ATI LPN
Fundamentals of Nursing Vital Signs NCLEX Questions Questions
Question 1 of 4
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 2 of 4
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.
Question 3 of 4
A nurse plans care for a client who is bedridden. Which assessment would the nurse complete to ensure to prevent pressure injury formation?
Correct Answer: A
Rationale: Nutritional intake and serum albumin levels (A) are critical to assess because poor nutrition and low albumin can impair tissue repair and increase pressure injury risk. B C and D assess existing wounds rather than prevention.
Question 4 of 4
A rehabilitation nurse cares for a client who is wheelchair bound. Which intervention would the nurse implement to prevent skin breakdown?
Correct Answer: B
Rationale: a common site for breakdown in wheelchair-bound clients. Pillows (A) help heels not the primary site. C treats existing wounds and D risks tissue damage.