ATI NCLEX RN ACTUAL EXAM WITH
VERIFIED DETAILED ANSWERS (100%
CORRECT) NEW!/ A+ GRADE ASSURED
A nurse is caring for a client who died approximately one hour ago. The
nurse notes that theclient's temperature hasdecreased in the last hour
since his death. Which of the following processes explains this
phenomenon?
a. Rigor mortis
b. Postmortem decomposition
c. Algor mortis
d. Livor mortis
A nurse is calculating a client's intake and output. During the last shift, the
client has had ½ cup of gelatin, a skinless chicken breast, 1 cup of green
beans, and 300 cc of water. The client has urinated 250 cc and has had 2
bowelmovements. What is this client's intake and output forthis shift?
a. 420 cc intake, 250 cc output
,b. 300 cc intake, 250 cc output
c. 550 cc intake, 550 cc output
d. 300 cc intake, 550 cc output
A nurse is caring for a client with ariboflavinosis. Which of the following
foods should thenurse serve this client?
a. Citrus fruits
b. Milk
c. Fish
d. Potatoes
A client is taking a walk down the hallway when she suddenly realizes that
she needs to use the restroom. Although she tries to make it to the
bathroom on time, she is incontinent of urine before reaching the toilet.
What type of incontinence does this situation represent?
a. Reflex incontinence
b. Urge incontinence
c. Total incontinence
d. Functional incontinence
,Which of the following clients is at a higher risk of developing oral health
problems?
a. A pregnant client
b. A client with diabetes
c. A client receiving chemotherapy
d. Both b and c
Which nursing intervention is most appropriate to reduce environmental
stimuli that maycause discomfort for aclient?
a. Loosen pressure dressings on wounds
b. Use assistance to pull a client up in bed
c. Check temperature of water used in a sponge bath
d. Position the client prone
A client has developed a vitamin C deficiency. Which of the following
symptoms might thenurse most likely seewith this condition?
a. Cracks at the corners of the mouth
b. Altered mental status
, c. Bleeding gums and loose teeth
d. Anorexia and diarrhea
Which of the following interventions should a nurse perform for a female
client who isincontinent withimpaired skin integrity?
a. Turn the client at least every 8 hours
b. Apply lotion to the skin before a bath
c. Provide perineal care after the client uses the bathroom
d. Bathe the client every 3 days
Which of the following is an example of a positive effect of exercise on a
client?
a. Decreased basal metabolic rate
b. Decreased venous return
c. Decreased work of breathing
d. Decreased gastric motility
You have taken the vital signs for your patient. They are normal for the
patient. What shouldyou do next?
a. Report the vital signs to the doctor