ATI LPN
Fundamentals of Nursing Vital Signs Practice Questions Questions
Question 1 of 5
A client undergoes hip-pinning surgery (DHS) to treat an intertrochanteric fracture of the right hip. The nurse should include which intervention in the postoperative plan of care?
Correct Answer: B
Rationale: A pillow between the legs (B) maintains abduction, preventing dislocation post-hip pinning. ROM (A) risks displacement, turning (C) may be limited, and semi-Fowler’s (D) is less specific.
Question 2 of 5
The nurse is assessing a newborn 12 hours after birth. Which finding requires immediate intervention?
Correct Answer: C
Rationale: Yellowish skin (C) indicates jaundice, requiring urgent evaluation in a newborn under 24 hours. Heart rate (A), respiratory rate (B), and temperature (D) are within normal ranges.
Question 3 of 5
Which action for correction does the nurse expect to occur in the client who has a pH of 7.49?
Correct Answer: C
Rationale: A pH of 7.49 indicates alkalosis. The kidneys compensate by excreting H+ ions to lower pH. Reabsorbing bicarbonate (A) would worsen alkalosis. Increased respiratory rate (B) would increase CO2 loss worsening alkalosis. Decreased CO2 excretion (D) is a respiratory compensation not renal.
Question 4 of 5
Which action may the nurse safely delegate to an assistive personnel (AP) when caring for a client who has urinary incontinence?
Correct Answer: D
Rationale: Assisting to the bathroom (D) is within AP scope. Instructing (A) assessing skin (B) and monitoring electrolytes (C) require nursing judgment.
Question 5 of 5
The nurse wants to screen the patient for cervical cancer
Correct Answer: D
Rationale: The lithotomy position is used for cervical cancer screening (e.g. Pap smear) as it provides optimal access to the cervix. Fowler's (A) is for respiratory or feeding support side-lying (B) is for comfort and prone (C) is for posterior access.