Burns Pediatric Primary Care 7th Edition Test Bank

ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 1 of 109

Pulmonary edema is characterized by:

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 2 of 109

For most children with enuresis, the only test recommended is

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 3 of 109

Which of the ff factors predisposes a client to the development of TB?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 4 of 109

Which of the following instructions should Nurse Cheryl include in her teaching plan for the parents of Reggie with otitis media?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 5 of 109

Which of the following patients should the nurse monitors because of increased risk for surgical complications?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 6 of 109

Clay is an 8-year-old boy diagnosed with heart failure. Which of the following shows that he is strictly following the directed therapeutic regimen?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 7 of 109

A healthy, stable, preterm newborn will soon be discharged. The nurse should recommend which position for sleep?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 8 of 109

A woman delivers a 3,250 g neonate at 42 weeks' gestation. Which physical finding is expected during an examination if this neonate?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 9 of 109

An adult is diagnosed with disseminated intravascular coagulation. The nurse should identify that the client is at risk for which of the following nursing diagnosis?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 10 of 109

In JRA, the autoimmune reaction primarily occurs in the:

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 11 of 109

The physical manifestations of fetal alcohol syndrome include:

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 12 of 109

A client receives a sealed radiation implant to treat cervical cancer. When caring for this client, the nurse should:

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 13 of 109

Assume you are evaluating the specificity of the indirect fluorescence antibody test for rapid diagnosis of Campylobacter enteritis. The number of normal persons tested is 150 and the test is positive in 30 persons. The specificity of this test is

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 14 of 109

Which of the following terms indicates that the patient has a hearing loss caused by aging?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 15 of 109

The nurse is teaching a group of women to perform breast self-examination. The nurse should explain that the purpose of performing the examination is to discover:

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 16 of 109

A 50-year-old African American patient is diagnosed with anemia. Where can the nurse assess for pallor?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 17 of 109

The nurse understands that which of the ff. is a side effect most likely to be reported by patients receiving enalapril maleate (Vasotec)?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 18 of 109

Of the following, the WORST prognostic factor in pediatric osteosarcoma is

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 19 of 109

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?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 20 of 109

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?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 21 of 109

You would not find which of the following assessments in a patient with severe anemia?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 22 of 109

When educating parents regarding known antecedent infections in acute glomerulonephritis, which of the following should the nurse cover?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 23 of 109

The nurse is caring for a client in acute addisonian crisis. Which laboratory data would the nurse expect to find?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 24 of 109

When a child has chronic renal failure, the progressive deterioration produces a variety of clinical and biochemical disturbances that eventually are manifested in the clinical syndrome known as:

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 25 of 109

Nurse Christine is planning a client education program for sickle cell disease (SCD) in children; which of the following interventions would be included in the care plan?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 26 of 109

A nurse is assessing a patient admitted for an asthma exacerbation. Which breath sounds does the nurse expect to assess?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 27 of 109

When caring for an anxious patient with dyspnea, which of the ff. nursing actions is most helpful to include in the plan of care to relieve anxiety?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 28 of 109

What is the best method to obtain a urine sample in an 8-month-old being evaluated for a UTI?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 29 of 109

What is the best initial action for the nurse to take?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 30 of 109

Antibodies are made of which of the following types of substances?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 31 of 109

The nurse is conducting an assessment on a school-age child with urosepsis. Which assessment finding should the nurse expect?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 32 of 109

To reduce symptoms of early morning stiffness in a ptient who has rheumatoid arthritis, the nurse can encourage the patient to:

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 33 of 109

A client is receiving a blood transfusion. If this client experiences an acute hemolytic reaction, which nursing intervention is the most important?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 34 of 109

The nurse is reviewing the medication history of a new preoperative patient who is nil by mouth (NPO). The nurse notes that the patient has been on long-term oral steroid therapy. The nurse understands that which of the following is the reason that steroids cannot be abruptly stopped?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 35 of 109

A 3-month-old infant, born at 38 weeks of gestation, will hold a rattle if it is put in her hands, but she will not voluntarily grasp it. How should the nurse interpret this action?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 36 of 109

For a client with polycythemia vera, how can the nurse help decrease the risk for thrombus formation?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 37 of 109

The nurse assesses the motor functions during a neurologic examination of a client. Which of the ff steps will help the nurse perform the examination effectively? Choose all that apply

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 38 of 109

A nurse is doing an assessment on a newborn. Which is characteristic of a newborn's vision at birth and an expected finding during the assessment?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 39 of 109

What size of suction catheter would Wilma use for James, who is 6 feet 5 inches in height and weighing approximately 145 lbs?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 40 of 109

A 12-year-old male has short stature because of a constitutional growth delay. What should the nurse be the most concerned about?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 41 of 109

