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ATI Comprehensive/ NCLEX Review questions and answers rated A+ 2025/2026
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ATI Comprehensive/ NCLEX Review questions and answers rated A+ 2025/2026
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ATI Comprehensive/ NCLEX ReviewEndometiral infection commonly takes place - ANSwith a prolonged rupture of membranes, not
vacuum-assisted births.
Intenstinal fuel is a common side effect of - ANSclients following a cesarean beginning
Cervical lacerations are not unusual complications from - ANSvacuum-assisted start are rare
but can encompass perineal, vaginal, or cervical lacerations
When a patron is experiencing a wound evisceration... - ANSthe nurse should to begin with live
with the client and get in touch with for assist. Next, the nurse ought to place saline-soaked
gauze on the uncovered bowels to keep the inner organs moist. The nurse need to then area
the patron in a supine position together with his hips and knees bent to relieve stress from the
open wound. Last, the nurse ought to take the consumer's vital signs and symptoms to assess
for modifications in hemodynamics.
Valproic acid can reason - ANShepatic toxicity
non-stop passive movement (CPM) system - ANSTurn of the CPM machine at some stage in
food to promote comfort and nutritional intake.
-The affected extremity must keep impartial alignment.
Heparin - ANSis an anticoagulant that inhibits the communication of prothrombin to thrombin.
Patients on an anticoagulant drug together with heparin are at an expanded threat of bleeding.
-Signs of bleeding: ecchymoses, tarry stools, mucosal bleeding, and purple/ crimson-tinged
urine.
Correct approach for walking upstairs with crutches - ANS1. Hold to rail with one hand and
crutches with the opposite hand.
2. Push down at the stair rail and the crutches and step up with the "unaffected" leg.
Three. If now not allowed to location weight on the "affected" leg, hop up with the "unaffected"
leg.
4. Bring the "affected" leg and the crutches up beside the "unaffected" leg.
5.Remember, the "unaffected" leg is going up first and the crutches move with the "affected" leg.
Droplet precautions - ANSDROPLET: "SPIDERMAn"
-Sepsis
-Scarlet Fever
,-Strep
-Pertussis
-Pneumonia
-Parvovirus
-Influenza
-Diphtheria
-Epiglottitis
-Rubella
-Mumps
-Adenovirus
Management: Private room/masks
-A non-public room a rom with different clients with the same infectious ailment.
-Masks for carriers and site visitors
Airborne precautions: - ANSAIRBORNE: "My Chicken Hez TB"
-Measles
-Chicken pox
-Herpes zoster
-TB
Management: neg. Stress room, personal room, mask, n-ninety five for TB.
-A non-public room
-Masks or respiratory safety gadgets for caregivers and visitors.
-An N95 or high-performance particulate air (HEPA) respirator is used if the consumer is known
or suspected to have TB.
-Negative pressure airflow exchange inside the room of at least six exchanges consistent with
hour.
Contact precautions - ANSCONTACT: "MRS WEE"
-MRSA
-RSV
-Skin infections (herpes zoster, cutaneous diphtheria, impetigo, pediculosis, scabies, and staph)
-Wound infections
-Enteric infections (C-Diff)
-Eye infections (conjunctivitis)
Management: robe, gloves, goggles, personal room
VRSA - contact and airborne precautions (non-public room, door closed, bad strain)
,-A non-public room or a room with other customers with the identical infection.
-Gloves and robes worn by using the caregivers and site visitors.
Stage I strain ulcer - ANSIntact pores and skin with a place of continual, nonblanchable
redness, typically over a bony prominence, that may sense warmer or cooler than the adjacent
tissue. The tissue is swollen and has congestion, with viable discomfort at the web page. With
darker skin tones, the ulcer may appear blue or pink.
Stage II strain ulcer - ANSPartial-thickness pores and skin loss related to the dermis and the
epidermis. The ulcer is seen and superficial and can appear as an abrasion, blister, or shallow
crater. Edema persists, and the ulcer might also become inflamed, probable with ache and
scant drainage.
Stage III strain ulcer - ANSFull-thickness tissue loss with damage to or necrosis of
subcutaneous tissue. The ulcer can also make bigger right down to, but no longer via,
underlying fascia. The ulcer appears as a deep crater without or with undermining of adjoining
tissue and without exposed muscle or bone. Drainage and infection are not unusual.
Stage IV stress ulcer - ANSFull-thickness tissue loss with destruction, tissue necrosis, or
damage to muscle, bone, or supporting structures. There can be sinus tracts, deep pockets of
infection, tunneling, undermining, eschar (black scab-like cloth), or slough (tan, yellow, or green
scab-like material)
Glasgow Coma Score - ANSis calculated through using appropriate stimuli (a painful stimulus
may be necessary) after which assessing the customers reaction in three regions.
Eye starting (E) - The nice eye response, with responses starting from four to one
4 = Eye establishing takes place spontaneously.
3 = Eye starting occurs secondary to voice.
2 = Eye starting takes place secondary to pain.
1 = Eye starting does now not occur.
Verbal (V) - The best verbal response, with responses starting from 5 to 1
5 = Conversation is coherent and orientated.
4 = Conversation is incoherent and disoriented.
3 = Words are spoken, but inappropriately.
2 = Sounds are made, however no phrases.
1 = Vocalization does now not arise.
Motor (M) - The excellent motor response, with responses ranging from 6 to 1
6 = Commands are followed.
5 = Local response to ache takes place.
Four = There is a widespread withdrawal to ache.
, 3 = Decorticate posture (adduction of arms, flexion of elbows and wrists) is gift.
2 = Decerebrate posture (abduction of palms, extension of elbows and wrists) is present.
1 = Motor response does now not occur.
Responses inside each subscale are delivered, with the full score quantitatively describing the
client's stage of focus. E + V + M = Total GCS
When verifying NG tube placement, the pH of aspirated gastric fluid need to - ANSA true
indication of suitable placement is obtaining gastric contents with a pH between zero and 4.
Sodium - ANS136-a hundred forty five
Potassium - ANS3.Five-5
Total Calcium - ANS9.Zero-10.5
Magnesium - ANS1.Three-2.1
Phosphorus - ANS3.0-four.5
BUN - ANS10-20
Creatinine adult males - ANS0.6-1.2
Creatinine ladies - ANS0.Five-1.1
Glucose - ANS70-one zero five
HcbA1c - ANS<6.5%
WBC - ANS5,000-10000
RBC men - ANS4.7-6.1 million/mm3
RBC women - ANS4.2-5.4 millin/mm3
Hemoglobin men - ANS14-18
Hemoglobin women - ANS12-16
Hematocrit men - ANS42-52
Hematocrit women - ANS37-47
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