ATI RN
Burns Pediatric Primary Care 7th Edition Test Bank Questions
Question 1 of 5
The nurse assesses the motor functions during a neurologic examination of a client. Which of the ff steps will help the nurse perform the examination effectively? Choose all that apply
Correct Answer: A
Rationale: In a pediatric primary care setting, assessing motor functions during a neurologic examination is crucial for evaluating developmental milestones and detecting any abnormalities early on. Option A, allowing the client to grasp the nurse's hand firmly, is the correct choice because it assesses grip strength, coordination, and muscle tone, providing valuable information about motor function. Option B, checking sensitivity to various stimuli, is more related to sensory function rather than motor function. This step would not directly contribute to assessing motor skills in a neurologic examination. Option C, asking the client to pick up small and large objects between the thumb and forefinger, is more specific to fine motor skills and hand-eye coordination rather than a comprehensive motor function assessment. Option D, asking questions that require cognition and logic, is more aligned with testing cognitive function rather than motor skills, thus not directly relevant to a neurologic examination focusing on motor functions. In an educational context, understanding the rationale behind each step of a neurologic examination is essential for nurses to accurately assess a child's motor function and identify any developmental delays or concerns. By choosing the appropriate assessment techniques, nurses can provide comprehensive care and support to pediatric patients.
Question 2 of 5
The nurse is preparing an intravenous infusion of phenytoin (Dilantin) as prescribed by the physician for the client with seizures. Which of the following solutions will the nurse plan to use to dilute this medication?
Correct Answer: C
Rationale: Phenytoin (Dilantin) is known to be incompatible with dextrose solutions (such as dextrose 5% or dextrose 5% and half-normal saline). Therefore, the nurse would plan to use normal saline solution to dilute phenytoin in order to ensure medication effectiveness and prevent any potential adverse reactions. Lactated Ringer's solution is not commonly used for diluting phenytoin as normal saline solution is the preferred choice due to compatibility considerations.
Question 3 of 5
Which of the following terms indicates that the patient has a hearing loss caused by aging?
Correct Answer: B
Rationale: Presbycusis is the term that indicates that the patient has a hearing loss caused by aging. It is a type of sensorineural hearing loss that occurs gradually as a result of aging and affects the ability to hear high-pitched sounds. Otoplasty is a surgical procedure to correct the shape or position of the ears. Otalgia refers to ear pain. Tinnitus is the perception of ringing or buzzing sounds in the ears.
Question 4 of 5
Which of the following procedures does the nurse understand is used to correct otosclerosis?
Correct Answer: D
Rationale: Otosclerosis is a condition characterized by abnormal bone growth in the middle ear, particularly around the stapes bone. A stapedectomy is a surgical procedure performed to correct otosclerosis by removing the stapes bone and replacing it with a prosthesis. This surgery aims to improve hearing by restoring the movement of the ossicles in the middle ear. Myringotomy is a procedure involving an incision in the eardrum to drain fluid, mastoidectomy involves the removal of infected mastoid air cells, and myringoplasty is the surgical repair of a perforated eardrum, none of which address the specific issue of otosclerosis.
Question 5 of 5
A client diagnosed with hyperosmolar hyperglycemic nonketotic syndrome (HHNS) is stabilized and prepared for discharge. When preparing the client for discharge and home management, which of the following statements indicates that the client understands her condition and how to control it?
Correct Answer: A
Rationale: Option A demonstrates the client's understanding of her condition and how to control it. Hyperosmolar hyperglycemic nonketotic syndrome (HHNS) is characterized by high blood glucose levels and dehydration. To control the condition, it is crucial to prevent dehydration by staying well-hydrated and paying attention to cues such as increased thirst and urination. By being mindful of these signs and symptoms, the client can take proactive measures to maintain adequate hydration levels and prevent HHNS complications. This statement reflects a clear understanding of the importance of hydration in managing the condition. Options B, C, and D do not address the specific needs of a client with HHNS and may potentially lead to incorrect management of the condition.