A patient returns from surgery ff. a TURP with a three-way Foley catheter and continuous bladder irrigation. Postoperative orders include Meperidine (Demerol) 75 mg IM q3h as needed for pain, belladonna and opium (B&O) suppository q4h as needed, and strict I&O. the patient complains of painful bladder spasms, and the nurse observes blood-tinged urine on the sheets. Which action should the nurse take?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 42 of 109

A 2-year-old child presents with a peeling, erythematous rash on the hands and feet. The mother reports that he has become ill tempered and refuses to walk about, preferring to lie in bed. Physical examination reveals an irritable, pale child with photophobia. Temperature is 98.5Ã‚Â°F, heart rate is 80/minute, and respiratory rate is 23/minute. Tremor of the tongue is evident. Further history and follow-up evaluation reveal that the child's elder brothers have been playing with liquid mercury. Which is the most likely diagnosis?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 43 of 109

In terms of gross motor development, which should the nurse expect a 5-month-old infant to do? (Select all that apply.)

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 44 of 109

A community nurse will perform chest physiotherapy for Mrs. Dy every 3 hours. It is important for the nurse to:

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 45 of 109

Acyclovir (Zovirax) is given to children with chickenpox to:

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 46 of 109

Before, during and after seizure. The nurse knows that the patient is ALWAYS placed in what position?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 47 of 109

all the following are major signs of DM except :

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 48 of 109

A nurse is planning a class on accident prevention for parents of toddlers. Which safety topic is the priority for this class?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 49 of 109

Which is most important in the immediate care of the newborn?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 50 of 109

A client with uterine cancer asks the nurse, "Which is the most common type of cancer in women?" The nurse replies that it's breast cancer. Which type of cancer causes the most deaths in women?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 51 of 109

Samantha, age 5 years, tells the nurse that she "needs a Band-Aid" where she had an injection. Which is the best nursing action?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 52 of 109

The nursing staff has a team conference on AIDS and discusses the routes of transmission of the human immunodeficiency virus (HSV). The discussion reveals that an individual has no risk of exposure to HIV when that individual;

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 53 of 109

A client diagnosed with systemic lupus erythematosus (SLE) comes to the emergency department with severe back pain. She reports that she first felt pain after manually opening her garage door and that she is taking prednisone daily. When adverse effect of long-term corticosteroid therapy is most likely responsible for the pain?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 54 of 109

What clinical manifestation is included in toxic shock syndrome?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 55 of 109

Which white blood cells are involved in releasing histamine during an allergic reaction?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 56 of 109

Which of the following BP changes alerts the nurse to increasing ICP, and should be reported immediately?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 57 of 109

a definitive diagnosis of sickle cell disease is based on which diagnostic result

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 58 of 109

During the physical assessment, the nurse recalls that the areas most frequently affected by multiple sclerosis are the:

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 59 of 109

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?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 60 of 109

Which of the following statements would be the nurse's response to a famiiy member asking questions about a client's transient ischemic attack (TIA)?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 61 of 109

Mrs. Tan is scheduled to undergo percutaneous transluminal coronary angioplasty (PTCA). Which of the following is the priority goal for her immediately after the procedure?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 62 of 109

Lily , age 5, with an intelligence quotient of 65 is admitted to the hospital for evaluation. When planning care, the nurse should keep in mind that this child is:

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 63 of 109

A nurse is conducting education classes for parents of infants. The nurse plans to discuss sudden infant death syndrome (SIDS). Which risk factors should the nurse include as increasing an infant's risk of a sudden infant death syndrome incident? (Select all that apply.)

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 64 of 109

Which of the ff symptoms is associated with AIDS related distal sensory polyneuropathy (DSP)?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 65 of 109

Choose the condition that exhibits blood values with a low pH and a high PCO :

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 66 of 109

Which explanation regarding cardiac catheterization is appropriate for a preschool child?

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Question 67 of 109

Childhood primary brain stem tumors are a heterogeneous group of tumors; the outcome usually depends on the tumor location. Which tumor, depending on the site of tumor, carries the worst prognosis?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 68 of 109

The nurse is teaching nursing students about childhood skin lesions. Which is an elevated, circumscribed skin lesion that is less than 1 cm in diameter and filled with serous fluid?

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Question 69 of 109

In planning for the admission of this infant, the nurse's highest priority should be to:

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Question 70 of 109

The LEAST helpful advice for a 10-month-old baby refusing spoon feeding is

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 71 of 109

Which of the following procedures does the nurse understand is used to correct otosclerosis?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 72 of 109

Which of the following is the most common cause of hyperaldosteronism?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 73 of 109

A 10-month-old child can do all the following EXCEPT

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Question 74 of 109

The nurse is preparing an intravenous infusion of phenytoin (Dilantin) as prescribed by the physician for the client with seizures. Which of the following solutions will the nurse plan to use to dilute this medication?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 75 of 109

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?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 76 of 109

