Burns’ Pediatric Primary Care (7th Edition) – Complete Test Bank – Comprehensive Exam Preparation Material

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Chapter 1: Health Status of Children: Global and
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National Perspectives
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1. WhichJ A regionJ A globallyJ A hasJ A theJ A highestJ A infantJ A mortalityJ A rate?
A. Indonesia
B. SouthernJAAsia
C. SubSaharanJ A AfricaJ A Correct
D. Syria

2. TheJAprimaryJAcareJApediatricJAnurseJApractitionerJAunderstandsJAthat
,JAtoJAachieveJAthe
greatestJAworldwide
reductionJAinJAchildJAmortalityJAfromJApneumoniaJAandJAdiarrhea,JAwhichJ A interve
ntionisJAmostJAeffective?
A. Antibiotics
B. OptimalJAnutrition
C. VaccinationsJACorrect

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D. Water purification
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3. WhichJAisJAtrueJAaboutJAtheJAhealthJAstatusJAofJAchildrenJAinJAtheJAU
nitedJAStates?
.
13348413856
A. GlobalismJAhasJArelativelyJAlittleJAimpactJAonJAchildJAhealthJAmeasuresJAinJ
AtheJA U.S.

B. ObesityJAratesJAamongJA2to5yearoldsJAhav
eJAshownJAaJArecentJAsignificant
decrease.J A Correct
.
C. TheJArateJAofJAhouseholdJApovertyJAisJAlowerJAthanJAinJAo
therJAeconomicallyJAdevelopedJAnations.
D. YoungJAchildrenJAwhoJAattendJApreschoolJAorJAdayJAcareJAh
aveJAhigherJAfoodJAinsecurity.
4. TheJAprimaryJAcareJApediatricJAnurseJApractitionerJAunderstandsJAt
hatJAaJAmajorJAchild
healthJAoutcomeJAassociatedJAwithJAworldwideJAclimateJAchangeJAis
A. costJAofJAliving.
B. education.
C. nutrition.JACorrect
D. pollution.
a
5. WhenJAprovidingJAwellJAchildJAcareJAforJAanJAinfantJAinJAtheJAfirstJAy
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i
earJAofJAlife,JAtheJAprimary
h
careJApediatricJAnurseJApractitionerJAisJAadheringJAtoJAtheJAmostJArecentJAA
n
mericanJAAcademyJAof
PediatricsRecommendationsJ A forJ A PreventiveJ A PediatricJ A HealthJ A Care
t
guidelinesJAby
ua
A. focusingJAlessJAonJAdevelopmentJAandJAmoreJAonJAilln
essJApreventionJAandJAnutrition.
r
B. followingJ A guidelinesJ A establishedJ A byJAtheBrightJAFuturesJA publication.
b
C. schedulingJAwellbabyJAvisitsJAtoJAcoincideJAwithJAk
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eyJAdevelopmentalJAmilestones.JACorrect
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D. seeingJAtheJAinfantJAatJAagesJA2,JA4,JA6,JAandJA12JAmonthsJA
whenJAimmunizationsJAareJAdue.

Chapter 2. Unique Issues in Pediatrics
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1. AJ A nurseJ A isJAexplainingJ A theJ A therapeuticJ A milieuJAtoJAaJAnewJ A
nurse.JATheJAbestJAexplanationJAofJAthisJAtermJAwouldJAbe:
1. TheJAplaceJAwhereJAtheJAchildJAisJAreceivingJAcare.

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2. GroupJAtherapy.
3. PersonalJAinteractionsJ A betweenJApatientsJA andJA staff.
4. AllJAofJAtheJAaboveJAa
reJAcorrect.JAANS:JA4

2. AJA16-year-oldJAmaleJAhasJAreceivedJAaJApink-
slipJAfromJAtheJApoliceJAforJAinpatientJApsychiatricJAtreatment.JATheJAteen
hasJ A beenJ A expressingJ A thoughtsJ A ofJ A hangingJ A himselfJA becauseJA LifeJ A sucks.
ThenursingJAstaffJAshouldJAconsiderJApl
acingJAtheJAchild:
1. WithJApeers.
2. InJAanJAareaJAwhereJAheJAcanJAbeJAwatchedJAone-on-one.
3. WithJ A aroommateJ A thatisexpressingJ A theJAsameconcerns.
4. InJAanJAareaJAcloseJAtoJAanJAexter
nalJAdoor.JAANS:JA2

3. LearningJAdisabilitiesJAinJAchildrenJAhaveJAscientificallyJ A beenJAlinkedJAto:
1. Poornutrition.
2. TheJA environmentJ A inJA whichJA theJ A childJ A lives.
3. Genetics.
4. WatchingJAmoreJAthanJAfourJAhoursJAofJAtelevisi
onJAaJAday.JAANS:JA3
a
4.JAAJAmentalJAhealthJAnurseJAhasJAassessedJAaJAchildJAandJAdeterminedJ
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i
AthatJAtheJAchildJAexhibitsJAbehavioralJAchallenges.
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WhenJAtheJAschoolJAnurseJAexplainsJAthisJAtoJAaJAteacher,JAtheJAbestJAdescripti
onJAwouldbe:
n
.
uat
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1. TheJAchildJAmayJAexhibitJAphysicalJAoutbursts.
2. TheJA childJ A mayJA exhibitJ A violenceJ A towardJ A others.
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3. TheJAchildJAmayJAbeJAdefiantJAorJAhaveJAtantrums.
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4. TheJAchildJAwillJAneedJAspecialJAinterventionsJA
forJAlearning.JAANS:JA3

