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NCLEX Review- ATI Comprehensive Review Book Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A nurse is reinforcing discharge teaching to a client prescribed lisinopril. Which client statement requires follow-up?
- "I will rise slowly when getting out of bed."
- "I will report any swelling of my lips."
- "I will have my blood pressure checked regularly."
✔✔B. "I will use a salt substitute every day."
A client is admitted for fluid volume overload. Which of the following findings should the nurse expect?
- Flat neck veins
- Hypotension
- Dry mucous membranes
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✔✔C. Crackles in the lungs
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A nurse is caring for a client post-appendectomy. Which intervention best prevents respiratory complications?
- Encourage bedrest for 24 hours
- Limit oral intake
- Apply abdominal binder tightly
✔✔B. Instruct the client to use an incentive spirometer
Which instruction should the nurse give to a client prescribed nitroglycerin sublingual tablets?✔✔A. "Place one tablet under your tongue every 5 minutes for up to 3 doses."
- "Swallow the tablet with a full glass of water."
- "Chew the tablet to speed up absorption."
- "Take this medication on an empty stomach in the morning."
A nurse is caring for a client on warfarin therapy. Which of the following food choices should the nurse instruct the client to avoid?✔✔A. Spinach
- Chicken breast
- White rice 2 / 4
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- Applesauce
A nurse is evaluating a client’s understanding of insulin self-administration. Which statement indicates correct understanding?✔✔A. "I will rotate injection sites around my abdomen."
- "I will shake the bottle before using it."
- "I will inject insulin only when my sugar is above 200."
- "I can mix glargine with regular insulin."
A client newly diagnosed with tuberculosis is being discharged. Which statement by the client indicates a need for further teaching?
- "I will wear a mask when I go out."
- "I will have my family members tested."
- "I will cover my mouth when coughing or sneezing."
✔✔B. "I can stop taking my medications after 2 weeks if I feel better."
A nurse is assessing a client who received morphine 30 minutes ago. Which of the following is the priority finding?✔✔A. Respiratory rate of 8 breaths per minute 3 / 4
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- Blood pressure of 100/60 mmHg
- Client reports dizziness
- Client is sleeping quietly
A nurse is planning care for a client at risk for pressure injuries. Which intervention should be included?
- Massage reddened bony areas
- Keep the head of the bed elevated at all times
- Limit fluid intake
✔✔B. Reposition the client every 2 hours
A client is prescribed digoxin for heart failure. Which finding should the nurse report immediately?
- Blood pressure 110/70 mmHg
- Serum potassium of 4.2 mEq/L
- Weight gain of 1 lb in one week
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✔✔B. Apical pulse of 54 bpm