Burns Pediatric Primary Care Test Bank

Burns Pediatric Primary Care Test Bank Related

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Incomplete development of teeth,bones, and ligaments is the result of:

  • A. Congenital hip dysplasia
  • B. Duchenne's muscular dystrophy
  • C. Osteogenesis imperfecta
  • D. Osteomyelitis
Correct Answer: C

Rationale: Osteogenesis imperfecta, also known as brittle bone disease, is a genetic disorder that affects collagen production, leading to brittle and easily fractured bones. In addition to bone fragility, individuals with osteogenesis imperfecta may also experience teeth abnormalities such as dentinogenesis imperfecta (discolored and weakened teeth) and ligament laxity due to the improper development of connective tissues. This incomplete development of teeth, bones, and ligaments is a characteristic feature of osteogenesis imperfecta, making it the correct choice in this scenario. Congenital hip dysplasia, Duchenne's muscular dystrophy, and osteomyelitis do not typically involve the same constellation of symptoms related to teeth, bones, and ligaments seen in osteogenesis imperfecta.

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A client has been scheduled for a Schilling test. What instruction will the nurse give the client?

  • A. Take nothing mouth fro 12 hours prior to the test
  • B. Collect his urine for 12 hours
  • C. Administer a fleet enema the evening before the test
  • D. Empty his bladder immediately before the test
Correct Answer: B

Rationale: The correct instruction the nurse will give to the client scheduled for a Schilling test is to collect his urine for 12 hours. The Schilling test is a diagnostic test used to assess the body's ability to absorb vitamin B12. The test involves collecting urine samples over a period of 24 hours after the client ingests a small amount of radioactive vitamin B12. By collecting urine for 12 hours, the healthcare provider will be able to analyze the excretion of the vitamin and determine the client's ability to absorb vitamin B12. Instructions such as fasting, enema administration, or emptying the bladder before the test are not typically associated with the Schilling test procedure.

Just as the nurse was entering the room, the patient who was sitting on his chair begins to have a seizure. Which of the following must the nurse do first?

  • A. Ease the patient to the floor
  • B. Insert a padded tongue depressor between his jaws
  • C. Lift the patient and put him on the bed
  • D. Restraint patient's body movement
Correct Answer: A

Rationale: When a patient is having a seizure, the primary goal is to keep the patient safe and prevent injury. By easing the patient to the floor, the nurse can prevent potential injury from falling. It is important to ensure there are no objects nearby that can harm the patient during the seizure. Placing something between the patient's jaws or restraining their body movements are not recommended as they can potentially harm the patient or exacerbate the seizure. Once the patient is safely on the floor, the nurse can protect the patient's head, remove any harmful objects, and monitor the seizure until it subsides.

The MOST appropriate advice for a 4-year-old child visiting the outpatient department with excessive crying is

  • A. reassures her that this is a normal phenomenon
  • B. seek more history regarding other skills and developmental domains
  • C. refer her to pediatric psychiatry
  • D. investigate for child abuse
Correct Answer: B

Rationale: Further history may help differentiate normal behavior from developmental concerns.

A first-time mother brings in her 5-day-old baby for a well-child visit. The baby weighs 7 lb 5 oz, down from 7 lb 10 oz at discharge. The nurse's best response is:

  • A. I will notify the doctor about this weight loss.
  • B. Newborns can lose up to 10% of their birth weight and regain it by 2 weeks of age.
  • C. I can tell you are a first-time mother; don't worry.
  • D. Maybe the baby isn't getting enough milk. How often are you feeding?
Correct Answer: B

Rationale: A small weight loss is normal in the first week of life; infants typically regain their birth weight by 2 weeks.

A nurse is interviewing the parents of a toddler about use of complementary or alternative medical practices. The parents share several practices they use in their household. Which should the nurse document as complementary or alternative medical practices? (Select all that apply.)

  • A. Use of acetaminophen (Tylenol) for fever
  • B. Administration of chamomile tea at bedtime
  • C. Hypnotherapy for relief of pain
  • D. Acupressure to relieve headaches
Correct Answer: B

Rationale: Administration of chamomile tea at bedtime is considered a complementary medical practice, as it involves the use of an herb for its potential therapeutic effects.

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