ATI RN
Burns Pediatric Primary Care 7th Edition Test Bank Questions
Question 1 of 5
Childhood primary brain stem tumors are a heterogeneous group of tumors; the outcome usually depends on the tumor location. Which tumor, depending on the site of tumor, carries the worst prognosis?
Correct Answer: D
Rationale: Diffuse intrinsic pontine gliomas (DIPG) have the worst prognosis among brainstem tumors.
Question 2 of 5
Choose the condition that exhibits blood values with a low pH and a high PCO :
Correct Answer: A
Rationale: Respiratory acidosis is a condition characterized by elevated levels of carbon dioxide (high PCOâ‚‚) and decreased blood pH (low pH) due to inadequate ventilation leading to the accumulation of carbon dioxide in the body. The excess carbon dioxide reacts with water in the blood to form carbonic acid, resulting in a decrease in pH. This is in contrast to metabolic acidosis, which is characterized by an accumulation of acids other than carbon dioxide, leading to a low blood pH. Respiratory alkalosis would present with a low PCOâ‚‚ and high pH, while metabolic alkalosis features a high pH and elevated bicarbonate levels due to non-respiratory causes.
Question 3 of 5
When caring for an anxious patient with dyspnea, which of the ff. nursing actions is most helpful to include in the plan of care to relieve anxiety?
Correct Answer: C
Rationale: One of the most helpful nursing actions to include in the plan of care to relieve anxiety in an anxious patient with dyspnea is to stay at the patient's bedside. By providing constant presence and reassurance, the nurse can help the patient feel supported and safe. This proactive approach can also help the nurse monitor the patient's condition closely and provide timely interventions as needed. Additionally, staying at the bedside allows the nurse to establish trust and communication with the patient, which is essential in managing anxiety and providing effective care.
Question 4 of 5
In JRA, the autoimmune reaction primarily occurs in the:
Correct Answer: C
Rationale: In Juvenile Rheumatoid Arthritis (JRA), which is now referred to as Juvenile Idiopathic Arthritis (JIA), the autoimmune reaction primarily occurs in the synovial tissue of the joints. The synovial tissue lines the inside of the joint capsule and produces synovial fluid, which helps to lubricate and nourish the joint. In JIA, the immune system mistakenly targets the synovial tissue, leading to inflammation, pain, and damage to the joints. This inflammatory process can result in swelling, warmth, stiffness, and eventual joint destruction if left untreated. Therefore, the synovial tissue is the primary site of the autoimmune reaction in JRA/JIA.
Question 5 of 5
A client diagnosed with hyperosmolar hyperglycemic nonketotic syndrome (HHNS) is stabilized and prepared for discharge. When preparing the client for discharge and home management, which of the following statements indicates that the client understands her condition and how to control it?
Correct Answer: A
Rationale: Option A demonstrates the client's understanding of her condition and how to control it. Hyperosmolar hyperglycemic nonketotic syndrome (HHNS) is characterized by high blood glucose levels and dehydration. To control the condition, it is crucial to prevent dehydration by staying well-hydrated and paying attention to cues such as increased thirst and urination. By being mindful of these signs and symptoms, the client can take proactive measures to maintain adequate hydration levels and prevent HHNS complications. This statement reflects a clear understanding of the importance of hydration in managing the condition. Options B, C, and D do not address the specific needs of a client with HHNS and may potentially lead to incorrect management of the condition.