ATI LPN
Fundamentals of Nursing Vital Signs Practice Questions Questions
Question 1 of 5
The nurse is assessing a newborn 12 hours after birth. Which finding requires immediate intervention?
Correct Answer: C
Rationale: Yellowish skin (C) indicates jaundice, requiring urgent evaluation in a newborn under 24 hours. Heart rate (A), respiratory rate (B), and temperature (D) are within normal ranges.
Question 2 of 5
Which action may the nurse safely delegate to an assistive personnel (AP) when caring for a client who has urinary incontinence?
Correct Answer: D
Rationale: Assisting to the bathroom (D) is within AP scope. Instructing (A) assessing skin (B) and monitoring electrolytes (C) require nursing judgment.
Question 3 of 5
The nurse wants to screen the patient for cervical cancer
Correct Answer: D
Rationale: The lithotomy position is used for cervical cancer screening (e.g. Pap smear) as it provides optimal access to the cervix. Fowler's (A) is for respiratory or feeding support side-lying (B) is for comfort and prone (C) is for posterior access.
Question 4 of 5
If you are looking for trends in a patient's vital signs
Correct Answer: B
Rationale: The TPR (temperature pulse respiration) chart tracks vital sign trends over time. Admission sheet (A) and assessment (C) provide baseline data and activity flow sheet (D) tracks activities not vital signs.
Question 5 of 5
What would the nurse instruct the nursing assistive personnel (NAP) to do before making an unoccupied bed if the mattress is soiled?
Correct Answer: B
Rationale: Wiping with an antiseptic solution and drying the mattress (B) cleans and disinfects it, preventing infection. Hot water (A) may damage the mattress, flipping (C) doesn’t clean it, and covering it (D) hides the problem.