ATI RN
Burns Pediatric Primary Care 7th Edition Test Bank Questions
Question 1 of 5
When a child has chronic renal failure, the progressive deterioration produces a variety of clinical and biochemical disturbances that eventually are manifested in the clinical syndrome known as:
Correct Answer: A
Rationale: Chronic renal failure leads to the build-up of waste products and toxins in the blood, known as uremia. This condition results from the kidneys' inability to effectively filter waste from the blood and maintain proper fluid and electrolyte balance. As renal function declines, uremia can lead to a variety of clinical manifestations such as fatigue, nausea, itching, and electrolyte imbalances, ultimately resulting in the clinical syndrome known as uremia. Oliguria refers to reduced urine output, proteinuria is the presence of excessive protein in the urine, and pyelonephritis is a bacterial infection of the kidneys - these conditions may be present in chronic renal failure but are not the defining clinical syndrome.
Question 2 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 3 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 4 of 5
When educating parents regarding known antecedent infections in acute glomerulonephritis, which of the following should the nurse cover?
Correct Answer: B
Rationale: When educating parents regarding known antecedent infections in acute glomerulonephritis, the nurse should cover impetigo. Acute poststreptococcal glomerulonephritis (APSGN) is commonly triggered by a streptococcal infection, such as impetigo or strep throat. Impetigo, a superficial skin infection caused by Staphylococcus aureus or Streptococcus pyogenes, is a common precursor to APSGN in children. Therefore, educating parents about impetigo and its potential link to acute glomerulonephritis is crucial in helping them recognize and manage their child's health effectively.
Question 5 of 5
A nurse is preparing to administer an oral iron supplement to a hospitalized infant. Which should not be given simultaneously with the iron supplement?
Correct Answer: A
Rationale: Milk should not be given simultaneously with an oral iron supplement because calcium in milk can interfere with the absorption of iron. Calcium competes with iron for absorption in the digestive tract, thereby reducing the absorption of iron when both are taken together. It is advisable to wait at least 1-2 hours after giving the iron supplement before offering milk to ensure optimal absorption of iron. This is a common practice to improve iron absorption and prevent any potential decrease in the effectiveness of the iron supplement.