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  • August 17, 2024
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KA
G
U
A



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,Dawn Lee Garzon : Burns' Pediatric Primary Care 7th Edition

Chapter 1: Health Status of Children: Global and National Perspectives

1. Which region globally has the highest infant mortality rate?
A. Indonesia
B. Southern Asia
C. Sub-Saharan Africa Correct
D. Syria

2. The primary care pediatric nurse practitioner understands that, to achieve
thegreatest worldwide
reduction in child mortality from pneumonia and diarrhea, which intervention
ismost effective?
A. Antibiotics
B. Optimal nutrition
C. Vaccinations Correct
D. Water purification

3. Which is true about the health status of children in the United States?
. 13348413856
A. Globalism has relatively little impact on child health measures in the U.S.
B. Obesity rates among 2to5yearolds have shown a recent
significant
decrease. Correct
KA


.
C. The rate of household poverty is lower than in other economically
developed nations.
D. Young children who attend preschool or day care have higher food
insecurity.
4. The primary care pediatric nurse practitioner understands that a major
G


childhealth outcome associated with worldwide climate change is
A. cost of living.
B. education.
U


C. nutrition. Correct
D. pollution.
A


5. When providing well child care for an infant in the first year of life, the primary
care pediatric nurse practitioner is adhering to the most recent American Academy
ofPediatrics Recommendations for Preventive Pediatric Health Care guide lines by
A. focusing less on development and more on illness prevention and
nutrition.
B. following guidelines established by the Bright Futures publication.
C. scheduling well baby visits to coincide with key
developmentalmilestones. Correct
D. seeing the infant at ages 2, 4, 6, and 12 months when immunizations are due.

Chapter 2. Unique Issues in Pediatrics

1. A nurse is explaining the therapeutic milieu to a new nurse. The best
explanation of this term would be:
1. The place where the child is receiving care.

,2. Group therapy.
3. Personal interactions between patients and staff.
4. All of the above are correct.
ANS: 4

2. A 16-year-old male has received a pink-slip from the police for inpatient
psychiatrictreatment. The teen
has been expressing thoughts of hanging himself because Life sucks. The nursing staff
should consider
placing the child:
1. With peers.
2. In an area where he can be watched one-on-one.
3. With a roommate that is expressing the same concerns.
4. In an area close to an external door.
ANS: 2

3. Learning disabilities in children have scientifically been linked to:
1. Poor nutrition.
2. The environment in which the child lives.
3. Genetics.
4. Watching more than four hours of television a day. ANS:
3

4. A mental health nurse has assessed a child and determined that the child exhibits
behavioral challenges.
When the school nurse explains this to a teacher, the best description would be:
KA


.
1. The child may exhibit physical outbursts.
G


2. The child may exhibit violence toward others.
3. The child may be defiant or have tantrums.
4. The child will need special interventions for learning. ANS:
U


3

5. A child that has not exhibited enuresis in four years has exhibited this
A


behaviorpattern for the last week.
The reason a child may revert back to this behavior pattern is because of:
1. Hallucinations.
2. Behavioral challenges.
3. Delusions.
4. Stress.
ANS: 4

6. An 18-year-old male has called the crisis line for help. The crisis nurse recognizes the
intervention needs
may consist of all of the following except:
1. Discussing the individuals everyday activities.
2. Recognizing that the patient may be in a catharsis state.
3. Expressing empathy toward the caller.
4. Avoiding entropy.
ANS: 1

7. An 8-year-old boy with a history of hallucinations and violent behavior has been place

,2. He states, I will be a good boy now.



.
3. He starts headbutting the window.
4. He complains that his parents will file a law suit. ANS:
3

8. A child has been exhibiting the MacDonald Triad. These behaviors include:
1. Enuresis, pushing others, and pyromania.
2. Swinging a cat by the tail, bed-wetting, and lighting paper on fire in the trash can.
3. Playing with other children, laughing, and conversing with adults.
4. Playing with a campfire, watching television, and seeking adult attention. ANS: 2

9. A teenager diagnosed with borderline personality disorder should have discharge
planning instructions of:
1. A consistent caregiver.
2. Monitoring of media, such as the Internet, television, and video games.
3. Obtaining support from family and friends.
4. Seeking medical attention when the teenager feels good. ANS: 3

10. A mental health nurse is teaching the mother of a child with executive functioning
issues ways to help
her child. Interventions the mother should use include:
KA


1. Placing visual aids on the bathroom mirror so that the child will follow the
morningroutine.
2. Give the child a choice in foods to eat.
3. Allowing the child to ask for help when needed.
4. Reminding the child to be nice to others.
ANS: 1
G
U


.

