ATI RN
Burns Pediatric Primary Care Test Bank Questions
Question 1 of 5
Which of the following is an adverse reaction to glipizide (Glucotrol)?
Correct Answer: B
Rationale: Hypotension, which is low blood pressure, can be an adverse reaction to glipizide (Glucotrol). Glipizide is a medication used to treat type 2 diabetes by helping to control blood sugar levels. Hypotension could occur as a side effect of glipizide, causing symptoms such as dizziness, lightheadedness, and fainting. If a patient experiences hypotension while taking glipizide, medical attention should be sought immediately to address this potentially serious adverse reaction.
Question 2 of 5
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.
Question 3 of 5
Just as the nurse was entering the room, the patient who was sitting on his chair begins to have a seizure. Which of the following must the nurse do first?
Correct Answer: A
Rationale: When a patient is having a seizure, the primary goal is to keep the patient safe and prevent injury. By easing the patient to the floor, the nurse can prevent potential injury from falling. It is important to ensure there are no objects nearby that can harm the patient during the seizure. Placing something between the patient's jaws or restraining their body movements are not recommended as they can potentially harm the patient or exacerbate the seizure. Once the patient is safely on the floor, the nurse can protect the patient's head, remove any harmful objects, and monitor the seizure until it subsides.
Question 4 of 5
A 78 year old male has been working on his lawn for two days, although the temperature has been above 90 degree F. he has been on thiazide diuretics for hypertension. His lab values are K 3.7 mEq/L, Na 129 mEq/L, Ca 9 mg/dl, and Cl 95 mEq/L. What would be a priority action for this man?
Correct Answer: B
Rationale: The 78-year-old male in this scenario is at risk for electrolyte imbalances due to prolonged exposure to high temperatures while taking thiazide diuretics, commonly prescribed for hypertension. The low potassium level (K 3.7 mEq/L) and low sodium level (Na 129 mEq/L) in his lab results are indicative of potential electrolyte disturbances, especially considering his age and medication. These electrolyte imbalances can lead to symptoms like fatigue, muscle weakness, restlessness, and flushed skin, which are signs of hyponatremia and hypokalemia.
Question 5 of 5
The clinical manifestations of Parkinson's disease (bradykinesia rigidity and tremors) is directly related to a decreased level of:
Correct Answer: C
Rationale: The clinical manifestations of Parkinson's disease, including bradykinesia, rigidity, and tremors, are directly related to a decreased level of dopamine in the brain. Dopamine is a neurotransmitter that plays a crucial role in regulating movement and coordination. A decrease in dopamine levels results in the characteristic motor symptoms observed in Parkinson's disease. The treatment for Parkinson's disease often involves medications that help increase dopamine levels in the brain, such as levodopa, to alleviate these symptoms.