Questions 66

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ATI Nurs 112 Fundamentals of Nursing Exam Questions

Extract:


Question 1 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.

Question 2 of 5

Vistaril 75mg IM is ordered for anxiety. Available: 50mg/mL. How many milliliters will the nurse administer?

Correct Answer: 1.5

Rationale: Calculation: 75 mg / 50 mg/mL = 1.5 mL.

Question 3 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 4 of 5

When assessing the blood pressure of a school-aged child, using an adult cuff of normal size will affect the reading and produce a value that is

Correct Answer: A

Rationale: An oversized adult cuff on a child produces a falsely low BP reading due to improper pressure distribution.

Question 5 of 5

Which patient should have the temperature taken orally rather than using a tympanic thermometer?

Correct Answer: B

Rationale: Ear infections can skew tympanic readings, so oral temperature is preferred. Other conditions make oral measurement impractical.

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