Pediatrics Final Exam Review with
complete solutions
The primary care pediatric nurse practitioner understands that to achieve the
greatest worldwide reduction in child mortality from pneumonia and diarrhea
which intervention is most effective?
a. Antibiotics
b. Optimal nutrition
c. Vaccinations
d. Water purification - ANSWER- c. Vaccinations
What is an important responsibility of the primary care pediatric nurse
practitioner to help determine genetic risk factors in families?
a. Assessing physical characteristics of genetic disorder.
b. Knowing which genetic screening tests to perform.
c. Making appropriate referrals to pediatric geneticists.
d. Obtaining a three-generation pedigree for each family. - ANSWER- d. Obtaining
a three-generation pedigree for each family.
All of the following are suitable interventions for a child diagnosed with several
complex health conditions EXCEPT?
a. Maintaining the child's routine vaccinations as well as a yearly flu shot.
b. Providing diagnosis and treatment for the child's acute onset of ear fullness
and pain.
c. Providing an explanation regarding the use and care of the client's respiratory
support equipment.
d. Discussing the expected physical implications of puberty with the patient's
parents. - ANSWER- XXXXXXXXXXX
What has been the result of passage of the Toxic Substances Control Act (TSCA)
of 1976?
a. A mandate for corporations to disclose known toxic chemicals.
b. A requirement that all manufactured chemicals undergo toxicity testing.
c. Authorization of the EPA to require testing and reporting of some chemicals.
,d. Development of mechanism to report reactions to toxic chemicals. - ANSWER-
c. Authorization of the EPA to require testing and reporting of some chemicals.
Which type of testing will the primary care pediatric nurse practitioner
recommend for a couple concerned about the potential for having children with
cystic fibrosis?
a. Biochemical testing
b. Carrier testing
c. FISH testing
d. Karyotype testing - ANSWER- b. Carrier testing
Many European nations use the "precautionary principle" to help regulate
potentially toxic chemicals. What does this mean?
a. Chemicals must be proven to be safe before being introduced into the
environment.
b. Corporations maybe exempt from testing if their costs in doing so are too high.
c. Regulators must demonstrate risk to the public before banning a chemical.
d. Without a strong risk, corporations need not release data about their products.
- ANSWER- a. Chemicals must be proven to be safe before being introduced into
the environment.
The primary care pediatric nurse practitioner (PNP) prescribes a twice daily
inhaled corticosteroid for a 12-year-old child. At a well child visit, the child
reports not using the medication on a regular basis. Which response by the
pediatric nurse practitioner demonstrates an understanding of client-centered
care?
a. Asking the child to describe usual daily routines and schedules
b. Referring the family to a social worker to help with medication compliance
c. Reviewing the asthma action plan with the parent and the child
d. Teaching the child how the medication will help to control asthma symptoms -
ANSWER- a. Asking the child to describe usual daily routines and schedules
What is the foundational basis of patient-and-family centered care (PFCC)?
a. The family is to be considered when patient care is being planned
b. The patient has ultimate control over health care decisions.
c. A family member acts as the patient's surrogate decision maker.
d. The patient is the focus of the primary care providers attention. - ANSWER- b.
The patient has ultimate control over health care decisions.
Which is true about the health status of children in the United States?
a. Globalism has relatively little impact on child health measures in the U.S.
,b. Obesity rates among 2 to 5 years old have shown a recent significant decrease.
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 -
ANSWER- b. Obesity rates among 2 to 5 years old have shown a recent
significant decrease.
What is the criteria for Supplemental Security Income (SSI) approval?
a. The existing impairment is chronic
b. The impairment is life threatening
c. The family is unable to cover health care costs
d. The child is a ward of the state - ANSWER- b. The impairment is life threatening
Which region globally has the highest infant mortality rate?
a. Indonesia
b. Southern Asia
c. SubSaharan Africa
d. Syria - ANSWER- b. Southern Asia
Which complex health condition is the result of chromosomal defect causing
varied physical and emotional symptoms?
a. Cerebral Palsy
b. Prader-Willi Syndrome
c. Cystic Fibrosis
d. Diabetes - ANSWER- b. Prader-Willi Syndrome
The primary care pediatric nurse practitioner understands that a major child
health outcome associated with worldwide climate change is:
a. Cost of living
b. Education
c. Nutrition
d. Pollution - ANSWER- c. Nutrition
A primary care pediatric nurse practitioner working in a community health center
wishes to develop a program to assist impoverished children and families to have
access to healthy foods. Which strategy will the pediatric nurse practitioner
employ to ensure the success of such a program?
