Burns Pediatric FINAL Exam Questions & Answers Already Solved 100%

1. The primary care pediatric nurse practitioner is examining a 6yearold Child who attends first grade. The child reports "hating" school. The parent states that the child pretends to be sick frequently in order to stay home from school. To further assess this situation, the nurse practitioner will first ask the child EE. about school performance and grades. FF. why school is so distressing. GG. to name one or two friends. HH. whether bullying is taking place. - Answer GG to name one or two friends 2. The parent of a 10yearold boy tells the primary care pediatric nurse practitioner that the child doesn't appear to have any interest in girls and spends most of his time with a couple of other boys. The parent is worried about the child's sexual identity. The nurse practitioner will tell the parent DD. children at this age who prefer interactions with samegender peers usually have a homosexual orientation. EE. children experiment with sexuality at this age as a means of deciding later sexual orientation. FF. this attachment to other samegender children is how the child learns to interact with others. GG. to encourage mixedgender interactions in order to promote development of sexual values. - Answer FF this attatchment to other same gender 3. The parents of a 12yearold child are concerned that some of the child's older classmates may be a bad influence on their child, who, they say, has been raised to believe in right and wrong. What will the primary care pediatric nurse practitioner tell the parent? DD. Allowing the child to make poor choices and accept consequences is important for learning values EE. Children at this age have a high regard for authority and social norms, so this is not likely to happen FF. Moral values instilled in the early schoolage period will persist throughout childhood GG. The pressures from outside influences may supersede parental teachings and should be confronted - Answer GG the pressures from outside influences may supersede parental teachings and should be confronted 4. During a well child exam of a schoolage child, the primary care pediatric nurse practitioner learns that the child has been having angry episodes at school. The nurse practitioner observes the child to appear withdrawn and sad. Which action is appropriate? A. Ask the child and the parent about stressors at home Correct PP. Make a referral to a child behavioral specialist QQ. Provide information about anger management D. Suggest consideration of a different classroom - Answer A. Ask the child and parent about stressors at home 5. The primary care pediatric nurse practitioner is preparing to conduct a well child assessment of an 8yearold child. How will the nurse practitioner begin the exam? A. Ask the child about school, friends, home activities, a nd sports Y. Discuss the purpose of the visit and explain the procedures that will be performed Z. Offer age appropriate information about usual developmental tasks AA. Provide information about healthy nutrition and physical activities - Answer A. ask the child about school, friends, home activities, and sports 6. The parent of a 6yearold child expresses concern that the child may have ADHD. Which screening tool will the primary care pediatric nurse practitioner use to evaluate this possibility? Q. Behavioral and Emotional Screening System for Children (BESS2) R. Behavioral Assessment for Children - 2nd ed. (BASC2) C. Conner's 3 Parent and Teacher Rating Scale D. Pediatric Symptom Checklist (PSC) - Answer C. Conners 3 parent and teacher rating scale 7. The parent of a 5yearold child who has just begun kindergarten expresses concern that the child will have difficulty adjusting to the birth of a sibling. What will the primary care pediatric nurse practitioner recommend? U. Allowing the child opportunities to discuss feelings about the baby V. Giving the child specific baby care tasks to promote sibling bonding C.Having snack time with the child each day to discuss the school day D. Providing reassurance that the sibling will not replace the child - Answer C. Having a snack time with the child to discuss the school day 8. A schoolage child has begun refusing all cooked vegetables. What will the primary care pediatric nurse practitioner recommend to the parent? Y. Allow the child to make food choices since this is usually a phase Z. Ensure that the child has three nutritious meals and two nutritious snacks each day Correct AA. Prepare vegetables separately for the child to encourage adequate intake BB. Teach the child how important it is to eat h ealthy fruits and vegetables - Answer Z ensure the child has 3 nutritious meals and two snacks 9. The primary care pediatric nurse practitioner performs a physical examination on a 12yearold child and notes poor hygiene and inappropriate clothes for the weather. The child's mother appears clean and well dressed. The child reports getting 6 to 7 hours of sleep each night because of texting with friends late each evening. What action by the nurse practitioner will help promote healthy practices? A. Discuss setting clear expectations about selfcare with