ATI LPN
Nursing Vital Signs Practice Questions Questions
Question 1 of 5
The nurse is preparing to administer an I.M. injection in a client with a spinal cord injury that has resulted in paraplegia. Which of the following muscles is best site for the injection in this case?
Correct Answer: A
Rationale: In paraplegia, lower body muscles (C, D) are paralyzed, making the deltoid (A) the best site for IM injections due to its accessibility and intact muscle mass. Dorsal gluteal (B) is avoided due to risk of sciatic nerve injury.
Question 2 of 5
A resident is on a bladder retraining program. The nurse aide can expect the resident to
Correct Answer: D
Rationale: Bladder retraining involves a scheduled toileting plan (D) to regain control. Fluid restriction (A) hinders retraining, briefs (B) are temporary, and catheters (C) contradict the goal.
Question 3 of 5
The cardiac marker which is elevated soon after MI is
Correct Answer: A
Rationale: Troponin-T (A) rises within 3-4 hours post-MI, making it an early and specific marker. Myoglobin (D) rises earlier but is less specific, CK-MB (B) peaks later, and LDH (C) is even later.
Question 4 of 5
A client with B negative blood requires a blood transfusion during surgery. If no B negative blood is available, the client should be transfused with:
Correct Answer: C
Rationale: O negative blood (C) is the universal donor, safe when B negative isn’t available, as it lacks antigens to cause reactions. Other options (A, B, D) risk incompatibility.
Question 5 of 5
Route of administration of BCG vaccine? (AIIMS Delhi 2011)
Correct Answer: B
Rationale: The BCG vaccine is administered intradermally (ID, B) to stimulate immunity against tuberculosis effectively.