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TEST BANK For Burns' Pediatric Primary Care 7th Edition -All Chapters | Complete Guide 2024
TEST BANK For Burns' Pediatric Primary Care 7th Edition -All Chapters | Complete Guide 2024
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,Chapter 1: Health Status of Children: Global and NationalPerspectives1. Which region globally has the highest infant mortality rate?
A. Indonesia
B. Southern Asia
C. SubSaharan Africa Correct
D. Syria
2. The primary care pediatric nurse practitioner understands that, to achievethe
greatest worldwide
reduction in child mortality from pneumonia and diarrhea, which interventionismost
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?
.
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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
.
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 majorchild
health outcome associated with worldwide climate change is
A. cost of living.
B. education.
C. nutrition. Correct
D. pollution.
5. When providing well child care for an infant in the first year of life, theprimary
care pediatric nurse practitioner is adhering to the most recent AmericanAcademy of
PediatricsRecommendations for Preventive Pediatric Health Care guidelinesby
A. focusing less on development and more on illness prevention and
nutrition.
B. following guidelines established by theBright Futures publication.
C. scheduling wellbaby visits to coincide with key developmental
milestones. Correct
D. seeing the infant at ages 2, 4, 6, and 12 months when immunizations aredue.
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 inpatientpsychiatric
treatment. The teen
has been expressing thoughts of hanging himself because Life sucks. Thenursingstaff
should consider
placing the child:
1. With peers.
2. In an area where he can be watched one-on-one.
3. With aroommate thatisexpressing the sameconcerns.
4. In an area close to an external door.
ANS: 2
3. Learning disabilities in children have scientifically been linked to:
1. Poornutrition.
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 childexhibits
behavioral challenges.
When the school nurse explains this to a teacher, the best description wouldbe:
.
1. The child may exhibit physical outbursts.
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: 3
5. A child that has not exhibited enuresis in four years has exhibited thisbehavior
pattern 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 nurserecognizes 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 hasbeen
,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 lawsuit.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 thetrash
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 havedischarge
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 executivefunctioning issues
ways to help
her child. Interventions the mother should use include:
1. Placing visual aids on the bathroom mirror so that the child will follow themorning
routine.
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
.
11. Ellie, a 9-year-old girl, was adopted by a family at the age of 4 after severalyears of
severe neglect by her birth family. The adoptive family hasbeen reporting that Ellie is
angry a lot, manipulative with her
teachers, and does not seek positive attention. The nurse working with Elliewill need to:
1. Provide education on decreasing stimuli in the home environment that
triggers the anger.
2. Realize Ellie may have attachment issues related to her previous historyand will
need to encourage the
family to be active in her care.
3. Support the family in the decision-making process of continuing to let Ellielive
in the 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.
,13. A father reports that his adolescent daughter has gotten good grades upuntil the
last quarter of school.
She has been hanging out by herself and does not want to talk to himanymore.
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. Ateenshouldbechecked fordepression at physician visit(s).
1. Every
.
2. One
3. Monthly
4. Bi-
yearly
ANS: 1
15. When using the SAD FACES depression screen, itis important to assess:
1. Anhedonia.
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 mainreason
for the teaching is so
that:
1. Teachers are aware bullying occurs.
2. Teachers are able to identify students who are risk.
3. Teachers can be aware of the fact that suicides can happen due to bullyingby
others.
4. Teachers are aware of their role in causing bullycide.ANS: 3
17. An adolescent with a known history of bipolar disorder is in the schoolnursesoffice
because a teacher
reported that she was talking fast and acting like she was God. The schoolnurseassesses
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. Sherequires somefoodandrestbefore going backtoclass.ANS:
1
Chapter 3.Geneticsand Child Health
Questions
,F. They replicate via the process of mitosis.
2. What does the following genetic notation symbol mean 47,XX,6q?
.
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A. Male with deletion of chromosome 6
B. Female with deletion of chromosome 6
C. Male with deletion onthelongarmofchromosome 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.
.
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Whatis 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 isresponsible formany singlegenegenetic
disorders?
.
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A. Copy numbervariations
B. Nucleotide repeat expansions
C. Point mutations Correct
D. Single nucleotide polymorphisms (SNP)
.
5. Cystic fibrosis isarecessive disease requiring the presence ofagene
mutation
.
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on both alleles inherited from the parents. Which type of genetic disorder isthis?
A. Chromosome
B. Mitochondrial
C. Monogenetic Correct
D. Multifactorial
.
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 discussingthisdisorder 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
thedisease. Correct
E. This type of disorder characteristically skips generations.
F. Unaffected offspring may still pass on the disease to their offspring.
,recessive disorder, is present in males in three previous
generations in the mother‟s family, whose father had the disease. What willthe primary
care
pediatric nurse practitioner tell the parents about the risk of this disease intheirchildren?
E. All of their sons will be affected by the disease.
F. Any sons they have will not be affected by the disease.
G. Daughters have a 50% chanceofbeing carriers ofthedisease.Correct
H. Their daughter has a 25% chance of having the disease.
8. What is an important responsibility of the primary care pediatric nurse
practitioner . to
help determine genetic risk factors in families?
