ATI LPN
Fundamentals of Nursing Vital Signs NCLEX Questions Questions
Question 1 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 2 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 3 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.
Question 4 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 5 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.