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ATI NCLEX Live Review Sheet Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A nurse is caring for a client who is 24 hours postoperative following abdominal surgery. The client’s urine output is 20 mL/hr. What is the priority nursing action?✔✔Notify the provider; the client may be experiencing impaired kidney perfusion.
A nurse is reinforcing teaching to a client who is prescribed lisinopril. What side effect should the nurse instruct the client to report?✔✔Persistent dry cough.
A nurse is caring for a client with a potassium level of 2.8 mEq/L. What should the nurse anticipate?✔✔Muscle weakness and possible cardiac dysrhythmias.
A nurse is reviewing lab results for a client receiving warfarin. Which lab value should the nurse monitor to determine medication effectiveness?
✔✔INR.
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A nurse is assessing a client with heart failure. Which finding indicates fluid volume overload?✔✔Crackles in the lungs and jugular vein distention.
A nurse is caring for a client receiving TPN via a central line. What action is appropriate if the infusion runs out unexpectedly?✔✔Hang 10% dextrose in water until the next TPN bag is available.
A nurse is reinforcing teaching about digoxin with a client. What is an early sign of digoxin toxicity?✔✔Nausea and visual disturbances.
A nurse is caring for a client with a new prescription for furosemide. What lab value requires immediate intervention?✔✔Potassium 3.0 mEq/L.
A nurse is caring for a client with a central line. What action is needed when changing the dressing?✔✔Use sterile gloves and a mask during the procedure.
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A nurse is reviewing a new prescription for a client with diabetes mellitus. Which finding requires clarification before administering insulin?✔✔Blood glucose level is 62 mg/dL.
A nurse is caring for a client who is scheduled for a thoracentesis. What position should the client be placed in?✔✔Upright, leaning forward over a bedside table.
A nurse is caring for a client with chronic kidney disease. What dietary recommendation should the nurse make?✔✔Limit foods high in potassium and phosphorus.
A nurse is caring for a client with a seizure disorder who is prescribed phenytoin. What instruction should the nurse include?✔✔Maintain good oral hygiene to prevent gingival hyperplasia.
A nurse is preparing a client for discharge following a myocardial infarction. What medication should the nurse teach the client to avoid?✔✔Sildenafil, due to interaction with nitrates.
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