5. AJAchildJAthatJAhasJAnotJAexhibitedJAenuresisJAinJAfourJAyearsJA
hasJAexhibitedJAthisJAbehaviorJApatternJAforJAtheJAlastJAweek.
TheJAreasonJAaJAchildJAmayJArevertJAbackJAtoJAthisJAbehaviorJApatternJAisJAbe
causeJAof:
1. Hallucinations.
2. BehavioralJAchallenges.
3. Delusions.
4. Stres
s.JAANS:
4

6. AnJA18-year-
oldJAmaleJAhasJAcalledJAtheJAcrisisJAlineJAforJAhelp.JATheJAcrisisJAnurseJArecogni
zesJAtheJAinterventionJAneeds
mayJAconsistJAofJAallJAofJAtheJ A followingJA except:
1. DiscussingJ A theJ A individualsJ A everydayJ A activities.
2. RecognizingJAthatJAtheJApatientJAmayJAbeJAinJAaJAcatharsisJAstate.
3. ExpressingJAempathyJAtowardJAtheJAcaller.
4. Avoiding
entropy.J A ANS:J A 1

7. AnJA8-year-
oldJAboyJAwithJAaJAhistoryJAofJAhallucinationsJAandJAviolentJAbehaviorJA
hasJAbeenJAplaceJAinJAaJAseclusionJAroom
atJAtheJAhospitalJAbecauseJAheJAhasJAbeenJAhurtingJAothers.JATheJAnurseJAch
ecksJAonJAtheJApatientJAandJArealizesJAsheJAmustJAtake
himJAoutJAofJAtheJAseclusionJAroomJAwhen:
1. HeJAisJAcryingJAtoJAbeJAreleased.

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2. HeJAstates,JAIJAwillJAbeJAaJAgoodJAboyJAnow.



.
3. HeJ A startsJ A headbuttingJ A theJ A window.
4. HeJAcomplainsJAthatJAhisJAparentsJAwillJAfil
eJAaJAlawsuit.JAANS:JA3

8. AJ A childJ A hasJ A beenJ A exhibitingJ A theJ A MacDonaldJ A Triad.J A TheseJ A be
haviorsJAinclude:
1. Enuresis,JApushingJAothers,JAandJApyromania.
2. SwingingJAaJAcatJAbyJAtheJAtail,JAbed-
wetting,JAandJAlightingJApaperJAonJAfireJAinJAtheJAtrashJAcan.
3. PlayingJ A withJ A otherJ A children,J A laughing,J A andJ A conversingJ A withJ A adults.
4. PlayingJAwithJAaJAcampfire,JAwatchingJAtelevision,JAandJAseekingJAa
dultJAattention.JAANS:JA2

9. AJAteenagerJAdiagnosedJAwithJAborderlineJApersonalityJAdisorderJAsho
uldJAhaveJAdischargeJAplanningJAinstructionsJAof:
1. AJAconsistentJA caregiver.
a
2. MonitoringJAofJAmedia,JAsuchJAasJAtheJAInternet,JAtelevision,JAandJAv
ideoJAgames.
3. ObtainingJ A supportJ A fromJ A familyJ A andJ A friends.
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4. SeekingJAmedicalJAattentionJAwhenJAtheJAteenagerJAfe
h
elsJAgood.JAANS:JA3
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10. AJ A mentalJ A healthJ A nurseJ A isJ A teachingJ A theJ A motherJ A ofJ A aJ A ch
a
ildJ A withJAexecutiveJAfunctioningJAissuesJAwaysJAtoJAhelp
u
herJ A child.J A InterventionsJ A theJ A motherJ A shouldJ A useJ A include:
1. PlacingJAvisualJAaidsJAonJAtheJAbathroomJAmirrorJAsoJAthatJAtheJAchild
br
JA willJA followJAtheJA morning JA routine.

2. GiveJAtheJAchildJAaJAchoiceJAinJAfoodsJAtoJAeat.
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3. AllowingJAtheJ A childJA toJAaskJAforJA helpJA whenJ A needed.
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4. RemindingJAtheJAchildJAtoJAbeJAniceJ
AtoJA others.JA ANS:JA 1




.
11. Ellie,JAaJA9-year-
oldJAgirl,JAwasJAadoptedJAbyJAaJAfamilyJAatJAtheJAageJAofJA4JAafterJAseveralJAyear
sJAofJAsevereJAneglectJAbyJAherJAbirthJAfamily.JATheJAadoptiveJAfamilyJAhas
beenJAreportingJAthatJAEllieJAisJAangryJAaJAlot,JAmanipulativeJAwithJAherJAteach
ers,JAandJAdoesJAnotJAseekJApositiveJAattention.JATheJAnurseJAworkingJAwithJA
ElliewillJAneedJAto:
1. ProvideJAeducationJAonJAdecreasingJAstimuliJAinJAtheJAho
meJAenvironmentJAthatJAtriggersJAtheJAanger.
2. RealizeJAEllieJAmayJAhaveJAattachmentJAissuesJArelatedJAtoJAherJAprev
iousJAhistoryJAandJAwillJAneedJAtoJAencourageJAthe
familyJAtoJAbeJAactiveJAinJAherJAcare.
3. SupportJAtheJAfamilyJAinJAtheJAdecision-
makingJAprocessJAofJAcontinuingJAtoJAletJAEllieJAliveJAinJAtheJAhome.
4. DiscussJAinpatientJAtherapyJAtoJAdecreaseJAElliesJAmanipulat
iveJAbehaviorJApatterns.
ANS:JA2

12. AnJAinfantJAdisplaysJAdepressionJAby:
1. SmilingJAatJAstrangers.
2. BondingJAtoJAsomeoneJAotherJAthanJAtheJAimmediateJAfamily.
3. CryingJA moreJAthanJAanaverageJAinfant.
4. LooksJAawayJAwhenJAanJAadultJAattemptsJAtoJAplayJAwithJA
theJAinfant.JAANS:JA4