Questions 66

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ATI Nurs 112 Fundamentals of Nursing Exam Questions

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Question 1 of 5

Which method will provide the most accurate measurement of the patient's heart rate?

Correct Answer: A

Rationale: The apical pulse, auscultated at the heart’s apex, is most accurate, especially for irregular rhythms, compared to peripheral sites.

Question 2 of 5

You are assessing a client who has the following vital signs: blood pressure 120/68, pulse 84, respirations 18. You should:

Correct Answer: B

Rationale: Normal vital signs (BP 120/68, pulse 84, respirations 18) should be recorded and compared to prior readings for trends.

Question 3 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 4 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.

Question 5 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.

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