ATI NCLEX 200 questions and answers 2025-2026
update
A client is exhibiting early signs of hemorrhage. Which findings should the nurse anticipate?
1. Cold, clammy skin
2. Heart rate 120/min
3. Weak, thready pulse
4. Blood pressure 80/60 - ANS >>2. Heart rate 120/min
An older adult client reports recurring calf pain after walking one to two blocks that disappears with res
The client has weak pedal pulses, and skin on the left lower leg is shiny and cool to the touch. Whic
nursing intervention is appropriate at this time?
1. Position the left leg dependently
2. Elevate the left leg above the heart
3. Immobilize the left leg to prevent further injury
4. Assess dorsiflexion and extension of the left foot - ANS >>1. Position the left leg dependently
A client who has just been diagnosed with rheumatoid arthritis is required to receive 3 months o
methotrexate therapy. The nurse recognizes which of the following are adverse effects associated wit
the therapy? SATA
1. WBC 1,200
2. Weight gain 2.27 kg (5 lbs.)
3. Oral temperature of 37.2 (99)
4. Urine Specific Gravity 1.003
5. Platelets 5,000 - ANS >>1. WBC 1,200
5. Platelets 5,000
A nurse prepares a staff in-service on incident reports. Which information should the nurse include? SAT
1. Risk management investigates the incident
2. A copy of report is placed in client's health record
3. Reports include description of incident and actions taken
4. Reports are confidential and not shared with noninvolved staff
,5. Completion of report should be documented in the nurses' notes - ANS >>1. Risk managemen
investigates the incident
3. Reports include description of incident and actions taken
4. Reports are confidential and not shared with noninvolved staff
A nurse is unsure of the proper technique when caring for a client who is prescribes enteral feedings
Which action should the nurse take?
1. Ask the charge nurse for step-by-step directions
2. Call the provider for specific instructions
3. Consult the unit procedure manual for guidance
4. Delegate task to a LPN to complete the feedings. - ANS >>3. Consult the unit procedure manual fo
guidance
A nurse admits a client from a long-term care facility. Which action should be implemented? SATA
1. Verify the admission medications prescribed by the provider
2. Review the current medication regimen with the client
3. Obtain the most recent list of mediations from the long-term care facility
4. Locate a list of discharge medications from the most recent hospitalization.
5. Discuss any discrepancies with the health care provider - ANS >>1. Verify the admission medication
prescribed by the provider
2. Review the current medication regimen with the client
3. Obtain the most recent list of medications from the long-term care facility
5. discuss any discrepancies with the health care provider
A nurse cares for a client with terminal lung cancer. Which action should be delegated to the UAP? SAT
1. Encourage client to express feelings about the terminal diagnosis
2. Assist the client to ambulate to the bedside chair twice a day
3. Demonstrate to client the proper use of a bronchodilator inhaler
4. Complete vital signs that include oxygen saturation every 4 hours
5. Obtain a urine specimen from the client's indwelling bladder catheter - ANS >>2. Assist the client t
ambulate to the bedside chair twice a day
4. Complete vital signs that include oxygen saturation every 4 hours
A nurse cares for a group of clients on a med-surg unit. Which client should be delegated to the LPN
SATA. A client with
1. Newly diagnosed DM2
2. Facial lacerations and a subdural hematoma
3. Bronchitis receiving bronchodilator treatments
4. Exacerbation of myasthenia gravis admitted three hours ago
,5. Advanced regular diet two days post chole - ANS >>3. Bronchitis receiving bronchodilator treatments
5. Advanced regular diet two days post chole
A nurse enters the room of a client who is at the foot of the bed lying on the floor. Which should be th
initial nursing action?
1. Examine the client for injuries
2. Obtain HR and BP
3. Assess vital signs and LOC
4. Determine intensity of pain with ROM - ANS >>3. Assess vital signs and LOC
Four days after a ventral hernia repair, a client who is obese and has a history of COPD vomits and report
severe abdominal pain. The oxygen saturation is 90%. Which action should the nurse implement first?
1. Administer ondansetron hcl IV
2. Encourage pursed lip breathing
3. Assess the surgical incision site
4. Apply low dose oxygen via nasal cannula - ANS >>3. Assess the surgical incision site
A nurse arrives at a work site explosion. Which client should be triaged first? A client who has
1. Fixed pupils an agonal respirations
2. Burns to the face and respiratory stridor
3. Type 2 DM who is disoriented
4. A closed fracture reporting "a pain level of 3" - ANS >>2. Burns to the face and respiratory stridor
A home health nurse is performing an admission assessment on a client who has a knee arthroplasty on
week ago. Which client statement should concern the nurse the most?
1. "I am so glad to be of those blood thinners"
2. "I will keep a pillow under my knee when I am in bed"
3. "I am planning to use a wheelchair to help me get around"
4. "I plan to take ibuprofen instead of the prescribed hydrocodone with acetaminophen for pain control"
ANS >>1. "I am so glad to be of those blood thinners"
A nurse provides care for a client who has a chest tube. The nurse notes the chest tube has becom
disconnected from the chest drainage system. Which action should the nurse take?
