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Burns Pediatric Primary Care 7th Edition All Chapters Graded Test Bank, Exams of Health sciences

Georgia Highlands CollegeHealth sciences

Burns Pediatric Primary Care 7th Edition All Chapters Graded Test Bank

Typology: Exams

2021/2022

Available from 03/01/2022

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Burns-Pediatric-Primary-Care-7th-Edition-
Burns'
Pediatric
Primary Care
7th Edition
Test Bank
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.
SubSaharan Africa Correct
D.
Syria
2.
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 Correct
D.
Water purification
3.
Which is true about the health status of children in the United
States?
.
133484138
56
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 major child
health outcome associated with worldwide climate change is
A.
cost of living.
B.
education.
C.
nutrition. Correct
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Download Burns Pediatric Primary Care 7th Edition All Chapters Graded Test Bank and more Exams Health sciences in PDF only on Docsity!

Burns'

Pediatric

Primary Care

7th Edition

Test Bank

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. SubSaharan Africa Correct D. Syria
  2. 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 Correct D. Water purification
  3. Which is true about the health status of children in the United States? . 133484138 56 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 major child health outcome associated with worldwide climate change is A. cost of living. B. education. C. nutrition. Correct

D. pollution.

  1. 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 of Pediatrics Recommendations for Preventive Pediatric Health Care guidelines by A. focusing less on development and more on illness prevention and nutrition. B. following guidelines established by the Bright 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 are due. Chapter 2. Unique Issues in Pediatrics
  2. A nurse is explaining the therapeutic milieu to a new nurse. The best explanation of this term would be:
  3. The place where the child is receiving care.
  1. He states, I will be a good boy now.
  1. He starts headbutting the window.
  2. He complains that his parents will file a lawsuit. ANS: 3
  3. A child has been exhibiting the MacDonald Triad. These behaviors include:
  4. Enuresis, pushing others, and pyromania.
  5. Swinging a cat by the tail, bed-wetting, and lighting paper on fire in the trash can.
  6. Playing with other children, laughing, and conversing with adults.
  7. Playing with a campfire, watching television, and seeking adult attention. ANS: 2
  8. A teenager diagnosed with borderline personality disorder should have discharge planning instructions of:
  9. A consistent caregiver.
  10. Monitoring of media, such as the Internet, television, and video games.
  11. Obtaining support from family and friends.
  12. Seeking medical attention when the teenager feels good. ANS: 3
  13. 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:
  14. Placing visual aids on the bathroom mirror so that the child will follow the morning routine.
  15. Give the child a choice in foods to eat.
  16. Allowing the child to ask for help when needed.
  17. Reminding the child to be nice to others. ANS: 1
  1. Ellie, a 9-year-old girl, was adopted by a family at the age of 4 after several years 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:
  2. Provide education on decreasing stimuli in the home environment that triggers the anger.
  3. Realize Ellie may have attachment issues related to her previous history and will need to encourage the family to be active in her care.
  4. Support the family in the decision-making process of continuing to let Ellie live in the home.
  5. Discuss inpatient therapy to decrease Ellies manipulative behavior patterns. ANS: 2
  6. An infant displays depression by:
  7. Smiling at strangers.
  8. Bonding to someone other than the immediate family.
  9. Crying more than an average infant.
  10. Looks away when an adult attempts to play with the infant. ANS: 4
  1. 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:
  2. Realize that this is a natural part of growing up.
  3. Perform a mental health screening to check for depression.
  4. Attempt to get the adolescent to discuss why she does not like her father anymore.
  5. Let the adolescent talk when she is ready. ANS: 2
  6. A teen should be checked for depression at physician visit(s).
  7. Every
  1. One
  2. Monthly
  3. Bi- yearly ANS: 1
  4. When using the SAD FACES depression screen, it is important to assess:
  5. Anhedonia.
  6. Suicidal ideations.
  7. Sleep patterns.
  8. All of the above ANS: 4
  9. A school nurse is giving an in-service to teachers on bullycide. The main reason for the teaching is so that:
  10. Teachers are aware bullying occurs.
  11. Teachers are able to identify students who are risk.
  12. Teachers can be aware of the fact that suicides can happen due to bullying by others.
  13. Teachers are aware of their role in causing bullycide. ANS: 3
  14. 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:
  15. She is probably in a manic phase and needs to be treated professionally.
  16. She has had too much sleep and is now hyperactive.
  17. She forgot to take her medications today.
  18. She requires some food and rest before going back to class. ANS: 1 Chapter 3. Genetics and Child Health Questions
  19. What is true about haploid cells? . 133484076 44 C. Each contains 23 paired chromosomes. D. Each one contains 23 chromosomes. Correct E. Replication produces two identical cells.

newborn girl reveals that hemophilia A, an Xlinked

recessive disorder, is present in males in three previous generations in the mother’s family, whose father had the disease. What will the primary care pediatric nurse practitioner tell the parents about the risk of this disease in their children? 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% chance of being carriers of the disease. Correct H. Their daughter has a 25% chance of having the disease.

