ATI RN
Burns Pediatric Primary Care Test Bank Questions
Question 1 of 5
If a patient has elevated pulmonary vascular pressures, the nurse understands that the patient is most likely to develop which of the ff. physiological cardiac changes?
Correct Answer: D
Rationale: Elevated pulmonary vascular pressures can lead to pulmonary hypertension, which causes increased pressure in the right side of the heart. The right ventricle has to work harder to pump blood against the increased resistance in the pulmonary circulation. Over time, this can result in the development of right ventricular hypertrophy as the muscle of the right ventricle thickens in response to the increased workload. This is a compensatory mechanism to try to maintain cardiac output despite the increased pressure in the pulmonary circulation. Left atrial atrophy, left ventricular hypertrophy, and right atrial atrophy are not typically associated with elevated pulmonary vascular pressures.
Question 2 of 5
Which of the following is an adverse reaction to glipizide (Glucotrol)?
Correct Answer: B
Rationale: Hypotension, which is low blood pressure, can be an adverse reaction to glipizide (Glucotrol). Glipizide is a medication used to treat type 2 diabetes by helping to control blood sugar levels. Hypotension could occur as a side effect of glipizide, causing symptoms such as dizziness, lightheadedness, and fainting. If a patient experiences hypotension while taking glipizide, medical attention should be sought immediately to address this potentially serious adverse reaction.
Question 3 of 5
The nurse is testing an infant's visual acuity. By what age should the infant be able to fix on and follow a target?
Correct Answer: D
Rationale: By 6 months of age, infants should be able to fix on and follow a target with their eyes. This behavior is indicative of normal visual development in infants. It typically signifies that the infant's visual acuity is developing as expected. Therefore, by the age of 6 months, most infants should demonstrate the ability to focus on and track objects within their field of vision.
Question 4 of 5
Primary amenorrhea should be considered for any female adolescent who has not reached menarche by
Correct Answer: D
Rationale: Primary amenorrhea is suspected if menarche has not occurred by age 15 or within 3 years of thelarche.
Question 5 of 5
Primary amenorrhea should be considered for any female adolescent who has not reached menarche by
Correct Answer: D
Rationale: Primary amenorrhea is suspected if menarche has not occurred by age 15 or within 3 years of thelarche.