ATI NCLEX REVIEW QUESTIONS & RATIONALES |
GUARANTEED DETAILED ANSWERS |LATEST VERSION 2025\26
|VERIFIED |COMPLETE
Terms in this set (70)
Medical diagnosis, care providers, demographic information,
overview of health status, plan of care, recent progress,
alterations in health status that cause immediate concern,
List the pertinent information
notifications of assessments or care within the next few hours,
that should be included in
recent vitals and medications (scheduled and PRN), allergies,
a transfer report.
diet and activity orders, specific equipment or adaptive devices,
advance directives, emergency code status, family involvement
in healthcare, and healthcare proxy if applicable.
The provider must make sure that the patient understands the
reason for the treatment or procedure, how the treatment or
What are three (3) of the
procedure will benefit the patient, and the risks involved if the
provider's responsibility for
patient chooses not to receive the treatment or procedure.
obtaining an informed consent?
The physician should also discuss alternatives to care if they
chose to not have the procedure done.
, Maintain two points of support on the ground at all times, keep
Identify three (3) priority
the cane on the stronger side of the body, move the cane
teaching points to include when
forward about 6-10 inches and then move the weaker leg toward
educating a client to use a
the cane before advancing the stronger leg past the cane.
cane.
The nurse is teaching a new Ripe bananas, graham crackers, noodles, pears, peaches
parent appropriate finger
foods to introduce around
nine (9) months. Identify five
(5) finger foods that would be
appropriate
to introduce at nine (9) months.
How should the nurse respond Meditation uses rhythmic breathing to calm the mind and the
when the client requests body.
information about meditation?
Perform hand hygiene. Assess skin, circulation, leg edema.
A client is at risk for a deep
Measure calf/thigh circumference and the length of the leg
vein thrombosis. What is the
to select correct TEDS size. Turn the stockings inside to the
priority assessment for this
heel, place on the foot, pull the remainder of the stocking
client?
over the heel and on the leg, smoothing any creases or
Describe the procedure to
wrinkles. Remove every 8H to assess for redness, warmth,
use when applying elastic
tenderness. Keep
stockings (TEDS).
clean/dry. Document presence of TEDS.
A client has been prescribed a Mechanical soft diet includes clear and full liquids plus diced and
mechanical soft diet. What are ground foods, indicated by trouble chewing/swallowing,
three (3) indications for this difficulty moving or loss of feeling in areas of the mouth, or
therapeutic diet? surgery in the mouth.
, The nurse has been assigned Vital signs are indicative of pain, therefore assessed frequently.
to a post-abdominal surgery Explain behavioral changes due to the dementia which may
client who has also been indicate pain. Pre-medicate the patient prior to activities and
diagnosed with dementia. The before pain is expected. It is important for the family to
family is concerned about understand that there are pain scales that can be used to help
pain control for the client determine if pain medication is needed.
because the client is
confused. What should the
nurse include in their teaching
to the family about the pain
control
plan for this client?
A client reports difficulty falling Promote a bedtime routine, exercise at least 2H before bedtime,
asleep. What are nursing personal hygiene needs to promote comfort, muscle relaxation if
interventions to promote sleep? anxious/stressed
A nurse is conducting an Face the patient and speak slower in a normal volume, do
admission assessment for an not approach the patient from behind, make sure the patient is
older adult client with a aware you are speaking before you initiate conversation.
hearing impairment. What are
some strategies the nurse can
use to improve communication
with this
client?
GUARANTEED DETAILED ANSWERS |LATEST VERSION 2025\26
|VERIFIED |COMPLETE
Terms in this set (70)
Medical diagnosis, care providers, demographic information,
overview of health status, plan of care, recent progress,
alterations in health status that cause immediate concern,
List the pertinent information
notifications of assessments or care within the next few hours,
that should be included in
recent vitals and medications (scheduled and PRN), allergies,
a transfer report.
diet and activity orders, specific equipment or adaptive devices,
advance directives, emergency code status, family involvement
in healthcare, and healthcare proxy if applicable.
The provider must make sure that the patient understands the
reason for the treatment or procedure, how the treatment or
What are three (3) of the
procedure will benefit the patient, and the risks involved if the
provider's responsibility for
patient chooses not to receive the treatment or procedure.
obtaining an informed consent?
The physician should also discuss alternatives to care if they
chose to not have the procedure done.
, Maintain two points of support on the ground at all times, keep
Identify three (3) priority
the cane on the stronger side of the body, move the cane
teaching points to include when
forward about 6-10 inches and then move the weaker leg toward
educating a client to use a
the cane before advancing the stronger leg past the cane.
cane.
The nurse is teaching a new Ripe bananas, graham crackers, noodles, pears, peaches
parent appropriate finger
foods to introduce around
nine (9) months. Identify five
(5) finger foods that would be
appropriate
to introduce at nine (9) months.
How should the nurse respond Meditation uses rhythmic breathing to calm the mind and the
when the client requests body.
information about meditation?
Perform hand hygiene. Assess skin, circulation, leg edema.
A client is at risk for a deep
Measure calf/thigh circumference and the length of the leg
vein thrombosis. What is the
to select correct TEDS size. Turn the stockings inside to the
priority assessment for this
heel, place on the foot, pull the remainder of the stocking
client?
over the heel and on the leg, smoothing any creases or
Describe the procedure to
wrinkles. Remove every 8H to assess for redness, warmth,
use when applying elastic
tenderness. Keep
stockings (TEDS).
clean/dry. Document presence of TEDS.
A client has been prescribed a Mechanical soft diet includes clear and full liquids plus diced and
mechanical soft diet. What are ground foods, indicated by trouble chewing/swallowing,
three (3) indications for this difficulty moving or loss of feeling in areas of the mouth, or
therapeutic diet? surgery in the mouth.
, The nurse has been assigned Vital signs are indicative of pain, therefore assessed frequently.
to a post-abdominal surgery Explain behavioral changes due to the dementia which may
client who has also been indicate pain. Pre-medicate the patient prior to activities and
diagnosed with dementia. The before pain is expected. It is important for the family to
family is concerned about understand that there are pain scales that can be used to help
pain control for the client determine if pain medication is needed.
because the client is
confused. What should the
nurse include in their teaching
to the family about the pain
control
plan for this client?
A client reports difficulty falling Promote a bedtime routine, exercise at least 2H before bedtime,
asleep. What are nursing personal hygiene needs to promote comfort, muscle relaxation if
interventions to promote sleep? anxious/stressed
A nurse is conducting an Face the patient and speak slower in a normal volume, do
admission assessment for an not approach the patient from behind, make sure the patient is
older adult client with a aware you are speaking before you initiate conversation.
hearing impairment. What are
some strategies the nurse can
use to improve communication
with this
client?
