ATI RN
Burns Pediatric Primary Care 7th Edition Test Bank Questions
Question 1 of 5
For a client with polycythemia vera, how can the nurse help decrease the risk for thrombus formation?
Correct Answer: B
Rationale: For a client with polycythemia vera, there is an increased risk for thrombus formation due to the increased viscosity of the blood. Wearing thromboembolic stockings or support hose can help promote circulation, prevent stasis, and reduce the risk of thrombus formation. Compression stockings provide external pressure to the legs, which helps prevent blood from pooling and clotting. This intervention is commonly recommended for patients at risk for thrombus formation to improve blood flow in the lower extremities and reduce the risk of deep vein thrombosis (DVT) and pulmonary embolism.
Question 2 of 5
A young couple of a 2-month-old baby girl with excessive crying seeks medical advice. The LEAST important advice is to
Correct Answer: C
Rationale: Changing the milk formula is less critical unless there is evidence of intolerance or allergy.
Question 3 of 5
The nurse is teaching nursing students about childhood skin lesions. Which is an elevated, circumscribed skin lesion that is less than 1 cm in diameter and filled with serous fluid?
Correct Answer: D
Rationale: A vesicle is an elevated, circumscribed skin lesion that is less than 1 cm in diameter and filled with serous fluid. Serous fluid is a clear, watery fluid that can accumulate within the vesicle. Vesicles are commonly seen in conditions such as herpes simplex virus infections (cold sores) and contact dermatitis. It is important for nursing students to understand the characteristics of different skin lesions to accurately assess and provide appropriate care for patients.
Question 4 of 5
A client with anemia has been admitted to the medical-surgical unit. Which assessment findings are characteristic of iron-deficiency anemia?
Correct Answer: C
Rationale: Iron-deficiency anemia is a common type of anemia characterized by a lack of iron in the body, which leads to decreased production of red blood cells containing hemoglobin. The assessment findings characteristic of iron-deficiency anemia include dyspnea (shortness of breath) due to decreased oxygen-carrying capacity of the blood, tachycardia (rapid heart rate) as the body tries to compensate for decreased oxygen delivery, and pallor (pale skin and mucous membranes) due to reduced red blood cell production. These symptoms result from insufficient iron levels affecting the body's ability to produce an adequate number of healthy red blood cells. Night sweats, weight loss, and diarrhea are not typically associated with iron-deficiency anemia. Nausea, vomiting, anorexia, itching, rash, and jaundice are also not primary manifestations of iron-deficiency an
Question 5 of 5
Which should the nurse consider when preparing a school-age child and the family for heart surgery?
Correct Answer: B
Rationale: When preparing a school-age child and the family for heart surgery, it is essential to provide honest and age-appropriate information to help the child feel more comfortable and reduce anxiety. Letting the child hear the sounds of an ECG monitor is beneficial as it allows them to become familiar with medical equipment and procedures, making them less intimidated by the unfamiliar sounds they may encounter during and after surgery. Familiarizing the child with the sounds can also help alleviate fears and promote understanding of what is happening during the procedure. It is important to maintain open communication, address concerns, and prepare the child and family for what to expect before, during, and after surgery.