ATI RN
ATI Nurs 112 Fundamentals of Nursing Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a patient who collapsed after working outside on a hot day. The patient is disoriented with hot, dry skin and a heart rate of 140 beats/minute. Which temperature will the nurse expect the patient to have?
Correct Answer: 104.4
Rationale: Hot, dry skin, disorientation, and tachycardia suggest heatstroke, with temperatures typically >104°F. 104.4°F aligns with this diagnosis.
Question 2 of 5
The nurse must take a patient's rectal temperature. Which should the nurse do?
Correct Answer: B
Rationale: Wear gloves for infection control during rectal temperature measurement. Modern thermometers take seconds, Sims’ position is preferred, and 1.5 inches is the correct depth for adults.
Question 3 of 5
During an assessment of an older adult, the nurse should expect which finding as a normal physiologic change associated with the aging process?
Correct Answer: C
Rationale: Aging causes arteriosclerosis, stiffening blood vessels and increasing systolic blood pressure. Vena cava narrowing, calf vein atrophy, and hormonal vasodilation are not typical aging changes.
Question 4 of 5
A nurse is preparing to administer an opioid agonist to a client who has acute pain. For which of the following manifestations should the nurse monitor as an adverse effect of this medication?
Correct Answer: D
Rationale: Opioids can cause urinary retention by increasing sphincter tone. They suppress cough, cause bradypnea, and lead to hypotension, not the other options.
Question 5 of 5
The nursing assistant informs the nurse that the patient's blood pressure is 220/102 using the electronic monitor. What is the priority action of the nurse?
Correct Answer: C
Rationale: Manually verify a critically high BP (220/102) to ensure accuracy before escalating care, as electronic monitors can err.