ATI RN
Burns Pediatric Primary Care 7th Edition Test Bank Questions
Question 1 of 5
Nurse Christine is planning a client education program for sickle cell disease (SCD) in children; which of the following interventions would be included in the care plan?
Correct Answer: A
Rationale: The most appropriate intervention to include in the client education program for sickle cell disease (SCD) in children is health teaching to help reduce sickling crises. Education plays a crucial role in managing SCD, and teaching children and their families about strategies to prevent sickling crises can significantly improve health outcomes. This may include advising on proper hydration, avoiding extreme temperatures, maintaining a healthy lifestyle, recognizing the early signs of a crisis, and seeking prompt medical attention when necessary. By providing education on ways to reduce sickling crises, Nurse Christine can empower the children and their families to better manage the condition and improve quality of life.
Question 2 of 5
A nurse is conducting education classes for parents of infants. The nurse plans to discuss sudden infant death syndrome (SIDS). Which risk factors should the nurse include as increasing an infant's risk of a sudden infant death syndrome incident? (Select all that apply.)
Correct Answer: B
Rationale: - Low Apgar scores: Infants with low Apgar scores (scores of 3 or lower at 5 minutes after birth) are at an increased risk for sudden infant death syndrome (SIDS). Low Apgar scores may indicate underlying health issues in the newborn that could contribute to the risk of SIDS.
Question 3 of 5
You are evaluating a 6-mo-old girl with a firm right suprarenal mass. Histologically, there is no bony involvement, 10% bone marrow involvement, subcutaneous nodules involvement, and massive abdominal mass. The N-myc oncogene is not amplified. According to the international neuroblastoma staging system, the infant is stratified as
Correct Answer: D
Rationale: Stage IV S refers to infants <1 year with localized primary tumor, distant metastases limited to liver, skin, or bone marrow (with <10% involvement), and no amplification of N-myc.
Question 4 of 5
A 12-year-old male has short stature because of a constitutional growth delay. What should the nurse be the most concerned about?
Correct Answer: C
Rationale: The nurse should be most concerned about the child's self-esteem and sense of competence. A 12-year-old male with short stature due to a constitutional growth delay may experience feelings of inadequacy or embarrassment because of his height. It is important for the nurse to address these emotional aspects of the condition and support the child in developing a positive self-image. By promoting the child's self-esteem and sense of competence, the nurse can help the child navigate any challenges associated with his height and build confidence in his abilities and worth as an individual.
Question 5 of 5
Which of the following statements would be the nurse's response to a famiiy member asking questions about a client's transient ischemic attack (TIA)?
Correct Answer: C
Rationale: The correct response would be: "It is a temporary interruption in the blood flow to the brain." This response provides a clear and accurate explanation of a transient ischemic attack (TIA), which is commonly known as a "mini-stroke." A TIA is indeed a temporary episode where there is a brief interruption in the blood flow to the brain, leading to symptoms similar to those of a stroke, but without lasting damage. This response would give the family member a better understanding of what a TIA is and help alleviate concerns about permanent brain damage.