ATI RN
Burns Pediatric Primary Care Test Bank Questions
Question 1 of 5
In Langerhans cell histiocytosis (LCH), all the following manifestations are at high risk of mortality in patients EXCEPT
Correct Answer: C
Rationale: Lung involvement, while serious, is less lethal compared to liver, spleen, or hematopoietic system involvement.
Question 2 of 5
The nurse is guiding parents in selecting a daycare facility for their infant. Which is especially important to consider when making the selection?
Correct Answer: A
Rationale: When selecting a daycare facility for an infant, it is crucial to consider the health practices of the facility. The health and safety of the infant are of utmost importance, as they are more susceptible to illnesses and infections. Ensuring that the daycare facility follows proper hygiene practices, has clean and sanitized environments, implements illness policies, and promotes healthy habits is essential in protecting the infant's well-being. Additionally, the presence of trained staff who can handle medical emergencies and provide proper care in case of illness is also a key factor to consider. By prioritizing the health practices of the facility, parents can help create a safe and nurturing environment for their infant while they are in daycare.
Question 3 of 5
The nurse is caring for a very low birth weight (VLBW) newborn with a peripheral intravenous infusion. Which statement describes nursing considerations regarding infiltration?
Correct Answer: C
Rationale: Infiltration of intravenous fluids in VLBW newborns can lead to serious complications, especially if hypertonic solutions are being administered. Hypertonic solutions have a higher osmolarity than the body's fluids, which can cause severe tissue damage if there is infiltration. It is crucial for the nurse to monitor the infusion site closely for signs of infiltration and take prompt action to prevent further harm to the newborn's delicate skin and tissues. The other options are not directly related to the risk and consequences of infiltration in VLBW newborns.
Question 4 of 5
Why may an ice collar be ordered for a client who is undergoing drainage of a peritonsillar abscess?
Correct Answer: B
Rationale: An ice collar may be ordered for a client undergoing drainage of a peritonsillar abscess to prevent respiratory obstruction. Peritonsillar abscess is a collection of pus behind the tonsils, and the inflammation and swelling from the abscess can lead to difficulty in breathing or swallowing. Applying an ice collar can help reduce the swelling and prevent the abscess from compressing the airway, thus reducing the risk of respiratory obstruction. It can provide comfort to the client and support the drainage process by minimizing the swelling and promoting better drainage of the abscess.
Question 5 of 5
Which nursing diagnosis is most appropriate for a client with Addison's disease?
Correct Answer: C
Rationale: Addison's disease is a condition characterized by adrenal insufficiency, resulting in a deficiency of aldosterone and cortisol. Without aldosterone, the body is unable to regulate fluid and electrolyte balance properly, leading to sodium loss and potassium retention. This imbalance can result in excessive fluid volume, as the kidneys retain water and sodium. Symptoms of excessive fluid volume in Addison's disease can include edema, weight gain, and hypertension. Therefore, the most appropriate nursing diagnosis for a client with Addison's disease would be Excessive Fluid Volume.