Questions 66

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ATI Nurs 112 Fundamentals of Nursing Exam Questions

Extract:


Question 1 of 5

The nurse is caring for a patient who lost consciousness and collapsed. Which site will be used to determine if the patient has a pulse?

Correct Answer: B

Rationale: The carotid artery is used in emergencies to assess pulse in unconscious patients due to its strong, central flow.

Question 2 of 5

The patient's blood pressure is 152/92 but the primary health care provider does not diagnose the patient with hypertension. What is the rationale for this decision?

Correct Answer: A

Rationale: Hypertension diagnosis requires persistently elevated BP (≥140/90) over multiple visits, not a single reading.

Question 3 of 5

A patient has a morphine sulfate patient-controlled analgesia (PCA) to control postoperative pain. When the nurse enters the room, the patient complains of pain. The nurse's first response is which of the following?

Correct Answer: A

Rationale: Assess pain severity using a 0-10 scale first to guide PCA adjustments. Other actions follow assessment.

Question 4 of 5

The nurse is having difficulty hearing his patient's apical pulse with his stethoscope. Which action will help the nurse hear the heartbeat more clearly?

Correct Answer: B

Rationale: The diaphragm, pressed firmly on the skin, best captures high-pitched S1/S2 sounds. Bell, long tubing, or loose earpieces reduce clarity.

Question 5 of 5

While inserting a rectal thermometer, the nurse encounters resistance. The nurse should:

Correct Answer: D

Rationale: Remove the thermometer immediately to avoid injury if resistance is encountered, then reassess or use an alternative method.

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