ATI RN
Fundamentals of Nursing Care Concepts, Connections & Skills Test Bank Questions
Question 1 of 5
The nurse is caring for a 6-year-old child when the child goes into cardiac arrest. When performing compressions for CPR, what should the nurse do?
Correct Answer: A
Rationale: When performing CPR on a 6-year-old child, the nurse should place thumbs side by side and perform compressions below the nipple line. For children ages 1 to 8 years old, it is recommended to use the two-thumb encircling hands technique for chest compressions. This involves placing both thumbs on the lower half of the child's breastbone below the nipple line. This technique helps provide effective chest compressions that are appropriate for a child's size and physiology. It is important to follow these guidelines to ensure proper care and maximize the chances of a successful outcome when providing CPR to a child in cardiac arrest.
Question 2 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?
Correct Answer: B
Rationale: In pediatric advanced life support (PALS) guidelines, the first step in CPR for a child in shock is to begin chest compressions, not ventilations. This is because the priority is to maintain blood flow to vital organs, especially in cases where the child's heart is not effectively pumping due to shock. By performing chest compressions immediately, the nurse can help circulate oxygenated blood throughout the child's body, increasing the chances of survival. Once chest compressions are initiated, ventilations can be added to support oxygenation and ventilation. Obtaining a defibrillator and establishing vascular access are important steps in advanced resuscitation but are not the initial actions in this scenario of a child in shock needing CPR.
Question 3 of 5
The nurse reviews the laboratory tests prescribed for a patient. Which test will be used to determine the patient’s thyroid function?
Correct Answer: B
Rationale: Thyroid-stimulating hormone (TSH) is the test used to determine a patient's thyroid function. TSH is produced by the pituitary gland and stimulates the thyroid gland to produce thyroid hormones such as T3 (triiodothyronine) and T4 (thyroxine). Abnormal levels of TSH can indicate hypo- or hyperthyroidism, providing valuable information about the thyroid function of the patient. Therefore, when assessing thyroid function, TSH is the key laboratory test to review.
Question 4 of 5
The nurse is beginning to assess a patient’s renal system. What should the nurse ask the patient to do before this examination?
Correct Answer: A
Rationale: Before assessing the renal system, it is important for the patient to empty their bladder. This will allow for a more accurate assessment of the renal system, as a full bladder can interfere with the examination and may provide misleading results. Additionally, it helps the nurse to isolate any issues related to the renal system more effectively.
Question 5 of 5
During a home visit, the nurse evaluates discharge teaching provided to a patient recovering from an acute kidney injury. Which patient statement indicates that teaching has been effective?
Correct Answer: B
Rationale: The correct answer is B. The statement "I will avoid taking drugs that may harm my kidneys" indicates that the patient understands the importance of protecting their kidneys and is willing to make informed choices about medications. Acute kidney injury can make the kidneys more vulnerable to damage from certain medications, so avoiding drugs that may harm the kidneys is crucial in preventing further injury and promoting recovery. This statement demonstrates that the patient has understood the teaching about kidney health and is committed to following the instructions provided.