ATI NCLEX QUESTIONS ANSWERS
RATIONALES LATEST NUR 101 NCSBN TEST
BANK RN PN 2026
◉ A unit manager observes several nurses working throughout the day..
Which action represents a breach in client confidentiality ? Answer:
Posting positive information about a client on social media website.
◉ A client who is newly admitted requests information about advanced
directives. The nurse should include which of the following statements
in discussion ? Answer: I will give you a pamphlet with written
information about advanced directives.
◉ A nurse completes a home health assessment on an older adult who
has a broken arm and burns to the chest. Which action is needed at this
time? Answer: Contact adult protective services.
◉ A client arrives to the ED and reports HA, neck stiffness and
sensitivity to light. Which is the priority nursing action? Answer:
Implement droplet precautions- possible meningitis (highly contagious if
bacterial)
◉ A bladder irrigation is prescribed for a client who has an occluded
indwelling cath. Which action should nurse take when unsure of how to
perform this procedure? Answer: Refer to the policy and procedure
manual
, ◉ A charge nurse reviews abbreviations in client documentation. Which
is an approved entry? Answer: Furosemide 60 mg PO daily
◉ A nurse participates in quality improvement to decrease hospital
readmissions for clients who have heart failure. .Which action should the
nurse expect to perform? Answer: Compare performance to current
practice standards
◉ A nurse assigns care for client who has DM to an LPN and a UAP.
Which task should be given to the LPN? Answer: Obtain capillary
glucose
◉ A client with a stage IV pancreatic cancer decides to DC all treatment.
Which action should the nurse take? Answer: Ask client to discuss
decision
◉ A nurse receives a client's medication over the telephone from the
provider. Which action should the nurse take? Answer: Repeat the
prescription back to the provider
◉ A nurse receives end of shift report. Which of the following client
assessment findings should nurse address first ? Answer: New onset of
confusion in client with L femur fracture ( Fat emboli risk/ Hypoxia)
RATIONALES LATEST NUR 101 NCSBN TEST
BANK RN PN 2026
◉ A unit manager observes several nurses working throughout the day..
Which action represents a breach in client confidentiality ? Answer:
Posting positive information about a client on social media website.
◉ A client who is newly admitted requests information about advanced
directives. The nurse should include which of the following statements
in discussion ? Answer: I will give you a pamphlet with written
information about advanced directives.
◉ A nurse completes a home health assessment on an older adult who
has a broken arm and burns to the chest. Which action is needed at this
time? Answer: Contact adult protective services.
◉ A client arrives to the ED and reports HA, neck stiffness and
sensitivity to light. Which is the priority nursing action? Answer:
Implement droplet precautions- possible meningitis (highly contagious if
bacterial)
◉ A bladder irrigation is prescribed for a client who has an occluded
indwelling cath. Which action should nurse take when unsure of how to
perform this procedure? Answer: Refer to the policy and procedure
manual
, ◉ A charge nurse reviews abbreviations in client documentation. Which
is an approved entry? Answer: Furosemide 60 mg PO daily
◉ A nurse participates in quality improvement to decrease hospital
readmissions for clients who have heart failure. .Which action should the
nurse expect to perform? Answer: Compare performance to current
practice standards
◉ A nurse assigns care for client who has DM to an LPN and a UAP.
Which task should be given to the LPN? Answer: Obtain capillary
glucose
◉ A client with a stage IV pancreatic cancer decides to DC all treatment.
Which action should the nurse take? Answer: Ask client to discuss
decision
◉ A nurse receives a client's medication over the telephone from the
provider. Which action should the nurse take? Answer: Repeat the
prescription back to the provider
◉ A nurse receives end of shift report. Which of the following client
assessment findings should nurse address first ? Answer: New onset of
confusion in client with L femur fracture ( Fat emboli risk/ Hypoxia)
