ATI RN
Burns Pediatric Primary Care Test Bank Questions
Question 1 of 5
The nurse understands that a patient with BP readings 164/102 and 176/100 on two separate occasions would be classified in which hypertension category?
Correct Answer: B
Rationale: According to the guidelines by the American Heart Association (AHA), the patient's blood pressure readings of 164/102 and 176/100 on two separate occasions fall in the Stage 2 hypertension category. Stage 2 hypertension is defined as a systolic blood pressure of 140 mm Hg or higher, or a diastolic blood pressure of 90 mm Hg or higher. The readings provided are significantly above these thresholds, indicating severe hypertension that requires prompt medical attention and management to reduce the risk of complications such as heart disease, stroke, and kidney damage. It is important for healthcare providers to closely monitor and intervene in cases of Stage 2 hypertension to prevent further health complications.
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
Just as the nurse was entering the room, the patient who was sitting on his chair begins to have a seizure. Which of the following must the nurse do first?
Correct Answer: A
Rationale: When a patient is having a seizure, the primary goal is to keep the patient safe and prevent injury. By easing the patient to the floor, the nurse can prevent potential injury from falling. It is important to ensure there are no objects nearby that can harm the patient during the seizure. Placing something between the patient's jaws or restraining their body movements are not recommended as they can potentially harm the patient or exacerbate the seizure. Once the patient is safely on the floor, the nurse can protect the patient's head, remove any harmful objects, and monitor the seizure until it subsides.
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
Which combination of signs is commonly associated with glomerulonephritis?
Correct Answer: A
Rationale: Glomerulonephritis typically presents with mild to moderate proteinuria, hematuria, decreased urine output, and lethargy.