ATI RN
Burns Pediatric Primary Care Test Bank Questions
Question 1 of 5
Which of the following blood products is most likely to be given to Joel?
Correct Answer: A
Rationale: Joel most likely requires Factor VIII concentrate. Factor VIII deficiency is characteristic of hemophilia A, which is a condition where there is a deficiency in clotting factor VIII. Treatment for hemophilia A involves replacing the missing Factor VIII through Factor VIII concentrate infusions to assist in blood clotting. Fresh frozen plasma and Factor II, VII, IX, X complex are not specific treatments for Factor VIII deficiency.
Question 2 of 5
What are the periods in life when the need for iron increases?
Correct Answer: A
Rationale: The need for iron increases during pregnancy primarily due to the increased blood volume to support the growing fetus and placenta. Iron is essential for the production of hemoglobin, which helps transport oxygen to both the mother and the developing baby. Pregnant women often require more iron to prevent iron deficiency anemia, which can have negative effects on both the mother and the baby. It is important for pregnant women to consume enough iron-rich foods or take iron supplements as recommended by their healthcare provider to support a healthy pregnancy.
Question 3 of 5
A client has been scheduled for a Schilling test. What instruction will the nurse give the client?
Correct Answer: B
Rationale: The correct instruction the nurse will give to the client scheduled for a Schilling test is to collect his urine for 12 hours. The Schilling test is a diagnostic test used to assess the body's ability to absorb vitamin B12. The test involves collecting urine samples over a period of 24 hours after the client ingests a small amount of radioactive vitamin B12. By collecting urine for 12 hours, the healthcare provider will be able to analyze the excretion of the vitamin and determine the client's ability to absorb vitamin B12. Instructions such as fasting, enema administration, or emptying the bladder before the test are not typically associated with the Schilling test procedure.
Question 4 of 5
The nurse is caring for a client who has just had a modified radical mastectomy with immediate reconstruction. She's in her 30s and has two young children. Although she's worried about her future, she seems to be adjusting well to her diagnosis. What should the nurse do to support her coping?
Correct Answer: D
Rationale: Referring the client to the American Cancer Society's Reach for Recovery program or another support program is the best course of action to support her coping. This program can provide emotional support, practical assistance, and guidance to the client as she navigates through the challenges of coping with breast cancer and reconstruction surgery. Connecting with others who have gone through similar experiences can help her feel less isolated and provide her with valuable insights and resources to cope effectively. This approach acknowledges the importance of holistic support for the client during this difficult time, beyond what medical treatment alone can provide.
Question 5 of 5
Antimetabolites are a diverse group of antineoplastic agents that interfere with various metabolic actions of the cell. The mechanism of action of antimetabolites interferes with:
Correct Answer: D
Rationale: Antimetabolites interfere with the synthesis of nucleic acids, specifically RNA and DNA. By disrupting one or more stages of RNA and/or DNA synthesis, antimetabolites disrupt the normal cellular processes required for cell division and replication, ultimately leading to inhibition of cell proliferation. This makes them effective agents in targeting rapidly dividing cells, such as cancer cells, which rely heavily on nucleic acid synthesis for their rapid growth. The mechanism of action of antimetabolites is cell cycle-nonspecific, meaning they can affect cells at various stages of the cell cycle rather than being specific to a particular phase like M or S phase.