ATI LPN
Nursing Vital Signs Practice Questions Questions
Question 1 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.
Question 2 of 5
Which signs and symptoms in a client with a wound infection indicate to the nurse that the infection may have progressed from localized to systemic? Select one that apply.
Correct Answer: A
Rationale: Fever (A) and elevated leukocytes (C) indicate systemic infection. Red wound edges (B) increased pain (D) and purulent exudate (E) are localized signs. Duration (F) alone does not confirm systemic spread.
Question 3 of 5
Assessment for which physiological consequence of impaired clotting does the nurse perform regularly to prevent harm for the client with a deep vein thrombosis of the calf?
Correct Answer: A
Rationale: Pulmonary embolus (A) is a life-threatening complication of DVT. Phlebitis (B) is less severe. Stroke (C) and MI (D) are unrelated to DVT.
Question 4 of 5
Medication administered TDS is given how many times a day?
Correct Answer: B
Rationale: TDS (ter die sumendum) means three times a day. Options A C and D represent once twice and four times a day respectively.
Question 5 of 5
When evaluating an elderly client's blood pressure (BP) of 146/78 mmHg
Correct Answer: A
Rationale: Comparing the reading to defined standards (e.g. hypertension guidelines) is the first step to determine if BP is normal or elevated. B C and D are secondary steps after initial evaluation.