Questions 66

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ATI Nurs 112 Fundamentals of Nursing Exam Questions

Extract:


Question 1 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 2 of 5

The physician orders Benadryl elixir 37.5 mg po for hives. Available: 12.5mg/5 mL. How many milliliters will the nurse administer?

Correct Answer: 15

Rationale: Calculation: (37.5 mg / 12.5 mg) × 5 mL = 15 mL.

Question 3 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 4 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: Assess temperature and vital signs first to confirm heat-related illness severity before initiating cooling measures.

Question 5 of 5

A nurse is assessing the pulse of a client and has difficulty feeling the pulse. What would she do next?

Correct Answer: B

Rationale: Use a Doppler to confirm blood flow if a pulse is hard to palpate, ensuring accurate assessment before documenting or reporting.

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