign of a hemolytic transfusion reaction?
A. Mild urticaria at the IV site
B. Temperature elevation of 0.5°C (1°F)
C. Low back pain and dark urine
D. Blood pressure of 110/70 mm Hg
CORRECT ANSWER: C. Low back pain and dark urine
Rationale: Hemolytic transfusion reaction occurs when incompatible blood
is transfused, causing destruction of red blood cells. Classic manifestations
include low back pain, chills, fever, dark urine (hemoglobinuria), and
hypotension. Urticaria suggests a mild allergic reaction, a slight
temperature elevation may be a febrile nonhemolytic reaction, and a
normal blood pressure does not indicate a hemolytic reaction.
,Question 3: A nurse is teaching a client who has a new prescription
for warfarin. Which of the following statements by the client
indicates an understanding of the teaching?
A. "I should increase my intake of green leafy vegetables."
B. "I will need to have my INR checked regularly."
C. "I can take aspirin for headaches without concern."
D. "I should double my dose if I miss a day."
CORRECT ANSWER: B. "I will need to have my INR checked
regularly."
Rationale: Warfarin is an anticoagulant that requires regular monitoring of
the international normalized ratio (INR) to ensure therapeutic effectiveness
and prevent bleeding or clotting complications. Clients should maintain
consistent vitamin K intake (not increase green leafy vegetables), avoid
aspirin due to increased bleeding risk, and never double doses without
provider instruction.
Question 4: A nurse is performing a focused assessment on a client
who has pneumonia. Which of the following findings should the
nurse expect?
A. Bradypnea
B. Crackles on auscultation
C. Hyperresonance on percussion
D. Decreased tactile fremitus
CORRECT ANSWER: B. Crackles on auscultation
Rationale: Pneumonia causes inflammation and fluid accumulation in the
alveoli, which produces crackles (rales) on auscultation. Clients typically
experience tachypnea, dullness on percussion due to consolidation, and
increased tactile fremitus. Bradypnea, hyperresonance, and decreased
tactile fremitus are not expected findings in pneumonia.
Question 5: A nurse is caring for a client who is in the manic phase
of bipolar disorder. Which of the following interventions should the
nurse implement first?
A. Encourage the client to attend a group therapy session
B. Provide a quiet environment with minimal stimulation
,C. Administer a PRN antipsychotic medication
D. Assist the client with completing a meal menu
CORRECT ANSWER: B. Provide a quiet environment with minimal
stimulation
Rationale: During the manic phase, clients experience heightened sensory
sensitivity and hyperactivity. The priority nursing intervention is to reduce
environmental stimuli to promote safety and decrease agitation. While
medication may be necessary, nonpharmacologic measures should be
implemented first when possible. Group therapy and meal planning are not
immediate priorities during acute mania.
Question 6: A nurse is reviewing laboratory results for a client who
has chronic kidney disease. Which of the following findings should
the nurse expect?
A. Elevated glomerular filtration rate (GFR)
B. Decreased serum creatinine
C. Elevated blood urea nitrogen (BUN)
D. Decreased serum potassium
CORRECT ANSWER: C. Elevated blood urea nitrogen (BUN)
Rationale: In chronic kidney disease, the kidneys lose their ability to filter
waste products effectively, leading to accumulation of urea and creatinine in
the blood. Therefore, BUN and creatinine are elevated, GFR is decreased,
and potassium is typically elevated due to impaired excretion. Decreased
serum creatinine and elevated GFR would indicate normal or improved
kidney function.
Question 7: A nurse is providing discharge teaching to a client who
has undergone a total hip arthroplasty. Which of the following
instructions should the nurse include?
A. "You may bend at the waist to pick up objects from the floor."
B. "Sleep on your side with a pillow between your legs."
C. "Cross your legs when sitting to improve circulation."
D. "Avoid using an elevated toilet seat."
CORRECT ANSWER: B. "Sleep on your side with a pillow between
your legs."
, Rationale: After total hip arthroplasty, clients must follow hip precautions to
prevent dislocation. Sleeping on the unaffected side with a pillow between
the legs helps maintain proper alignment. Clients should avoid bending at
the waist beyond 90 degrees, crossing legs, and using low toilet seats, as
these actions increase the risk of prosthesis dislocation.
