Pediatric Primary Care 6th Edition Burns, Dunn, Brady Test Bank

Pediatric Primary Care 6th Edition Burns, Dunn, Brady Test Bank 1. A child who has attentiondeficit/ hyperactivity disorder (ADHD) has difficulty ID: 34 stopping activities to begin other activities at school. The primary care pediatric nurse practitioner understands that this is due to difficulty with the selfregulation component of A. emotional control. B. flexibility. Correct C. inhibition. D. problemsolving. 2. The primary care pediatric nurse practitioner cares for a preschoolage child ID: 32 who was exposed to drugs prenatally. The child bites other children and has tantrums when asked to stop but is able to state later why this behavior is wrong. This child most likely has a disorder of A. executive function. Correct B. information processing. C. sensory processing. D. social cognition. 3. The primary care pediatric nurse practitioner uses the Neurodevelopmental ID: 42 Learning Framework to assess cognition and learning in an adolescent. When evaluating social cognition, the nurse practitioner will ask the adolescent A. about friends and activities at school. Correct B. if balancing sports and homework is difficult. C. to interpret material from a pie chart. D. to restate the content of something just read. 4. The primary care pediatric nurse practitioner is evaluating a schoolage child ID: 38 who has been diagnosed with ADHD. Which plan will the nurse practitioner recommend asking the child’s school about to help with academic performance? A. 504 Correct B. FAPE C. IDEA D. IEP 5. The parent of a child diagnosed with ADHD tells the primary care pediatricnurse practitioner that the child gets overwhelmed by homework assignments, doesn’t seem to know which ones to do first, and then doesn’t do any assignments. The nurse practitioner tells the parent that this represents impairment in which executive function? A. Activation Correct B. Effort C. Emotion D. Focus 6. The primary care pediatric nurse practitioner is considering medication ID: 26 options for a schoolage child recently diagnosed with ADHD who has a primarily hyperactive presentation. Which medication will the nurse practitioner select initially? A. Lowdose stimulant B. Moderatedose stimulant Correct C. Lowdose nonstimulant D. Moderatedose nonstimulant 7. The parent of a 4yearold child reports that the child gets upset when the ID: 24 hall light is left on at night and won’t leave the house unless both shoes are tied equally tight. The primary care pediatric nurse practitioner recognizes that this child likely has which type of sensory processing disorder? A. Dyspraxia B. Overresponder Correct C. Sensory seeker D. Underresponder 8. The parent of a preschoolage child who is diagnosed with a sensory ID: 28 processing disorder (SPD) asks the primary care pediatric nurse practitioner how to help the child manage the symptoms. What will the nurse practitioner recommend? A. Establishing a reward system for acceptable behaviors B. Introducing the child to a variety of new experiences C. Maintaining predictable routines as much as possible Correct D. Providing frequent contact, such as hugs and cuddling 9. The primary care pediatric nurse practitioner is performing an examination on a 5yearold child who exhibits ritualistic behaviors, avoids contact with other children, and has limited speech. The parent reports having had concerns more than 2 years ago about autism, but was told that it was too early to diagnose. What will the nurse practitioner do first? A. Administer an MCHAT screen to screen the child for communication and socialization delays. B. Ask the parent to describe the child’s earlier behaviors from infancy through preschool. Correct C. Reassure the parent that if symptoms weren’t present earlier, the likelihood of autism is low. D. Refer the child to a pediatric behavioral specialist to develop a plan of treatment and management. 10. The primary care pediatric nurse practitioner is examining a 3yearold child ID: 30 who speaks loudly, in a monotone, does not make eye contact, and prefers to sit on the exam room floor moving a toy truck back and forth in a repetitive manner. Which disorder does the nurse practitioner suspect? A. Attentiondeficit/ hyperactivity disorder B. Autism spectrum disorder Correct C. Executive function disorder D. Sensory processing disorder 11. The primary care pediatric nurse practitioner is selecting a medication for a ID: 36 12yearold child who is newly diagnosed with ADHD. The child is overweight, has a history of an atrial septal defect at birth, and reports mild shortness of breath during exercise. What will the nurse practitioner prescribe? A. A lowdose stimulant medication B. A nonstimulant medication C. Behavioral therapy only D. Cardiovascular