Test Bank - Chapter 01
1. Which client would likely be under the care of a primary care pediatric nurse practitioner (PNP)? [Multiple Choice]
a. A toddler recently diagnosed with type 1 diabetes
b. An infant in need of well baby immunizations ✔
c. A 5-year-old requiring artificial ventilation
d. An newborn demonstrating signs of drug addiction
ANS: B
The focus of primary care pediatric nurse practitioners care includes well-child care and the prevention and/or
management of both common pediatric acute illnesses and chronic conditions. In contrast, acute care PNPs
provide care for acutely, critically, and chronically ill children who are unstable, experiencing life-threatening
illness, are medically fragile and/or technologically dependent.
The focus of primary care pediatric nurse practitioners care includes well-child care and the prevention and/or
management of both common pediatric acute illnesses and chronic conditions. In contrast, acute care PNPs
provide care for acutely, critically, and chronically ill children who are unstable, experiencing life-threatening
illness, are medically fragile and/or technologically dependent.
2. Which statement BEST describes the importance of primary care pediatrics? [Multiple Choice]
a. Primary care serves as an access point for children experiencing acute emergencies
b. Primary care best serves as a point of entry into the healthcare system
c. The emphasis is on health promotion and protection, and disease/disability prevention ✔
d. Focuses solely on primary care without the need to integrate treatment recommendations for subspecialists
ANS: C
Pediatric primary care serves as the primary interface between the child/family and the health system, except in
the case of serious emergencies. The emphasis is on health promotion and protection, and disease and/or
disability prevention. It is designed to be a first contact point, not simply a point of entry into the health system,
and the “hub” of coordination. In this central position, the PCP provides continuity as well as integrates
subsequent or specialty care, regardless of where the care is delivered and who provides it.
Pediatric primary care serves as the primary interface between the child/family and the health system, except in
the case of serious emergencies. The emphasis is on health promotion and protection, and disease and/or
disability prevention. It is designed to be a first contact point, not simply a point of entry into the health system,
and the “hub” of coordination. In this central position, the PCP provides continuity as well as integrates
subsequent or specialty care, regardless of where the care is delivered and who provides it.
,3. Which intervention demonstrates implementation of a Bright Futures health promotion theme? [Multiple Choice]
a. Discussing the effective use of birth control
b. Identifying the advantages of higher education
c. Discussing ways to reduce inner city pollution
d. Identifying stresses felt by elementary school children ✔
ANS: D
Mental health and emotional well-being is a health promotion theme addressed by Bright Futures. None of the
other options are a focus of this resource.
Mental health and emotional well-being is a health promotion theme addressed by Bright Futures. None of the
other options are a focus of this resource.
4. When providing care for children and youth with special needs, the primary care provider knows the role
includes all of the following EXCEPT: [Multiple Choice]
a. Review subspecialty notes
b. Work with families to develop emergency information form
c. Develop subspecialty treatment plans ✔
d. Be knowledgeable about state plans such as 504 and IEPs
ANS: C
For CYSHCN, the PCP provides much needed continuity and coordination of care as these children and youth grow
and develop. In this role, the PCP reviews subspecialty notes and recommendations, looks for areas of duplication
or contradictions, and helps understand recommendations, treatments, and federal and state programs [e.g.,
Section 504 Plan, Individualize Education Plan (IEP)]. For some CYSHCN, an interdisciplinary specialty clinic (e.g.,
spina bifida) may be the preferred care coordinator, reaching out to the PCP as a consultant on primary care
issues. All families with a CYSHCN need to be prepared for acute and/or emergency care from those not familiar
with their child’s condition. The AAP and the American College of Emergency Physicians created an Emergency
Information Form (EIF) that ensures a CYSHCN’s complicated medical history, as well as special needs and/or
considerations, are concisely summarized.
