ATI LPN
Multiple Choice Questions on Vital Signs Questions
Question 1 of 9
When providing perineal care for a female patient, the nurse should:
Correct Answer: A
Rationale: Front-to-back prevents UTIs by avoiding contamination. Back-to-front (B), cold water (C), or no soap (D) risks infection.
Question 2 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A person facing eminent death may cry often, become socially withdrawn, or become mute.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.
Question 3 of 9
Which position requires anesthesia administration and intubation to be performed on the patient's stretcher prior to final positioning?
Correct Answer: C
Rationale: Prone positioning requires intubation on the stretcher for airway safety.
Question 4 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 5 of 9
A nurse is caring for a patient with impaired skin integrity. The most appropriate intervention is to:
Correct Answer: B
Rationale: Monitoring and care prevent worsening. Heat (A), no repositioning (C), or no cleaning (D) risks harm.
Question 6 of 9
High risk clients for the reactivation of herpes zoster? The clients with ....
Correct Answer: B
Rationale: Herpes zoster reactivation (shingles) is common in immunocompromised clients, like renal transplant recipients (B) on immunosuppressants. Burns (A), DME (C), and head injury (D) don’t directly increase risk.
Question 7 of 9
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 8 of 9
The nurse is preparing to discharge a 70-year-old man on warfarin therapy for a pulmonary embolism. The nurse’s discharge teaching should include which of the following instructions?
Correct Answer: C
Rationale: Warfarin’s anticoagulant effect is enhanced by alcohol (C), increasing bleeding risk, so avoidance is key. Green vegetables (A) counteract warfarin, herbals (B) may interact, and stomach status (D) is irrelevant.
Question 9 of 9
When measuring blood pressure, the cuff is too loose to make
Correct Answer: B
Rationale: A loose cuff fails to adequately compress the artery, requiring more pressure to occlude it, resulting in falsely high blood pressure readings (B). Pulse pressure may increase slightly (A), low readings (C) occur with a tight cuff, and no change (D) is incorrect as fit affects accuracy.