ATI RN
Burns Pediatric Primary Care Test Bank Questions
Question 1 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.
Question 2 of 5
A nurse in the newborn nursery is monitoring a preterm newborn infant for respiratory distress syndrome. Which assessment signs if noted in the newborn infant would alert the nurse to the possibility of this syndrome?
Correct Answer: B
Rationale: Respiratory distress syndrome (RDS), also known as hyaline membrane disease, is a condition commonly seen in preterm newborn infants. The two classic signs of RDS are tachypnea (rapid breathing) and retractions. Tachypnea is defined as a respiratory rate greater than 60 breaths per minute in newborn infants. Retractions refer to visible indrawing of the chest wall with each breath, indicating increased work of breathing. These signs are indicative of the infant's struggle to breathe and can suggest the presence of RDS. While acrocyanosis (bluish discoloration of the extremities) and grunting may also be present in infants with RDS, tachypnea and retractions are more specific indicators of respiratory distress. Hypotension and bradycardia are not common signs of RDS. The presence of a barrel chest with grunting is not specific
Question 3 of 5
Which is most likely to encourage parents to talk about their feelings related to their child's illness?
Correct Answer: C
Rationale: Using open-ended questions encourages parents to freely express their feelings and thoughts without feeling constrained by yes or no answers. Open-ended questions allow for a more open and extensive conversation, encouraging parents to share their emotions and concerns more effectively. This approach can help parents feel understood and supported, ultimately fostering more honest and meaningful discussions about their child's illness.
Question 4 of 5
The baby with birth brachial plexus palsy (BBPP) will start with occupational or physical therapy at approximately
Correct Answer: A
Rationale: Early intervention is critical for optimal recovery in BBPP. Therapy typically begins within the first week of life to prevent contractures and promote nerve regeneration.
Question 5 of 5
For a client diagnosed with idiopathic thrombocytopenic purpura (ITP), which nursing intervention is appropriate?
Correct Answer: B
Rationale: The appropriate nursing intervention for a client diagnosed with idiopathic thrombocytopenic purpura (ITP) is administering platelets, as ordered, to maintain an adequate platelet count. ITP is a condition characterized by a decrease in platelet count, which can lead to thrombocytopenia and an increased risk of bleeding. Administering platelets can help prevent excessive bleeding and maintain hemostasis in these patients. Platelet transfusions may be required in severe cases to raise the platelet count to a safe level and prevent bleeding complications. It is crucial for nurses to monitor the platelet count regularly and administer platelets as prescribed to manage ITP effectively.