Burns Pediatric Primary Care Test Bank

Burns Pediatric Primary Care Test Bank Related

Review Burns Pediatric Primary Care Test Bank related questions and content

Which type of shock is characterized by a hypersensitivity reaction causing massive vasodilation and capillary leaks, which may occur with drug or latex allergy?

  • A. Neurogenic
  • B. Cardiogenic
  • C. Hypovolemic
  • D. Anaphylactic
Correct Answer: D

Rationale: Anaphylactic shock is characterized by a severe, systemic hypersensitivity reaction that can occur in response to allergens such as certain drugs or latex. During anaphylactic shock, the body releases large amounts of histamine and other inflammatory substances, leading to widespread vasodilation (dilation of blood vessels) and increased capillary permeability. This results in a rapid drop in blood pressure, decreased perfusion to vital organs, and potential life-threatening symptoms such as difficulty breathing and cardiovascular collapse. Immediate treatment with epinephrine and supportive measures such as intravenous fluids is crucial in managing anaphylactic shock.

You may also like to solve these questions

Aling Nena, 68 years old, had a MVA and underwent surgery for hip fracture. Two days post-surgery, she suddenly complained of chest heaviness despite the absence of cardiac history. What is the nursing priority?

  • A. document the onset, duration, severity, and precipitating factors
  • B. may offer analgesics for chest pain
  • C. administer oxygen via face mask
  • D. inform the physician about the heaviness
Correct Answer: C

Rationale: In a post-operative patient, sudden chest heaviness can be a sign of various complications, such as a pulmonary embolism or cardiac issue. One of the immediate nursing interventions for a patient complaining of chest heaviness is to ensure adequate oxygenation. Administering oxygen via a face mask can help improve oxygenation and provide relief while further assessments are being done to determine the cause of the symptom. This intervention takes priority over documenting the symptom, offering analgesics, or informing the physician, as addressing the patient's oxygen needs is crucial in this situation.

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.

Aling Maria, a 58-year old female, was admitted for the third time because of myxedema. Initial assessment by Nurse Mida should include symptoms of:

  • A. bradycardia, weight loss, heart failure, diarrhea
  • B. tachycardia, constipation, exopthalmus
  • C. lethargy, weight gain, slow speech, decreased RR
  • D. hypothermia, weight loss, increased RR
Correct Answer: C

Rationale: The symptoms of myxedema, which is a severe form of hypothyroidism, include lethargy, weight gain, slow speech, and decreased respiratory rate. Aling Maria being a 58-year old female who was admitted for the third time because of myxedema would likely present with these symptoms upon assessment by Nurse Mida. Other common symptoms of myxedema include cold intolerance, dry skin, hair loss, and brittle nails. It is important for Nurse Mida to identify these symptoms during the initial assessment to provide appropriate care and management for Aling Maria.

Barbiturate anticonvulsants are effective in treating all of these seizure types, except:

  • A. partial seizures.
  • B. febrile seizures.
  • C. tonic-clonic seizures.
  • D. absence seizures.
Correct Answer: D

Rationale: Barbiturate anticonvulsants are effective in treating partial seizures, tonic-clonic seizures, and febrile seizures. However, they are not considered first-line treatment for absence seizures. Absence seizures typically respond better to other anticonvulsant medications such as ethosuximide or valproic acid. Barbiturates have a sedative effect and can cause drowsiness or cognitive impairment, which may not be ideal for managing absence seizures where maintaining alertness and cognitive function is important.

Alveolar type of rhabdomyosarcoma accounts for approximately 1/3 of all cases of pediatric RMS and carries the poorest prognosis. Of the following, the MOST common site of involvement by alveolar type RMS is

  • A. orbit
  • B. middle ear
  • C. extremities
  • D. bladder
Correct Answer: C

Rationale: Extremities are the most common site for alveolar rhabdomyosarcoma.

Copyright © 2025 Nokea. All rights reserved.