20-year old Mr. Ang fell off from his horse, and sustained a lft hip fracture. Buck's extension traction is applied. The following statements are true about Buck's extension traction except:

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 77 of 109

Which of the ff actions should the nurse perform to monitor for electrolyte imbalances and dehydration in a client with a neurologic deficit?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 78 of 109

Which should the nurse anticipate in the newborn whose mother used cocaine during pregnancy?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 79 of 109

What is an important consideration for the nurse who is communicating with a very young child?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 80 of 109

The nurse should include which of the following in preprocedure teaching for a patient scheduled for carotid angiography?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 81 of 109

a woman who is pregnant is undergoing an amniocentesis. during the test, elevated levels of AFP are found. this indicate to which of the following conditions :

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 82 of 109

A 5 years old boy presents with joint swelling after minor trauma, mother gives history of prolonged bleeding from circumcision site. His platelets count is 170000, PT is 10 seconds and APTT is 60 seconds. What is most likely the diagnosis?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 83 of 109

A client has a routine Papanicolaou (Pap) test during a yearly gynecologic examination. The result reveals a class V finding. What should the nurse tell the client about this finding?

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ATI RN · Burns Pediatric Primary Care 7th Edition Test Bank

Question 84 of 109

A client is diagnosed with diabetes mellitus. Which assessment finding best supports a nursing diagnosis of Ineffective individual coping related to diabetes mellitus?

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Question 85 of 109

A nurse is directed to administer a hypotonic intravenous solution. The nurse expects that compensatory mechanisms associated with hypovolemia would cause all of the following symptoms except:

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Question 86 of 109

What might you conclude if you notice a wide perineum and unequal gluteal and thigh folds when assessing a newborn?

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Question 87 of 109

The clue to need a help for a child who does not respond to his or her name is by age of

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Question 88 of 109

You are meeting parents of a 1.5-year-old boy who has suboptimal growth. He has been delivered prematurely at the gestational age of 32 weeks. Examination reveals a healthy child with growth parameters below normal for age. You reassure the parents that their child will catch his normal growth with time. Of the following, the growth parameter that should be corrected at this age is

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Question 89 of 109

Hepatoblastoma is a neoplasm of undifferentiated precursors of hepatocytes. It is of different histological classification; which type predict the MOST favorable outcome?

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Question 90 of 109

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?

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Question 91 of 109

A patient has orders to receive 1 L (1000 mL) of 5% dextrose and lactated Ringer's solution to be infused over 8 hours. How many millilitres will be infused per hour?

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Question 92 of 109

Which is an important consideration when the nurse is discussing enuresis with the parents of a young child?

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Question 93 of 109

Which should the nurse consider when preparing a school-age child and the family for heart surgery?

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Question 94 of 109

Which tool measures body fat most accurately?

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Question 95 of 109

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

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Question 96 of 109

Children with anterior mediastinal masses are at serious risk for airway compromise and vascular obstruction. Which of the following is NOT an indication for CT scan in these cases?

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Question 97 of 109

The adrenal cortex is responsible for producing which substances?

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Question 98 of 109

Which of the ff is the best dietary advice to maximize the immune function in healthy people?

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Question 99 of 109

A client diagnosed with hyperosmolar hyperglycemic nonketotic syndrome (HHNS) is stabilized and prepared for discharge. When preparing the client for discharge and home management, which of the following statements indicates that the client understands her condition and how to control it?

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Question 100 of 109

Which patient should be monitored most closely for dehydration?

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Question 101 of 109

When a patient participates in a research study, the pediatric nurse's primary concern is to ensure that the:

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Question 102 of 109

A nurse is preparing to administer an oral iron supplement to a hospitalized infant. Which should not be given simultaneously with the iron supplement?

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Question 103 of 109

A young couple of a 2-month-old baby girl with excessive crying seeks medical advice. The LEAST important advice is to

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Question 104 of 109

A mother tells the nurse that she is discontinuing breastfeeding her 5-month-old infant. What should the nurse recommend the infant be given?

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Question 105 of 109

A client is receiving the cell cycle-nonspecific alkylating agent thiotepa (thioplex), 60 mg weekly for 4 weeks by bladder instillation as part of a chemotherapeutic regimen to treat bladder cancer. The client asks the nurse how the drug works. How does thiotepa exert its therapeutic effects?

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Question 106 of 109

A healthy 20-day-old male examination reveals a palpable liver margin below the right costal margin; lab findings: white blood count, 18700/mm3; hemoglobin, 8.8 g/dl; blast cells, 10%; the BEST approach for the management is consistent with acute myeloproliferative disorder

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Question 107 of 109

Hemolytic disease is suspected in a mother's second newborn. Which factor is important in understanding how this could develop?

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Question 108 of 109

Which virus causes genital warts?

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Question 109 of 109

A client with anemia has been admitted to the medical-surgical unit. Which assessment findings are characteristic of iron-deficiency anemia?

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