ATI RN
Burns Pediatric Primary Care Test Bank Questions
Question 1 of 5
Which of the following would be the most appropriate nursing intervention when caring for a client with a fractured rib?
Correct Answer: A
Rationale: Applying an immobilization device, such as a rib belt or rib binder, is a common nursing intervention for a client with a fractured rib. However, it is essential to first ensure that the client is examined by a physician to confirm the diagnosis and assess the severity of the fracture. Immobilizing the area helps reduce pain, support the chest wall, and promote healing by limiting movement that can further irritate the injured rib. Additionally, the physician's assessment is crucial for determining the appropriate treatment plan and ruling out any complications that may require further medical intervention.
Question 2 of 5
Which of the following types of cells is the immune system's shutoff mechanism?
Correct Answer: B
Rationale: Suppressor T cells, also known as regulatory T cells, play a critical role in regulating the immune response by acting as the immune system's shutoff mechanism. These cells help maintain immune tolerance and prevent overactivation of the immune system, thereby preventing autoimmune reactions and excessive inflammation. Suppressor T cells exert their immunosuppressive effects by inhibiting the function of other immune cells, such as effector T cells and B cells, and helping to control the overall balance of the immune system.
Question 3 of 5
A male client is suspected of an immune system disorder. Which of the ff important factors will the nurse document while assessing the client?
Correct Answer: D
Rationale: Assessing the client's ability to produce antibodies is a crucial factor in determining immune system function. Antibodies are proteins produced by the immune system to help fight off infections and other harmful substances. In a male client suspected of an immune system disorder, understanding his ability to produce antibodies can provide valuable insights into the functionality of his immune system. This assessment can help healthcare providers identify potential deficiencies or abnormalities in the immune response, leading to appropriate diagnosis and treatment strategies.
Question 4 of 5
The nurse is taking vital signs of a pregnant woman during her first prenatal visit. The patient asks the nurse if she has to have an HIV test. Which of the following is the nurse's best response?
Correct Answer: D
Rationale: The nurse's best response is D, "After voluntary pretest counseling, you decide whether HIV testing should be done." It is important for the pregnant woman to make an informed decision about HIV testing after receiving pretest counseling. The decision should be based on her individual risk factors, concerns, and preferences. The nurse should provide information about the importance of HIV testing during pregnancy, the benefits of knowing one's HIV status, and the available treatment options if the test is positive. Ultimately, the decision should be made by the pregnant woman after considering all the information provided.
Question 5 of 5
Following a splenectomy, a client has a hemoglobin (Hb) level of 7.5g/dl and has vertigo when getting out of bed. The nurse suspects abnormal orthostatic changes. The vital sign values that would most support the nurse's analysis are:
Correct Answer: C
Rationale: Following a splenectomy, the client's hemoglobin level of 7.5g/dl indicates anemia, which can contribute to orthostatic hypotension. When the client changes position from lying to standing, the decrease in blood volume may lead to a drop in blood pressure. Additionally, the compensatory mechanism to maintain perfusion to vital organs is to increase the heart rate. Therefore, the vital sign values that would most support the nurse's analysis are a drop in blood pressure (hypotension) and a rise in heart rate (tachycardia).