  1. 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
  2. Which diagnostic study may be ordered when the provider wishes to detect the . presence of additional genetic material on a chromosome? A. Chromosomal microarray B. FISH Correct D. Karyotype E. Molecular testing
  3. 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 Correct C. FISH testing D. Karyotype testing Chapter 4. Environmental Issues Questions
  4. 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
  5. Many European nations use the “precautionary principle” to help regulate potentially toxic chemicals. What does this mean? G. Chemicals must be proven to be safe before being introduced into the

Besides avoiding using plastic containers when possible, what else will the primary care pediatric nurse practitioner recommend? A. Avoid heating foods and liquids in plastic containers. Correct B. Clean plastic containers well using the dishwasher. C. Use only plastics stamped with “#7” on the bottom. D. Used canned food products whenever possible.

  1. 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 are organic or not. Which foods are on this 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 Assessment Questions
  2. 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 chief complaint L. Developmental delays, nutritional status, and linear growth patterns M. Medication currently taking, allergy information, and family medical history N. Speech and language development, beliefs about health, and previous illnesses Correct
  3. When formulating developmental diagnoses for pediatric patients, the primary care pediatric nurse practitioner may use which resource? A. DC: 03R Correct K. ICD10CM L. ICSD M. NANDA International
  4. The primary care pediatric nurse practitioner sees a 3yearold child who chronically withholds stools, in spite of the parents’ attempts to stop the behavior, requiring frequent treatments with laxative medications. Which diagnosis will the nurse practitioner use to facilitate thirdparty reimbursement? M. Altered elimination pattern N. Elimination disorder C. Encopresis Correct D. Parenting alteration
  5. The primary care pediatric nurse practitioner is assessing a toddler whose weight and body mass index (BMI) are below the 3rd percentile for age. The nurse practitioner learns that the child does not have regular mealtimes and is allowed to carry a bottle of juice around at all times. The nurse practitioner plans to work with this family to develop improved meal patterns. Which diagnosis will the nurse practitioner use for this problem?

J. Failure to thrive K. Home care resources inadequate L. Nutrition alteration – less than required D. Parenting alteration Correct

  1. The primary care pediatric nurse practitioner is p erforming a well child checkup on a 20monthold child. The child was 4 weeks premature and, according to a parentcompleted developmental questionnaire, has achieved milestones for a 15monthold infant. Which action is correct? J. Perform an indepth developmental assessment screen at this visit to evaluate this child. Correct K. Reassure the parent that the child will catch up to normal development by age 2 years. L. Reevaluate this child’s development and milestone achievements at the 2year visit. M. Refer the child to a specialty clinic for evaluation and treatment of developmental delay.
  2. The primary care pediatric nurse practitioner performs a developmental assessment on a 3yearold child and notes normal cognitive, finemotor, and grossmotor abilities. The child responds appropriately to verbal commands during the assessment but refuses to speak when asked questions. The parent tells the nurse practitioner that the child talks at home and that most other adults can understand what the child says. The nurse practitioner will D. ask the parent to consider a possible speech delay and report any concerns. E. continue to evaluate the child’s speech at subsequent visits. Correct F. refer the child for a speech and hearing evaluation. G. tell the parent to spend more time in interactive conversations with the child.
  3. The parent of a toddler is concerned that the child may have autism. The primary care pediatric nurse practitioner completes a Modified Checklist for Autism in Toddlers (MCHAT) tool, which indicates several areas of concern. What will the nurse practitioner do? E. Administer a Childhood Autism Rating Scale (CARS) in the clinic. F. Consult a specialist to determine appropriate early intervention strategies. G. Refer the child to a behavioral specialist for further evaluation. Correct H. Tell the parent that this result indicates that the child has autism.
  4. The primary care pediatric nurse practitioner learns that the mother of a 3yearold child has been treated for depression for over 5 years. Which aspect of this child’s development will be of the most concern to the nurse practitioner?
  1. The primary care pediatric nurse practitioner evaluates a schoolage child whose body mass index (BMI) is greater than the 97th percentile. The nurse practitioner is concerned about possible metabolic syndrome and orders laboratory tests to evaluate this. Which diagnosis will the nurse practitioner document for this visit? A. Metabolic syndrome B. Nutritional alteration: more than required C. Obesity Correct A. Rule out type 2 diabetes mellitus