For CYSHCN, the PCP provides much needed continuity and coordination of care as these children and youth grow
and develop. In this role, the PCP reviews subspecialty notes and recommendations, looks for areas of duplication
or contradictions, and helps understand recommendations, treatments, and federal and state programs [e.g.,
Section 504 Plan, Individualize Education Plan (IEP)]. For some CYSHCN, an interdisciplinary specialty clinic (e.g.,
spina bifida) may be the preferred care coordinator, reaching out to the PCP as a consultant on primary care
issues. All families with a CYSHCN need to be prepared for acute and/or emergency care from those not familiar
with their child’s condition. The AAP and the American College of Emergency Physicians created an Emergency
,Information Form (EIF) that ensures a CYSHCN’s complicated medical history, as well as special needs and/or
considerations, are concisely summarized.
5. Adverse Childhood Events have been linked to which of the following (Select all that apply.) [Multiple Response]
a. sexually transmitted infections. ✔
b. alcohol use. ✔
c. cancer. ✔
d. premature labor. ✔
e. heart disease. ✔
f. blindness. ✔
ANS: A, B, C, D, E, F
British epidemiologist David Barker’s early work highlighting the influences of adverse events that occur during
early phases of human development on the patterns of an individual’s health and disease throughout life
provided the foundation for the identification and study of adverse childhood experiences (ACEs). ACEs are linked
to risky health behaviors (e.g., smoking, alcohol use, drug use), chronic health conditions (e.g., obesity, diabetes,
depression, heart disease, cancer, stroke, chronic obstructive pulmonary disease), low life potential (graduation
rates, academic achievement, lost time from work), and early death.
British epidemiologist David Barker’s early work highlighting the influences of adverse events that occur during
early phases of human development on the patterns of an individual’s health and disease throughout life
provided the foundation for the identification and study of adverse childhood experiences (ACEs). ACEs are linked
to risky health behaviors (e.g., smoking, alcohol use, drug use), chronic health conditions (e.g., obesity, diabetes,
depression, heart disease, cancer, stroke, chronic obstructive pulmonary disease), low life potential (graduation
rates, academic achievement, lost time from work), and early death.
, Test Bank - Chapter 02
1. Which region globally has the highest infant mortality rate? [Multiple Choice]
a. Indonesia
b. Southern Asia
c. Sub-Saharan Africa ✔
d. Syria
ANS: C
Children born in sub-Saharan Africa had the highest mortality rate at 74 deaths per 1000, 14 times higher than in
the HICs. Sub-Saharan Africa has the highest rate of neonatal mortality at 27 per 1000 live births, followed by
Southeastern Asia at 23 per 1000 live births.
Children born in sub-Saharan Africa had the highest mortality rate at 74 deaths per 1000, 14 times higher than in
the HICs. Sub-Saharan Africa has the highest rate of neonatal mortality at 27 per 1000 live births, followed by
Southeastern Asia at 23 per 1000 live births.
2. Which of the following statements best describes the impact of the COVID-19 pandemic on health across the
globe? [Multiple Choice]
a. The pandemic highlighted the strengths in the data systems created to promote child health
b. Over half of COVID-19 related pediatric deaths occurred in infants under one year of age
c. COVID-19 exasperated the burden of pediatric deaths worldwide ✔
d. Rates of poverty decreased between 2020 and 2021
ANS: C
The pandemic had a significant impact on the physical and mental health of people, especially children and
adolescents, across the world. COVID erased progress in child poverty and forced over 93 million people into
extreme poverty. The pandemic also made evident the weaknesses in the information systems and the need for
stronger data systems. While overall COVID related deaths were low among children, the majority of deaths
occurred in young people between 20 and 24 years of age and COVID exasperated mortality burden among
children globally.
