ATI LPN
Fundamentals of Nursing Vital Signs NCLEX Questions Questions
Question 1 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 2 of 5
Which nursing assessment finding for a client with fluid volume excess supports the continued presence of this condition?
Correct Answer: B
Rationale: Increased blood pressure (B) indicates fluid volume excess. Weak pulses (A) and poor turgor (D) suggest dehydration. Decreased heart rate (C) is unrelated.
Question 3 of 5
A grandmother taking care of a newborn whose mother has just passed away of AIDS decides to breast feed the baby
Correct Answer: B
Rationale: Wet nursing refers to breastfeeding by someone other than the mother typically when the mother is unavailable. Foster care (A) is legal guardianship dry nursing (C) is not a recognized term and tender loving care (D) is not specific to breastfeeding.
Question 4 of 5
Osmosis is:
Correct Answer: A
Rationale: Osmosis is the movement of solvent (water) across a semi-permeable membrane from low to high solute concentration to balance concentrations. B is diffusion C is filtration and D is active transport.
Question 5 of 5
A nursing assistive personnel (NAP) has finished making a surgical bed for a patient in surgery. How would the nurse instruct the NAP to leave the bed to transfer the surgical patient safely?
Correct Answer: B
Rationale: Raising the top two side rails (B) ensures safety during transfer from the stretcher by preventing falls. Raising the head (A) is unnecessary, height adjustment (C) is situational, and releasing wheels (D) risks instability.