ATI RN
Burns Pediatric Primary Care Test Bank Questions
Question 1 of 5
The LEAST important advice for a 2-month-old baby with excessive crying is
Correct Answer: C
Rationale: Changing formula is less critical if the baby is gaining weight adequately.
Question 2 of 5
Where would nonpathologic cyanosis normally be present in the newborn shortly after birth?
Correct Answer: D
Rationale: Nonpathologic cyanosis in newborns shortly after birth is typically seen in the mucous membranes, such as the lips and oral mucosa. This transient cyanosis is caused by the normal physiologic response of the newborn's immature circulatory system adjusting to extrauterine life. As oxygenation improves and blood circulation stabilizes, the cyanosis will usually resolve within the first few days after birth. It is important for healthcare providers to distinguish between pathologic and nonpathologic cyanosis in newborns to ensure appropriate management and monitoring.
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
The LEAST important advice for a 2-month-old baby with excessive crying is
Correct Answer: C
Rationale: Changing formula is less critical if the baby is gaining weight adequately.
Question 5 of 5
A client has been diagnosed with renal failure and is admitted for dialysis. Which of the ff is the nurse's responsibility as the client undergone dialysis?
Correct Answer: C
Rationale: The nurse's responsibility during dialysis includes weighing the client before and after the procedure. This is important to monitor the amount of fluid removed during dialysis and to ensure that the client's fluid balance is managed properly. It helps in determining the effectiveness of dialysis treatment in removing excess fluid from the body. Keeping the client's fluid balance in check is crucial in managing renal failure and preventing complications such as fluid overload. Therefore, monitoring the client's weight before and after dialysis is a key responsibility of the nurse in this situation.