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ATI RN · Concepts in Nursing · Concepts for Nursing Practice 3rd Edition Test Bank

Full Question & Rationale Repository

Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse has a 7-year-old client recovering from partial-thickness burns to the arms and hands. This client has shown sensitivity to loud noises and bright lights, and at times if she is overstimulated she won't speak to or look at anyone but her parents until she calms down. The nurse considers the best teaching environment for this client to be the

A. client's room.
B. pediatric ward waiting area.
C. hospital cafeteria.
D. pediatric ward play area.

Expert Explanatory Rationale

Correct Answer: client's room.

Question 2 of 5

A client is prescribed enalapril (Vasotec) for treatment of heart failure. Which adverse effect should the nurse assess for following the initial administration of this drug?

A. Jaundice
B. Ototoxicity
C. Low blood pressure
D. Blurred vision

Expert Explanatory Rationale

Correct Answer: Low blood pressure

Question 3 of 5

A 14-year-old child was recently diagnosed with hypertrophic cardiomyopathy. During a follow-up appointment, the mother asks the nurse, "How will this affect my child's ability to play football in the fall?" How should the nurse respond?

A. "This shouldn't affect his ability to play football."
B. "Children with cardiomyopathy should not play football."
C. "He could participate in flag football but not tackle football."
D. "This may actually make him a better, stronger football player."

Expert Explanatory Rationale

Correct Answer: "Children with cardiomyopathy should not play football."

Question 4 of 5

The nurse is caring for a client admitted to the hospital with lower extremity edema and shortness of breath. Which electrocardiogram finding indicates the client is at risk for an alteration in perfusion?

A. P wave smooth and round
B. Absent U wave
C. PR interval 0.30 seconds
D. ST segment isoelectric

Expert Explanatory Rationale

Correct Answer: ST segment isoelectric

Question 5 of 5

A client with sepsis has a temperature of 40°C. Which dysrhythmia is most likely to occur in this client?

A. Bradydysrhythmia
B. Tachydysrhythmia
C. Wolff-Parkinson-White dysrhythmia
D. Long QT dysrhythmia

Expert Explanatory Rationale

Correct Answer: Tachydysrhythmia

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