ATI RN
Burns Pediatric Primary Care Test Bank Questions
Question 1 of 5
A nurse is interviewing the parents of a toddler about use of complementary or alternative medical practices. The parents share several practices they use in their household. Which should the nurse document as complementary or alternative medical practices? (Select all that apply.)
Correct Answer: B
Rationale: In pediatric primary care, it is essential for nurses to understand complementary and alternative medical practices parents may use for their children. In this scenario, the correct answer is option B, administration of chamomile tea at bedtime. Chamomile tea is a widely recognized herbal remedy used for its calming and soothing properties, often given to promote relaxation and sleep in children. Option A, the use of acetaminophen for fever, is a conventional medical practice rather than a complementary or alternative one. Acetaminophen is a common over-the-counter medication used to reduce fever and relieve pain. Option C, hypnotherapy for pain relief, and option D, acupressure for headaches, are also considered complementary or alternative practices. Hypnotherapy involves using the power of suggestion during a trance-like state to promote healing, while acupressure utilizes pressure points to alleviate specific symptoms. Educationally, it is crucial for nurses to be knowledgeable about various complementary and alternative medical practices to provide holistic care and support parents' choices while ensuring the safety and well-being of pediatric patients. Understanding these practices can also help nurses communicate effectively with families and integrate these methods into a comprehensive care plan.
Question 2 of 5
Which strategies should the school nurse recommend implementing in the classroom for a child with attention deficit hyperactive disorder (ADHD)? (Select all that apply.)
Correct Answer: B
Rationale: In the context of a child with ADHD in the classroom, recommending the implementation of verbal instructions accompanied by written formats (Option B) is crucial. This strategy caters to different learning styles and reinforces understanding by providing both auditory and visual cues. For students with ADHD who may struggle with auditory processing or attention issues, having instructions in written form can enhance comprehension and retention. Regarding the incorrect options: A) Scheduling heavier subjects to be taught in the afternoon (Option A) is not ideal for a child with ADHD as attention and focus tend to wane later in the day. It is more beneficial to tackle challenging subjects earlier when concentration levels are higher. C) Limiting the number of breaks taken during instructional periods (Option C) may not be effective for a child with ADHD. Breaks can actually be beneficial for these students as they allow for movement and help in re-energizing and refocusing attention. D) Allowing more time for testing (Option D) may be necessary for some students with ADHD who require extra time due to processing speed issues. However, this alone does not address the core challenges associated with ADHD in the classroom, such as difficulties with organization, attention, and impulse control. In an educational context, understanding the specific needs of students with ADHD is essential for creating a supportive learning environment. By implementing strategies like providing instructions in multiple formats, educators can help optimize learning experiences for students with ADHD and promote their academic success.
Question 3 of 5
Which is the most appropriate nursing diagnosis for the child with acute glomerulonephritis?
Correct Answer:
Rationale: Acute glomerulonephritis is characterized by inflammation of the glomeruli in the kidneys, leading to decreased plasma filtration. As a result, fluid volume excess occurs due to impaired kidney function in regulating the fluid balance. Symptoms may include hypertension, edema, weight gain, and oliguria. Therefore, the most appropriate nursing diagnosis for a child with acute glomerulonephritis would be "Fluid Volume Excess related to decreased plasma filtration". This diagnosis focuses on the pathophysiological process of the condition and helps guide nursing interventions aimed at managing fluid volume overload.
Question 4 of 5
A 6-year-old child is scheduled for an IV urography (IVP) in the morning. Which preparatory interventions should the nurse plan to implement? (Select all that apply.)
Correct Answer: A
Rationale: In preparing a 6-year-old child for an IV urography (IVP), the nurse should plan to implement the intervention of providing clear liquids in the morning before the procedure. This is the correct answer because clear liquids help ensure proper hydration and can help prevent complications during the procedure. Option B, administering a cathartic in the evening before the procedure, is not typically recommended for pediatric patients undergoing IVP as it can cause discomfort and may not be necessary for this specific imaging study. Option C, using a soapsuds enema the morning of the procedure, is not indicated for IVP preparation in children and may not be appropriate or necessary for this particular diagnostic test. Option D, inserting a Foley catheter before the procedure, is not a standard preparatory intervention for IVP in children unless specifically indicated by the healthcare provider for valid medical reasons. In an educational context, it is important for nurses and healthcare providers to understand the appropriate pre-procedural preparations for pediatric patients undergoing various diagnostic tests to ensure their safety, comfort, and optimal outcomes. By providing clear liquids, the child can stay hydrated and facilitate a smoother IVP procedure.
Question 5 of 5
As part of the treatment for heart failure, the child takes the diuretic furosemide (Lasix). As part of teaching home care, the nurse encourages the family to give the child foods such as bananas, oranges, and leafy vegetables. These foods are recommended because they are high in which nutrient?
Correct Answer: B
Rationale: The diuretic furosemide (Lasix) can cause the loss of potassium in the body through increased urination. Potassium is an important mineral that helps maintain normal heart function. Therefore, it is essential to consume foods rich in potassium, such as bananas, oranges, and leafy vegetables, to prevent potassium deficiency (hypokalemia) and support heart health, especially in individuals taking diuretics for conditions like heart failure.