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.
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
Expert Explanatory Rationale
Correct Answer: client's room.
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?
Expert Explanatory Rationale
Correct Answer: Low blood pressure
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?
Expert Explanatory Rationale
Correct Answer: "Children with cardiomyopathy should not play football."
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?
Expert Explanatory Rationale
Correct Answer: ST segment isoelectric
A client with sepsis has a temperature of 40°C. Which dysrhythmia is most likely to occur in this client?
Expert Explanatory Rationale
Correct Answer: Tachydysrhythmia
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