ATI RN
Burns Pediatric Primary Care 7th Edition Test Bank Questions
Question 1 of 9
A nurse is doing an assessment on a newborn. Which is characteristic of a newborn's vision at birth and an expected finding during the assessment?
Correct Answer: D
Rationale: At birth, a newborn's vision is not fully developed. However, one of the characteristics of a newborn's vision is that their pupils are able to react to light. This response helps to protect the newborn's developing eyes from excessive light exposure. During a newborn assessment, it is expected that the nurse will observe the pupil constriction in response to a bright light source, indicating a normal functioning of the pupillary reflex. This physiological response is vital for assessing the newborn's neurological integrity and visual function.
Question 2 of 9
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 3 of 9
The nurse is caring for a client in acute addisonian crisis. Which laboratory data would the nurse expect to find?
Correct Answer: A
Rationale: In acute Addisonian crisis, the adrenal glands do not produce enough cortisol and aldosterone, leading to a decrease in blood volume and blood pressure. This can cause hyperkalemia (high potassium levels) due to the lack of aldosterone, which normally helps regulate potassium excretion from the body. Additionally, clients in Addisonian crisis may experience hyponatremia (low sodium levels) rather than hypernatremia. Reduced blood urea nitrogen (BUN) and hyperglycemia would not be typical findings in acute Addisonian crisis.
Question 4 of 9
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.
Question 5 of 9
The physician writes a "now" order for codeine 45 mg IM for a patient with thrombophlebitis. The nurse has on hand 60 mg/2 mL. Which of the ff. doses should be given?
Correct Answer: B
Rationale: To determine how many milliliters of the medication should be given, it is important to first calculate the total amount of codeine required based on the physician's order. The physician ordered codeine 45 mg IM, and the available concentration is 60 mg/2 mL. To find out the appropriate dose to administer, you can set up a proportion:
Question 6 of 9
Which virus causes genital warts?
Correct Answer: B
Rationale: Genital warts are caused by the human papillomavirus (HPV). HPV is a common sexually transmitted infection (STI) that can infect the genital areas of both men and women. There are many different strains of HPV, some of which can cause genital warts. These warts may appear as small bumps or clusters in the genital or anal area. It's important to note that not all HPV strains cause genital warts, and some can lead to more serious conditions such as cervical cancer. Getting vaccinated against HPV and practicing safe sex can help reduce the risk of HPV infection and its associated complications.
Question 7 of 9
Which of the following patients should the nurse monitors because of increased risk for surgical complications?
Correct Answer: B
Rationale: The patient who is 5'3" in height and weighs 180 lbs is considered obese based on their body mass index (BMI). Obesity is a significant risk factor for surgical complications such as wound infections, blood clots, and respiratory issues. In obese patients, surgical procedures can be more challenging due to difficulties in accessing and visualizing surgical sites, longer surgery times, and increased stress on the body's organs. Therefore, this patient should be closely monitored for potential surgical complications.
Question 8 of 9
When educating parents regarding known antecedent infections in acute glomerulonephritis, which of the following should the nurse cover?
Correct Answer: B
Rationale: When educating parents regarding known antecedent infections in acute glomerulonephritis, the nurse should cover impetigo. Acute poststreptococcal glomerulonephritis (APSGN) is commonly triggered by a streptococcal infection, such as impetigo or strep throat. Impetigo, a superficial skin infection caused by Staphylococcus aureus or Streptococcus pyogenes, is a common precursor to APSGN in children. Therefore, educating parents about impetigo and its potential link to acute glomerulonephritis is crucial in helping them recognize and manage their child's health effectively.
Question 9 of 9
Mrs. Tan is scheduled to undergo percutaneous transluminal coronary angioplasty (PTCA). Which of the following is the priority goal for her immediately after the procedure?
Correct Answer: B
Rationale: Maintaining blood pressure control is the priority goal for Mrs. Tan immediately after percutaneous transluminal coronary angioplasty (PTCA). PTCA is a procedure used to open narrowed or blocked arteries in the heart. After the procedure, there is a risk of abrupt changes in blood pressure due to various factors, such as contrast dye used during the procedure, stress on the heart, and potential complications. Maintaining stable blood pressure is crucial to ensure adequate perfusion to the heart and other organs. Monitoring and controlling blood pressure help prevent further complications and promote a smooth recovery process for the patient. It is important to address this priority goal to optimize Mrs. Tan's post-procedure outcomes.