ATI LPN
Fundamentals of Nursing Vital Signs NCLEX Questions Questions
Question 1 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 2 of 5
The nurse is teaching a client with hypertension about dietary modifications. Which food should the nurse instruct the client to avoid?
Correct Answer: C
Rationale: Canned soups (C) are high in sodium, worsening hypertension. Fresh fruits (A), whole grains (B), and lean meats (D) are heart-healthy options.
Question 3 of 5
A client with cirrhosis develops ascites. Which nursing intervention is most appropriate to promote comfort?
Correct Answer: A
Rationale: A diuretic (A) reduces ascites fluid, improving comfort in cirrhosis. Supine position (B) worsens breathing, fluid restriction (C) is inappropriate, and heat (D) risks burns.
Question 4 of 5
With which client health problem does the nurse try to prevent harm by remaining alert for the potential of reduced clotting?
Correct Answer: C
Rationale: Cirrhosis impairs liver function reducing clotting factor production and increasing bleeding risk. Atrial fibrillation (A) increases clotting risk not bleeding. Bone fracture (B) and elevated glucose (D) do not directly affect clotting.
Question 5 of 5
Which nursing assessment finding for a client with fluid volume excess supports the continued presence of this condition?
Correct Answer: B
Rationale: Increased blood pressure (B) indicates fluid volume excess. Weak pulses (A) and poor turgor (D) suggest dehydration. Decreased heart rate (C) is unrelated.