ATI RN
Burns Pediatric Primary Care Test Bank Questions
Question 1 of 5
. Which of the following laboratory test results would the nurse expect to find in a client diagnosed with Hashimoto's thyroiditis?
Correct Answer: E
Rationale: Hashimoto's thyroiditis is an autoimmune disorder that results in an underactive thyroid gland (hypothyroidism). The key lab findings typically seen in Hashimoto's thyroiditis include elevated thyroid antibodies (such as anti-thyroid peroxidase and anti-thyroglobulin antibodies), decreased levels of thyroxine (T4) and triiodothyronine (T3), and an elevated thyroid-stimulating hormone (TSH) level.
Question 2 of 5
The nurse is testing an infant's visual acuity. By what age should the infant be able to fix on and follow a target?
Correct Answer: D
Rationale: By 6 months of age, infants should be able to fix on and follow a target with their eyes. This behavior is indicative of normal visual development in infants. It typically signifies that the infant's visual acuity is developing as expected. Therefore, by the age of 6 months, most infants should demonstrate the ability to focus on and track objects within their field of vision.
Question 3 of 5
The MOST appropriate advice for a 4-year-old child visiting the outpatient department with excessive crying is
Correct Answer: B
Rationale: Further history may help differentiate normal behavior from developmental concerns.
Question 4 of 5
Nurse Norma's discharge teaching for Mr. Aurelio, diagnosed with heart failure, should stress the significance of:
Correct Answer: B
Rationale: Nurse Norma's discharge teaching for Mr. Aurelio, diagnosed with heart failure, should stress the significance of obtaining daily weights at the same time. Daily weights help monitor fluid retention, a key indicator of worsening heart failure. Sudden weight gain may signal fluid buildup in the body, while weight loss may indicate dehydration or treatment effectiveness. By obtaining daily weights at the same time each day, Mr. Aurelio can track changes and provide valuable information for his healthcare team to adjust his treatment plan accordingly. This practice is crucial in managing heart failure and preventing exacerbations.
Question 5 of 5
Which of the following would be the most appropriate nursing intervention when caring for a client with a fractured rib?
Correct Answer: A
Rationale: Applying an immobilization device, such as a rib belt or rib binder, is a common nursing intervention for a client with a fractured rib. However, it is essential to first ensure that the client is examined by a physician to confirm the diagnosis and assess the severity of the fracture. Immobilizing the area helps reduce pain, support the chest wall, and promote healing by limiting movement that can further irritate the injured rib. Additionally, the physician's assessment is crucial for determining the appropriate treatment plan and ruling out any complications that may require further medical intervention.