Burns Pediatric Primary Care Test Bank

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A college student goes to the college clinic and asks the best way to avoid contracting an STD. The nurse provides the clinic's standard STD teaching. Which statement by the student indicates the need for additional instruction?

  • A. "There is no guarantee that I won't contract an STD if I choose to be sexually active."
  • B. "Abstinence is the only sure way to avoid an STD."
  • C. "If I use a condom with spermicide, I will be safer than if I don't use one."
  • D. "If I question my partner about past sexual encounters, I can avoid STDs."
Correct Answer: D

Rationale: The statement "If I question my partner about past sexual encounters, I can avoid STDs" indicates a need for additional instruction. While communication with a partner about sexual history is important, relying solely on questioning a partner is not a foolproof method of avoiding STDs. Some individuals may not disclose their complete sexual history or may be unaware that they have an STD. It is crucial to emphasize the importance of using protection such as condoms consistently and correctly, getting tested regularly, and practicing safe sex in general.

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By the age of 7 months, the infant is able to do all the following EXCEPT

  • A. transfer object from hand to hand
  • B. actively bounces
  • C. uses radial palm grasp
  • D. cruises
Correct Answer: D

Rationale: Cruising typically occurs later, around 9-10 months.

Which of the following malignancies is least likely to occur in a 10-month-old infant?

  • A. neuroblastoma
  • B. nephroblastoma
  • C. retinoblastoma
  • D. hepatoblastoma
Correct Answer: D

Rationale: Hepatoblastoma is rare in infants under 1 year old, being more common in toddlers.

For a patient with gastroesophageal reflux symptoms, the purpose of esophageal pH monitoring is to evaluate for:

  • A. esophagitis from the reflux.
  • B. frequency of the reflux.
  • C. gastric emptying delays.
  • D. possible obstructions.
Correct Answer: B

Rationale: Esophageal pH monitoring measures the frequency and duration of acid exposure in the esophagus, helping diagnose GERD.

The baby with birth brachial plexus palsy (BBPP) will start with occupational or physical therapy at approximately

  • A. 1 wk of age
  • B. 2 wk of age
  • C. 3 wk of age
  • D. 4 wk of age
Correct Answer: A

Rationale: Early intervention is critical for optimal recovery in BBPP. Therapy typically begins within the first week of life to prevent contractures and promote nerve regeneration.

Which vein should be used first when initiating IV therapy?

  • A. Jugular
  • B. Basilic
  • C. Brachiocephalic
  • D. Axillary
Correct Answer: B

Rationale: When initiating IV therapy, the basilic vein is often used first due to its accessibility and size. The basilic vein is a common choice for venipuncture because it is located on the medial aspect of the arm and tends to be easily palpable. Additionally, the basilic vein is also less prone to complications such as nerve damage compared to other deeper veins like the jugular or brachiocephalic veins. Therefore, utilizing the basilic vein as the initial site for IV therapy is a safe and efficient choice.

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