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ATI RN · Concepts in Nursing · Fundamentals of Nursing Care Concepts, Connections & Skills Test Bank

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is caring for a child who was burned in a house fire. The child has burns on 30% of his body, particularly his legs. The child suddenly goes into shock and needs CPR. What is the first step the nurse should take based on pediatric advanced life support (PALS) guidelines?

A. Begin ventilations

B. Begin chest compressions

C. Obtain a defibrillator

D. Establish vascular access

Expert Explanatory Rationale

Correct Answer: Begin chest compressions

Question 2 of 5

Blood pressure is influenced by all except which factor?

A. Pumping action of the heart

B. Peripheral vascular resistance

C. Heart rate

D. Blood volume

Expert Explanatory Rationale

Correct Answer: Heart rate

Question 3 of 5

When planning care for this client, which does the nurse understand about systolic heart failure?

A. Occurs when the ventricle fails to contract adequately to eject a sufficient volume of blood into the arterial system

B. Results when the heart cannot completely relax in diastole, disrupting normal filling

C. Decreases passive diastolic filling, increasing the importance of atrial contraction to preload

D. Results from decreased ventricular compliance caused by hypertrophic and cellular changes and impaired relaxation of the heart muscle

Expert Explanatory Rationale

Correct Answer: Occurs when the ventricle fails to contract adequately to eject a sufficient volume of blood into the arterial system

Question 4 of 5

The nurse provides discharge instructions to the parents of a child recovering from surgery to repair a congenital heart defect. What statement indicates that teaching has been effective?

A. "Our child should be restricted in play and activity for at least 6 months."

B. "Our child will need to take antibiotics prior to having dental surgery."

C. "Fluids should be restricted to maximize lung function."

D. "Our child should not return to normal activities for at least 2 years."

Expert Explanatory Rationale

Correct Answer: "Our child will need to take antibiotics prior to having dental surgery."

Question 5 of 5

The nurse reviews the laboratory tests prescribed for a patient. Which test will be used to determine the patient's thyroid function?

A. GH

B. TSH

C. FBS

D. Aldosterone

Expert Explanatory Rationale

Correct Answer: TSH

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