ATI LPN
Fundamentals of Nursing Vital Signs Practice Questions Questions
Question 1 of 5
Which action for correction does the nurse expect to occur in the client who has a pH of 7.49?
Correct Answer: C
Rationale: A pH of 7.49 indicates alkalosis. The kidneys compensate by excreting H+ ions to lower pH. Reabsorbing bicarbonate (A) would worsen alkalosis. Increased respiratory rate (B) would increase CO2 loss worsening alkalosis. Decreased CO2 excretion (D) is a respiratory compensation not renal.
Question 2 of 5
The nurse wants to screen the patient for cervical cancer
Correct Answer: D
Rationale: The lithotomy position is used for cervical cancer screening (e.g. Pap smear) as it provides optimal access to the cervix. Fowler's (A) is for respiratory or feeding support side-lying (B) is for comfort and prone (C) is for posterior access.
Question 3 of 5
If you are looking for trends in a patient's vital signs
Correct Answer: B
Rationale: The TPR (temperature pulse respiration) chart tracks vital sign trends over time. Admission sheet (A) and assessment (C) provide baseline data and activity flow sheet (D) tracks activities not vital signs.
Question 4 of 5
What would the nurse instruct the nursing assistive personnel (NAP) to do before making an unoccupied bed if the mattress is soiled?
Correct Answer: B
Rationale: Wiping with an antiseptic solution and drying the mattress (B) cleans and disinfects it, preventing infection. Hot water (A) may damage the mattress, flipping (C) doesn’t clean it, and covering it (D) hides the problem.
Question 5 of 5
The nurse is preparing to change the soiled linen of a patient's unoccupied bed. Which precaution minimizes the risk of transmitting microorganisms?
Correct Answer: A
Rationale: Hand hygiene and clean gloves (A) are the most effective initial precautions to prevent microorganism transmission. Placing fresh linen (B) is logistical, pillowcases (C) are optional, and rolling dirty sides in (D) is secondary to gloves.