1. Increase suction to the chest drainage system.
2. Reposition the client to a high-fowler's position
3. Apply to the client low-flow oxygen via nasal cannula
4. Immerse the end of the chest tube in a bottle of sterile water - ANS >>4. Immerse the end of the ches
tube in a bottle of sterile water
, A client receives a transfusion of packed RBC's and tells the nurse "My IV site is painful and looks like
is swollen" Which action should the nurse take?
1. Continue to monitor the site for signs of infection or infiltration
2. Double check the blood type of the unit of blood with another nurse
3. Start a new IV at another site and resume the transfusion at the new site
4. Discontinue the transfusion and send the remaining blood and tubing to the lab - ANS >>3. Start a ne
IV at another site and resume the transfusion at the new site
A client who has recently undergone surgery for a tracheostomy is now at home. The nurse recognizes
need for immediate intervention when the caregiver does which of the following?
1. Suctions intermittently for 15 seconds
2. Places an air humidifier at the bedside
3. Cuts a 4x4 gauze to put around the tracheostomy tube
4. Removes the ties before cleaning the tracheostomy - ANS >>4. Removes the ties before cleaning th
tracheostomy
A nurse assigns four clients to the LPN. Which finding should the LPN immediately report to the nurse
A client
1. Receiving long-term IV abx who has a rash in his left groin
2. with baseline regular apical pulse of 88 who has an irregular apical pulse of 120 today
3. Who has a recent diagnosis of terminal cancer and refuses to eat or participate in hygiene care.
4. eight hours post laparoscopic surgery who reports abdominal distention and shoulder pain. - ANS >>2
with baseline regular apical pulse of 88 who has an irregular apical pulse of 120 today
A nurse plans to administer the following medication. Which medication should the nurse administe
first?
1. A scheduled IV abx for a client with resolving pneumonia.
2. Pain medication to a client who rates their pain a 4-5 on a 0-10 scale
3. An antidiarrheal for a client with one diarrhea stool in the last hour
4. The antipyretic to a client with a temperature of 100.7 (38.2) - ANS >>1. A scheduled IV abx for a clien
with resolving pneumonia.
A nurse cares for a group of clients. Which information can be disclosed about a client?
1. HIV status to the client's coworkers
2. Stage IV cancer diagnosis to the client's family
3. Uncontrolled seizure disorder to DMV
4. Alcohol detoxification recovery status to client's employer - ANS >>3. Uncontrolled seizure disorder t
DMV
update
A client is exhibiting early signs of hemorrhage. Which findings should the nurse anticipate?
1. Cold, clammy skin
2. Heart rate 120/min
3. Weak, thready pulse
4. Blood pressure 80/60 - ANS >>2. Heart rate 120/min
An older adult client reports recurring calf pain after walking one to two blocks that disappears with res
The client has weak pedal pulses, and skin on the left lower leg is shiny and cool to the touch. Whic
nursing intervention is appropriate at this time?
1. Position the left leg dependently
2. Elevate the left leg above the heart
3. Immobilize the left leg to prevent further injury
4. Assess dorsiflexion and extension of the left foot - ANS >>1. Position the left leg dependently
A client who has just been diagnosed with rheumatoid arthritis is required to receive 3 months o
methotrexate therapy. The nurse recognizes which of the following are adverse effects associated wit
the therapy? SATA
1. WBC 1,200
2. Weight gain 2.27 kg (5 lbs.)
3. Oral temperature of 37.2 (99)
4. Urine Specific Gravity 1.003
5. Platelets 5,000 - ANS >>1. WBC 1,200
5. Platelets 5,000
A nurse prepares a staff in-service on incident reports. Which information should the nurse include? SAT
1. Risk management investigates the incident
2. A copy of report is placed in client's health record
3. Reports include description of incident and actions taken
4. Reports are confidential and not shared with noninvolved staff
,5. Completion of report should be documented in the nurses' notes - ANS >>1. Risk managemen
investigates the incident
3. Reports include description of incident and actions taken
4. Reports are confidential and not shared with noninvolved staff
A nurse is unsure of the proper technique when caring for a client who is prescribes enteral feedings
Which action should the nurse take?
1. Ask the charge nurse for step-by-step directions
2. Call the provider for specific instructions
3. Consult the unit procedure manual for guidance
4. Delegate task to a LPN to complete the feedings. - ANS >>3. Consult the unit procedure manual fo
guidance
A nurse admits a client from a long-term care facility. Which action should be implemented? SATA
