ATI RN
Burns Pediatric Primary Care Test Bank Questions
Question 1 of 9
Amy, age 6 years, needs to be hospitalized again because of a chronic illness. The clinic nurse overhears her school-age siblings tell her, "We are sick of Mom always sitting with you in the hospital and playing with you. It isn't fair that you get everything and we have to stay with the neighbors." Which is the nurse's best assessment of this situation?
Correct Answer: B
Rationale: Jealousy and resentment are common reactions among siblings when one child requires more attention due to illness or hospitalization. It is natural for siblings to feel left out, overlooked, or envious of the extra attention the sick child is receiving. These feelings do not necessarily indicate immaturity or being spoiled but rather a normal emotional response to a challenging family situation. It is important for healthcare providers to recognize and address these feelings to support the entire family in coping with the chronic illness of one of their members.
Question 2 of 9
Alveolar type of rhabdomyosarcoma accounts for approximately 1/3 of all cases of pediatric RMS and carries the poorest prognosis. Of the following, the MOST common site of involvement by alveolar type RMS is
Correct Answer: C
Rationale: Extremities are the most common site for alveolar rhabdomyosarcoma.
Question 3 of 9
Which of the following malignancies is least likely to occur in a 10-month-old infant?
Correct Answer: D
Rationale: Hepatoblastoma is rare in infants under 1 year old, being more common in toddlers.
Question 4 of 9
The nurse is aware that the shift of body fluids associated with the intravenous administration of albumin occurs by the process of:
Correct Answer: B
Rationale: Osmosis is the process by which water moves across a semi-permeable membrane to equalize concentrations on both sides of the membrane. When albumin is administered intravenously, it creates an osmotic pressure in the bloodstream that draws water from the interstitial space into the blood vessels. This shift of body fluids associated with the intravenous administration of albumin occurs through the process of osmosis.
Question 5 of 9
For a client diagnosed with idiopathic thrombocytopenic purpura (ITP), which nursing intervention is appropriate?
Correct Answer: B
Rationale: The appropriate nursing intervention for a client diagnosed with idiopathic thrombocytopenic purpura (ITP) is administering platelets, as ordered, to maintain an adequate platelet count. ITP is a condition characterized by a decrease in platelet count, which can lead to thrombocytopenia and an increased risk of bleeding. Administering platelets can help prevent excessive bleeding and maintain hemostasis in these patients. Platelet transfusions may be required in severe cases to raise the platelet count to a safe level and prevent bleeding complications. It is crucial for nurses to monitor the platelet count regularly and administer platelets as prescribed to manage ITP effectively.
Question 6 of 9
The baby with birth brachial plexus palsy (BBPP) will start with occupational or physical therapy at approximately
Correct Answer: A
Rationale: Early intervention is critical for optimal recovery in BBPP. Therapy typically begins within the first week of life to prevent contractures and promote nerve regeneration.
Question 7 of 9
To provide safe care for Mrs. Zeno, it is important for the nurse to check the bedside for the presence of:
Correct Answer: B
Rationale: Checking the bedside for the presence of a hypothermia blanket is crucial for providing safe care for Mrs. Zeno. Hypothermia blankets are used to prevent or treat hypothermia, which is a condition where the body temperature drops below normal levels. Maintaining normothermia (normal body temperature) is important for the overall well-being of patients, especially those who are at risk of developing complications due to temperature fluctuations. Therefore, having a hypothermia blanket readily available at the bedside ensures that the nurse can promptly address any temperature-related issues to optimize Mrs. Zeno's care and safety.
Question 8 of 9
A 78 year old male has been working on his lawn for two days, although the temperature has been above 90 degree F. he has been on thiazide diuretics for hypertension. His lab values are K 3.7 mEq/L, Na 129 mEq/L, Ca 9 mg/dl, and Cl 95 mEq/L. What would be a priority action for this man?
Correct Answer: B
Rationale: The 78-year-old male in this scenario is at risk for electrolyte imbalances due to prolonged exposure to high temperatures while taking thiazide diuretics, commonly prescribed for hypertension. The low potassium level (K 3.7 mEq/L) and low sodium level (Na 129 mEq/L) in his lab results are indicative of potential electrolyte disturbances, especially considering his age and medication. These electrolyte imbalances can lead to symptoms like fatigue, muscle weakness, restlessness, and flushed skin, which are signs of hyponatremia and hypokalemia.
Question 9 of 9
Incomplete development of teeth,bones, and ligaments is the result of:
Correct Answer: C
Rationale: Osteogenesis imperfecta, also known as brittle bone disease, is a genetic disorder that affects collagen production, leading to brittle and easily fractured bones. In addition to bone fragility, individuals with osteogenesis imperfecta may also experience teeth abnormalities such as dentinogenesis imperfecta (discolored and weakened teeth) and ligament laxity due to the improper development of connective tissues. This incomplete development of teeth, bones, and ligaments is a characteristic feature of osteogenesis imperfecta, making it the correct choice in this scenario. Congenital hip dysplasia, Duchenne's muscular dystrophy, and osteomyelitis do not typically involve the same constellation of symptoms related to teeth, bones, and ligaments seen in osteogenesis imperfecta.