Question 8: A nurse is assessing a client who is 24 hours
postpartum and reports severe perineal pain. Which of the
following findings should the nurse prioritize?
A. Lochia rubra with small clots
B. Uterine fundus firm at the umbilicus
C. Ecchymosis and swelling at the perineum
D. Hemoglobin level of 11 g/dL
CORRECT ANSWER: C. Ecchymosis and swelling at the perineum
Rationale: Severe perineal pain accompanied by ecchymosis and swelling
may indicate a perineal hematoma, which can be a life-threatening
complication requiring immediate intervention. A firm fundus, normal
lochia, and a hemoglobin of 11 g/dL are expected postpartum findings. The
nurse should report the hematoma finding to the provider immediately.
Question 9: A nurse is administering digoxin to a client who has
heart failure. Which of the following findings should the nurse
identify as a sign of digoxin toxicity?
A. Heart rate of 88/min
B. Visual disturbances such as yellow halos
C. Blood pressure of 128/76 mm Hg
D. Serum potassium level of 4.0 mEq/L
CORRECT ANSWER: B. Visual disturbances such as yellow halos
Rationale: Digoxin toxicity can manifest with visual disturbances, including
yellow or green halos around lights, blurred vision, nausea, and
dysrhythmias. A heart rate of 88/min, a normal blood pressure, and a
potassium level of 4.0 mEq/L are within normal limits and do not indicate
toxicity. The nurse should withhold digoxin and notify the provider if
toxicity is suspected.
Review Study Guide & Practice Questions | ATI Virtual-ATI Green
Light NCLEX-RN Prep, NCLEX Clinical Judgment, NGN-Style Case
Studies, Comprehensive Nursing Review, Adult Medical-Surgical,
Pharmacology, Fundamentals, Maternal-Newborn, Pediatrics, Mental
Health, Community Health, Leadership & Management, Prioritization,
Delegation, Safety, Dosage Calculations, Focused Remediation, Test-
Taking Strategies, Comprehensive Predictor & Detailed Rationales
Question 1: A nurse is assessing a client who has been taking
furosemide for heart failure. Which of the following findings should
the nurse identify as an adverse effect of this medication?
A. Hypertension
B. Hypokalemia
C. Hypercalcemia
D. Bradycardia
CORRECT ANSWER: B. Hypokalemia
Rationale: Furosemide is a loop diuretic that inhibits sodium and chloride
reabsorption in the ascending loop of Henle, leading to increased excretion
of potassium. Hypokalemia is a common and potentially dangerous adverse
effect that can precipitate dysrhythmias, especially in clients taking digitalis.
Hypertension, hypercalcemia, and bradycardia are not typical adverse
effects of furosemide.
Question 2: A nurse is caring for a client who is receiving a blood
transfusion. Which of the following findings should the nurse
report immediately as a sign of a hemolytic transfusion reaction?
A. Mild urticaria at the IV site
B. Temperature elevation of 0.5°C (1°F)
C. Low back pain and dark urine
D. Blood pressure of 110/70 mm Hg
CORRECT ANSWER: C. Low back pain and dark urine
Rationale: Hemolytic transfusion reaction occurs when incompatible blood
is transfused, causing destruction of red blood cells. Classic manifestations
include low back pain, chills, fever, dark urine (hemoglobinuria), and
hypotension. Urticaria suggests a mild allergic reaction, a slight
temperature elevation may be a febrile nonhemolytic reaction, and a
normal blood pressure does not indicate a hemolytic reaction.
,Question 3: A nurse is teaching a client who has a new prescription
for warfarin. Which of the following statements by the client
indicates an understanding of the teaching?
A. "I should increase my intake of green leafy vegetables."
B. "I will need to have my INR checked regularly."
C. "I can take aspirin for headaches without concern."
D. "I should double my dose if I miss a day."
CORRECT ANSWER: B. "I will need to have my INR checked
regularly."
Rationale: Warfarin is an anticoagulant that requires regular monitoring of
the international normalized ratio (INR) to ensure therapeutic effectiveness
and prevent bleeding or clotting complications. Clients should maintain
consistent vitamin K intake (not increase green leafy vegetables), avoid
aspirin due to increased bleeding risk, and never double doses without
provider instruction.
