ATI LPN
Multiple Choice Questions on Vital Signs Questions
Question 1 of 9
The nurse is caring for a client with a tracheostomy. Which action should the nurse take to prevent infection?
Correct Answer: D
Rationale: Sterile technique during suctioning (D) prevents infection in a tracheostomy. Ties (A) are changed as needed, suctioning (B) varies, and peroxide (C) may irritate skin.
Question 2 of 9
A patient is admitted with pneumonia. Her vital signs are: BP 112/64 mm Hg, HR 102, RR 26, tympanic temperature 37.9°C (100.2°F). Which vital sign requires immediate attention?
Correct Answer: C
Rationale: The respiratory rate of 26 breaths/min (normal 12-20) is significantly elevated, consistent with pneumonia’s impact on breathing (e.g., tachypnea due to reduced lung function). This requires immediate attention to assess oxygenation and potential respiratory distress. HR 102 is elevated but expected with fever and infection; temperature 37.9°C is a mild fever; pulse pressure (48 mm Hg) is within normal range (40-60 mm Hg).
Question 3 of 9
A nurse should use a gait belt when:
Correct Answer: B
Rationale: A gait belt stabilizes during ambulation, reducing falls. It’s not for lifting (A), CPR (C), or medication (D).
Question 4 of 9
A resident who is incontinent of urine has an increased risk of developing (Prometric Saudi 2016)
Correct Answer: B
Rationale: Urinary incontinence increases UTI risk (B) due to prolonged moisture and bacterial growth. Dehydration (C) and pressure sores (D) are related but secondary, and dementia (A) is unrelated.
Question 5 of 9
The primary reason for using a gait belt when ambulating a patient is to:
Correct Answer: B
Rationale: Gait belts stabilize and prevent falls. Strength (A), reduced mobility (C), or limiting devices (D) isn’t the purpose.
Question 6 of 9
Essential components of palliative care include;
Correct Answer: B
Rationale: Palliative care emphasizes effective communication (with patients/families), terminal care (end-of-life support), and bereavement planning (post-death support). Rehabilitation and research are less central.
Question 7 of 9
Which best explains why it is difficult for the profession to develop a definition of nursing?
Correct Answer: B
Rationale: Constant changes in healthcare and nursing activities make it challenging to pin down a static definition, as nursing evolves with new roles, technologies, and practices.
Question 8 of 9
The primary goal of therapy for a client with pulmonary edema and heart failure?
Correct Answer: D
Rationale: In pulmonary edema and heart failure, increasing cardiac output (D) improves oxygen delivery and reduces lung fluid. Comfort (A), respiratory status (B), and edema (C) improve as a result.
Question 9 of 9
A person facing eminent death may cry often, become socially withdrawn, or become mute. This may be indicative of
Correct Answer: D
Rationale: These symptoms align with depression in Kübler-Ross’s stages of grief, where individuals facing death may exhibit sadness (crying), withdrawal, and reduced communication. Isolation is a cause or result, not a stage; bargaining involves negotiation, and anger manifests as frustration, not withdrawal.