Chapter 6. Cultural Considerations for Pediatric

Primary Care Questions

  1. The primary care pediatric nurse practitioner provides well child care for a community of immigrant children from Central America. The pediatric nurse practitioner is surprised to learn that some of the families are Jewish and not Catholic. This response is an example of cultural O. collectivism. P. constructivism. Q. essentialism. Correct R. individualism.
  2. The primary care pediatric nurse practitioner learns that an AfricanAmerican family lives in a neighborhood with a high crime rate and suggests that they try moving to another neighborhood for the safety of their children. This is an example of N. cultural sensitivity. O. group bias. P. individual privilege. Correct Q. racial awareness.
  3. The primary care pediatric nurse practitioner cares f or children from a Native American family and learns that they used many herbs to treat and prevent illness. Which approach will the pediatric nurse practitioner use to promote optimum health in the children? O. Ask about the types of practices used and when they are applied. Correct P. Provide a list of harmful herbs and ask the family to avoid those. Q. Suggest that the family avoid using these remedies in their children. R. Tell the parents to use the herbs in conjunction with modern medications.
  4. 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? M. Giving health care advice that takes cultural differences into account N. Identification of other cultures that may be superior to one’s own culture C. Receptivity to learning about the perspectives of other cultures Correct D. Respecting other cultures while maintaining the views of one’s own
  5. A Somalian immigrant mother is concerned that her 8yearold

child is underweight. The primary care pediatric nurse practitioner notes that the child’s weight is at the 25th percentile. After realizing that the mother is comparing her child to a group of Americanborn children who are overweight, the pediatric nurse practitioner is able to convince the mother that this is a normal weight. Which domain of cultural competence does this represent? A. Global B. Interpersonal Correct N. Intrapersonal O. Organizational

  1. 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 H. ask the sponsor to allow the family to respond. I. develop the plan of care and ask the sponsor to make sure it is followed. J. request that the sponsor translate written instructions for the family. K. use the telephone interpreter service to communicate with the family. Correct
  2. The primary care pediatric nurse practitioner prescribes a twice daily inhaled corticosteroid for a 12yearold 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 clientcentered care? A. Asking the child to describe usual daily routines and schedules Correct I. Referring the family to a social worker to help with medication compliance J. Reviewing the asthma action plan with the parent and the child K. Teaching the child how the medication will help to control asthma Symptoms
  3. 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? G. Asking community members to assist in researching and implementing a program Correct H. Designing a community garden approach that involves children and their parents I. Gaining support from the corporate community to provide needed resources J. Providing evidencebased information about the importance of a healthy diet
  4. The parents of a special needs child tell the primary care pediatric nurse practitioner that they are planning a 3month
  1. A nurse is assessing a 6-month-old boys suture lines. The nurse notes that the baby has

craniosynostosis. The nurse should be concerned because:

  1. The suture line closure will not allow the brain to grow.
  2. This can lead to hydrocephalus.
  3. The child will have immediate developmental delays because of the lack of space for the brain to grow.
  4. The child will not require surgery. ANS: 1
  5. A child that had a shunt placed four years ago for hydrocephalus is in the emergency room complaining of a rapid onset of vomiting and increased lethargy. The nurse knows that the child will need:
  6. Nothing, as this is a normal complication and not an emergency.
  7. To be placed on IV fluids to help maintain an electrolyte balance.
  8. Small amounts of fluids until the vomiting has subsided.
  9. To consider this a neurological medical emergency and check the childs head circumference. ANS: 4
  10. Night terrors can occur in adolescents because of:
  11. Emotional stress.
  12. Alcohol use.
  13. Bullying.
  14. All of the above can trigger night terrors in adolescents. ANS: 4
  15. When speaking with a family about their 9-year-old daughters nightmares, it is important to ask:
  16. If the child has a history of daytime napping.
  17. What medications the child takes during the day.
  18. How often the child consumes caffeine.
  19. All of the above should be part of the assessment. ANS: 4
  20. A quality of a partial seizure is:
  21. Status epilepticus.
  22. Tonic movements.
  23. Fluttering eyelids.
  24. Clonic movements. ANS: 4
  25. A mother is asking the nurse why her daughter continues to have temporal lobe seizures even though she is on medication. The nurse knows this is occurring because:
  26. The medication may not be in the therapeutic range.
  27. Temporal lobe seizures do not respond well to medications.
  28. The daughter may be missing doses of her medication.
  29. The food her daughter eats may have a negative reaction with the medication, causing more seizures. ANS: 2
  30. Which of the following types of epilepsy are photosensitive?
  31. Juvenile myoclonic epilepsy
  32. Temporal lobe epilepsy
  33. Febrile seizures
  34. Childhood absence epilepsy ANS: 1
  35. A child who had a seizure one hour ago is exhibiting signs of paralysis on the left side of the body.
  1. The nurse is identifying the difference between primary headaches to secondary headaches. Secondary headaches can occur:
  2. Because of stress.
  3. In relation to low blood pressure.
  4. Because of concussions.
  5. Because of migraines. ANS: 3
  6. Cyclic vomiting may:
  7. Last for days.
  8. Require SSRIs to stop hurting.
  9. Not be associated with a headache.
  10. Requires pain medication and Zofran. ANS: 3
  11. A child that has rhythmic, repetitive, involuntary movements is exhibiting:
  12. Tremors.
  13. Dystonia.
  14. Contractures.
  15. Tics . ANS: 2
  16. Identify a therapeutic management technique for a child with a tic disorder.
  17. Behavioral modification to suppress the tics
  18. Administer anti-psychotic medications to reduce the tics
  19. Education and support for the child and the family
  20. Genetic counseling for the family ANS: 3
  21. Identify a true statement about Tourettes Syndrome (TS) is that:
  22. Manifestations rarely change once developed.
  23. Children with TS do not have obsessive compulsive disorders.
  24. The tics of TS can lead to mental deterioration.
  25. The tics are involuntary, and the person cannot control the behavior. ANS: 4
  26. The assessment a nurse performed on a 12-year-old boy demonstrated a positive Kernigs sign and a Brudzinskis sign. Identify the priority for the nurses next action.
  27. Document the findings and note as normal.
  28. Further assess the neurological function of the child and call the doctor with a report.
  29. Explain to the patient that the assessment was abnormal and there is no a cause for concern.
  30. Prepare the child for a lumbar puncture. ANS: 2
  31. Results from cerebrospinal fluid that was tested for meningitis have been received by the nurse. The results indicate bacterial meningitis. The nurse knows this because the results show:
  32. A low protein count and a low glucose count.
  33. A low red blood cell count.
  34. An elevated protein count and a low glucose level.
  35. A normal protein count and a high glucose count. ANS: 3

Chapter 8. Developmental Management in Pediatric

Primary Care

Questions

  1. A single mother of an infant worries that living in a household with only one parent will cause her child to be maladjusted. To help address the mother’s concerns, the primary care pediatric nurse practitioner will suggest S. developing consistent daily routines for the child. Correct T. exposing her child to extended family members when possible. U. not working outside the home during the first few years. V. taking her child to regular play date activities with other children.
  2. During a well child exam, the primary care pediatric nurse practitioner learns that the parents of a young child fight frequently about finances. The parents state that they do not fight in front of the child and feel that the situation is temporary and related to the father’s job layoff. What will the nurse practitioner do? R. Reassure them that the child is too young to understand. S. Recommend that they continue to not argue in front of the child. T. Suggest counseling to learn ways to handle stress. Correct U. Tell them that the conflict will resolve when the situation changes.
  3. During a well child assessment of an 18monthold child, the primary care pediatric nurse practitioner observes the child becoming irritable and uncooperative. The parent tells the child to stop fussing. What will the nurse practitioner do? S. Allow the parent to put the child in a “timeout.” T. Ask the parent about usual discipline practices. U. Offer the child a book or a toy to look at. Correct V. Stop the exam since the child has reached a “meltdown.”
  4. Which recommendation will a primary care pediatric nurse practitioner make when parents ask about ways to discipline their 3yearold child who draws on the walls with crayons? O. Give the child washable markers so the drawings can be removed easily. P. Provide a roll of paper for drawing and teach the child to use this. Correct Q. Put the child in “timeout” each time the child draws on the walls. R. Take the crayons away from the child to prevent the behavior.
  5. The primary care pediatric nurse practitioner conducts a well baby exam on. an infant and notes mild gross motor delays but no delays in other areas. Which initial course of action will the nurse practitioner recommend? P. Consult a developmental specialist for a more complete evaluation. Q. Prepare the parents for a potentially serious developmental disorder. R. Refer the infant to an early intervention program for physical