ATI RN
Burns Pediatric Primary Care Test Bank Questions
Question 1 of 5
Which strategies should the school nurse recommend implementing in the classroom for a child with attention deficit hyperactive disorder (ADHD)? (Select all that apply.)
Correct Answer: B
Rationale: In the context of a child with ADHD in the classroom, recommending the implementation of verbal instructions accompanied by written formats (Option B) is crucial. This strategy caters to different learning styles and reinforces understanding by providing both auditory and visual cues. For students with ADHD who may struggle with auditory processing or attention issues, having instructions in written form can enhance comprehension and retention. Regarding the incorrect options: A) Scheduling heavier subjects to be taught in the afternoon (Option A) is not ideal for a child with ADHD as attention and focus tend to wane later in the day. It is more beneficial to tackle challenging subjects earlier when concentration levels are higher. C) Limiting the number of breaks taken during instructional periods (Option C) may not be effective for a child with ADHD. Breaks can actually be beneficial for these students as they allow for movement and help in re-energizing and refocusing attention. D) Allowing more time for testing (Option D) may be necessary for some students with ADHD who require extra time due to processing speed issues. However, this alone does not address the core challenges associated with ADHD in the classroom, such as difficulties with organization, attention, and impulse control. In an educational context, understanding the specific needs of students with ADHD is essential for creating a supportive learning environment. By implementing strategies like providing instructions in multiple formats, educators can help optimize learning experiences for students with ADHD and promote their academic success.
Question 2 of 5
A 6-year-old child is scheduled for an IV urography (IVP) in the morning. Which preparatory interventions should the nurse plan to implement? (Select all that apply.)
Correct Answer: A
Rationale: In preparing a 6-year-old child for an IV urography (IVP), the nurse should plan to implement the intervention of providing clear liquids in the morning before the procedure. This is the correct answer because clear liquids help ensure proper hydration and can help prevent complications during the procedure. Option B, administering a cathartic in the evening before the procedure, is not typically recommended for pediatric patients undergoing IVP as it can cause discomfort and may not be necessary for this specific imaging study. Option C, using a soapsuds enema the morning of the procedure, is not indicated for IVP preparation in children and may not be appropriate or necessary for this particular diagnostic test. Option D, inserting a Foley catheter before the procedure, is not a standard preparatory intervention for IVP in children unless specifically indicated by the healthcare provider for valid medical reasons. In an educational context, it is important for nurses and healthcare providers to understand the appropriate pre-procedural preparations for pediatric patients undergoing various diagnostic tests to ensure their safety, comfort, and optimal outcomes. By providing clear liquids, the child can stay hydrated and facilitate a smoother IVP procedure.
Question 3 of 5
As part of the treatment for heart failure, the child takes the diuretic furosemide (Lasix). As part of teaching home care, the nurse encourages the family to give the child foods such as bananas, oranges, and leafy vegetables. These foods are recommended because they are high in which nutrient?
Correct Answer: B
Rationale: The diuretic furosemide (Lasix) can cause the loss of potassium in the body through increased urination. Potassium is an important mineral that helps maintain normal heart function. Therefore, it is essential to consume foods rich in potassium, such as bananas, oranges, and leafy vegetables, to prevent potassium deficiency (hypokalemia) and support heart health, especially in individuals taking diuretics for conditions like heart failure.
Question 4 of 5
Which type of shock is characterized by a hypersensitivity reaction causing massive vasodilation and capillary leaks, which may occur with drug or latex allergy?
Correct Answer: D
Rationale: Anaphylactic shock is characterized by a severe, systemic hypersensitivity reaction that can occur in response to allergens such as certain drugs or latex. During anaphylactic shock, the body releases large amounts of histamine and other inflammatory substances, leading to widespread vasodilation (dilation of blood vessels) and increased capillary permeability. This results in a rapid drop in blood pressure, decreased perfusion to vital organs, and potential life-threatening symptoms such as difficulty breathing and cardiovascular collapse. Immediate treatment with epinephrine and supportive measures such as intravenous fluids is crucial in managing anaphylactic shock.
Question 5 of 5
A client has been diagnosed with renal failure and is admitted for dialysis. Which of the ff is the nurse's responsibility as the client undergone dialysis?
Correct Answer: C
Rationale: The nurse's responsibility during dialysis includes weighing the client before and after the procedure. This is important to monitor the amount of fluid removed during dialysis and to ensure that the client's fluid balance is managed properly. It helps in determining the effectiveness of dialysis treatment in removing excess fluid from the body. Keeping the client's fluid balance in check is crucial in managing renal failure and preventing complications such as fluid overload. Therefore, monitoring the client's weight before and after dialysis is a key responsibility of the nurse in this situation.