ATI RN
Burns Pediatric Primary Care 7th Edition Test Bank Questions
Question 1 of 5
A nurse is assessing a patient admitted for an asthma exacerbation. Which breath sounds does the nurse expect to assess?
Correct Answer: C
Rationale: Wheezes are high-pitched, musical sounds heard during inspiration or expiration due to the constriction or narrowing of the airways, commonly associated with asthma exacerbations. The presence of wheezes indicates airway obstruction, making it the expected breath sound in a patient admitted for an asthma exacerbation. Rubs, rattles, and crackles are associated with different conditions such as pleural friction rubs, respiratory secretions, and fluid in the alveoli, respectively.
Question 2 of 5
Before, during and after seizure. The nurse knows that the patient is ALWAYS placed in what position?
Correct Answer: C
Rationale: The correct position to place a patient before, during, and after a seizure is on their side, also known as the recovery position. Placing the patient in the side-lying position helps prevent aspiration if the patient vomits and ensures that the airway remains open. This position also helps to prevent choking and allows for drainage of fluids from the mouth. Additionally, it reduces the risk of airway obstruction and helps to maintain proper alignment of the head, neck, and spine. By placing the patient in the side-lying position, the nurse can ensure the patient's safety and well-being during and after a seizure episode.
Question 3 of 5
What is an important consideration for the nurse who is communicating with a very young child?
Correct Answer: B
Rationale: When communicating with a very young child, using transition objects, such as a doll, can help create a sense of familiarity, comfort, and security. These objects can serve as a bridge for the child to express themselves and can also provide a point of reference for the nurse to better understand the child's perspective. Additionally, transition objects can help the child feel more at ease during interactions with healthcare providers, making the communication process smoother and more effective.
Question 4 of 5
A 10-month-old child can do all the following EXCEPT
Correct Answer: D
Rationale: Speaking inhibition words like 'no' typically occurs later.
Question 5 of 5
For a client with polycythemia vera, how can the nurse help decrease the risk for thrombus formation?
Correct Answer: B
Rationale: For a client with polycythemia vera, there is an increased risk for thrombus formation due to the increased viscosity of the blood. Wearing thromboembolic stockings or support hose can help promote circulation, prevent stasis, and reduce the risk of thrombus formation. Compression stockings provide external pressure to the legs, which helps prevent blood from pooling and clotting. This intervention is commonly recommended for patients at risk for thrombus formation to improve blood flow in the lower extremities and reduce the risk of deep vein thrombosis (DVT) and pulmonary embolism.