ATI RN
ATI Nurs 112 Fundamentals of Nursing Exam Questions
Extract:
Question 1 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 2 of 5
The patient has a history of orthostatic hypotension. What is the priority action of the nurse?
Correct Answer: C
Rationale: Slow position changes prevent falls due to orthostatic hypotension. Other actions are secondary.
Question 3 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 4 of 5
Lana is developing Mrs. Watson's care plan. She wants to add more interventions and not just deliver pain medication. What are some other nursing actions that would be helpful to Mrs. Watson? Select the 4 correct answers.
Correct Answer: A,B,C,E
Rationale: Music, massage, heat/cold, and relaxation techniques reduce pain and stress. Vigorous rubbing worsens arthritis pain.
Question 5 of 5
The nurse is caring for an adult patient with a respiratory rate of 32 breaths/minute. Which term will the nurse use to document this finding in the patient's chart?
Correct Answer: C
Rationale: Tachypnea is a respiratory rate >20/min. 32 breaths/min indicates tachypnea, not slow (bradypnea), absent (apnea), or normal (eupnea) breathing.