ATI RN
Burns Pediatric Primary Care Test Bank Questions
Question 1 of 5
The baby with birth brachial plexus palsy (BBPP) will start with occupational or physical therapy at approximately
Correct Answer: A
Rationale: Early intervention is critical for optimal recovery in BBPP. Therapy typically begins within the first week of life to prevent contractures and promote nerve regeneration.
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
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 4 of 5
Antimetabolites are a diverse group of antineoplastic agents that interfere with various metabolic actions of the cell. The mechanism of action of antimetabolites interferes with:
Correct Answer: D
Rationale: Antimetabolites interfere with the synthesis of nucleic acids, specifically RNA and DNA. By disrupting one or more stages of RNA and/or DNA synthesis, antimetabolites disrupt the normal cellular processes required for cell division and replication, ultimately leading to inhibition of cell proliferation. This makes them effective agents in targeting rapidly dividing cells, such as cancer cells, which rely heavily on nucleic acid synthesis for their rapid growth. The mechanism of action of antimetabolites is cell cycle-nonspecific, meaning they can affect cells at various stages of the cell cycle rather than being specific to a particular phase like M or S phase.
Question 5 of 5
Hyperparathyroidism is caused by increased levels of thyroxine in blood plasma. A client with this endocrine dysfunction would experience:
Correct Answer: A
Rationale: Hyperparathyroidism is caused by increased levels of parathyroid hormone (PTH), not thyroxine. The effects of hyperparathyroidism include increased calcium levels in the blood, which can lead to symptoms such as heat intolerance and systolic hypertension. Systolic hypertension is when the top number in a blood pressure reading is elevated. This is why option A (heat intolerance and systolic hypertension) is the correct choice for a client with hyperparathyroidism. Options B, C, and D do not accurately reflect the symptoms associated with this endocrine dysfunction.