ATI LPN
Fundamentals of Nursing Vital Signs NCLEX Questions Questions
Question 1 of 5
Which of the following, if observed as a sudden change in the resident, is considered a possible warning sign of a stroke?
Correct Answer: C
Rationale: Slurred speech (C) is a classic, sudden stroke symptom (FAST: Face, Arms, Speech, Time). Dementia (A) and contractures (B) are chronic, and irregular heartbeat (D) is less specific.
Question 2 of 5
A 39-year-old forklift operator presents with shakiness, sweating, anxiety, and palpitations and tells the nurse he has type 1 diabetes mellitus. Which of the following actions should the nurse do first?
Correct Answer: C
Rationale: Hypoglycemia in type 1 diabetes (shakiness, sweating) requires fast-acting oral glucose like orange juice (C) as the first step if the client is conscious. Glucagon (A) or IV glucose (B) is for unconscious patients.
Question 3 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 4 of 5
During the initial admission process, a geriatric client seems confused. What is the most probable cause of this client’s confusion?
Correct Answer: D
Rationale: Stress from an unfamiliar hospital setting (D) commonly causes confusion in geriatric clients. Depression (A) affects mood, memory (B) is usually intact, and LOC (C) isn’t typically age-related.
Question 5 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.