ATI RN
Burns Pediatric Primary Care 7th Edition Test Bank Questions
Question 1 of 5
A client diagnosed with hyperosmolar hyperglycemic nonketotic syndrome (HHNS) is stabilized and prepared for discharge. When preparing the client for discharge and home management, which of the following statements indicates that the client understands her condition and how to control it?
Correct Answer: A
Rationale: Option A demonstrates the client's understanding of her condition and how to control it. Hyperosmolar hyperglycemic nonketotic syndrome (HHNS) is characterized by high blood glucose levels and dehydration. To control the condition, it is crucial to prevent dehydration by staying well-hydrated and paying attention to cues such as increased thirst and urination. By being mindful of these signs and symptoms, the client can take proactive measures to maintain adequate hydration levels and prevent HHNS complications. This statement reflects a clear understanding of the importance of hydration in managing the condition. Options B, C, and D do not address the specific needs of a client with HHNS and may potentially lead to incorrect management of the condition.
Question 2 of 5
You would not find which of the following assessments in a patient with severe anemia?
Correct Answer: C
Rationale: Severe anemia is associated with a reduced number of red blood cells, leading to decreased oxygen delivery to the body's tissues. Therefore, symptoms commonly seen in patients with severe anemia include pallor (pale skin), fatigue (due to decreased energy levels), and dyspnea (shortness of breath) especially on exertion (due to the heart working harder to compensate for the reduced oxygen-carrying capacity of the blood). Cold sensitivity is not a typical symptom of anemia and is not directly related to the reduced oxygen-carrying capacity of the blood.
Question 3 of 5
The clue to need a help for a child who does not respond to his or her name is by age of
Correct Answer: D
Rationale: By 12 months, a child should respond to their name; if not, it may indicate a developmental concern.
Question 4 of 5
A 5 years old boy presents with joint swelling after minor trauma, mother gives history of prolonged bleeding from circumcision site. His platelets count is 170000, PT is 10 seconds and APTT is 60 seconds. What is most likely the diagnosis?
Correct Answer: D
Rationale: Hemophilia is characterized by prolonged APTT with normal platelet count and PT, indicating a coagulation factor deficiency.
Question 5 of 5
The nurse is teaching nursing students about childhood skin lesions. Which is an elevated, circumscribed skin lesion that is less than 1 cm in diameter and filled with serous fluid?
Correct Answer: D
Rationale: A vesicle is an elevated, circumscribed skin lesion that is less than 1 cm in diameter and filled with serous fluid. Serous fluid is a clear, watery fluid that can accumulate within the vesicle. Vesicles are commonly seen in conditions such as herpes simplex virus infections (cold sores) and contact dermatitis. It is important for nursing students to understand the characteristics of different skin lesions to accurately assess and provide appropriate care for patients.