ATI RN
Burns Pediatric Primary Care Test Bank Questions
Question 1 of 9
Which is descriptive of bulimia during adolescence?
Correct Answer: C
Rationale: During adolescence, individuals with bulimia often have a profound lack of awareness that their eating pattern is abnormal. This lack of awareness can be attributed to various factors, such as societal pressures, distorted body image, and the normalization of disordered eating behaviors within their social circle. Adolescents with bulimia may not recognize their behaviors as problematic or may rationalize them as a means of coping with stress or controlling their weight. This lack of insight can make it challenging for them to seek help or receive proper treatment for their condition.
Question 2 of 9
A nurse is preparing to perform a physical assessment on a toddler. Which approach should the nurse use for this child?
Correct Answer: C
Rationale: When performing a physical assessment on a toddler, it is important for the nurse to use minimal physical contact initially. Toddlers are in a stage of development where they may be wary of strangers and new situations. By starting with minimal physical contact, such as by engaging the child in conversation or play first, the nurse can help establish trust with the toddler. This approach can help reduce the child's anxiety and resistance during the physical assessment, making the process smoother and more effective. It is essential to build rapport and establish a sense of safety and security before proceeding with the assessment to ensure the toddler's cooperation and comfort.
Question 3 of 9
Which of the ff are the symptoms of basilar skull fracture? Choose all that apply
Correct Answer: A
Rationale: Raccoon eyes and Battle's sign are classic signs of basilar skull fracture. Raccoon eyes refer to the presence of bruising or discoloration around the eyes, resembling the appearance of a raccoon. This occurs due to blood collecting in the soft tissues around the eyes. Battle's sign is bruising behind the ear, which can also indicate a basilar skull fracture.
Question 4 of 9
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 5 of 9
In Langerhans cell histiocytosis (LCH), all the following manifestations are at high risk of mortality in patients EXCEPT
Correct Answer: C
Rationale: Lung involvement, while serious, is less lethal compared to liver, spleen, or hematopoietic system involvement.
Question 6 of 9
A male client is prescribed medications that depress thrombocytes. The nurse should monitor for which of the ff signs and symptoms in the client?
Correct Answer: C
Rationale: Thrombocytes, also known as platelets, play a crucial role in blood clotting. Medications that depress thrombocytes can lead to decreased clotting ability and an increased risk of bleeding. Therefore, monitoring for signs and symptoms of bleeding is essential. Bleeding gums and dark tarry stools are indicative of bleeding in the oral cavity and gastrointestinal tract, respectively, and are key indicators to watch for in a client taking medications that depress thrombocytes. Options A, B, and D are not directly related to the impact of thrombocyte depression on clotting function.
Question 7 of 9
The MOST appropriate advice for a 4-year-old child visiting the outpatient department with excessive crying is
Correct Answer: B
Rationale: Further history may help differentiate normal behavior from developmental concerns.
Question 8 of 9
The twelve-year-old boy has fractured his arm because of a fall from his bike. After the injury has been casted, the nurse knows it is most important to perform all of the following assessments on the area distal to the injury except:
Correct Answer: B
Rationale: Assessing the radial and ulnar pulses is crucial in evaluating the circulation of blood to the hand. However, in this scenario of a fractured arm, the injury is distal to the hand (further away from the body). It is more critical to check capillary refill, finger movement, and skin integrity in the area distal to the injury to ensure there is no compromise to the blood flow, nerve function, or skin integrity following the injury. Checking the radial and ulnar pulse would be more relevant if the injury was closer to the wrist area, as it would directly impact these pulses.
Question 9 of 9
To provide safe care for Mrs. Zeno, it is important for the nurse to check the bedside for the presence of:
Correct Answer: B
Rationale: Checking the bedside for the presence of a hypothermia blanket is crucial for providing safe care for Mrs. Zeno. Hypothermia blankets are used to prevent or treat hypothermia, which is a condition where the body temperature drops below normal levels. Maintaining normothermia (normal body temperature) is important for the overall well-being of patients, especially those who are at risk of developing complications due to temperature fluctuations. Therefore, having a hypothermia blanket readily available at the bedside ensures that the nurse can promptly address any temperature-related issues to optimize Mrs. Zeno's care and safety.