ATI RN
Burns Pediatric Primary Care 7th Edition Test Bank Questions
Question 1 of 5
You are meeting with parents of a 10-year-old child who recently develops acute lymphoblastic leukemia (ALL). Which of the following is LEAST likely to increase the risk of CNS relapse in children with ALL?
Correct Answer: A
Rationale: A first traumatic lumbar puncture is less likely to increase the risk of CNS relapse compared to other factors like T-cell leukemia or cranial nerve involvement.
Question 2 of 5
An 18-year-old with a groin rash and itching is worried about having an STD and does not want his parents to know. What should the nurse say?
Correct Answer: B
Rationale: Adolescents have the right to privacy regarding sexual health, unless there is a risk to life.
Question 3 of 5
A healthy, stable, preterm newborn will soon be discharged. The nurse should recommend which position for sleep?
Correct Answer: B
Rationale: The nurse should recommend placing the healthy, stable, preterm newborn in the supine position for sleep. This is the current recommendation to reduce the risk of sudden infant death syndrome (SIDS) per the American Academy of Pediatrics. Placing the infant on their back to sleep helps ensure an open airway and reduces the risk of suffocation or SIDS. It is important to adhere to safe sleep practices to promote the infant's well-being and reduce the risk of sleep-related incidents.
Question 4 of 5
Katie is admitted to the intensive care unit of Nurseslabs Medical Center for diabetic ketoacidosis; which of the following is of primary importance when caring for the child?
Correct Answer: B
Rationale: When caring for a child with diabetic ketoacidosis in the intensive care unit, evaluating the child for cardiac abnormalities is of primary importance. Diabetic ketoacidosis can lead to electrolyte imbalances, such as hypokalemia, which can result in cardiac complications, such as arrhythmias and cardiac arrest. Monitoring the child's cardiac function, including obtaining an electrocardiogram (EKG) and assessing for signs of heart failure, is essential in managing and preventing potential cardiac complications in this critical condition. While the other options are important considerations in the care of a child with diabetic ketoacidosis, evaluating the child for cardiac abnormalities takes precedence due to the life-threatening implications of cardiac complications in this setting.
Question 5 of 5
What is the most important postoperative instruction the nurse must give a client who has just returned from the operating room after receiving a subarachnoid block?
Correct Answer: D
Rationale: After receiving a subarachnoid block, the client may experience a sudden drop in blood pressure that can lead to complications such as dizziness or fainting upon standing. Therefore, it is crucial for the client to remain in a supine position for the duration specified by the physician to allow for proper monitoring and management of any potential postoperative complications. This instruction helps prevent the occurrence of hypotension and other adverse effects by allowing adequate time for the block to wear off and for the body to adjust to changes in blood pressure. It also ensures the safety and well-being of the client during the immediate postoperative period.