a. Asking community members to assist in researching and implementing a
program
b. Designing a community garden approach that involves children and their
parents
, c. Gaining support from the corporate community to provide needed resources
d. Providing evidence-based information about the importance of a healthy diet -
ANSWER- a. Asking community members to assist in researching and
implementing a program
The primary care pediatric nurse practitioner in a community health center meets
a family who has recently immigrated to the United States who speak only Karon.
They arrive in the clinic with a church sponsor, who translates for them. The
pediatric nurse practitioner notices that the sponsor answers for the family
without giving them time to speak. The pediatric nurse practitioner will implement
what intervention to help with communication?
a. Ask the sponsor to allow the family to respond.
b. Develop the plan of care and ask the sponsor to make sure it is followed.
c. Request that the sponsor translate written instructions for the family.
d. Use the telephone interpreter service to communicate with the family. -
ANSWER- d. Use the telephone interpreter service to communicate with the
family.
The primary care pediatric nurse practitioner in a community health center meets
a family who has recently immigrated to the United States who speak only Karon.
They arrive in the clinic with a church sponsor, who translates for them. The
pediatric nurse practitioner notices that the sponsor answers for the family
without giving them time to speak. The pediatric nurse practitioner will implement
what intervention to help with communication?
a. Ask the sponsor to allow the family to respond.
b. Develop the plan of care and ask the sponsor to make sure it is followed.
c. Request that the sponsor translate written instructions for the family.
d. Use the telephone interpreter service to communicate with the family. -
ANSWER- d. Use the telephone interpreter service to communicate with the
family.
Support for a child with complex health issues may require the use of what high
level tech equipment?
a. Urinary catheter
b. Enteral feeding pump
c. A handheld magnifier
d. Crutches - ANSWER- b. Enteral feeding pump
The primary care pediatric nurse practitioner works with families from a variety of
cultures and socioeconomic classes. Which is an example of cultural humility in
practice?
complete solutions
The primary care pediatric nurse practitioner understands that to achieve the
greatest worldwide reduction in child mortality from pneumonia and diarrhea
which intervention is most effective?
a. Antibiotics
b. Optimal nutrition
c. Vaccinations
d. Water purification - ANSWER- c. Vaccinations
What is an important responsibility of the primary care pediatric nurse
practitioner to help determine genetic risk factors in families?
a. Assessing physical characteristics of genetic disorder.
b. Knowing which genetic screening tests to perform.
c. Making appropriate referrals to pediatric geneticists.
d. Obtaining a three-generation pedigree for each family. - ANSWER- d. Obtaining
a three-generation pedigree for each family.
All of the following are suitable interventions for a child diagnosed with several
complex health conditions EXCEPT?
a. Maintaining the child's routine vaccinations as well as a yearly flu shot.
b. Providing diagnosis and treatment for the child's acute onset of ear fullness
and pain.
c. Providing an explanation regarding the use and care of the client's respiratory
support equipment.
d. Discussing the expected physical implications of puberty with the patient's
parents. - ANSWER- XXXXXXXXXXX
What has been the result of passage of the Toxic Substances Control Act (TSCA)
of 1976?
a. A mandate for corporations to disclose known toxic chemicals.
b. A requirement that all manufactured chemicals undergo toxicity testing.
c. Authorization of the EPA to require testing and reporting of some chemicals.
,d. Development of mechanism to report reactions to toxic chemicals. - ANSWER-
c. Authorization of the EPA to require testing and reporting of some chemicals.
Which type of testing will the primary care pediatric nurse practitioner
recommend for a couple concerned about the potential for having children with
cystic fibrosis?
a. Biochemical testing
b. Carrier testing
c. FISH testing
d. Karyotype testing - ANSWER- b. Carrier testing
Many European nations use the "precautionary principle" to help regulate
potentially toxic chemicals. What does this mean?
a. Chemicals must be proven to be safe before being introduced into the
environment.
b. Corporations maybe exempt from testing if their costs in doing so are too high.
c. Regulators must demonstrate risk to the public before banning a chemical.
d. Without a strong risk, corporations need not release data about their products.
