ATI RN
Burns Pediatric Primary Care Test Bank Questions
Question 1 of 5
Barbiturate anticonvulsants are effective in treating all of these seizure types, except:
Correct Answer: D
Rationale: Barbiturate anticonvulsants are effective in treating partial seizures, tonic-clonic seizures, and febrile seizures. However, they are not considered first-line treatment for absence seizures. Absence seizures typically respond better to other anticonvulsant medications such as ethosuximide or valproic acid. Barbiturates have a sedative effect and can cause drowsiness or cognitive impairment, which may not be ideal for managing absence seizures where maintaining alertness and cognitive function is important.
Question 2 of 5
The nurse teaches a diabetic client that diet plays a crucial role in managing diabetes mellitus. When evaluating dietary intake, the nurse knows the client is eating the right foods if total daily caloric intake consists of:
Correct Answer: A
Rationale: In managing diabetes mellitus, one of the key principles is proper macronutrient distribution in the diet. The recommended dietary intake for a diabetic client typically includes a moderate amount of carbohydrates (30% to 35% of total calories) in order to help control blood sugar levels. Including higher amounts of fat (around 40%) can be beneficial in managing this condition as well. Adequate protein intake (25% to 30%) is also important for overall health and satiety. This balanced macronutrient distribution helps in maintaining stable blood sugar levels throughout the day, supporting optimal diabetes management.
Question 3 of 5
Hyperparathyroidism is caused by increased levels of thyroxine in blood plasma. A client with this endocrine dysfunction would experience:
Correct Answer: A
Rationale: Hyperparathyroidism is caused by increased levels of parathyroid hormone (PTH), not thyroxine. The effects of hyperparathyroidism include increased calcium levels in the blood, which can lead to symptoms such as heat intolerance and systolic hypertension. Systolic hypertension is when the top number in a blood pressure reading is elevated. This is why option A (heat intolerance and systolic hypertension) is the correct choice for a client with hyperparathyroidism. Options B, C, and D do not accurately reflect the symptoms associated with this endocrine dysfunction.
Question 4 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 5 of 5
Clients will go through operations and who have undergone surgery need the proper observation, treatment, and care. Implementing the nursing process to these patients will help reduce complications. Nurse Maria is preparing Mr. Sy for surgery. Which of the following statements by the client would indicate he is well-informed about his imminent surgery?
Correct Answer: B
Rationale: Option B, "I will not eat anything after 12 pm the night before my operation, but I sure can drink," indicates that the client understands and is knowledgeable about the pre-operative fasting guidelines. It is crucial for patients to have an empty stomach before surgery to prevent complications related to anesthesia, such as aspiration pneumonia. This statement shows that Mr. Sy is well-informed and compliant with this important pre-operative instruction. Options A, C, and D do not directly demonstrate specific knowledge regarding the surgery preparations.