ATI LPN
Fundamentals of Nursing Vital Signs NCLEX Questions Questions
Question 1 of 5
Doyen, Kocher, Dennis, and Allen are names of which type of instrument?
Correct Answer: B
Rationale: These are intestinal clamps for bowel surgery.
Question 2 of 5
The nurse is assessing the reflexes of a newborn. The nurse assesses which of the following reflexes by placing a finger in the newborn’s mouth?
Correct Answer: B
Rationale: The sucking reflex (B) is elicited by placing a finger in a newborn’s mouth, triggering sucking. Moro (A) is a startle response, rooting (C) involves cheek stimulation, and Babinski (D) tests foot reflexes.
Question 3 of 5
Which of the following, if observed as a sudden change in the resident, is considered a possible warning sign of a stroke?
Correct Answer: C
Rationale: Slurred speech (C) is a classic, sudden stroke symptom (FAST: Face, Arms, Speech, Time). Dementia (A) and contractures (B) are chronic, and irregular heartbeat (D) is less specific.
Question 4 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 5 of 5
A 39-year-old forklift operator presents with shakiness, sweating, anxiety, and palpitations and tells the nurse he has type 1 diabetes mellitus. Which of the following actions should the nurse do first?
Correct Answer: C
Rationale: Hypoglycemia in type 1 diabetes (shakiness, sweating) requires fast-acting oral glucose like orange juice (C) as the first step if the client is conscious. Glucagon (A) or IV glucose (B) is for unconscious patients.