ATI RN
Burns Pediatric Primary Care Test Bank Questions
Question 1 of 5
Aling Maria, a 58-year old female, was admitted for the third time because of myxedema. Initial assessment by Nurse Mida should include symptoms of:
Correct Answer: C
Rationale: The symptoms of myxedema, which is a severe form of hypothyroidism, include lethargy, weight gain, slow speech, and decreased respiratory rate. Aling Maria being a 58-year old female who was admitted for the third time because of myxedema would likely present with these symptoms upon assessment by Nurse Mida. Other common symptoms of myxedema include cold intolerance, dry skin, hair loss, and brittle nails. It is important for Nurse Mida to identify these symptoms during the initial assessment to provide appropriate care and management for Aling Maria.
Question 2 of 5
Nurse Norma's discharge teaching for Mr. Aurelio, diagnosed with heart failure, should stress the significance of:
Correct Answer: B
Rationale: Nurse Norma's discharge teaching for Mr. Aurelio, diagnosed with heart failure, should stress the significance of obtaining daily weights at the same time. Daily weights help monitor fluid retention, a key indicator of worsening heart failure. Sudden weight gain may signal fluid buildup in the body, while weight loss may indicate dehydration or treatment effectiveness. By obtaining daily weights at the same time each day, Mr. Aurelio can track changes and provide valuable information for his healthcare team to adjust his treatment plan accordingly. This practice is crucial in managing heart failure and preventing exacerbations.
Question 3 of 5
Aling Nena, 68 years old, had a MVA and underwent surgery for hip fracture. Two days post-surgery, she suddenly complained of chest heaviness despite the absence of cardiac history. What is the nursing priority?
Correct Answer: C
Rationale: In a post-operative patient, sudden chest heaviness can be a sign of various complications, such as a pulmonary embolism or cardiac issue. One of the immediate nursing interventions for a patient complaining of chest heaviness is to ensure adequate oxygenation. Administering oxygen via a face mask can help improve oxygenation and provide relief while further assessments are being done to determine the cause of the symptom. This intervention takes priority over documenting the symptom, offering analgesics, or informing the physician, as addressing the patient's oxygen needs is crucial in this situation.
Question 4 of 5
A guest who is diabetic attended a bridal affair. The guest started to tremble and started to feel dizzy. Luckily a nurse is present. The best action for the nurse to take is to:
Correct Answer: D
Rationale: The best action for the nurse to take in this situation is to give the guest a glass of orange juice (Choice D). The guest is most likely experiencing hypoglycemia (low blood sugar) due to diabetes. Orange juice contains natural sugars that can help raise the guest's blood sugar levels quickly. Since the guest is feeling dizzy and trembling, providing a source of fast-acting sugar like orange juice is crucial in addressing the low blood sugar and preventing the situation from worsening. It is important to follow up with a source of longer-lasting carbohydrates and protein after the guest's blood sugar levels have stabilized.
Question 5 of 5
. Which of the following laboratory test results would the nurse expect to find in a client diagnosed with Hashimoto's thyroiditis?
Correct Answer: E
Rationale: Hashimoto's thyroiditis is an autoimmune disorder that results in an underactive thyroid gland (hypothyroidism). The key lab findings typically seen in Hashimoto's thyroiditis include elevated thyroid antibodies (such as anti-thyroid peroxidase and anti-thyroglobulin antibodies), decreased levels of thyroxine (T4) and triiodothyronine (T3), and an elevated thyroid-stimulating hormone (TSH) level.