1
ATI Proctored Exams & CMS Review Mega Bundle (RN & PN) 2024–2026 | 180
Verified NCLEX Questions + Rationales | Pharmacology, Med-Surg, OB, Peds,
Mental Health, Capstone, CMS Quizzes | Guaranteed Pass
1. A nurse is reviewing medications for a client who has a new prescription for
digoxin. Which of the following findings is most important to report to the
provider before administration?
A. Heart rate of 62 bpm
B. Serum potassium 2.9 mEq/L
C. Blood pressure of 132/84 mmHg
D. Slight nausea in the morning
Correct Answer: B. Serum potassium 2.9 mEq/L
Rationale: Hypokalemia increases the risk of digoxin toxicity. A potassium level
below 3.5 mEq/L should be corrected before administering digoxin to avoid life-
threatening arrhythmias.
2. A nurse is caring for a client in the third trimester of pregnancy who reports
painless, bright red vaginal bleeding. Which of the following should the nurse
, 2
suspect?
A. Placental abruption
B. Ectopic pregnancy
C. Placenta previa
D. Cervical insufficiency
Correct Answer: C. Placenta previa
Rationale: Placenta previa typically presents as painless, bright red bleeding in the
third trimester due to the placenta partially or completely covering the cervix.
Immediate evaluation is required.
3. A nurse is teaching a client about taking warfarin. Which of the following
statements indicates a need for further teaching?
A. "I will avoid leafy green vegetables."
B. "I will report any signs of bleeding."
C. "I can take aspirin if I get a headache."
D. "I will have my INR checked regularly."
Correct Answer: C. "I can take aspirin if I get a headache."
Rationale: Aspirin increases the risk of bleeding and should be avoided with
, 3
warfarin unless specifically prescribed. This statement indicates a need for further
education.
4. A nurse is assessing a 6-month-old infant during a wellness check. Which of the
following findings should be reported to the provider?
A. Unable to sit with support
B. Babbling and cooing sounds
C. Weight has doubled since birth
D. Reaches for objects with both hands
Correct Answer: A. Unable to sit with support
Rationale: By 6 months, an infant should be able to sit with support. Failure to do
so may indicate a developmental delay and should be reported.
5. A nurse is evaluating a client who recently started taking lithium. Which of the
following findings requires immediate intervention?
A. Fine hand tremors
B. Frequent urination
C. Diarrhea and vomiting
D. Weight gain
, 4
Correct Answer: C. Diarrhea and vomiting
Rationale: These are signs of lithium toxicity, especially when fluid and sodium
loss occurs. The nurse should hold the medication and notify the provider.
6. A nurse is preparing to administer metoprolol to a client with hypertension.
Which of the following is a priority assessment before administration?
A. Respiratory rate
B. Bowel sounds
C. Apical pulse
D. Capillary refill
Correct Answer: C. Apical pulse
Rationale: Metoprolol is a beta-blocker that slows the heart rate. The nurse must
assess the apical pulse and withhold the medication if it is below 60 bpm.
7. A client with major depressive disorder states, “I just want all of this to be over.”
What is the nurse’s priority response?
A. “Things will get better with time.”
B. “Are you thinking of hurting yourself?”
ATI Proctored Exams & CMS Review Mega Bundle (RN & PN) 2024–2026 | 180
Verified NCLEX Questions + Rationales | Pharmacology, Med-Surg, OB, Peds,
Mental Health, Capstone, CMS Quizzes | Guaranteed Pass
1. A nurse is reviewing medications for a client who has a new prescription for
digoxin. Which of the following findings is most important to report to the
provider before administration?
A. Heart rate of 62 bpm
B. Serum potassium 2.9 mEq/L
C. Blood pressure of 132/84 mmHg
D. Slight nausea in the morning
Correct Answer: B. Serum potassium 2.9 mEq/L
Rationale: Hypokalemia increases the risk of digoxin toxicity. A potassium level
below 3.5 mEq/L should be corrected before administering digoxin to avoid life-
threatening arrhythmias.
2. A nurse is caring for a client in the third trimester of pregnancy who reports
painless, bright red vaginal bleeding. Which of the following should the nurse
, 2
suspect?
A. Placental abruption
B. Ectopic pregnancy
C. Placenta previa
D. Cervical insufficiency
Correct Answer: C. Placenta previa
Rationale: Placenta previa typically presents as painless, bright red bleeding in the
third trimester due to the placenta partially or completely covering the cervix.
Immediate evaluation is required.
3. A nurse is teaching a client about taking warfarin. Which of the following
statements indicates a need for further teaching?
A. "I will avoid leafy green vegetables."
B. "I will report any signs of bleeding."
C. "I can take aspirin if I get a headache."
D. "I will have my INR checked regularly."
Correct Answer: C. "I can take aspirin if I get a headache."
Rationale: Aspirin increases the risk of bleeding and should be avoided with
, 3
warfarin unless specifically prescribed. This statement indicates a need for further
education.
4. A nurse is assessing a 6-month-old infant during a wellness check. Which of the
following findings should be reported to the provider?
A. Unable to sit with support
B. Babbling and cooing sounds
C. Weight has doubled since birth
D. Reaches for objects with both hands
Correct Answer: A. Unable to sit with support
Rationale: By 6 months, an infant should be able to sit with support. Failure to do
so may indicate a developmental delay and should be reported.
5. A nurse is evaluating a client who recently started taking lithium. Which of the
following findings requires immediate intervention?
A. Fine hand tremors
B. Frequent urination
C. Diarrhea and vomiting
D. Weight gain
, 4
Correct Answer: C. Diarrhea and vomiting
Rationale: These are signs of lithium toxicity, especially when fluid and sodium
loss occurs. The nurse should hold the medication and notify the provider.
6. A nurse is preparing to administer metoprolol to a client with hypertension.
Which of the following is a priority assessment before administration?
A. Respiratory rate
B. Bowel sounds
C. Apical pulse
D. Capillary refill
Correct Answer: C. Apical pulse
Rationale: Metoprolol is a beta-blocker that slows the heart rate. The nurse must
assess the apical pulse and withhold the medication if it is below 60 bpm.
7. A client with major depressive disorder states, “I just want all of this to be over.”
What is the nurse’s priority response?
A. “Things will get better with time.”
B. “Are you thinking of hurting yourself?”
