ATI EXIT & NCLEX 2026 Exam
Questions and Answers |
Already Graded A+
A nurse is caring for a client with severe peripheral arterial disease of the
right lower extremity. Which intervention is appropriate?
A.) Apply cold compresses to the affected extremity
B.) Apply warm compresses to the affected extremity
C.) Keep the affected extremity above the level of the heart
,D.) Keep the affected extremity below the level of the heart -
ANSWER ✔✔ANSWER--->D.) Keep the affected extremity below the
level of the heart
RATIONALE: The nurse should NEVER apply direct heat to the limb.
Sensitivity is decreased in the affected limb & burns may result
A nurse is providing care for a client with a Jackson-Pratt drain. Which of
the following nursing interventions has the highest priority?
A.) Securing the tube and drainage bulb to the pt
B.) Keeping the drainage bulb depressed to manual suction
C.) "Milking" the tubing before emptying the drain
D.) Cleansing the insertion site of the tube w/betadine - ANSWER
✔✔ANSWER-->B.) Keeping the drainage bulb depressed to manual
suction
RATIONALE: Securing the tubing helps to keep tension from being
placed on the tubing & bulb. While this is helpful, maintaining the bulb to
suction is the highest priority nursing intervention
,A client is scheduled for surgery. Which of the following findings should
the nurse report to the provider prior to surgery?
A.) Serum potassium of 3.8 mEq/L
B.) A missing identification band
C.) Increased anxiety level
D.) A decrease in BP - ANSWER ✔✔ANSWER-->D.) A decrease in
BP
RATIONALE: If a missing ID band is noted the nurse can recreate the
band prior to proceeding to the operating room. The ID band is a method
of properly identifying a pt & necessary for care
A client is undergoing cystoscopy. Which of the following interventions
should the nurse include in the client's plan of care?
A.) Provide education on home urinary catheter care
B.) Monitor for infection for 48-72 hours following procedure
C.) Increase oral fluid intake to flush contrast dye from system
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, D) Educate pt on the need for anticoagulant therapy - ANSWER
✔✔ANSWER--->B) Monitor for infection for 48-72 hours following
procedure
RATIONALE: Cystoscopy does not require administration of contrast dye
A nurse is caring for a post-operative client who underwent thoracic
surgery 7 hours prior, and now has in place a chest tube for drainage.
What finding would require the nurse to contact the provider
immediately?
A.) Chest tube & tubing become disconnected during pt transfer
B) Pt complains of left-sided chest pain of 7 on pain scale when
performing incentive spirometry
C) Chest tube drainage measures 80 mLs/hr of red blood
D) Diminished breath sounds auscultated in left lower lobe -
ANSWER ✔✔ANSWER-->C) Chest tube drainage measures 80mL/hr
of red blood
Questions and Answers |
Already Graded A+
A nurse is caring for a client with severe peripheral arterial disease of the
right lower extremity. Which intervention is appropriate?
A.) Apply cold compresses to the affected extremity
B.) Apply warm compresses to the affected extremity
C.) Keep the affected extremity above the level of the heart
,D.) Keep the affected extremity below the level of the heart -
ANSWER ✔✔ANSWER--->D.) Keep the affected extremity below the
level of the heart
RATIONALE: The nurse should NEVER apply direct heat to the limb.
Sensitivity is decreased in the affected limb & burns may result
A nurse is providing care for a client with a Jackson-Pratt drain. Which of
the following nursing interventions has the highest priority?
A.) Securing the tube and drainage bulb to the pt
B.) Keeping the drainage bulb depressed to manual suction
C.) "Milking" the tubing before emptying the drain
D.) Cleansing the insertion site of the tube w/betadine - ANSWER
✔✔ANSWER-->B.) Keeping the drainage bulb depressed to manual
suction
RATIONALE: Securing the tubing helps to keep tension from being
placed on the tubing & bulb. While this is helpful, maintaining the bulb to
suction is the highest priority nursing intervention
,A client is scheduled for surgery. Which of the following findings should
the nurse report to the provider prior to surgery?
A.) Serum potassium of 3.8 mEq/L
B.) A missing identification band
C.) Increased anxiety level
D.) A decrease in BP - ANSWER ✔✔ANSWER-->D.) A decrease in
BP
RATIONALE: If a missing ID band is noted the nurse can recreate the
band prior to proceeding to the operating room. The ID band is a method
of properly identifying a pt & necessary for care
A client is undergoing cystoscopy. Which of the following interventions
should the nurse include in the client's plan of care?
A.) Provide education on home urinary catheter care
B.) Monitor for infection for 48-72 hours following procedure
C.) Increase oral fluid intake to flush contrast dye from system
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, D) Educate pt on the need for anticoagulant therapy - ANSWER
✔✔ANSWER--->B) Monitor for infection for 48-72 hours following
procedure
RATIONALE: Cystoscopy does not require administration of contrast dye
A nurse is caring for a post-operative client who underwent thoracic
surgery 7 hours prior, and now has in place a chest tube for drainage.
What finding would require the nurse to contact the provider
immediately?
A.) Chest tube & tubing become disconnected during pt transfer
B) Pt complains of left-sided chest pain of 7 on pain scale when
performing incentive spirometry
C) Chest tube drainage measures 80 mLs/hr of red blood
D) Diminished breath sounds auscultated in left lower lobe -
ANSWER ✔✔ANSWER-->C) Chest tube drainage measures 80mL/hr
of red blood
