ATI NCLEX Review Questions &
Rationales Questions & Correct Answers/
Graded A+
List the pertinent information that should be included in a transfer report.
🗸🗸: Medical diagnosis, care providers, demographic information, overview of health status, plan of
care, recent progress, alterations in health status that cause immediate concern, notifications of
assessments or care within the next few hours, recent vitals and medications (scheduled and PRN),
allergies, diet and activity orders, specific equipment or adaptive devices, advance directives,
emergency code status, family involvement in healthcare, and healthcare proxy if applicable.
What are three (3) of the provider's responsibility for obtaining an informed consent?
🗸🗸: The provider must make sure that the patient understands the reason for the treatment or
procedure, how the treatment or procedure will benefit the patient, and the risks involved if the
patient chooses not to receive the treatment or procedure. The physician should also discuss
alternatives to care if they chose to not have the procedure done.
Identify three (3) priority teaching points to include when educating a client to use a cane.
🗸🗸: Maintain two points of support on the ground at all times, keep the cane on the stronger side
of the body, move the cane forward about 6-10 inches and then move the weaker leg toward the
cane before advancing the stronger leg past the cane.
1
,The nurse is teaching a new 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.
🗸🗸: Ripe bananas, graham crackers, noodles, pears, peaches
How should the nurse respond when the client requests information about meditation?
🗸🗸: Meditation uses rhythmic breathing to calm the mind and the body.
A client is at risk for a deep vein thrombosis. What is the priority assessment for this client? Describe
the procedure to use when applying elastic stockings (TEDS).
🗸🗸: Perform hand hygiene. Assess skin, circulation, leg edema. Measure calf/thigh circumference
and the length of the leg to select correct TEDS size. Turn the stockings inside to the heel, place on
the foot, pull the remainder of the stocking over the heel and on the leg, smoothing any creases or
wrinkles. Remove every 8H to assess for redness, warmth, tenderness. Keep clean/dry. Document
presence of TEDS.
A client has been prescribed a mechanical soft diet. What are three (3) indications for this
therapeutic diet?
🗸🗸: Mechanical soft diet includes clear and full liquids plus diced and ground foods, indicated by
trouble chewing/swallowing, difficulty moving or loss of feeling in areas of the mouth, or surgery in
the mouth.
2
, The nurse has been assigned to a post-abdominal surgery client who has also been diagnosed with
dementia. The family is concerned about pain control for the client because the client is confused.
What should the nurse include in their teaching to the family about the pain control plan for this
client?
🗸🗸: Vital signs are indicative of pain, therefore assessed frequently. Explain behavioral changes due
to the dementia which may indicate pain. Pre-medicate the patient prior to activities and before
pain is expected. It is important for the family to understand that there are pain scales that can be
used to help determine if pain medication is needed.
A client reports difficulty falling asleep. What are nursing interventions to promote sleep?
🗸🗸: Promote a bedtime routine, exercise at least 2H before bedtime, personal hygiene needs to
promote comfort, muscle relaxation if anxious/stressed
A nurse is conducting an admission assessment for an older adult client with a hearing impairment.
What are some strategies the nurse can use to improve communication with this client?
🗸🗸: Face the patient and speak slower in a normal volume, do not approach the patient from
behind, make sure the patient is aware you are speaking before you initiate conversation.
The physician prescribes meperidine 25 mg IM now for a client's pain. Available: Meperidine 100
mg/mL How much meperidine will the nurse administer?
🗸🗸: 25 mg * 1mL/100mg = 0.25mL
3
Rationales Questions & Correct Answers/
Graded A+
List the pertinent information that should be included in a transfer report.
🗸🗸: Medical diagnosis, care providers, demographic information, overview of health status, plan of
care, recent progress, alterations in health status that cause immediate concern, notifications of
assessments or care within the next few hours, recent vitals and medications (scheduled and PRN),
allergies, diet and activity orders, specific equipment or adaptive devices, advance directives,
emergency code status, family involvement in healthcare, and healthcare proxy if applicable.
What are three (3) of the provider's responsibility for obtaining an informed consent?
🗸🗸: The provider must make sure that the patient understands the reason for the treatment or
procedure, how the treatment or procedure will benefit the patient, and the risks involved if the
patient chooses not to receive the treatment or procedure. The physician should also discuss
alternatives to care if they chose to not have the procedure done.
Identify three (3) priority teaching points to include when educating a client to use a cane.
🗸🗸: Maintain two points of support on the ground at all times, keep the cane on the stronger side
of the body, move the cane forward about 6-10 inches and then move the weaker leg toward the
cane before advancing the stronger leg past the cane.
1
,The nurse is teaching a new 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.
🗸🗸: Ripe bananas, graham crackers, noodles, pears, peaches
How should the nurse respond when the client requests information about meditation?
🗸🗸: Meditation uses rhythmic breathing to calm the mind and the body.
A client is at risk for a deep vein thrombosis. What is the priority assessment for this client? Describe
the procedure to use when applying elastic stockings (TEDS).
🗸🗸: Perform hand hygiene. Assess skin, circulation, leg edema. Measure calf/thigh circumference
and the length of the leg to select correct TEDS size. Turn the stockings inside to the heel, place on
the foot, pull the remainder of the stocking over the heel and on the leg, smoothing any creases or
wrinkles. Remove every 8H to assess for redness, warmth, tenderness. Keep clean/dry. Document
presence of TEDS.
A client has been prescribed a mechanical soft diet. What are three (3) indications for this
therapeutic diet?
🗸🗸: Mechanical soft diet includes clear and full liquids plus diced and ground foods, indicated by
trouble chewing/swallowing, difficulty moving or loss of feeling in areas of the mouth, or surgery in
the mouth.
2
, The nurse has been assigned to a post-abdominal surgery client who has also been diagnosed with
dementia. The family is concerned about pain control for the client because the client is confused.
What should the nurse include in their teaching to the family about the pain control plan for this
client?
🗸🗸: Vital signs are indicative of pain, therefore assessed frequently. Explain behavioral changes due
to the dementia which may indicate pain. Pre-medicate the patient prior to activities and before
pain is expected. It is important for the family to understand that there are pain scales that can be
used to help determine if pain medication is needed.
A client reports difficulty falling asleep. What are nursing interventions to promote sleep?
🗸🗸: Promote a bedtime routine, exercise at least 2H before bedtime, personal hygiene needs to
promote comfort, muscle relaxation if anxious/stressed
A nurse is conducting an admission assessment for an older adult client with a hearing impairment.
What are some strategies the nurse can use to improve communication with this client?
🗸🗸: Face the patient and speak slower in a normal volume, do not approach the patient from
behind, make sure the patient is aware you are speaking before you initiate conversation.
The physician prescribes meperidine 25 mg IM now for a client's pain. Available: Meperidine 100
mg/mL How much meperidine will the nurse administer?
🗸🗸: 25 mg * 1mL/100mg = 0.25mL
3
