REPEATED QUESTIONS &
RATIONALES (2026 EDITION)|||
Questions And Answers With
Rationales/Graded A+/2026
Update/100% Correct /Instant
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Instructions: Select the best answer. Correct answers are highlighted in bold.
Rationales are provided to reinforce key NCLEX/ATI concepts.
Topic 1: Safety & Infection Control (Questions 1–12)
1. A nurse is caring for a client with active pulmonary tuberculosis. Which
type of precautions should the nurse implement?
• A. Contact Precautions
• B. Airborne Precautions (Rationale: TB, measles, varicella require airborne
precautions — N95 mask, negative pressure room.)
• C. Droplet Precautions
• D. Standard Precautions
2. A client is receiving a blood transfusion and reports low back pain and
chills. What is the priority action?
• A. Stop the transfusion (Rationale: Low back pain, chills, and hematuria
indicate acute hemolytic reaction. Stop transfusion immediately, keep IV
line open with saline.)
, • B. Slow the infusion rate
• C. Administer acetaminophen
• D. Notify the provider
3. Which client should the nurse assign to a private room?
• A. Client with pneumonia (Streptococcus pneumoniae)
• B. Client with MRSA in a wound
• C. Client with disseminated herpes zoster (Rationale: Disseminated
herpes zoster is airborne and contact precautions; private room essential.)
• D. Client with C. difficile
4. A nurse is preparing to insert an indwelling urinary catheter. Which
technique is correct for maintaining asepsis?
• A. Place the sterile field 1 inch from the edge of the table
• B. Use clean gloves to open the sterile kit
• C. The outer wrapping of the sterile kit is not sterile (Rationale: Only the
inner surface of the sterile package is sterile; outer wrapping is
contaminated.)
• D. Pour sterile solution onto the sterile field from a height of 2 inches
5. A client on fall precautions attempts to get out of bed unassisted. Which
action is most appropriate?
• A. Reorient the client and call for assistance (Rationale: Prioritize safety
while preventing injury. Use assistive devices and bed alarm.)
• B. Apply restraints immediately
• C. Let the client try once
• D. Close the door to limit wandering
6. A nurse is caring for a client with neutropenia. Which food should be
avoided?
• A. Canned tuna
, • B. Fresh strawberries (Rationale: Fresh fruits may carry bacteria;
neutropenic diet requires cooked or well-washed, peelable fruits.)
• C. Pasteurized yogurt
• D. White bread
7. A nurse is educating a family about home fire safety. Which statement
indicates understanding?
• A. “We should have a fire extinguisher in the kitchen.” (Rationale: Fire
extinguisher in cooking areas; check pressure monthly.)
• B. “We will use space heaters in the bedroom overnight.”
• C. “Matches should be stored on a low shelf.”
• D. “Smoke detectors need battery checks every 2 years.”
8. A client with a new tracheostomy begins coughing violently and the inner
cannula is expelled. What is the priority?
• A. Suction the stoma
• B. Insert a sterile obturator and reinsert a new inner cannula (Rationale:
Obturator guides reinsertion; maintain airway patency.)
• C. Call respiratory therapy
• D. Cover the stoma with sterile gauze
9. Which action by the UAP requires immediate intervention?
• A. Wearing gloves to empty a Foley catheter bag
• B. Removing N95 mask after leaving a TB client’s room (Rationale: N95
must be removed after leaving room and door closed; removing inside room
may cause exposure.)
• C. Placing a biowaste bag in a red container
• D. Using alcohol hand rub after removing gloves
10. A nurse is applying restraints to a confused client. Which action is correct?
• A. Tie restraints to the side rail