ATI RN
Burns Pediatric Primary Care 7th Edition Test Bank Questions
Question 1 of 5
The nursing staff has a team conference on AIDS and discusses the routes of transmission of the human immunodeficiency virus (HSV). The discussion reveals that an individual has no risk of exposure to HIV when that individual;
Correct Answer: C
Rationale: The correct answer is C. An individual has no risk of exposure to HIV when they limit sexual contact to those without HIV antibodies. This is because HIV is primarily transmitted through contact with body fluids such as blood, semen, vaginal fluids, and breast milk of an infected person. If an individual only engages in sexual activities with people who do not have HIV antibodies, the risk of exposure to the virus is significantly reduced. It is important to note that although this reduces the risk, it does not completely eliminate it, as there is still a chance of transmission through other means such as sharing needles or from mother to child during pregnancy, childbirth, or breastfeeding.
Question 2 of 5
A community nurse will perform chest physiotherapy for Mrs. Dy every 3 hours. It is important for the nurse to:
Correct Answer: C
Rationale: Performing chest physiotherapy (CPT) at least two hours after meals is important to prevent potential risks such as vomiting and aspiration. This timing allows for better tolerance of the procedure and decreases the likelihood of complications. By waiting at least two hours after meals, the nurse ensures that the patient's stomach is not full, reducing the risk of regurgitation during the chest physiotherapy session. This practice promotes the safety and well-being of the patient while undergoing this treatment.
Question 3 of 5
A young couple of a 2-month-old baby girl with excessive crying seeks medical advice. The LEAST important advice is to
Correct Answer: C
Rationale: Changing the milk formula is less critical unless there is evidence of intolerance or allergy.
Question 4 of 5
You are evaluating a 6-mo-old girl with a firm right suprarenal mass. Histologically, there is no bony involvement, 10% bone marrow involvement, subcutaneous nodules involvement, and massive abdominal mass. The N-myc oncogene is not amplified. According to the international neuroblastoma staging system, the infant is stratified as
Correct Answer: D
Rationale: Stage IV S refers to infants <1 year with localized primary tumor, distant metastases limited to liver, skin, or bone marrow (with <10% involvement), and no amplification of N-myc.
Question 5 of 5
Hemolytic disease is suspected in a mother's second newborn. Which factor is important in understanding how this could develop?
Correct Answer: A
Rationale: Hemolytic disease of the newborn, also known as erythroblastosis fetalis, is a condition in which a mother's antibodies attack the red blood cells of the unborn baby. This most commonly occurs due to Rh incompatibility. The mother produces Rh antibodies during her first pregnancy with an Rh positive baby. During subsequent pregnancies with an Rh positive baby, these antibodies can cross the placenta and attack the baby's red blood cells, leading to hemolytic disease. Therefore, if the mother's first child was Rh positive, it increases the risk of hemolytic disease in subsequent pregnancies if the babies are also Rh positive.