ATI LPN
Fundamentals of Nursing Vital Signs NCLEX Questions Questions
Question 1 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.
Question 2 of 5
Osmosis is:
Correct Answer: A
Rationale: Osmosis is the movement of solvent (water) across a semi-permeable membrane from low to high solute concentration to balance concentrations. B is diffusion C is filtration and D is active transport.
Question 3 of 5
A nursing assistive personnel (NAP) has finished making a surgical bed for a patient in surgery. How would the nurse instruct the NAP to leave the bed to transfer the surgical patient safely?
Correct Answer: B
Rationale: Raising the top two side rails (B) ensures safety during transfer from the stretcher by preventing falls. Raising the head (A) is unnecessary, height adjustment (C) is situational, and releasing wheels (D) risks instability.
Question 4 of 5
A nurse plans care for a client who is bedridden. Which assessment would the nurse complete to ensure to prevent pressure injury formation?
Correct Answer: A
Rationale: Nutritional intake and serum albumin levels (A) are critical to assess because poor nutrition and low albumin can impair tissue repair and increase pressure injury risk. B C and D assess existing wounds rather than prevention.
Question 5 of 5
A rehabilitation nurse cares for a client who is wheelchair bound. Which intervention would the nurse implement to prevent skin breakdown?
Correct Answer: B
Rationale: a common site for breakdown in wheelchair-bound clients. Pillows (A) help heels not the primary site. C treats existing wounds and D risks tissue damage.