A patient complains of chest pain and shortness of breath. The nurse's first action should be to:

Questions 46

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ATI LPN Test Bank

Multiple Choice Questions on Vital Signs Questions

Question 1 of 5

A patient complains of chest pain and shortness of breath. The nurse's first action should be to:

Correct Answer: C

Rationale: Raising the head aids breathing, and vitals assess urgency. Food (A), meds without assessment (B), or ignoring (D) delays care.

Question 2 of 5

Which of the following is a sign of infection at a wound site?

Correct Answer: A

Rationale: Pain, redness, swelling, and discharge signal infection. Normal temp (B), dry skin (C), or low HR (D) suggest no infection.

Question 3 of 5

The term 'medical asepsis' refers to:

Correct Answer: B

Rationale: Medical asepsis reduces pathogens, not sterilization (A), avoiding hygiene (C), or limiting PPE (D).

Question 4 of 5

When taking a patient's blood pressure, the nurse should:

Correct Answer: B

Rationale: Heart-level and proper fit ensure accuracy. Clothing (A), slow inflation (C), or standing (D) distorts readings.

Question 5 of 5

A nurse is caring for a patient with a nasogastric tube. The nurse should:

Correct Answer: B

Rationale: 30° elevation prevents aspiration. Flat (A), no checks (C), or speed (D) risks harm.

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