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: A. Allowing the client to grasp the nurse's hand firmly is essential to assess grip strength, coordination, and muscle tone, which are important aspects of motor function evaluation during a neurologic examination.
Question 2 of 5
20-year old Mr. Ang fell off from his horse, and sustained a lft hip fracture. Buck's extension traction is applied. The following statements are true about Buck's extension traction except:
Correct Answer: D
Rationale: Buck's extension traction is typically used as a temporary measure in adults to control muscle spasm and pain while awaiting definitive treatment, such as surgery. It is applied by an orthopedic surgeon under aseptic conditions using wires and pins, through which the pulling force is transmitted to the musculoskeletal structures of the patient. However, Buck's extension traction is not used definitively to treat fractures in children; other treatment modalities are often preferred for pediatric fractures.
Question 3 of 5
The LEAST helpful advice for a 10-month-old baby refusing spoon feeding is
Correct Answer: B
Rationale: Offering softer diet may not address refusal due to developmental factors.
Question 4 of 5
Which is most important in the immediate care of the newborn?
Correct Answer: A
Rationale: Maintaining a patent airway is the most critical aspect in the immediate care of a newborn. An open airway is essential for the newborn to breathe effectively and receive adequate oxygen. Any obstruction in the airway can lead to respiratory distress and compromise the baby's oxygenation. Therefore, ensuring the airway is clear and the newborn can breathe properly is the top priority in providing immediate care. While other choices are important aspects of newborn care, ensuring a patent airway takes precedence in order to support the newborn's respiratory function and overall well-being.
Question 5 of 5
The nurse understands that which of the ff. is a side effect most likely to be reported by patients receiving enalapril maleate (Vasotec)?
Correct Answer: C
Rationale: The most common side effect reported by patients receiving enalapril maleate (Vasotec) is a persistent dry cough. This cough is due to the medication's effect on bradykinin levels in the body, leading to irritation of the respiratory tract and causing the cough. While other side effects such as diarrhea and heartburn may occur, cough is the most frequently reported side effect associated with enalapril maleate. Acne is not a commonly reported side effect of this medication.