ATI LPN
Fundamentals of Nursing Vital Signs NCLEX Questions Questions
Question 1 of 5
Palliative care nurses' self-awareness may be most critical when dealing with
Correct Answer: C
Rationale: End-of-life issues require nurses to confront their own emotions, biases, and mortality, making self-awareness critical to provide compassionate, unbiased care. While self-awareness is valuable in all areas, end-of-life situations uniquely challenge personal beliefs and emotional resilience.
Question 2 of 5
Which statement accurately describes the progression of the beginning nurse to the experienced nurse according to Benner’s model?
Correct Answer: B
Rationale: Benner's model is based on integration of knowledge, technical skill, and intuition in the development of clinical wisdom, involving continual development rather than a constant or area-specific progression.
Question 3 of 5
Which healthcare worker should the nurse consult to counsel a patient about financial and family stressors affecting healthcare?
Correct Answer: A
Rationale: The social worker coordinates services and counsels patients about financial, housing, marital, and family issues affecting healthcare, making them the appropriate consultant.
Question 4 of 5
Two hours after surgery, the NAP reports that a patient's vital signs are: BP R arm 112/72, L arm 124/96; HR 98, RR 22, temporal artery temp 36.4°C. Which of the following actions is appropriate by the nurse?
Correct Answer: C
Rationale: The vital signs show an elevated respiratory rate (RR 22, normal 12-20) and heart rate (HR 98, upper normal range), suggesting potential respiratory or cardiac distress post-surgery. A focused respiratory assessment and apical heart rate check are appropriate to investigate these abnormalities thoroughly, as they could indicate complications like atelectasis or tachycardia. The BP difference (12/24 mm Hg) is notable but not immediately alarming unless persistent, and the temperature is normal.
Question 5 of 5
The following options for measuring pulse are inappropriate
Correct Answer: C
Rationale: Resting for 20 minutes when a patient is emotional (C) is appropriate to ensure an accurate baseline pulse, not inappropriate. Measuring heart and pulse rates simultaneously for a short pulse (A) or using heart rate for weak pulses (B) are correct. Using the thumb (D) risks confusing the nurse’s pulse with the patient’s and is inappropriate.