ATI RN
Burns Pediatric Primary Care 7th Edition Test Bank Questions
Question 1 of 5
You are evaluating a 6-mo-old girl with a firm right suprarenal mass. Histologically, there is no bony involvement, 10% bone marrow involvement, subcutaneous nodules involvement, and massive abdominal mass. The N-myc oncogene is not amplified. According to the international neuroblastoma staging system, the infant is stratified as
Correct Answer: D
Rationale: Stage IV S refers to infants <1 year with localized primary tumor, distant metastases limited to liver, skin, or bone marrow (with <10% involvement), and no amplification of N-myc.
Question 2 of 5
During the physical assessment, the nurse recalls that the areas most frequently affected by multiple sclerosis are the:
Correct Answer: C
Rationale: Multiple sclerosis (MS) is a disease that primarily affects the central nervous system (CNS) by causing inflammation, damage, and scarring in the myelin sheath that covers nerve fibers. The optic nerve and chiasm are common areas affected by MS, leading to symptoms such as blurred or double vision, loss of color vision, and pain with eye movement. This involvement is known as optic neuritis, a common early symptom of MS. While MS can affect various parts of the CNS, the optic nerve and chiasm are among the most frequently involved areas, making choice C the correct answer in this case.
Question 3 of 5
Which of the ff nursing interventions is taken as a precautionary measure if shock develops when a client with a spinal cord injury is hospitalized?
Correct Answer: A
Rationale: In a hospital setting, if shock develops in a client with a spinal cord injury, one of the initial nursing interventions as a precautionary measure is to establish intravenous access by inserting an IV line. This is important for administering fluids, medications, and blood products promptly to help stabilize the client's condition. IV access is crucial in managing shock to ensure proper fluid resuscitation and support the circulatory system to maintain adequate perfusion to vital organs. It also allows for continuous monitoring of the client's hemodynamic status, electrolyte levels, and responses to interventions. Therefore, inserting an IV line is a critical nursing intervention in addressing shock in clients with spinal cord injuries to promote timely and effective management.
Question 4 of 5
A 10-month-old child can do all the following EXCEPT
Correct Answer: D
Rationale: Speaking inhibition words like 'no' typically occurs later.
Question 5 of 5
Which of the following patients should the nurse monitors because of increased risk for surgical complications?
Correct Answer: B
Rationale: The patient who is 5'3" in height and weighs 180 lbs is considered obese based on their body mass index (BMI). Obesity is a significant risk factor for surgical complications such as wound infections, blood clots, and respiratory issues. In obese patients, surgical procedures can be more challenging due to difficulties in accessing and visualizing surgical sites, longer surgery times, and increased stress on the body's organs. Therefore, this patient should be closely monitored for potential surgical complications.