ATI NCLEX PRACTICE QUESTIONS
AND ANSWERS
Duringxaxhomexhealthxassessmentxthexnursexwitnessesxaxschoolxagexchildxfallxfromxax
secondxstoryxwindow.xWhichxisxthexpriorityxaction?x-xanswer--Tellxthexchildxnotxtoxmove
*Doxnotxrulexoutxspinalxcordxinjury*
Axunitxmanagerxobservesxseveralxnursesxworkingxthroughoutxthexday..xWhichxactionxr
epresentsxaxbreachxinxclientxconfidentialityx?x-xanswer--
Postingxpositivexinformationxaboutxaxclientxonxsocialxmediaxwebsite.
Axclientxwhoxisxnewlyxadmittedxrequestsxinformationxaboutxadvancedxdirectives.xThexn
ursexshouldxincludexwhichxofxthexfollowingxstatementsxinxdiscussionx?x-xanswer--
Ixwillxgivexyouxaxpamphletxwithxwrittenxinformationxaboutxadvancedxdirectives.
Axnursexcompletesxaxhomexhealthxassessmentxonxanxolderxadultxwhoxhasxaxbrokenxar
mxandxburnsxtoxthexchest.xWhichxactionxisxneededxatxthisxtime?x-xanswer--
Contactxadultxprotectivexservices.
AxclientxarrivesxtoxthexEDxandxreportsxHA,xneckxstiffnessxandxsensitivityxtoxlight.xWhichx
isxthexpriorityxnursingxaction?x-xanswer--Implementxdropletxprecautions-
xpossiblexmeningitisx(highlyxcontagiousxifxbacterial)
Axbladderxirrigationxisxprescribedxforxaxclientxwhoxhasxanxoccludedxindwellingxcath.xWh
ichxactionxshouldxnursextakexwhenxunsurexofxhowxtoxperformxthisxprocedure?x-
xanswer--Referxtoxthexpolicyxandxprocedurexmanual
Axchargexnursexreviewsxabbreviationsxinxclientxdocumentation.xWhichxisxanxapprovedx
entry?x-xanswer--Furosemidex60xmgxPOxdaily
Axnursexparticipatesxinxqualityximprovementxtoxdecreasexhospitalxreadmissionsxforxclie
ntsxwhoxhavexheartxfailure.x.Whichxactionxshouldxthexnursexexpectxtoxperform?x-
xanswer--Comparexperformancextoxcurrentxpracticexstandards
AxnursexassignsxcarexforxclientxwhoxhasxDMxtoxanxLPNxandxaxUAP.xWhichxtaskxshouldx
bexgivenxtoxthexLPN?x-xanswer--Obtainxcapillaryxglucose
AxclientxwithxaxstagexIVxpancreaticxcancerxdecidesxtoxDCxallxtreatment.xWhichxactionxs
houldxthexnursextake?x-xanswer--Askxclientxtoxdiscussxdecision
Axnursexreceivesxaxclient'sxmedicationxoverxthextelephonexfromxthexprovider.xWhichxac
tionxshouldxthexnursextake?x-xanswer--Repeatxthexprescriptionxbackxtoxthexprovider
, Axnursexreceivesxendxofxshiftxreport.xWhichxofxthexfollowingxclientxassessmentxfindings
xshouldxnursexaddressxfirstx?x-xanswer--
NewxonsetxofxconfusionxinxclientxwithxLxfemurxfracturex(xFatxembolixrisk/xHypoxia)
Axnursexshouldxnotifyxpublicxhealthxaboutxwhichxinfections?x-xanswer---gonorrhea
-hepxC
-Chlamydia
-Meningococcal
AxclientxwithxaxnewxdiagnosisxofxstagexIVxlungxcancer,xwhenxpartnerxrequestsxthexdxxb
