ATI RN
Burns Pediatric Primary Care Test Bank Questions
Question 1 of 5
A 1-year-old child develops right eye ptosis, miosis, and loss of sweating; you suspect neuroblastoma. The MOST valuable investigation to confirm the diagnosis is
Correct Answer: A
Rationale: CT scan of the neck and chest can help identify a primary neuroblastoma mass in the adrenal gland or sympathetic chain.
Question 2 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.
Question 3 of 5
Which bite causes Rocky Mountain spotted fever?
Correct Answer: B
Rationale: Rocky Mountain spotted fever is caused by the bite of an infected tick. The bacterium Rickettsia rickettsii is transmitted to humans through the bite of the American dog tick, the Rocky Mountain wood tick, or the brown dog tick. These ticks are commonly found in wooded areas and attach themselves to the skin of humans or animals, transmitting the bacteria responsible for Rocky Mountain spotted fever. It is important to take precautions to prevent tick bites, such as using insect repellent, wearing long sleeves and pants when in wooded areas, and conducting thorough tick checks after being outdoors.
Question 4 of 5
The child who walks backward, scribbles, and uses spoon and fork has achieved the developmental age of
Correct Answer: D
Rationale: These milestones are typically achieved around 18 months of age.
Question 5 of 5
The nurse is assessing a 6-month-old healthy infant who weighed 7 pounds at birth. The nurse should expect the infant to now weigh approximately how many pounds?
Correct Answer: C
Rationale: Infants typically double their birth weight by around 6 months of age. Since the infant weighed 7 pounds at birth, it is reasonable to expect the infant to weigh approximately 14 pounds at the age of 6 months. Therefore, the closest option among the choices provided is 20 pounds.