Questions 66

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ATI Nurs 112 Fundamentals of Nursing Exam Questions

Extract:


Question 1 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 2 of 5

A nurse is preparing to administer an opioid agonist to a client who has acute pain. For which of the following manifestations should the nurse monitor as an adverse effect of this medication?

Correct Answer: D

Rationale: Opioids can cause urinary retention by increasing sphincter tone. They suppress cough, cause bradypnea, and lead to hypotension, not the other options.

Question 3 of 5

Your 95-year-old client's vital signs are as follows: oral T 98.6 F: P (radial) 84 with irregularity: R 18, normal depth, & regular: BP (left arm, sitting) 140/86. Which nursing assessment(s) would be done to obtain more data at this time?

Correct Answer: D

Rationale: An irregular radial pulse suggests arrhythmia, so an apical pulse for one minute is needed to assess heart rhythm accurately.

Question 4 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.

Question 5 of 5

Mr. Cook requires medication for nausea. Compazine 10mg po q 4hrs prn ordered. You have Compazine 5-mg tablets available. How many tablets will you administer per dose?

Correct Answer: 2

Rationale: Calculation: 10 mg / 5 mg per tablet = 2 tablets per dose.

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