ATI RN
Burns Pediatric Primary Care 7th Edition Test Bank Questions
Question 1 of 5
Which of the ff symptoms is associated with AIDS related distal sensory polyneuropathy (DSP)?
Correct Answer: B
Rationale: AIDS related distal sensory polyneuropathy (DSP) is a common neurological complication in individuals living with HIV or AIDS. One of the hallmark symptoms associated with DSP is the presence of abnormal sensations such as burning pain, tingling, numbness, and hypersensitivity in the distal extremities. These abnormal sensations are typically described as a feeling of pins and needles or electric shocks. Patients may also experience a loss of proprioception, leading to difficulties in coordination and balance. Staggering gait and muscle incoordination (choice A) may be seen in patients with advanced stages of DSP, but the primary symptom associated with the condition is the presence of abnormal sensory perceptions. Delusional thinking (choice C) and incontinence (choice D) are not typical symptoms of AIDS related distal sensory polyneuropathy.
Question 2 of 5
A client has a routine Papanicolaou (Pap) test during a yearly gynecologic examination. The result reveals a class V finding. What should the nurse tell the client about this finding?
Correct Answer: D
Rationale: Class V findings on a Pap test indicate the presence of severely abnormal cells, suggesting a high likelihood of precancerous or cancerous changes. Therefore, it calls for a biopsy as soon as possible to further investigate and determine the appropriate course of action. Immediate follow-up and intervention are crucial in cases of Class V Pap test results to address any potential serious health concerns.
Question 3 of 5
The nurse is caring for a client in acute addisonian crisis. Which laboratory data would the nurse expect to find?
Correct Answer: A
Rationale: In acute Addisonian crisis, the adrenal glands do not produce enough cortisol and aldosterone, leading to a decrease in blood volume and blood pressure. This can cause hyperkalemia (high potassium levels) due to the lack of aldosterone, which normally helps regulate potassium excretion from the body. Additionally, clients in Addisonian crisis may experience hyponatremia (low sodium levels) rather than hypernatremia. Reduced blood urea nitrogen (BUN) and hyperglycemia would not be typical findings in acute Addisonian crisis.
Question 4 of 5
Antibodies are made of which of the following types of substances?
Correct Answer: B
Rationale: Antibodies, also known as immunoglobulins, are proteins produced by the immune system in response to the presence of pathogens like bacteria, viruses, and other foreign substances. These proteins are specifically designed to recognize and bind to antigens, which are molecules that the immune system identifies as foreign or harmful. Antibodies play a crucial role in the immune response by marking pathogens for destruction by other immune cells and signaling the immune system to attack the invaders. Therefore, antibodies are primarily made up of proteins.
Question 5 of 5
Acyclovir (Zovirax) is given to children with chickenpox to:
Correct Answer: B
Rationale: Acyclovir (Zovirax) is an antiviral medication commonly used to treat infections caused by the herpes virus, including chickenpox. When given to children with chickenpox, acyclovir helps decrease the number of lesions present on the skin by slowing down the replication of the virus. This not only helps alleviate the discomfort associated with the rash but also reduces the risk of potential complications and accelerates the healing process. While acyclovir does not completely eliminate the virus from the body, it can help control the symptoms and prevent severe manifestations.