ATI QUESTIONS TO REVIEW BEFORE EXIT & NCLEX
ATI QUESTIONS TO R E V I E W B E F O R E E X I T & N C L E X : 310
Questions and Answers (Latest Update 2024/2025) GRADED A+
A nurse is caring for a client with se v e re peripheral arterial d i s e a s e of the right
lower extremity. Which intervention is appropriate?
A.) Apply cold co m pres se s to the affected extremity
B.) Apply warm co m pre ss es to the affected extremity
C . ) Ke e p the affected extremity abo v e the level of the heart
D .) Ke e p the affected extremity below the level of the heart - C O R R E C T A N S W E R S
ANSWER--->D.) Ke e p the affected extremity below the level of the heart
RATIONALE: T h e nurs e should N E VE R a p p ly direct heat to the limb. Sensitivity is
d ec re as ed in the affected limb & burns m a y result
A nurse is providing care for a client with a Jackson-Pratt drain. Which of the
following nursing interventions h a s the highest priority?
A.) Sec u r i n g the tube a n d d rai nage bulb to the pt
B.) Ke e p i n g the d rai n age bulb dep re s s ed to m a n u a l suction
C . ) "Milking" the tubing before em p ty i ng the drain
D .) C l e a n s i n g the insertion site of the tube w/betadine - C O R R E C T A N S W E R S
ANSWER-->B.) Ke e p i n g the drai nag e bulb d e p ressed to m a n u a l suction
RATIONALE: S ec u r in g the tubing h el p s to ke e p tension from b e i n g p l a c e d on the
tubing & bulb. While this is helpful, m aintaini ng the bulb to suction is the highest
priority nursing intervention
A client is sc he d u l e d for surgery. Which of the following findings should the nurse
report to the provider prior to surgery?
A.) S e r u m potassium of 3 . 8 m E q / L
B.) A m i s s i n g identification b a n d
C . ) Increased anx ie ty level
D .) A d ec re as e in BP - C O R R E C T A N S W E R S ANSWER-->D .) A de c re ase in BP
, ATI QUESTIONS TO REVIEW BEFORE EXIT & NCLEX
RATIONALE: If a m i s s i n g ID b a n d is noted the nurse c a n recreate the b a n d prior to
proceeding to the operating room. T h e ID b a n d is a method of properly identifying a
pt & n e c e s s a r y for care
A client is undergo ing cystoscopy. Which of the following interventions should the
nurse include in the client's pl an of care?
A.) Provide education on hom e urinary catheter care
B.) Monitor for infection for 4 8 -7 2 hours following procedure
C . ) Increase oral fluid intake to flush contrast d y e from s y s t e m
D ) E d uc a te pt on the n e e d for anticoagulant therapy - C O R R E C T A N S W E R S
ANSWER--->B) Monitor for infection for 4 8 - 7 2 hours following procedure
RATIONALE: Cystoscopy does not require administration of contrast d y e
A nurse is caring for a post-operative client who underwent thoracic surgery 7 hours
prior, a n d now h a s in p l a ce a che st tube for drainage. What finding would require
the nurse to contact the provider immediately?
A.) Ch es t tube & tubing b e c o m e disconnected during pt transfer
B ) Pt c om plains of left-sided chest pai n of 7 on pai n s c a l e when performing incentive
spirometry
C ) Che s t tube d rai n age m e a s u re s 8 0 mLs/hr of red blood
D ) D i m i ni s hed breath s o unds auscultated in left lower lobe - C O R R E C T A N S W E R S
ANSWER-->C) Che s t tube drai nag e m e a s u r e s 8 0mL /hr of red blood
RATIONALE: If the tubing se parates the RN will a s k the pt to ex h a l e a s m u c h air a s
they c a n to remove air from the pleural s p a c e & the nurse would c l e a n s e the tips &
reconnect the tubing
A nurse is reinforcing tea ch ing with a client who h a s b e e n recently di a gn o sed with
osteoporosis. Which of the following should b e included?
, ATI QUESTIONS TO REVIEW BEFORE EXIT & NCLEX
A.) Increase intake of dietary c a l c i u m
b. Walking for one to two hours dai ly is reco m m e nde d.
c. Eliminate safety h az a rd s in the ho me
d. Long-term estrogen replacement therapy will b e required. - C O R R E C T A N S W E R S
ANS WER-->C.) Eliminate safety h az a rd s in the h om e
RATIONALE: Intake of c a l c i u m alone is not a treatment for osteoporosis, but c a l c i u m
is a n important part of a prevention program to promote bone health. Most people
do not get en o ugh c a lc i u m in their diet, a n d therefore ca l c i u m s up pl em e n ts are
n ee d e d .