- ANSWER- a. Chemicals must be proven to be safe before being introduced into
the environment.
The primary care pediatric nurse practitioner (PNP) prescribes a twice daily
inhaled corticosteroid for a 12-year-old child. At a well child visit, the child
reports not using the medication on a regular basis. Which response by the
pediatric nurse practitioner demonstrates an understanding of client-centered
care?
a. Asking the child to describe usual daily routines and schedules
b. Referring the family to a social worker to help with medication compliance
c. Reviewing the asthma action plan with the parent and the child
d. Teaching the child how the medication will help to control asthma symptoms -
ANSWER- a. Asking the child to describe usual daily routines and schedules
What is the foundational basis of patient-and-family centered care (PFCC)?
a. The family is to be considered when patient care is being planned
b. The patient has ultimate control over health care decisions.
c. A family member acts as the patient's surrogate decision maker.
d. The patient is the focus of the primary care providers attention. - ANSWER- b.
The patient has ultimate control over health care decisions.
Which is true about the health status of children in the United States?
a. Globalism has relatively little impact on child health measures in the U.S.
,b. Obesity rates among 2 to 5 years old have shown a recent significant decrease.
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 -
ANSWER- b. Obesity rates among 2 to 5 years old have shown a recent
significant decrease.
What is the criteria for Supplemental Security Income (SSI) approval?
a. The existing impairment is chronic
b. The impairment is life threatening
c. The family is unable to cover health care costs
d. The child is a ward of the state - ANSWER- b. The impairment is life threatening
Which region globally has the highest infant mortality rate?
a. Indonesia
b. Southern Asia
c. SubSaharan Africa
d. Syria - ANSWER- b. Southern Asia
Which complex health condition is the result of chromosomal defect causing
varied physical and emotional symptoms?
a. Cerebral Palsy
b. Prader-Willi Syndrome
c. Cystic Fibrosis
d. Diabetes - ANSWER- b. Prader-Willi Syndrome
The primary care pediatric nurse practitioner understands that a major child
health outcome associated with worldwide climate change is:
a. Cost of living
b. Education
c. Nutrition
d. Pollution - ANSWER- c. Nutrition
A primary care pediatric nurse practitioner working in a community health center
wishes to develop a program to assist impoverished children and families to have
access to healthy foods. Which strategy will the pediatric nurse practitioner
employ to ensure the success of such a program?
a. Asking community members to assist in researching and implementing a
program
b. Designing a community garden approach that involves children and their
parents
, c. Gaining support from the corporate community to provide needed resources
d. Providing evidence-based information about the importance of a healthy diet -
ANSWER- a. Asking community members to assist in researching and
implementing a program
The primary care pediatric nurse practitioner in a community health center meets
a family who has recently immigrated to the United States who speak only Karon.
They arrive in the clinic with a church sponsor, who translates for them. The
pediatric nurse practitioner notices that the sponsor answers for the family
without giving them time to speak. The pediatric nurse practitioner will implement
what intervention to help with communication?
a. Ask the sponsor to allow the family to respond.
b. Develop the plan of care and ask the sponsor to make sure it is followed.
c. Request that the sponsor translate written instructions for the family.
d. Use the telephone interpreter service to communicate with the family. -
ANSWER- d. Use the telephone interpreter service to communicate with the
family.
The primary care pediatric nurse practitioner in a community health center meets
a family who has recently immigrated to the United States who speak only Karon.
They arrive in the clinic with a church sponsor, who translates for them. The
pediatric nurse practitioner notices that the sponsor answers for the family
without giving them time to speak. The pediatric nurse practitioner will implement
what intervention to help with communication?
a. Ask the sponsor to allow the family to respond.
b. Develop the plan of care and ask the sponsor to make sure it is followed.
c. Request that the sponsor translate written instructions for the family.
d. Use the telephone interpreter service to communicate with the family. -
ANSWER- d. Use the telephone interpreter service to communicate with the
family.
Support for a child with complex health issues may require the use of what high
level tech equipment?
a. Urinary catheter
b. Enteral feeding pump
c. A handheld magnifier
d. Crutches - ANSWER- b. Enteral feeding pump
The primary care pediatric nurse practitioner works with families from a variety of
cultures and socioeconomic classes. Which is an example of cultural humility in
practice?