exwithheldxfromxthexclient,xwhichxactionxshouldxthexnursextakex?x-xanswer--
Requestxadditionalxinformationxfromxpartner
Axnursexreviewsxthexplanxofxcarexforxclientxwhoxhasxmyastheniaxgravis.xWhichxinterven
tionxrequiresxaxrevision?x-xanswer--
Assistxwithxdailyxactivitiesxpriorxtoxmedicationxadmin
AxclientxwhoxhasxCOPDxisxprescribedxipatropium.xThexnursexshouldxinstructxthexclientxt
oxreportxwhichxsxximmediatelyx?x-xanswer--Eyexpain
AnxolderxadultxclientxwhoxisxreceivingxaxbloodxtransfusionxdevelopsxanxincreasedxBPxa
ndxcracklesxbilaterally.xWhichxmedicationxshouldxnursexadminister?x-xanswer--
Furosemidex(xfluidxoverload)
Axnursexprovidesxteachingxtoxaxclientxwhoxisxprescribedxspironolactone.xNursexshouldxl
imitxthexintakexofxwhichxfoods?x-xanswer--Bananas
Tomatoes
Avocados
Sweetxpotatoes
Axclientxisxprescribedxacetaminophenx650xmgxPOxeveryx4xhoursxPRN.xwhichxfindingxs
houldxalertxthexnursextoxquestionxthisxprescriptionx?x-xanswer--
reportsxdrinkingx6xbeersxdaily
AxschoolxagexchildxwithxADHDxisxobservedxhavingxincreasedxconcentrationxandxabilityx
toxcompletextasks.xNursexrecognizesxwhichxmedicationxmayxcontributextoxthis?x-
xanswer--Methylphenidate
AnxunresponsivexclientxisxbroughtxinxwithxaxRRxofx8xwithxpinpointxpupils.xWhichxmedxsh
ouldxbexgiven?x-xanswer--Naloxone
Axnursexprovidingxdischargexinstructionsxtoxaxclientxwhoxisxnewlyxprescribedxlisinopril.x
Whichxstatementxindicatesxteachingxwasxeffective?x-xanswer---
itxisxanxemergencyxifxmouthxbeginsxtoxswell
-ifxIxdevelopxaxcoughxmyxdoctorxwillxbexnotifiedx
-myxKxlevelxwillxneedxtoxbexmonitored
-gettingxupxquicklyxmayxcausexmextoxfeelxdizzy
Axnursexprovidesxcarextoxclientxreceivingxchemo.xWhichxactionxisxappropriatexifxitxspillsx
onxthexfloor?x-xanswer--Usexaxspillxkit
AND ANSWERS
Duringxaxhomexhealthxassessmentxthexnursexwitnessesxaxschoolxagexchildxfallxfromxax
secondxstoryxwindow.xWhichxisxthexpriorityxaction?x-xanswer--Tellxthexchildxnotxtoxmove
*Doxnotxrulexoutxspinalxcordxinjury*
Axunitxmanagerxobservesxseveralxnursesxworkingxthroughoutxthexday..xWhichxactionxr
epresentsxaxbreachxinxclientxconfidentialityx?x-xanswer--
Postingxpositivexinformationxaboutxaxclientxonxsocialxmediaxwebsite.
Axclientxwhoxisxnewlyxadmittedxrequestsxinformationxaboutxadvancedxdirectives.xThexn
ursexshouldxincludexwhichxofxthexfollowingxstatementsxinxdiscussionx?x-xanswer--
Ixwillxgivexyouxaxpamphletxwithxwrittenxinformationxaboutxadvancedxdirectives.
Axnursexcompletesxaxhomexhealthxassessmentxonxanxolderxadultxwhoxhasxaxbrokenxar
mxandxburnsxtoxthexchest.xWhichxactionxisxneededxatxthisxtime?x-xanswer--
Contactxadultxprotectivexservices.