prescreening Correct 12. The primary care pediatric nurse practitioner is conducting a followup ID: 40 examination on a child who has recently begun taking a lowdose stimulant medication to treat ADHD. The child’s school performance and home behaviors have improved. The child’s parent reports noticing a few tics, such a twitching of the eyelids, but the child is unaware of them and isn’t bothered by them. What will the nurse practitioner recommend? A. Adding an alphaagonist medication B. Changing to a nonstimulant medication C. Continuing the medication as prescribed Correct D. Stopping the medication immediately Continue Questions 1. The primary care pediatric nurse practitioner uses a shared decisionmaking ID: 86 (SDM) model when working with families of children with chronic health conditions. When using this model, the nurse practitioner can expect A. considerably more time in each encounter. B. improved patient health outcomes. Correct C. less PNP involvement in health care decisions. D. lower provider and higher patient satisfaction. 2. The primary care pediatric nurse practitioner diagnoses a 5yearold child with ID: 82 asthma and prescribes an oral steroid and a shortacting betaadrenergic medication via a metereddose inhaler to manage acute symptoms. Along with education about the prescribed medications, what information is important to give the child’s family at this visit? A. An asthma action plan B. Effects and side effects of current medications C. Information about spirometry testing D. Instructions for medications at school 3. The parent of a child with complex health care needs tells the primary care ID: 64 pediatric nurse practitioner that the child has had difficulty breathing the past two nights but can’t articulate specific symptoms. The child has normal oxygen saturations and a normal respiratory rate with clear breath sounds. What will the nurse practitioner do? A. Admit the child to the hospital for close observation and monitoring of respiratory status. B. Encourage the parent to call when concerned and schedule a followup appointment the next day. Correct C. Perform a complete blood count, blood cultures, and a chest radiograph to evaluate symptoms. D. Reassure the parent that the child has a normal exam and is most likely not ill. 4. Which characteristic is the key criterion that identifies a child has having special ID: 80 needs? A. Cognitive function B. Emotional health C. Health service requirements Correct D. Medical diagnosis Correct 5. The primary care pediatric nurse practitioner is performing a well baby ID: 74 examination on a 2weekold infant who was recently discharged home from the neonatal intensive care unit. The mother reports that the infant was born at 26 weeks’ gestation and states she was told that her baby will probably have developmental delays. What is the most important aspect of longterm management for this infant? A. Careful monitoring of attainment of developmental milestones Correct B. Familiarizing the parent with laws that mandate educational support C. Providing genetic counseling to the infant’s parents D. Referral to social services for assistance with resources 6. The primary care pediatric nurse practitioner is preparing to perform a well child ID: 90 examination on a 5yearold child who has multiple developmental and cognitive delays. The child’s mother is angry and tells the nurse practitioner that her friends’ children are all preparing for kindergarten. The nurse practitioner will A. allow the mother to express her feelings, understanding that she is experiencing grief. Correct B. reassure the mother that special educational opportunities are available for her child. C. suggest that the mother find a support group with other children with special needs. D. tell her that most schools provide services for children with special health care needs. 7. The parent of a toddler who has special health care needs is resistant to a ID: 66 suggestion that her child needs a gastrostomy tube for nutrition. The toddler has fallen from the 10th percentile to the 5th percentile in the past few months and resists taking in appropriate amounts of food by mouth even with assistance from occupational therapy. What will the primary care pediatric nurse practitioner do? A. Inform the mother that, since other options have failed, the gastrostomy tube is the only option. B. Refer the child to a dietician to teach the mother the importance of adequate nutrition. C. Set weight gain and food intake goals with the mother and schedule regular visits to monitor weight. Correct D. Suggest that the gastrostomy tube may be tried temporarily and removed once the child gains weight. 8. What is the most important role of the primary care pediatric nurse practitioner ID: 92 who