ATI LPN
Fundamentals of Nursing Vital Signs NCLEX Questions Questions
Question 1 of 5
A 39-year-old forklift operator presents with shakiness, sweating, anxiety, and palpitations and tells the nurse he has type 1 diabetes mellitus. Which of the following actions should the nurse do first?
Correct Answer: C
Rationale: Hypoglycemia in type 1 diabetes (shakiness, sweating) requires fast-acting oral glucose like orange juice (C) as the first step if the client is conscious. Glucagon (A) or IV glucose (B) is for unconscious patients.
Question 2 of 5
During the initial admission process, a geriatric client seems confused. What is the most probable cause of this client’s confusion?
Correct Answer: D
Rationale: Stress from an unfamiliar hospital setting (D) commonly causes confusion in geriatric clients. Depression (A) affects mood, memory (B) is usually intact, and LOC (C) isn’t typically age-related.
Question 3 of 5
The nurse is teaching a client with hypertension about dietary modifications. Which food should the nurse instruct the client to avoid?
Correct Answer: C
Rationale: Canned soups (C) are high in sodium, worsening hypertension. Fresh fruits (A), whole grains (B), and lean meats (D) are heart-healthy options.
Question 4 of 5
A client with cirrhosis develops ascites. Which nursing intervention is most appropriate to promote comfort?
Correct Answer: A
Rationale: A diuretic (A) reduces ascites fluid, improving comfort in cirrhosis. Supine position (B) worsens breathing, fluid restriction (C) is inappropriate, and heat (D) risks burns.
Question 5 of 5
With which client health problem does the nurse try to prevent harm by remaining alert for the potential of reduced clotting?
Correct Answer: C
Rationale: Cirrhosis impairs liver function reducing clotting factor production and increasing bleeding risk. Atrial fibrillation (A) increases clotting risk not bleeding. Bone fracture (B) and elevated glucose (D) do not directly affect clotting.