ATI LPN
Fundamentals of Nursing Vital Signs NCLEX Questions Questions
Question 1 of 5
Before administering methergine, to treat PPH the nursing priority to check
Correct Answer: C
Rationale: Methergine (for postpartum hemorrhage) is a vasoconstrictor; checking BP (C) is critical to avoid hypertensive crisis. Uterine tone (A) and lochia (D) are assessed, but BP is the priority.
Question 2 of 5
The nurse is caring for a client with pneumonia. The physician orders 600 mg of ceftriaxone (Rocephin) oral suspension to be given once per day. The medication label indicates that the strength is 150 mg/5 ml. How many milliliters of medication should the nurse pour to administer the correct dose?
Correct Answer: D
Rationale: Calculation: 600 mg ÷ 150 mg/5 ml = 20 ml (D). The nurse needs 20 ml to deliver 600 mg.
Question 3 of 5
During the initial admission process, a geriatric client seems confused. What is the most probable cause of this client’s confusion?
Correct Answer: D
Rationale: Stress from an unfamiliar hospital setting (D) commonly causes confusion in geriatric clients. Depression (A) affects mood, memory (B) is usually intact, and LOC (C) isn’t typically age-related.
Question 4 of 5
The nurse is teaching a client with hypertension about dietary modifications. Which food should the nurse instruct the client to avoid?
Correct Answer: C
Rationale: Canned soups (C) are high in sodium, worsening hypertension. Fresh fruits (A), whole grains (B), and lean meats (D) are heart-healthy options.
Question 5 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.