A nurse is ev al uati ng pl a cem e n t of a nasogastric (NG) tube. Which of the following
is the least reliable method to determine correct NG tube placeme nt?
a. Aspirate to collect gastric content.
b. Test p H of gastric contents
c. Ask the client to talk.
d. Inject air into tube a n d listen over ab do m e n . - C O R R E C T A N S W E R S
ANSWER-->D.) Inject air into tube a n d listen over a b d o m en
RATIONALE: Other than X-ray, aspiration of gastric contents with p H testing is the
most reliable method to determine correct NG tube pl a cem ent. A p H of 4 or le ss is
expe ct ed.
A nurse is caring for a client with heart failure. Which of the following interventions
should the nurse take if the client is expe ri e nc i ng dy s p nea ?
a. Place client in hi g h Fowler's position.
b. Place client in the reverse trendelenberg position
c. Perform co ughi n g a n d d e e p breathing exe rci se s ev e ry 8 hours.
d. Obtain serial ABG s ev e ry 8 hours. - C O R R E C T A N S W E R S ANSWER-->A) Place
pt in h i g h fowler's position
, ATI QUESTIONS TO REVIEW BEFORE EXIT & NCLEX
RATIONALE: Placing the client in reverse trendelenberg would not promote l u n g
expans i o n a n d improve oxygenation a s well a s hi gh Fowler's position.
A nurse is providing education to a client with coronary artery di se a s e. Which of the
following cholesterol v a l u e s should the nurse identify a s a goal for this client?
a. H D L - C level 6 0 m g / d L
b. H D L - C level 2 0 m g / d L
c. L D L- C level 9 8 m g / d L
d. L D L - C lev el 1 2 0 m g / d L - C O R R E C T A N S W E R S ANSWER-->A) H D L - C level 6 0
mg/dL
RATIONALE: While a v a l u e of < 1 3 0 m g / d L is a n a c c e pt ed normal value , this client
h a s coronary artery d i s e a s e a n d a v a l u e below 7 0 m g / d L is desirable for clients
di a g n o sed with C V D or who are diabetic.
A client is recovering from acute respiratory distress syndrome (A RD S). Which
clinical manifestation requires i m m ed i a te attention b y the nurse?
a. Increase in pu l se rate
b. A d e c re ase in temperature
c. A d e c re a se in blood pressure
d. Increased ox y g e n saturation - C O R R E C T A N S W E R S ANSWER-->C) A
d ec re as e in BP
RATIONALE:An increase in a client's pul se rate is a finding that n ee d s additional data
collection b e c a u s e it m a y b e indicative of a n autonomic response to pain, anxiety,
a n d other
A nurse is caring for a client with a new onset bowel obstruction. What a s s e s s m e n t
finding would b e anticipated when completing a n abdo m inal as se s sm e nt ?
ATI QUESTIONS TO R E V I E W B E F O R E E X I T & N C L E X : 310
Questions and Answers (Latest Update 2024/2025) GRADED A+
A nurse is caring for a client with se v e re peripheral arterial d i s e a s e of the right
lower extremity. Which intervention is appropriate?
A.) Apply cold co m pres se s to the affected extremity
B.) Apply warm co m pre ss es to the affected extremity
C . ) Ke e p the affected extremity abo v e the level of the heart
D .) Ke e p the affected extremity below the level of the heart - C O R R E C T A N S W E R S
ANSWER--->D.) Ke e p the affected extremity below the level of the heart
RATIONALE: T h e nurs e should N E VE R a p p ly direct heat to the limb. Sensitivity is
d ec re as ed in the affected limb & burns m a y result
A nurse is providing care for a client with a Jackson-Pratt drain. Which of the
following nursing interventions h a s the highest priority?
A.) Sec u r i n g the tube a n d d rai nage bulb to the pt
B.) Ke e p i n g the d rai n age bulb dep re s s ed to m a n u a l suction
C . ) "Milking" the tubing before em p ty i ng the drain
D .) C l e a n s i n g the insertion site of the tube w/betadine - C O R R E C T A N S W E R S
ANSWER-->B.) Ke e p i n g the drai nag e bulb d e p ressed to m a n u a l suction
RATIONALE: S ec u r in g the tubing h el p s to ke e p tension from b e i n g p l a c e d on the
tubing & bulb. While this is helpful, m aintaini ng the bulb to suction is the highest
priority nursing intervention
A client is sc he d u l e d for surgery. Which of the following findings should the nurse
report to the provider prior to surgery?
A.) S e r u m potassium of 3 . 8 m E q / L
B.) A m i s s i n g identification b a n d
C . ) Increased anx ie ty level
D .) A d ec re as e in BP - C O R R E C T A N S W E R S ANSWER-->D .) A de c re ase in BP
, ATI QUESTIONS TO REVIEW BEFORE EXIT & NCLEX
RATIONALE: If a m i s s i n g ID b a n d is noted the nurse c a n recreate the b a n d prior to
proceeding to the operating room. T h e ID b a n d is a method of properly identifying a
pt & n e c e s s a r y for care
A client is undergo ing cystoscopy. Which of the following interventions should the
nurse include in the client's pl an of care?
