ATI RN
ATI Nurs 112 Fundamentals of Nursing Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a patient who came to the emergency department with confusion and muscle cramps after working outside on a hot day. What is the priority action of the nurse?
Correct Answer: C
Rationale: The correct answer is C: Take the patient's temperature and vital signs. This is the priority action because it helps assess the patient's condition and guide further interventions. Checking temperature can indicate if the patient is experiencing heat-related illness, while monitoring vital signs can reveal any signs of distress or instability. Removing fans (
A) may not be necessary and could worsen the patient's condition. Applying a hyperthermia blanket (
B) could delay necessary cooling measures. Placing the patient in iced water (
D) is too aggressive and can lead to complications.
Question 2 of 5
The patient has a history of orthostatic hypotension. What is the priority action of the nurse?
Correct Answer: C
Rationale: The correct answer is C: Assist the patient to sit and stand slowly when getting out of bed. This is the priority action because orthostatic hypotension is a condition where blood pressure drops significantly when changing positions, leading to dizziness or fainting. By assisting the patient to sit and stand slowly, the nurse can prevent a sudden drop in blood pressure and decrease the risk of falls or injury.
Choice A is incorrect because although it is important to monitor blood pressure, manually taking it with a sphygmomanometer may not address the immediate risk of orthostatic hypotension.
Choice B is incorrect as monitoring neurological status for stroke symptoms is not directly related to managing orthostatic hypotension.
Choice D is incorrect as checking blood pressure on a lower extremity using a thigh-sized cuff is not a standard practice for orthostatic hypotension.
Question 3 of 5
Kevin is a registered nurse who works for the emergency department. He sees a lot of patients who seek services due to pain. One of the things that Kevin's learned in nursing school and has been validated in his practice is that pain is:
Correct Answer: D
Rationale:
Rationale:
Choice D is correct because pain is a subjective experience that varies from person to person. Kevin understands that pain perception is influenced by individual factors like culture, past experiences, and emotional state. Pain cannot be universally the same for everyone (
C) as it is highly personal. Pain is not always due to a specific stimulus (
A) and can be influenced by multiple factors. Pain is not caused by a single physiological situation (
B) as it can be complex. Other choices (E, F, G) are irrelevant to the concept of pain perception.
Question 4 of 5
The licensed prescriber orders Minipress 2 mg po two times a day for Mr. Shaw's high blood pressure. The medication comes in 1mg per capsule. How may capsules will the nurse administer per dose?
Correct Answer: 2
Rationale:
Correct
Answer: 2
Rationale: The total prescribed dose is 4 mg per day (2 mg x 2 doses). Since each capsule is 1 mg, the nurse will administer 2 capsules per dose to achieve the prescribed total of 2 mg. This calculation ensures the correct dosage is given.
Summary:
A: Incorrect - Does not provide the correct calculation based on the prescribed dose.
B: Incorrect - Does not consider the strength of each capsule in relation to the prescribed dose.
C: Incorrect - Does not account for the total daily dose and the strength of each capsule.
D: Incorrect - Does not address the specific instructions provided for the medication administration.
E: Incorrect - Does not demonstrate an understanding of the prescribed dosage regimen.
F: Incorrect - Lacks the necessary calculation based on the medication strength and prescribed dose.
G: Incorrect - Fails to provide the appropriate calculation for administering the correct dosage per dose.
Question 5 of 5
Mr. Pace receives Atarax 100 mg po at bedtime prn to relieve anxiety. You have 50 mg tablets available. How many tablets will you administer per dose?
Correct Answer: 2
Rationale: The correct answer is 2 tablets per dose. Since Mr. Pace receives 100 mg of Atarax per dose and you have 50 mg tablets available, you would need to administer 2 tablets to achieve the prescribed dose of 100 mg. Splitting the dose into 2 tablets ensures Mr. Pace receives the correct amount of medication to relieve anxiety effectively. Other choices would be incorrect because administering only 1 tablet would not meet the prescribed dose requirement, and administering more than 2 tablets would exceed the prescribed dose, potentially leading to adverse effects.