E. Assessing physical characteristics of genetic disorders
F. Knowing which genetic screening tests to perform
G. Making appropriate referrals to pediatric geneticists
D. Obtaining a threegeneration
pedigree for each family Correct
9. Which diagnostic study may be ordered when the provider wishes todetect
the
.
presence ofadditional genetic material ona chromosome?
A. Chromosomal microarray
B. FISH Correct
D. Karyotype
E. Molecular testing
10. Which type of testing will the primary care pediatric nurse practitioner
recommend .
for a couple concerned about the potential for having children with cysticfibrosis?
A. Biochemical testing
B. Carrier testing Correct
C. FISH testing
D. Karyotype testing
Chapter 4. Environmental
Issues Questions
1. What has been the result of passage of the Toxic Substances Control
Act.(TSCA) of 1976?
G. A mandate for corporations to disclose known toxic chemicals
H. A requirement that all manufactured chemicals undergo toxicity testing
I. Authorization of the EPA to require testing and reporting of
some chemicals Correct
J. Development of a mechanism to report reactions to toxic chemicals
2. Many European nations use the “precautionary principle” to help regulate
,environment. Correct
H. Corporations may be exempt from testing if their costs in doing soare too
high.
I. Regulators must demonstrate risk to the public before banning a
chemical.
J. Without a strong risk, corporations need not release data about their
products.
3. During a clinic visit, a child‟s rapid capillary screening test for lead revealsa level of
11 mcg/dL. What will the primary care pediatric nurse practitioner do next?
I. Institute lead abatement measures in the child‟s home.
J. Monitor lead levels monthly until decreased.
K. Order a venous sample to test for lead levels. Correct
L. Test the child‟s siblings and parents for lead.
4. A child has a lead level of 25 mcg/dL. Once lead abatement measures are
instituted, what is an important intervention to help prevent permanent damage
H. Chelation therapy
I. Dietary changes
C. Followup testing Correct
.
D. Testing family members
5. A child whose parent works in a factory pr esents with swelling of the
extremities, pain and weakness in the pelvis, and an erythematous
maculopapular rash. Which
industrial toxin will the primary care pediatric nurse practitioner suspect inthis child?
A. Lead
B. Mercury
C. Organophosphates Correct
D. Phthalates
6. Whencounseling amother whosmokes about preventing exposureto
smokingrelated
risks to her nursing newborn, what will the primary care pediatric nursepractitioner tell
her?
F. If she quits now, her child will not have longterm
effects from exposure.
G. Prenatal smoke exposure does not cause respiratory effects after theinfant is
born.
H. Smoking outdoors or near anopen windowprevents exposuretotobacco
smoke.
I. Thirdhandsmoke exposure risks may last for years even if
themother quits now. Correct
7. A child who has been playing in a public park is brought to the clinic with
wheezing, vomiting, diarrhea, and drooling. A physical exam reveals a lowheart
rate and diaphoresis. What will the primary care pediatric nurse practitioner suspect as
a cause for these symptoms?
B. Arsenic consumption
C. Lead poisoning
C. Organophosphate exposure Correct
D. Phthalate ingestion
8. A parent asks about ways tolimit exposure torisksassociated withplastics.
, Besides avoiding using plastic containers when possible, what else will theprimary care
pediatric nurse practitioner recommend?
A. Avoid heating foods and liquids in plastic containers. Correct
B. Clean plastic containers well using the dishwasher.
C. Useonly plastics stamped with “#7” onthe bottom.
D. Usedcanned food products whenever possible.
9. A parent desires to buy only organic produce to avoid exposing a child to
pesticides but complains that these foods are expensive. The primary care
pediatric nurse
practitioner provides a list of foods that are relatively safe whether they areorganic or not.
Whichfoods areonthis list?
A. Apples, celery, and peaches
B. Potatoes, cherry tomatoes, and peaches
C. Strawberries, grapes, and cucumbers
D. Sweet corn, cantaloupe, and kiwi Correct
Chapter 5. Child and Family Health AssessmentQuestions
1. The primary care pediatric nurse practitioner is obtaining a medical history about a
child. To integrate both nursing and medical aspects of primary care, which will be
included in the medical history?
K. Complementary medications, alternative health practices, and chiefcomplaint
L. Developmental delays, nutritional status, and linear growth patterns
M. Medication currently taking, allergy information, and family medicalhistory
N. Speech and language development, beliefs about health,
and previous
illnesses Correct
2. When formulating developmental diagnoses for pediatric patients, the
primary
care pediatric nurse practitioner may use which resource?
A. DC: 03R Correct
K. ICD10CM
L. ICSD3
M. NANDA International
3. The primary care pediatric nurse practitioner sees a 3yearoldchild
who
chronically withholds stools, in spite of the parents‟ attempts to stop the behavior,
requiring frequent treatments with laxative medications. Whichdiagnosis will the
nurse practitioner use to facilitate thirdparty reimbursement?
M. Altered elimination pattern
N. Elimination disorder
C. Encopresis Correct
D. Parenting alteration
4. The primary care pediatric nurse practitioner is assessing a toddler whoseweight
and body mass index (BMI) are below the 3rd percentile for age. Thenurse
practitioner
learns that the child does not have regular mealtimes and is allowed to carryabottle of
juice
around at all times. The nurse practitioner plans to work with this family todevelop
improved meal
patterns. Which diagnosis will the nurse practitioner use for this problem?
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