11. Ellie, a 9-year-old girl, was adopted by a family at the age of 4 after several years
A


of severe neglect by her birth family. The adoptive family has been reporting that Ellie
is angry a lot, manipulative with her
teachers, and does not seek positive attention. The nurse working with Ellie will need to:
1. Provide education on decreasing stimuli in the home environment that
triggersthe anger.
2. Realize Ellie may have attachment issues related to her previous history and
willneed to encourage the
family to be active in her care.
3. Support the family in the decision-making process of continuing to let Ellie live
inthe home.
4. Discuss inpatient therapy to decrease Ellies manipulative behavior
patterns.
ANS: 2

12. An infant displays depression by:
1. Smiling at strangers.
2. Bonding to someone other than the immediate family.
3. Crying more than an average infant.

,13. A father reports that his adolescent daughter has gotten good grades up until the last
quarter of school.
She has been hanging out by herself and does not want to talk to him anymore. The
mental health nurse
should:
1. Realize that this is a natural part of growing up.
2. Perform a mental health screening to check for depression.
3. Attempt to get the adolescent to discuss why she does not like her father anymore.
4. Let the adolescent talk when she is ready. ANS:
2

14. A teen should be checked for depression at physician visit(s).
1. Every



.
2. One
3. Monthly
4. Bi-yearly
ANS: 1

15. When using the SAD FACES depression screen, it is important to assess:
1. Anhedonia.
KA


2. Suicidal ideations.
3. Sleep patterns.
4. All of the above
ANS: 4

16. A school nurse is giving an in-service to teachers on bullycide. The main reason for
G


the teaching is so
that:
1. Teachers are aware bullying occurs.
U


2. Teachers are able to identify students who are risk.
3. Teachers can be aware of the fact that suicides can happen due to bullying by others.
4. Teachers are aware of their role in causing bullycide. ANS:
A


3

17. An adolescent with a known history of bipolar disorder is in the school nurses office
because a teacher
reported that she was talking fast and acting like she was God. The school nurse assesses
the girl and notes
that:
1. She is probably in a manic phase and needs to be treated professionally.
2. She has had too much sleep and is now hyperactive.
3. She forgot to take her medications today.
4. She requires some food and rest before going back to class. ANS: 1

Chapter 3. Genetics and Child HealthQuestions

1. What is true about haploid cells?
. 13348407644
C. Each contains 23 paired chromosomes.
D. Each one contains 23 chromosomes. Correct

, F. They replicate via the process of mitosis.
2. What does the following genetic notation symbol mean 47,XX,6q?
. 13348407650
A. Male with deletion of chromosome 6
B. Female with deletion of chromosome 6
C. Male with deletion on the long arm of chromosome 6
D. Female with deletion on the long arm of chromosome 6
Correct
3. A child has a recessive genetic disorder that is homozygous for that
mutation.
. 13348407646
What is most likely about this child’s parents?
A. Neither parent has a copy of that gene mutation.
B. Only the mother has a copy of that gene mutation.
C. Only the father has a copy of that gene mutation.
D. Each parent has one copy of that gene mutation. Correct
4. Which type of mutation is responsible for many singlegene
genetic disorders?
. 13348407636
A. Copy number variations
B. Nucleotide repeat expansions
C. Point mutations Correct
D. Single nucleotide polymorphisms (SNP)
KA


.
5. Cystic fibrosis is a recessive disease requiring the presence of a gene
mutation
. 13348407638
on both alleles inherited from the parents. Which type of genetic disorder isthis?
G


A. Chromosome
B. Mitochondrial
C. Monogenetic Correct
U


D. Multifactorial
A


.
6. The primary care pediatric nurse practitioner is counseling a couple aboutgenetic
risks and learns that one parent has neurofibromatosis, an autosomaldominant
disorder, and the other
parent does not. What will the nurse practitioner include when discussingthis disorder
and its
transmission?
C. Children must inherit a gene from both parents to develop the disease.
D. Each child born to this couple will have a 50% risk of having the
disease. Correct
E. This type of disorder characteristically skips generations.
F. Unaffected offspring may still pass on the disease to their offspring.

7. A family medical history conducted during a well baby exam for a newborngirl
reveals that hemophilia A, an Xlinked

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