ATI RN
Burns Pediatric Primary Care 7th Edition Test Bank Questions
Question 1 of 5
A healthy 20-day-old male examination reveals a palpable liver margin below the right costal margin; lab findings: white blood count, 18700/mm3; hemoglobin, 8.8 g/dl; blast cells, 10%; the BEST approach for the management is consistent with acute myeloproliferative disorder
Correct Answer: A
Rationale: Intensive chemotherapy is the standard approach for managing acute myeloproliferative disorders.
Question 2 of 5
You are evaluating a 6-mo-old girl with a firm right suprarenal mass. Histologically, there is no bony involvement, 10% bone marrow involvement, subcutaneous nodules involvement, and massive abdominal mass. The N-myc oncogene is not amplified. According to the international neuroblastoma staging system, the infant is stratified as
Correct Answer: D
Rationale: Stage IV S refers to infants <1 year with localized primary tumor, distant metastases limited to liver, skin, or bone marrow (with <10% involvement), and no amplification of N-myc.
Question 3 of 5
The LEAST helpful advice for a 10-month-old baby refusing spoon feeding is
Correct Answer: B
Rationale: Offering softer diet may not address refusal due to developmental factors.
Question 4 of 5
A healthy, stable, preterm newborn will soon be discharged. The nurse should recommend which position for sleep?
Correct Answer: B
Rationale: The nurse should recommend placing the healthy, stable, preterm newborn in the supine position for sleep. This is the current recommendation to reduce the risk of sudden infant death syndrome (SIDS) per the American Academy of Pediatrics. Placing the infant on their back to sleep helps ensure an open airway and reduces the risk of suffocation or SIDS. It is important to adhere to safe sleep practices to promote the infant's well-being and reduce the risk of sleep-related incidents.
Question 5 of 5
The nurse should include which of the following in preprocedure teaching for a patient scheduled for carotid angiography?
Correct Answer: C
Rationale: It is important for the nurse to include in preprocedure teaching for a patient scheduled for carotid angiography the information that the patient may feel a burning sensation when the dye is injected. This information helps prepare the patient for a common sensation during the procedure, reducing anxiety and promoting patient understanding and cooperation. Providing this education enhances the patient's overall experience and enables them to better cope with the procedure. The other options are not accurate or complete in providing necessary preprocedure information for the patient.