ATI RN
Burns Pediatric Primary Care 7th Edition Test Bank Questions
Question 1 of 5
What clinical manifestation is included in toxic shock syndrome?
Correct Answer: C
Rationale: Toxic shock syndrome is characterized by several clinical manifestations, including a diffuse erythematous macular rash. The rash typically appears early in the course of the illness and may be followed by desquamation (peeling of the skin). Other common symptoms of toxic shock syndrome include fever, hypotension, multi-organ dysfunction, headache, myalgia, and gastrointestinal symptoms. Severe hypertension and subnormal temperature are not typically associated with toxic shock syndrome. Papular rash over extremities is not a classic manifestation of toxic shock syndrome.
Question 2 of 5
A patient returns from surgery ff. a TURP with a three-way Foley catheter and continuous bladder irrigation. Postoperative orders include Meperidine (Demerol) 75 mg IM q3h as needed for pain, belladonna and opium (B&O) suppository q4h as needed, and strict I&O. the patient complains of painful bladder spasms, and the nurse observes blood-tinged urine on the sheets. Which action should the nurse take?
Correct Answer: D
Rationale: The nurse should notify the physician stat in this situation. The presence of blood-tinged urine and painful bladder spasms in a patient with a three-way Foley catheter and continuous bladder irrigation post TURP could indicate a potential complication such as hemorrhage or clot retention. It is crucial to ensure prompt medical evaluation and intervention to address these issues effectively. Waiting or administering pain medication without further assessment could delay necessary treatment and lead to worsening of the patient's condition. Therefore, notifying the physician immediately is the most appropriate action in this scenario.
Question 3 of 5
Of the following, the WORST prognostic factor in pediatric osteosarcoma is
Correct Answer: B
Rationale: Poor histologic response to neoadjuvant chemotherapy is a strong predictor of poor prognosis.
Question 4 of 5
all the following are major signs of DM except :
Correct Answer: D
Rationale: Hyporeflexia (reduced deep tendon reflexes) and bradycardia (slow heart rate) are not typical signs of diabetes mellitus (DM). The major signs of DM are the classic "3 Ps": polydipsia (excessive thirst), polyuria (excessive urination), and polyphagia (excessive hunger). These symptoms are usually due to elevated blood glucose levels leading to increased thirst, frequent urination, and hunger. Additionally, unexplained weight loss can also be a common symptom of DM. Other complications related to DM, such as neuropathy, can lead to issues like hyporeflexia, but they are not considered major signs of DM itself.
Question 5 of 5
You are meeting parents of a 1.5-year-old boy who has suboptimal growth. He has been delivered prematurely at the gestational age of 32 weeks. Examination reveals a healthy child with growth parameters below normal for age. You reassure the parents that their child will catch his normal growth with time. Of the following, the growth parameter that should be corrected at this age is
Correct Answer: A
Rationale: Premature infants often experience suboptimal weight gain initially due to their early birth. However, they tend to 'catch up' in weight over time as they mature, making weight the most relevant parameter to correct.