ATI RN
Burns Pediatric Primary Care Test Bank Questions
Question 1 of 5
Incomplete development of teeth,bones, and ligaments is the result of:
Correct Answer: C
Rationale: Osteogenesis imperfecta, also known as brittle bone disease, is a genetic disorder that affects collagen production, leading to brittle and easily fractured bones. In addition to bone fragility, individuals with osteogenesis imperfecta may also experience teeth abnormalities such as dentinogenesis imperfecta (discolored and weakened teeth) and ligament laxity due to the improper development of connective tissues. This incomplete development of teeth, bones, and ligaments is a characteristic feature of osteogenesis imperfecta, making it the correct choice in this scenario. Congenital hip dysplasia, Duchenne's muscular dystrophy, and osteomyelitis do not typically involve the same constellation of symptoms related to teeth, bones, and ligaments seen in osteogenesis imperfecta.
Question 2 of 5
Which of the following infants is least probable to develop sudden infant death syndrome (SIDS)?
Correct Answer: B
Rationale: Sibling of Baby Angie who died of SIDS is the least probable to develop sudden infant death syndrome (SIDS) among the given choices. This is because siblings of infants who have died of SIDS are at a higher risk themselves due to potential genetic or environmental factors. Research suggests that siblings of infants who died of SIDS are at an increased risk compared to the general population, indicating a possible genetic predisposition or shared environmental influences. It is crucial for parents and caregivers of these siblings to take extra precautions and follow safe sleep practices to reduce the risk of SIDS.
Question 3 of 5
Idiopathic thrombocytopenic purpura (ITP) commonly results in what finding?
Correct Answer: D
Rationale: Idiopathic thrombocytopenic purpura (ITP) is a condition characterized by a low platelet count, leading to an increased risk of bleeding and easy bruising. Platelets are responsible for blood clotting and when their count is low, it can result in purpura (bruising) due to small blood vessels leaking blood into the skin. For this reason, the most common finding in ITP is bruising rather than blood clots, pallor, or dry membranes.
Question 4 of 5
A baby that was born 5 minutes earlier is tachypneic, tachycardic, and markedly cyanotic. A STAT echocardiogram confirms the presence of a cyanotic congenital cardiac defect. Which of the following defects would be consistent with the assessment findings?
Correct Answer: B
Rationale: Transposition of the great vessels is a cyanotic congenital heart defect where the aorta arises from the right ventricle and the pulmonary artery arises from the left ventricle. This results in two separate circulatory systems - one for oxygenated blood and another for deoxygenated blood. Due to this abnormal circulation, babies with transposition of the great vessels may present with severe cyanosis soon after birth. They can also develop tachypnea and tachycardia as compensatory mechanisms to maintain oxygen delivery. A STAT echocardiogram would confirm the diagnosis by showing the abnormal connection of the great vessels.
Question 5 of 5
All the following are Test results seen in JRA EXCEPT :
Correct Answer: D
Rationale: Juvenile idiopathic arthritis (JIA), previously known as Juvenile Rheumatoid Arthritis (JRA), is a chronic inflammatory disorder that primarily affects children. In JIA, common test results include an increase in ESR (Erythrocyte Sedimentation Rate), positive RF (Rheumatoid Factor), and positive IgM & IgG antibodies. However, a positive CA 9 result is not typically associated with JRA. CA 9 (Carbonic Anhydrase 9) is not a commonly used marker for diagnosing or monitoring JIA, so it would not be expected to be seen in test results for this condition.