ATI RN
Burns Pediatric Primary Care Test Bank Questions
Question 1 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 2 of 5
A client has possible malignancy of the colon, and surgery is scheduled. The rationale for administering Neomycin preoperatively is to:
Correct Answer: C
Rationale: The rationale for administering Neomycin preoperatively in the case of possible malignancy of the colon is to decrease and retard the growth of normal bacteria in the intestines. This is important because surgical procedures involving the colon carry a risk of infection due to the abundant normal bacterial flora present in the intestines. By administering Neomycin prior to surgery, the goal is to reduce the number of bacteria in the colon and minimize the risk of postoperative infections. It is not used to prevent infection or treat cancer directly, nor is it meant to eliminate the need for preoperative enemas.
Question 3 of 5
The child who walks backward, scribbles, and uses spoon and fork has achieved the developmental age of
Correct Answer: D
Rationale: These milestones are typically achieved around 18 months of age.
Question 4 of 5
Baby Ellie is diagnosed with gastroesophageal reflux (GER); which of the following nursing diagnoses would be inappropriate?
Correct Answer: B
Rationale: Gastroesophageal reflux (GER) primarily involves issues with the digestive system, such as regurgitation of stomach contents into the esophagus. Impaired oral mucous membrane is not directly related to GER. The other nursing diagnoses are more relevant and applicable in a case of GER:
Question 5 of 5
A nurse makes the decision to apply a topical anesthetic to a child's skin before drawing blood. Which ethical principle is the nurse demonstrating?
Correct Answer: B
Rationale: The nurse is demonstrating the ethical principle of beneficence by applying a topical anesthetic to the child's skin before drawing blood. Beneficence refers to the obligation to act in the best interest of the patient, promoting their well-being and preventing harm. In this case, the nurse is taking proactive steps to minimize the child's discomfort and potential pain during the blood draw procedure, thus upholding the principle of beneficence.