ATI LPN
Multiple Choice Questions on Vital Signs Questions
Question 1 of 5
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 5
Which question would the nurse be sure to ask a client who has impaired sensory perception related to smell and taste?
Correct Answer: A
Rationale: Diabetes (high blood sugar) can impair smell and taste making this question relevant. Spicy foods (B) and dry mouth (C) are less directly related. Vision/touch (D) is a separate issue.
Question 3 of 5
The nurse wants to find out if the patient has tenderness or pain in a part of the body
Correct Answer: C
Rationale: Palpation is the correct technique for assessing tenderness or pain by feeling with hands. Palpitation (A) is a misspelling inspection (B) is visual and percussion (D) assesses underlying structures through tapping.
Question 4 of 5
The nurse is measuring the client's urine output and straining the urine to assess for stones. Which of the following should the nurse record as objective data?
Correct Answer: B
Rationale: Objective data is measurable such as urine output of 450 mL. Options A , C and D are subjective,as they rely on client reports.
Question 5 of 5
The nurse is reviewing placement of an unfitted bottom sheet with nursing assistive personnel (NAP) assigned to make an unoccupied bed. What should the nurse include in this teaching?
Correct Answer: A
Rationale: Placing the lower hem seam down and even with the mattress edge (A) ensures a smooth, secure fit. Mitering (B) is a technique, not placement; draw sheet (C) comes later; and top-first (D) is incorrect sequencing.