ATI RN
Burns Pediatric Primary Care Test Bank Questions
Question 1 of 5
A classic full blown AIDS case is identified by clinical manifestations such as:
Correct Answer: C
Rationale: A classic full-blown AIDS case is characterized by the presence of tumors and opportunistic infections due to the severe immunodeficiency caused by the human immunodeficiency virus (HIV). As the immune system becomes progressively weakened, the individual becomes highly susceptible to various infections and malignancies, which are typically not seen in individuals with a healthy immune system. The presence of tumors and opportunistic infections in an individual signifies the advanced stage of HIV infection and the progression to AIDS. The other options (A, B, D) are more general symptoms that can be seen in various stages of HIV infection and are not specific to a full-blown AIDS case.
Question 2 of 5
A male client is prescribed medications that depress thrombocytes. The nurse should monitor for which of the ff signs and symptoms in the client?
Correct Answer: C
Rationale: Thrombocytes, also known as platelets, play a crucial role in blood clotting. Medications that depress thrombocytes can lead to decreased clotting ability and an increased risk of bleeding. Therefore, monitoring for signs and symptoms of bleeding is essential. Bleeding gums and dark tarry stools are indicative of bleeding in the oral cavity and gastrointestinal tract, respectively, and are key indicators to watch for in a client taking medications that depress thrombocytes. Options A, B, and D are not directly related to the impact of thrombocyte depression on clotting function.
Question 3 of 5
What are the periods in life when the need for iron increases?
Correct Answer: A
Rationale: The need for iron increases during pregnancy primarily due to the increased blood volume to support the growing fetus and placenta. Iron is essential for the production of hemoglobin, which helps transport oxygen to both the mother and the developing baby. Pregnant women often require more iron to prevent iron deficiency anemia, which can have negative effects on both the mother and the baby. It is important for pregnant women to consume enough iron-rich foods or take iron supplements as recommended by their healthcare provider to support a healthy pregnancy.
Question 4 of 5
A client has been scheduled for a Schilling test. What instruction will the nurse give the client?
Correct Answer: B
Rationale: The correct instruction the nurse will give to the client scheduled for a Schilling test is to collect his urine for 12 hours. The Schilling test is a diagnostic test used to assess the body's ability to absorb vitamin B12. The test involves collecting urine samples over a period of 24 hours after the client ingests a small amount of radioactive vitamin B12. By collecting urine for 12 hours, the healthcare provider will be able to analyze the excretion of the vitamin and determine the client's ability to absorb vitamin B12. Instructions such as fasting, enema administration, or emptying the bladder before the test are not typically associated with the Schilling test procedure.
Question 5 of 5
The nurse is caring for a client who has just had a modified radical mastectomy with immediate reconstruction. She's in her 30s and has two young children. Although she's worried about her future, she seems to be adjusting well to her diagnosis. What should the nurse do to support her coping?
Correct Answer: D
Rationale: Referring the client to the American Cancer Society's Reach for Recovery program or another support program is the best course of action to support her coping. This program can provide emotional support, practical assistance, and guidance to the client as she navigates through the challenges of coping with breast cancer and reconstruction surgery. Connecting with others who have gone through similar experiences can help her feel less isolated and provide her with valuable insights and resources to cope effectively. This approach acknowledges the importance of holistic support for the client during this difficult time, beyond what medical treatment alone can provide.