AxclientxarrivesxtoxthexEDxandxreportsxHA,xneckxstiffnessxandxsensitivityxtoxlight.xWhichx
isxthexpriorityxnursingxaction?x-xanswer--Implementxdropletxprecautions-
xpossiblexmeningitisx(highlyxcontagiousxifxbacterial)
Axbladderxirrigationxisxprescribedxforxaxclientxwhoxhasxanxoccludedxindwellingxcath.xWh
ichxactionxshouldxnursextakexwhenxunsurexofxhowxtoxperformxthisxprocedure?x-
xanswer--Referxtoxthexpolicyxandxprocedurexmanual
Axchargexnursexreviewsxabbreviationsxinxclientxdocumentation.xWhichxisxanxapprovedx
entry?x-xanswer--Furosemidex60xmgxPOxdaily
Axnursexparticipatesxinxqualityximprovementxtoxdecreasexhospitalxreadmissionsxforxclie
ntsxwhoxhavexheartxfailure.x.Whichxactionxshouldxthexnursexexpectxtoxperform?x-
xanswer--Comparexperformancextoxcurrentxpracticexstandards
AxnursexassignsxcarexforxclientxwhoxhasxDMxtoxanxLPNxandxaxUAP.xWhichxtaskxshouldx
bexgivenxtoxthexLPN?x-xanswer--Obtainxcapillaryxglucose
AxclientxwithxaxstagexIVxpancreaticxcancerxdecidesxtoxDCxallxtreatment.xWhichxactionxs
houldxthexnursextake?x-xanswer--Askxclientxtoxdiscussxdecision
Axnursexreceivesxaxclient'sxmedicationxoverxthextelephonexfromxthexprovider.xWhichxac
tionxshouldxthexnursextake?x-xanswer--Repeatxthexprescriptionxbackxtoxthexprovider
, Axnursexreceivesxendxofxshiftxreport.xWhichxofxthexfollowingxclientxassessmentxfindings
xshouldxnursexaddressxfirstx?x-xanswer--
NewxonsetxofxconfusionxinxclientxwithxLxfemurxfracturex(xFatxembolixrisk/xHypoxia)
Axnursexshouldxnotifyxpublicxhealthxaboutxwhichxinfections?x-xanswer---gonorrhea
-hepxC
-Chlamydia
-Meningococcal
AxclientxwithxaxnewxdiagnosisxofxstagexIVxlungxcancer,xwhenxpartnerxrequestsxthexdxxb
exwithheldxfromxthexclient,xwhichxactionxshouldxthexnursextakex?x-xanswer--
Requestxadditionalxinformationxfromxpartner
Axnursexreviewsxthexplanxofxcarexforxclientxwhoxhasxmyastheniaxgravis.xWhichxinterven
tionxrequiresxaxrevision?x-xanswer--
Assistxwithxdailyxactivitiesxpriorxtoxmedicationxadmin
AxclientxwhoxhasxCOPDxisxprescribedxipatropium.xThexnursexshouldxinstructxthexclientxt
oxreportxwhichxsxximmediatelyx?x-xanswer--Eyexpain
AnxolderxadultxclientxwhoxisxreceivingxaxbloodxtransfusionxdevelopsxanxincreasedxBPxa
ndxcracklesxbilaterally.xWhichxmedicationxshouldxnursexadminister?x-xanswer--
Furosemidex(xfluidxoverload)
Axnursexprovidesxteachingxtoxaxclientxwhoxisxprescribedxspironolactone.xNursexshouldxl
imitxthexintakexofxwhichxfoods?x-xanswer--Bananas
Tomatoes
Avocados
Sweetxpotatoes
Axclientxisxprescribedxacetaminophenx650xmgxPOxeveryx4xhoursxPRN.xwhichxfindingxs
houldxalertxthexnursextoxquestionxthisxprescriptionx?x-xanswer--
reportsxdrinkingx6xbeersxdaily
AxschoolxagexchildxwithxADHDxisxobservedxhavingxincreasedxconcentrationxandxabilityx
toxcompletextasks.xNursexrecognizesxwhichxmedicationxmayxcontributextoxthis?x-
xanswer--Methylphenidate
AnxunresponsivexclientxisxbroughtxinxwithxaxRRxofx8xwithxpinpointxpupils.xWhichxmedxsh
ouldxbexgiven?x-xanswer--Naloxone
Axnursexprovidingxdischargexinstructionsxtoxaxclientxwhoxisxnewlyxprescribedxlisinopril.x
Whichxstatementxindicatesxteachingxwasxeffective?x-xanswer---
itxisxanxemergencyxifxmouthxbeginsxtoxswell
-ifxIxdevelopxaxcoughxmyxdoctorxwillxbexnotifiedx
-myxKxlevelxwillxneedxtoxbexmonitored
-gettingxupxquicklyxmayxcausexmextoxfeelxdizzy
Axnursexprovidesxcarextoxclientxreceivingxchemo.xWhichxactionxisxappropriatexifxitxspillsx
onxthexfloor?x-xanswer--Usexaxspillxkit
