ATI LPN
Nursing Vital Signs Practice Questions Questions
Question 1 of 5
A resident is on a bladder retraining program. The nurse aide can expect the resident to
Correct Answer: D
Rationale: Bladder retraining involves a scheduled toileting plan (D) to regain control. Fluid restriction (A) hinders retraining, briefs (B) are temporary, and catheters (C) contradict the goal.
Question 2 of 5
A client with B negative blood requires a blood transfusion during surgery. If no B negative blood is available, the client should be transfused with:
Correct Answer: C
Rationale: O negative blood (C) is the universal donor, safe when B negative isn’t available, as it lacks antigens to cause reactions. Other options (A, B, D) risk incompatibility.
Question 3 of 5
Route of administration of BCG vaccine? (AIIMS Delhi 2011)
Correct Answer: B
Rationale: The BCG vaccine is administered intradermally (ID, B) to stimulate immunity against tuberculosis effectively.
Question 4 of 5
The nursing care plan for a client with decreased adrenal function should include
Correct Answer: C
Rationale: Limiting visitors (C) reduces stress on adrenal glands in adrenal insufficiency, preventing an addisonian crisis. Activity (A) increases stress, isolation (B) is unnecessary, and constipation (D) is secondary.
Question 5 of 5
The nurse is assessing a client with suspected appendicitis. Which finding should the nurse expect?
Correct Answer: B
Rationale: Rebound tenderness in the right lower quadrant (B) is a classic sign of appendicitis (McBurney’s point). Pain relief with pressure (A) is atypical, bowel sounds (C) may vary, and fever (D) is usually moderate.