ATI RN
ATI Nurs 112 Fundamentals of Nursing Exam Questions
Extract:
Question 1 of 5
The nurse is caring for an unconscious patient who was just pulled from a freezing lake. What is the priority action of the nurse?
Correct Answer: D
Rationale: Wrap in warmed blankets for gradual rewarming, the priority for hypothermia. Unconscious patients can’t drink, and bathing or clothing removal are secondary.
Question 2 of 5
The unlicensed assistive personnel (UAP) recorded the vital signs of four clients. Which client needs immediate nursing intervention?
Correct Answer: C
Rationale: Client D’s bradycardia, bradypnea, hypotension, and low O2 saturation (<90%) indicate critical distress, requiring immediate intervention.
Question 3 of 5
The nurse delegates vital signs for a patient to the nurse assistant. What is the nurse's responsibility regarding delegation of this task?
Correct Answer: A
Rationale: The nurse must review delegated vital signs promptly to interpret and act on findings, retaining accountability for the task.
Question 4 of 5
The nurse is caring for an adult patient with a respiratory rate of 32 breaths/minute. Which term will the nurse use to document this finding in the patient's chart?
Correct Answer: C
Rationale: Tachypnea is a respiratory rate >20/min. 32 breaths/min indicates tachypnea, not slow (bradypnea), absent (apnea), or normal (eupnea) breathing.
Question 5 of 5
A nurse is caring for a client who has a new prescription for Lisinopril for hypertension. The nurse should monitor the client for which of the following as a side effect of this medication?
Correct Answer: B
Rationale: Lisinopril, an ACE inhibitor, can cause angioedema, a potentially life-threatening swelling. It lowers BP, doesn’t cause ileus, and isn’t linked to delirium.