ATI RN
Burns Pediatric Primary Care Test Bank Questions
Question 1 of 5
A nurse in the newborn nursery is monitoring a preterm newborn infant for respiratory distress syndrome. Which assessment signs if noted in the newborn infant would alert the nurse to the possibility of this syndrome?
Correct Answer: B
Rationale: Respiratory distress syndrome (RDS), also known as hyaline membrane disease, is a condition commonly seen in preterm newborn infants. The two classic signs of RDS are tachypnea (rapid breathing) and retractions. Tachypnea is defined as a respiratory rate greater than 60 breaths per minute in newborn infants. Retractions refer to visible indrawing of the chest wall with each breath, indicating increased work of breathing. These signs are indicative of the infant's struggle to breathe and can suggest the presence of RDS. While acrocyanosis (bluish discoloration of the extremities) and grunting may also be present in infants with RDS, tachypnea and retractions are more specific indicators of respiratory distress. Hypotension and bradycardia are not common signs of RDS. The presence of a barrel chest with grunting is not specific
Question 2 of 5
The most common neonatal sepsis and meningitis infections seen within 24 hours after birth are caused by which organism?
Correct Answer: C
Rationale: Escherichia coli is the most common cause of early-onset neonatal sepsis and meningitis within 24 hours after birth. E. coli can be transmitted from the mother to the infant during delivery, particularly if there is prolonged rupture of membranes or maternal infection. Infections caused by E. coli in newborns can be severe and life-threatening. It is important to identify and promptly treat infections caused by E. coli in neonates to prevent complications and improve outcomes.
Question 3 of 5
Dr. Jones prescribes corticosteroids for a child with nephritic syndrome. What is the primary purpose of administering corticosteroids to this child?
Correct Answer: B
Rationale: Corticosteroids are commonly used to reduce inflammation in various conditions, including nephritic syndrome. In nephritic syndrome, there is inflammation in the glomeruli of the kidneys, leading to symptoms such as proteinuria, hematuria, and reduced kidney function. Corticosteroids work by suppressing this inflammatory response, which helps alleviate the symptoms and improve kidney function in patients with nephritic syndrome. Administering corticosteroids to this child aims to reduce the inflammation in the kidneys, thereby improving their condition.
Question 4 of 5
The twelve-year-old boy has fractured his arm because of a fall from his bike. After the injury has been casted, the nurse knows it is most important to perform all of the following assessments on the area distal to the injury except:
Correct Answer: B
Rationale: Assessing the radial and ulnar pulses is crucial in evaluating the circulation of blood to the hand. However, in this scenario of a fractured arm, the injury is distal to the hand (further away from the body). It is more critical to check capillary refill, finger movement, and skin integrity in the area distal to the injury to ensure there is no compromise to the blood flow, nerve function, or skin integrity following the injury. Checking the radial and ulnar pulse would be more relevant if the injury was closer to the wrist area, as it would directly impact these pulses.
Question 5 of 5
Janae has a seizure disorder; which of the following would be the lowest priority when caring for her? Observing and taking down data on all seizures
Correct Answer: C
Rationale: When caring for someone with a seizure disorder like Janae, the highest priority is ensuring their immediate safety and protection from injury during a seizure. This includes preventing falls, removing nearby hazards, and providing support during and after the seizure. Assessing for signs and symptoms of increased intracranial pressure is also important as it may indicate a serious complication requiring prompt medical attention. On the other hand, educating the family about anticonvulsant therapy, while important for long-term management, is considered a lower priority compared to the immediate safety and medical assessment needs of Janae during a seizure episode.