The pandemic had a significant impact on the physical and mental health of people, especially children and
adolescents, across the world. COVID erased progress in child poverty and forced over 93 million people into
extreme poverty. The pandemic also made evident the weaknesses in the information systems and the need for
stronger data systems. While overall COVID related deaths were low among children, the majority of deaths
occurred in young people between 20 and 24 years of age and COVID exasperated mortality burden among
1. Which client would likely be under the care of a primary care pediatric nurse practitioner (PNP)? [Multiple Choice]
a. A toddler recently diagnosed with type 1 diabetes
b. An infant in need of well baby immunizations ✔
c. A 5-year-old requiring artificial ventilation
d. An newborn demonstrating signs of drug addiction
ANS: B
The focus of primary care pediatric nurse practitioners care includes well-child care and the prevention and/or
management of both common pediatric acute illnesses and chronic conditions. In contrast, acute care PNPs
provide care for acutely, critically, and chronically ill children who are unstable, experiencing life-threatening
illness, are medically fragile and/or technologically dependent.
The focus of primary care pediatric nurse practitioners care includes well-child care and the prevention and/or
management of both common pediatric acute illnesses and chronic conditions. In contrast, acute care PNPs
provide care for acutely, critically, and chronically ill children who are unstable, experiencing life-threatening
illness, are medically fragile and/or technologically dependent.
2. Which statement BEST describes the importance of primary care pediatrics? [Multiple Choice]
a. Primary care serves as an access point for children experiencing acute emergencies
b. Primary care best serves as a point of entry into the healthcare system
c. The emphasis is on health promotion and protection, and disease/disability prevention ✔
d. Focuses solely on primary care without the need to integrate treatment recommendations for subspecialists
ANS: C
Pediatric primary care serves as the primary interface between the child/family and the health system, except in
the case of serious emergencies. The emphasis is on health promotion and protection, and disease and/or
disability prevention. It is designed to be a first contact point, not simply a point of entry into the health system,
and the “hub” of coordination. In this central position, the PCP provides continuity as well as integrates
subsequent or specialty care, regardless of where the care is delivered and who provides it.
Pediatric primary care serves as the primary interface between the child/family and the health system, except in
the case of serious emergencies. The emphasis is on health promotion and protection, and disease and/or
disability prevention. It is designed to be a first contact point, not simply a point of entry into the health system,
and the “hub” of coordination. In this central position, the PCP provides continuity as well as integrates
subsequent or specialty care, regardless of where the care is delivered and who provides it.
,3. Which intervention demonstrates implementation of a Bright Futures health promotion theme? [Multiple Choice]
a. Discussing the effective use of birth control
b. Identifying the advantages of higher education
c. Discussing ways to reduce inner city pollution
d. Identifying stresses felt by elementary school children ✔
ANS: D
Mental health and emotional well-being is a health promotion theme addressed by Bright Futures. None of the
other options are a focus of this resource.
Mental health and emotional well-being is a health promotion theme addressed by Bright Futures. None of the
other options are a focus of this resource.
4. When providing care for children and youth with special needs, the primary care provider knows the role
includes all of the following EXCEPT: [Multiple Choice]
a. Review subspecialty notes
b. Work with families to develop emergency information form
c. Develop subspecialty treatment plans ✔
d. Be knowledgeable about state plans such as 504 and IEPs
ANS: C
For CYSHCN, the PCP provides much needed continuity and coordination of care as these children and youth grow
and develop. In this role, the PCP reviews subspecialty notes and recommendations, looks for areas of duplication
or contradictions, and helps understand recommendations, treatments, and federal and state programs [e.g.,
Section 504 Plan, Individualize Education Plan (IEP)]. For some CYSHCN, an interdisciplinary specialty clinic (e.g.,
spina bifida) may be the preferred care coordinator, reaching out to the PCP as a consultant on primary care
issues. All families with a CYSHCN need to be prepared for acute and/or emergency care from those not familiar
with their child’s condition. The AAP and the American College of Emergency Physicians created an Emergency
Information Form (EIF) that ensures a CYSHCN’s complicated medical history, as well as special needs and/or
considerations, are concisely summarized.
