Questions 66

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ATI Nurs 112 Fundamentals of Nursing Exam Questions

Extract:


Question 1 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 2 of 5

A patient's blood pressure suddenly drops from 132/82 to 104/52. The nurse notes that the patient's skin is pale and the patient appears ready to faint. What is the priority action of the nurse?

Correct Answer: B

Rationale: Check carotid pulse to assess perfusion in a hypotensive patient at risk of fainting, indicating possible shock.

Question 3 of 5

Your patient's blood pressure is 118/82. He asks you to explain 'what the numbers mean.' You reply:

Correct Answer: A

Rationale: Systolic pressure (top number) reflects arterial pressure during heart contraction; diastolic is during rest, not stroke volume.

Question 4 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: Calculation: 100 mg / 50 mg per tablet = 2 tablets per dose.

Question 5 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.

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