ATI RN
Burns Pediatric Primary Care Test Bank Questions
Question 1 of 5
A 78 year old male has been working on his lawn for two days, although the temperature has been above 90 degree F. he has been on thiazide diuretics for hypertension. His lab values are K 3.7 mEq/L, Na 129 mEq/L, Ca 9 mg/dl, and Cl 95 mEq/L. What would be a priority action for this man?
Correct Answer: B
Rationale: The 78-year-old male in this scenario is at risk for electrolyte imbalances due to prolonged exposure to high temperatures while taking thiazide diuretics, commonly prescribed for hypertension. The low potassium level (K 3.7 mEq/L) and low sodium level (Na 129 mEq/L) in his lab results are indicative of potential electrolyte disturbances, especially considering his age and medication. These electrolyte imbalances can lead to symptoms like fatigue, muscle weakness, restlessness, and flushed skin, which are signs of hyponatremia and hypokalemia.
Question 2 of 5
Barbiturate anticonvulsants are effective in treating all of these seizure types, except:
Correct Answer: D
Rationale: Barbiturate anticonvulsants are effective in treating partial seizures, tonic-clonic seizures, and febrile seizures. However, they are not considered first-line treatment for absence seizures. Absence seizures typically respond better to other anticonvulsant medications such as ethosuximide or valproic acid. Barbiturates have a sedative effect and can cause drowsiness or cognitive impairment, which may not be ideal for managing absence seizures where maintaining alertness and cognitive function is important.
Question 3 of 5
A nurse is interviewing the parents of a toddler about use of complementary or alternative medical practices. The parents share several practices they use in their household. Which should the nurse document as complementary or alternative medical practices? (Select all that apply.)
Correct Answer: B
Rationale: Administration of chamomile tea at bedtime is considered a complementary medical practice, as it involves the use of an herb for its potential therapeutic effects.
Question 4 of 5
The clinical manifestations of Parkinson's disease (bradykinesia rigidity and tremors) is directly related to a decreased level of:
Correct Answer: C
Rationale: The clinical manifestations of Parkinson's disease, including bradykinesia, rigidity, and tremors, are directly related to a decreased level of dopamine in the brain. Dopamine is a neurotransmitter that plays a crucial role in regulating movement and coordination. A decrease in dopamine levels results in the characteristic motor symptoms observed in Parkinson's disease. The treatment for Parkinson's disease often involves medications that help increase dopamine levels in the brain, such as levodopa, to alleviate these symptoms.
Question 5 of 5
Which of the following infants is least probable to develop sudden infant death syndrome (SIDS)?
Correct Answer: B
Rationale: Sibling of Baby Angie who died of SIDS is the least probable to develop sudden infant death syndrome (SIDS) among the given choices. This is because siblings of infants who have died of SIDS are at a higher risk themselves due to potential genetic or environmental factors. Research suggests that siblings of infants who died of SIDS are at an increased risk compared to the general population, indicating a possible genetic predisposition or shared environmental influences. It is crucial for parents and caregivers of these siblings to take extra precautions and follow safe sleep practices to reduce the risk of SIDS.