A.) Provide education on hom e urinary catheter care
B.) Monitor for infection for 4 8 -7 2 hours following procedure
C . ) Increase oral fluid intake to flush contrast d y e from s y s t e m
D ) E d uc a te pt on the n e e d for anticoagulant therapy - C O R R E C T A N S W E R S
ANSWER--->B) Monitor for infection for 4 8 - 7 2 hours following procedure
RATIONALE: Cystoscopy does not require administration of contrast d y e
A nurse is caring for a post-operative client who underwent thoracic surgery 7 hours
prior, a n d now h a s in p l a ce a che st tube for drainage. What finding would require
the nurse to contact the provider immediately?
A.) Ch es t tube & tubing b e c o m e disconnected during pt transfer
B ) Pt c om plains of left-sided chest pai n of 7 on pai n s c a l e when performing incentive
spirometry
C ) Che s t tube d rai n age m e a s u re s 8 0 mLs/hr of red blood
D ) D i m i ni s hed breath s o unds auscultated in left lower lobe - C O R R E C T A N S W E R S
ANSWER-->C) Che s t tube drai nag e m e a s u r e s 8 0mL /hr of red blood
RATIONALE: If the tubing se parates the RN will a s k the pt to ex h a l e a s m u c h air a s
they c a n to remove air from the pleural s p a c e & the nurse would c l e a n s e the tips &
reconnect the tubing
A nurse is reinforcing tea ch ing with a client who h a s b e e n recently di a gn o sed with
osteoporosis. Which of the following should b e included?
, ATI QUESTIONS TO REVIEW BEFORE EXIT & NCLEX
A.) Increase intake of dietary c a l c i u m
b. Walking for one to two hours dai ly is reco m m e nde d.
c. Eliminate safety h az a rd s in the ho me
d. Long-term estrogen replacement therapy will b e required. - C O R R E C T A N S W E R S
ANS WER-->C.) Eliminate safety h az a rd s in the h om e
RATIONALE: Intake of c a l c i u m alone is not a treatment for osteoporosis, but c a l c i u m
is a n important part of a prevention program to promote bone health. Most people
do not get en o ugh c a lc i u m in their diet, a n d therefore ca l c i u m s up pl em e n ts are
n ee d e d .
A nurse is ev al uati ng pl a cem e n t of a nasogastric (NG) tube. Which of the following
is the least reliable method to determine correct NG tube placeme nt?
a. Aspirate to collect gastric content.
b. Test p H of gastric contents
c. Ask the client to talk.
d. Inject air into tube a n d listen over ab do m e n . - C O R R E C T A N S W E R S
ANSWER-->D.) Inject air into tube a n d listen over a b d o m en
RATIONALE: Other than X-ray, aspiration of gastric contents with p H testing is the
most reliable method to determine correct NG tube pl a cem ent. A p H of 4 or le ss is
expe ct ed.
A nurse is caring for a client with heart failure. Which of the following interventions
should the nurse take if the client is expe ri e nc i ng dy s p nea ?
a. Place client in hi g h Fowler's position.
b. Place client in the reverse trendelenberg position
c. Perform co ughi n g a n d d e e p breathing exe rci se s ev e ry 8 hours.
d. Obtain serial ABG s ev e ry 8 hours. - C O R R E C T A N S W E R S ANSWER-->A) Place
pt in h i g h fowler's position
, ATI QUESTIONS TO REVIEW BEFORE EXIT & NCLEX
RATIONALE: Placing the client in reverse trendelenberg would not promote l u n g
expans i o n a n d improve oxygenation a s well a s hi gh Fowler's position.
A nurse is providing education to a client with coronary artery di se a s e. Which of the
following cholesterol v a l u e s should the nurse identify a s a goal for this client?
a. H D L - C level 6 0 m g / d L
b. H D L - C level 2 0 m g / d L
c. L D L- C level 9 8 m g / d L
d. L D L - C lev el 1 2 0 m g / d L - C O R R E C T A N S W E R S ANSWER-->A) H D L - C level 6 0
mg/dL
RATIONALE: While a v a l u e of < 1 3 0 m g / d L is a n a c c e pt ed normal value , this client
h a s coronary artery d i s e a s e a n d a v a l u e below 7 0 m g / d L is desirable for clients
di a g n o sed with C V D or who are diabetic.
A client is recovering from acute respiratory distress syndrome (A RD S). Which
clinical manifestation requires i m m ed i a te attention b y the nurse?
a. Increase in pu l se rate
b. A d e c re ase in temperature
c. A d e c re a se in blood pressure
d. Increased ox y g e n saturation - C O R R E C T A N S W E R S ANSWER-->C) A
d ec re as e in BP
RATIONALE:An increase in a client's pul se rate is a finding that n ee d s additional data
collection b e c a u s e it m a y b e indicative of a n autonomic response to pain, anxiety,
a n d other
A nurse is caring for a client with a new onset bowel obstruction. What a s s e s s m e n t
finding would b e anticipated when completing a n abdo m inal as se s sm e nt ?
