Answers (straight from ATI)
A nurse is assigned care of a client who has HIV. Which of the
following infection control precautions should the nurse plan to use
while caring for this client? -
correct answer ✅Standard precautions. HIV is not spread through
cough or casual contact.
A nurse is contributing to the plan of care for a client who has a
pressure ulcer on his heel. Should the nurse: keep the ulcer bed dry,
clean the ulcer with hydrogen peroxide, provide the client a diet
high in vitamin C, or reposition them every 4 hours? -
correct answer ✅Provide the client a diet that's high in vitamin C
in order to promote wound healing and development of new tissue.
A nurse is caring for a client who has urinary incontinence. What
should the nurse do to prevent the development of skin
breakdown? -
correct answer ✅Apply a moisture barrier ointment to the skin to
prevent further contact of the skin with urine.
A nurse is planning to perform passive range of motion to a client
who is immobilized. Should the nurse: support extremities above
and below joints, stretch the body part just beyond the existing
range of motion, or continue moving body parts if muscle spasticity
,NCLEX-PN Prep Questions And
Answers (straight from ATI)
occurs? -
correct answer ✅Support extremities above and below the joints
to prevent muscle strain or injury.
Identify Erikson's stages of psychosocial development from birth
through 18 years of age. -
correct answer ✅trust vs mistrust,
autonomy vs shame and doubt,
initiative vs guilt,
industry vs inferiority,
identify vs role confusion
A nurse is collecting data from a client who has hypokalemia as a
result of nausea, vomiting, and diarrhea. Should the nurse expect:
hyperactive reflexes, extreme thirst, weak irregular pulse, or
hyperactive bowel sounds? -
correct answer ✅A weak, irregular pulse. Common manifestations
of potassium depletion include: a weak and irregular pulse, muscle
weakness, fatigue, and ventricular dysrhythmias.
A nurse is contributing to the plan of care for a client who has a
gastrostomy tube through which he is receiving continuous enteral
, NCLEX-PN Prep Questions And
Answers (straight from ATI)
feedings. Which of the following interventions should the nurse
include in the plan? -
correct answer ✅-The nurse should flush the gastrostomy tube
with 30 to 60 mL of water every four hours to provide free water to
the client and prevent dehydration.
-The nurse should change the feeding bag and tubing every 24 hr to
limit the growth of bacteria within the system.
-The nurse should elevate the head of the bed to 45 degrees (semi-
Fowler's position) for a client who is receiving continuous enteral
feedings to limit the risk of aspiration of the formula.
-The nurse should limit the quantity in the feeding bag to provide
feeding for a 4 hr time frame to limit bacterial growth within the
system.
A nurse is verifying that a client is giving informed consent to
undergo electroconvulsive therapy. Which of the following actions
should the nurse take? -
correct answer ✅Confirm the client's signature is authentic.