1. Verify the admission medications prescribed by the provider
2. Review the current medication regimen with the client
3. Obtain the most recent list of mediations from the long-term care facility
4. Locate a list of discharge medications from the most recent hospitalization.
5. Discuss any discrepancies with the health care provider - ANS >>1. Verify the admission medication
prescribed by the provider
2. Review the current medication regimen with the client
3. Obtain the most recent list of medications from the long-term care facility
5. discuss any discrepancies with the health care provider
A nurse cares for a client with terminal lung cancer. Which action should be delegated to the UAP? SAT
1. Encourage client to express feelings about the terminal diagnosis
2. Assist the client to ambulate to the bedside chair twice a day
3. Demonstrate to client the proper use of a bronchodilator inhaler
4. Complete vital signs that include oxygen saturation every 4 hours
5. Obtain a urine specimen from the client's indwelling bladder catheter - ANS >>2. Assist the client t
ambulate to the bedside chair twice a day
4. Complete vital signs that include oxygen saturation every 4 hours
A nurse cares for a group of clients on a med-surg unit. Which client should be delegated to the LPN
SATA. A client with
1. Newly diagnosed DM2
2. Facial lacerations and a subdural hematoma
3. Bronchitis receiving bronchodilator treatments
4. Exacerbation of myasthenia gravis admitted three hours ago
,5. Advanced regular diet two days post chole - ANS >>3. Bronchitis receiving bronchodilator treatments
5. Advanced regular diet two days post chole
A nurse enters the room of a client who is at the foot of the bed lying on the floor. Which should be th
initial nursing action?
1. Examine the client for injuries
2. Obtain HR and BP
3. Assess vital signs and LOC
4. Determine intensity of pain with ROM - ANS >>3. Assess vital signs and LOC
Four days after a ventral hernia repair, a client who is obese and has a history of COPD vomits and report
severe abdominal pain. The oxygen saturation is 90%. Which action should the nurse implement first?
1. Administer ondansetron hcl IV
2. Encourage pursed lip breathing
3. Assess the surgical incision site
4. Apply low dose oxygen via nasal cannula - ANS >>3. Assess the surgical incision site
A nurse arrives at a work site explosion. Which client should be triaged first? A client who has
1. Fixed pupils an agonal respirations
2. Burns to the face and respiratory stridor
3. Type 2 DM who is disoriented
4. A closed fracture reporting "a pain level of 3" - ANS >>2. Burns to the face and respiratory stridor
A home health nurse is performing an admission assessment on a client who has a knee arthroplasty on
week ago. Which client statement should concern the nurse the most?
1. "I am so glad to be of those blood thinners"
2. "I will keep a pillow under my knee when I am in bed"
3. "I am planning to use a wheelchair to help me get around"
4. "I plan to take ibuprofen instead of the prescribed hydrocodone with acetaminophen for pain control"
ANS >>1. "I am so glad to be of those blood thinners"
A nurse provides care for a client who has a chest tube. The nurse notes the chest tube has becom
disconnected from the chest drainage system. Which action should the nurse take?
1. Increase suction to the chest drainage system.
2. Reposition the client to a high-fowler's position
3. Apply to the client low-flow oxygen via nasal cannula
4. Immerse the end of the chest tube in a bottle of sterile water - ANS >>4. Immerse the end of the ches
tube in a bottle of sterile water
, A client receives a transfusion of packed RBC's and tells the nurse "My IV site is painful and looks like
is swollen" Which action should the nurse take?
1. Continue to monitor the site for signs of infection or infiltration
2. Double check the blood type of the unit of blood with another nurse
3. Start a new IV at another site and resume the transfusion at the new site
4. Discontinue the transfusion and send the remaining blood and tubing to the lab - ANS >>3. Start a ne
IV at another site and resume the transfusion at the new site
A client who has recently undergone surgery for a tracheostomy is now at home. The nurse recognizes
need for immediate intervention when the caregiver does which of the following?
1. Suctions intermittently for 15 seconds
2. Places an air humidifier at the bedside
3. Cuts a 4x4 gauze to put around the tracheostomy tube
4. Removes the ties before cleaning the tracheostomy - ANS >>4. Removes the ties before cleaning th
tracheostomy
A nurse assigns four clients to the LPN. Which finding should the LPN immediately report to the nurse
A client
1. Receiving long-term IV abx who has a rash in his left groin
2. with baseline regular apical pulse of 88 who has an irregular apical pulse of 120 today
3. Who has a recent diagnosis of terminal cancer and refuses to eat or participate in hygiene care.
4. eight hours post laparoscopic surgery who reports abdominal distention and shoulder pain. - ANS >>2
with baseline regular apical pulse of 88 who has an irregular apical pulse of 120 today
A nurse plans to administer the following medication. Which medication should the nurse administe
first?
1. A scheduled IV abx for a client with resolving pneumonia.
2. Pain medication to a client who rates their pain a 4-5 on a 0-10 scale
3. An antidiarrheal for a client with one diarrhea stool in the last hour
4. The antipyretic to a client with a temperature of 100.7 (38.2) - ANS >>1. A scheduled IV abx for a clien
with resolving pneumonia.
A nurse cares for a group of clients. Which information can be disclosed about a client?
1. HIV status to the client's coworkers
2. Stage IV cancer diagnosis to the client's family
3. Uncontrolled seizure disorder to DMV
4. Alcohol detoxification recovery status to client's employer - ANS >>3. Uncontrolled seizure disorder t
DMV