Question 4: A nurse is performing a focused assessment on a client
who has pneumonia. Which of the following findings should the
nurse expect?
A. Bradypnea
B. Crackles on auscultation
C. Hyperresonance on percussion
D. Decreased tactile fremitus
CORRECT ANSWER: B. Crackles on auscultation
Rationale: Pneumonia causes inflammation and fluid accumulation in the
alveoli, which produces crackles (rales) on auscultation. Clients typically
experience tachypnea, dullness on percussion due to consolidation, and
increased tactile fremitus. Bradypnea, hyperresonance, and decreased
tactile fremitus are not expected findings in pneumonia.
Question 5: A nurse is caring for a client who is in the manic phase
of bipolar disorder. Which of the following interventions should the
nurse implement first?
A. Encourage the client to attend a group therapy session
B. Provide a quiet environment with minimal stimulation
,C. Administer a PRN antipsychotic medication
D. Assist the client with completing a meal menu
CORRECT ANSWER: B. Provide a quiet environment with minimal
stimulation
Rationale: During the manic phase, clients experience heightened sensory
sensitivity and hyperactivity. The priority nursing intervention is to reduce
environmental stimuli to promote safety and decrease agitation. While
medication may be necessary, nonpharmacologic measures should be
implemented first when possible. Group therapy and meal planning are not
immediate priorities during acute mania.
Question 6: A nurse is reviewing laboratory results for a client who
has chronic kidney disease. Which of the following findings should
the nurse expect?
A. Elevated glomerular filtration rate (GFR)
B. Decreased serum creatinine
C. Elevated blood urea nitrogen (BUN)
D. Decreased serum potassium
CORRECT ANSWER: C. Elevated blood urea nitrogen (BUN)
Rationale: In chronic kidney disease, the kidneys lose their ability to filter
waste products effectively, leading to accumulation of urea and creatinine in
the blood. Therefore, BUN and creatinine are elevated, GFR is decreased,
and potassium is typically elevated due to impaired excretion. Decreased
serum creatinine and elevated GFR would indicate normal or improved
kidney function.
Question 7: A nurse is providing discharge teaching to a client who
has undergone a total hip arthroplasty. Which of the following
instructions should the nurse include?
A. "You may bend at the waist to pick up objects from the floor."
B. "Sleep on your side with a pillow between your legs."
C. "Cross your legs when sitting to improve circulation."
D. "Avoid using an elevated toilet seat."
CORRECT ANSWER: B. "Sleep on your side with a pillow between
your legs."
, Rationale: After total hip arthroplasty, clients must follow hip precautions to
prevent dislocation. Sleeping on the unaffected side with a pillow between
the legs helps maintain proper alignment. Clients should avoid bending at
the waist beyond 90 degrees, crossing legs, and using low toilet seats, as
these actions increase the risk of prosthesis dislocation.
Question 8: A nurse is assessing a client who is 24 hours
postpartum and reports severe perineal pain. Which of the
following findings should the nurse prioritize?
A. Lochia rubra with small clots
B. Uterine fundus firm at the umbilicus
C. Ecchymosis and swelling at the perineum
D. Hemoglobin level of 11 g/dL
CORRECT ANSWER: C. Ecchymosis and swelling at the perineum
Rationale: Severe perineal pain accompanied by ecchymosis and swelling
may indicate a perineal hematoma, which can be a life-threatening
complication requiring immediate intervention. A firm fundus, normal
lochia, and a hemoglobin of 11 g/dL are expected postpartum findings. The
nurse should report the hematoma finding to the provider immediately.
Question 9: A nurse is administering digoxin to a client who has
heart failure. Which of the following findings should the nurse
identify as a sign of digoxin toxicity?
A. Heart rate of 88/min
B. Visual disturbances such as yellow halos
C. Blood pressure of 128/76 mm Hg
D. Serum potassium level of 4.0 mEq/L
CORRECT ANSWER: B. Visual disturbances such as yellow halos
Rationale: Digoxin toxicity can manifest with visual disturbances, including
yellow or green halos around lights, blurred vision, nausea, and
dysrhythmias. A heart rate of 88/min, a normal blood pressure, and a
potassium level of 4.0 mEq/L are within normal limits and do not indicate
toxicity. The nurse should withhold digoxin and notify the provider if
toxicity is suspected.
