ATI RN
Burns Pediatric Primary Care Test Bank Questions
Question 1 of 5
Baby Ellie is diagnosed with gastroesophageal reflux (GER); which of the following nursing diagnoses would be inappropriate?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
Idiopathic thrombocytopenic purpura (ITP) commonly results in what finding?
Correct Answer: D
Rationale: Idiopathic thrombocytopenic purpura (ITP) is a condition characterized by a low platelet count, leading to an increased risk of bleeding and easy bruising. Platelets are responsible for blood clotting and when their count is low, it can result in purpura (bruising) due to small blood vessels leaking blood into the skin. For this reason, the most common finding in ITP is bruising rather than blood clots, pallor, or dry membranes.
Question 3 of 5
A baby that was born 5 minutes earlier is tachypneic, tachycardic, and markedly cyanotic. A STAT echocardiogram confirms the presence of a cyanotic congenital cardiac defect. Which of the following defects would be consistent with the assessment findings?
Correct Answer: B
Rationale: Transposition of the great vessels is a cyanotic congenital heart defect where the aorta arises from the right ventricle and the pulmonary artery arises from the left ventricle. This results in two separate circulatory systems - one for oxygenated blood and another for deoxygenated blood. Due to this abnormal circulation, babies with transposition of the great vessels may present with severe cyanosis soon after birth. They can also develop tachypnea and tachycardia as compensatory mechanisms to maintain oxygen delivery. A STAT echocardiogram would confirm the diagnosis by showing the abnormal connection of the great vessels.
Question 4 of 5
All the following are Test results seen in JRA EXCEPT :
Correct Answer: D
Rationale: Juvenile idiopathic arthritis (JIA), previously known as Juvenile Rheumatoid Arthritis (JRA), is a chronic inflammatory disorder that primarily affects children. In JIA, common test results include an increase in ESR (Erythrocyte Sedimentation Rate), positive RF (Rheumatoid Factor), and positive IgM & IgG antibodies. However, a positive CA 9 result is not typically associated with JRA. CA 9 (Carbonic Anhydrase 9) is not a commonly used marker for diagnosing or monitoring JIA, so it would not be expected to be seen in test results for this condition.
Question 5 of 5
UTI 118 Practice Exam II The methotrexate drug used to treat :
Correct Answer: C
Rationale: Methotrexate is a chemotherapy medication that is commonly used in the treatment of various types of cancers, including leukemia. Leukemia is a cancer of the blood and bone marrow that affects the white blood cells. Methotrexate works by interfering with the growth and division of cancer cells, thereby helping to slow down or stop the progression of the disease. It is not typically used to treat thalassemia, hemophilia, or sickle cell anemia, as these conditions are not cancers and require different types of treatment approaches.