For CYSHCN, the PCP provides much needed continuity and coordination of care as these children and youth grow
and develop. In this role, the PCP reviews subspecialty notes and recommendations, looks for areas of duplication
or contradictions, and helps understand recommendations, treatments, and federal and state programs [e.g.,
Section 504 Plan, Individualize Education Plan (IEP)]. For some CYSHCN, an interdisciplinary specialty clinic (e.g.,
spina bifida) may be the preferred care coordinator, reaching out to the PCP as a consultant on primary care
issues. All families with a CYSHCN need to be prepared for acute and/or emergency care from those not familiar
with their child’s condition. The AAP and the American College of Emergency Physicians created an Emergency
,Information Form (EIF) that ensures a CYSHCN’s complicated medical history, as well as special needs and/or
considerations, are concisely summarized.
5. Adverse Childhood Events have been linked to which of the following (Select all that apply.) [Multiple Response]
a. sexually transmitted infections. ✔
b. alcohol use. ✔
c. cancer. ✔
d. premature labor. ✔
e. heart disease. ✔
f. blindness. ✔
ANS: A, B, C, D, E, F
British epidemiologist David Barker’s early work highlighting the influences of adverse events that occur during
early phases of human development on the patterns of an individual’s health and disease throughout life
provided the foundation for the identification and study of adverse childhood experiences (ACEs). ACEs are linked
to risky health behaviors (e.g., smoking, alcohol use, drug use), chronic health conditions (e.g., obesity, diabetes,
depression, heart disease, cancer, stroke, chronic obstructive pulmonary disease), low life potential (graduation
rates, academic achievement, lost time from work), and early death.
British epidemiologist David Barker’s early work highlighting the influences of adverse events that occur during
early phases of human development on the patterns of an individual’s health and disease throughout life
provided the foundation for the identification and study of adverse childhood experiences (ACEs). ACEs are linked
to risky health behaviors (e.g., smoking, alcohol use, drug use), chronic health conditions (e.g., obesity, diabetes,
depression, heart disease, cancer, stroke, chronic obstructive pulmonary disease), low life potential (graduation
rates, academic achievement, lost time from work), and early death.
, Test Bank - Chapter 02
1. Which region globally has the highest infant mortality rate? [Multiple Choice]
a. Indonesia
b. Southern Asia
c. Sub-Saharan Africa ✔
d. Syria
ANS: C
Children born in sub-Saharan Africa had the highest mortality rate at 74 deaths per 1000, 14 times higher than in
the HICs. Sub-Saharan Africa has the highest rate of neonatal mortality at 27 per 1000 live births, followed by
Southeastern Asia at 23 per 1000 live births.
Children born in sub-Saharan Africa had the highest mortality rate at 74 deaths per 1000, 14 times higher than in
the HICs. Sub-Saharan Africa has the highest rate of neonatal mortality at 27 per 1000 live births, followed by
Southeastern Asia at 23 per 1000 live births.
2. Which of the following statements best describes the impact of the COVID-19 pandemic on health across the
globe? [Multiple Choice]
a. The pandemic highlighted the strengths in the data systems created to promote child health
b. Over half of COVID-19 related pediatric deaths occurred in infants under one year of age
c. COVID-19 exasperated the burden of pediatric deaths worldwide ✔
d. Rates of poverty decreased between 2020 and 2021
ANS: C
The pandemic had a significant impact on the physical and mental health of people, especially children and
adolescents, across the world. COVID erased progress in child poverty and forced over 93 million people into
extreme poverty. The pandemic also made evident the weaknesses in the information systems and the need for
stronger data systems. While overall COVID related deaths were low among children, the majority of deaths
occurred in young people between 20 and 24 years of age and COVID exasperated mortality burden among
children globally.
The pandemic had a significant impact on the physical and mental health of people, especially children and
adolescents, across the world. COVID erased progress in child poverty and forced over 93 million people into
extreme poverty. The pandemic also made evident the weaknesses in the information systems and the need for
stronger data systems. While overall COVID related deaths were low among children, the majority of deaths
occurred in young people between 20 and 24 years of age and COVID exasperated mortality burden among