the mother B. Give the child information about sleep and selfcare S. Reassure the mother that this "noncompliance" is temporary T. Tell the mother that experimenting with selfcare behaviors is normal - Answer A. Discuss setting clear expectations about selfcare with the mother 10. During a well child exam on a 5yearold child, the primary care pediatric nurse practitioner assesses the child for school readiness. Which finding may be a factor in limiting school readiness for this child? T. Adherence to daily family routines and regular activities U. Having two older siblings who attend the same school C. Parental concerns about bullying in the school D. The child's ability to recognize four different colors - Answer C. parental concerns about bullying in the school 11. The primary care pediatric nurse practitioner is examining a schoolage child who complains of frequent stomach pain and headaches. The parent reports that the child misses several days of school each month. The child has a normal exam. Before proceeding with further diagnostic tests, what will the nurse practitioner initially ask the parent? A. About the timing of the symptoms each day and during the week M. How well the child performs in school and in extracurricular activities N. If the parent feels a strong need to protect the child from problems O. Whether there are any unusual stressors or circumstances at home - Answer a. ABOUT the timing of the sx each day and during the week 12. The primary care pediatric nurse practitioner is evaluating recurrent stomach pain in a schoolage child. The child's exam is normal. The nurse practitioner learns that the child reports pain most evenings after school and refuses to participate in sports but does not have nausea or vomiting. The child's grandmother recently had gallbladder surgery. Which action is correct? A. Encourage the child to keep a log of pain, stool patterns, and dietary intake G. Order radiologic studies and laboratory tests to rule out systemic causes H. Reassure the child and encourage resuming sports when symptoms subside I. Refer the child to a counselor to discuss anxiety about health problems - Answer A. encourage the child to keep a log of pain, stool patterns, and dietary intake 1. The primary care pediatric nurse practitioner is performing a well child assessment on a 13yearold female whose mother asks when her daughter's periods may start. Which information will the nurse practitioner use to help estimate the onset of periods? A. The age of the mother's menarche B. The patient's age at thelarche II. When adrenarche occurred JJ. Whether linear growth has stopped - Answer B. the patients age at thelarche 2. The primary care pediatric nurse practitioner is examining a 15yearold female who reports having her first period at age 13. She states that she has had five periods in the last year, with the last one 2 months prior. She participates in basketball at school. Which action is correct? HH. Perform biometric screening to determine lean body mass. II. Prescribe oral contraceptives pills to regulate her periods. JJ. Reassure her that this is perfectly normal at her age. KK. Refer her to an endocrinologist for hormonal evaluation. - Answer HH. perform biometric screening to determine lean body mass 3. During a well child assessment of a 13yearold male, the primary care pediatric nurse practitioner notes small testicles and pubic and axillary hair. To further evaluate these findings, the nurse practitioner will ask the patient about HH. alcohol and tobacco use. II. changes in voice. JJ. increase in height and weight. KK. participation in sports. - Answer KK. participation in sports 4. The mother of a 16yearold male was recently divorced after several years of an abusive relationship and tells the primary care pediatric nurse practitioner that the adolescent has begun skipping school and hanging out with friends at the local shopping mall. When she confronts her child, he responds by saying that he hates her. What will the nurse practitioner tell this mother? XX. Adolescence is marked by an inability to comprehend complex situations. YY. Adolescence is typically marked by tempestuous and transient episodes. ZZ. Adolescents normally have extreme, disruptive conflicts with parents. AAA. Adolescents often need counseling to help them cope with life events - Answer AAA. Adolescents often need counseling to help them cope with life events 5. The primary care pediatric nurse practitioner is performing a well child exam on a 12yearold female who has achieved early sexual maturation. The mother reports that she spends more time with her older sister's friends instead of her own classmates. What will the nurse practitioner tell this parent? BB. Earlymaturing girls need to identify with older adolescents to feel a sense of belonging. CC. Girls who join an older group of peers may become sexually active at an earlier age. Correct DD. Spending time with older adolescents indicates a healthy adjustment to her maturing body. EE. The association with older adolescents will help her daughter to gain social maturity. - Answer CC. Girls who join an older group of peers may become sexually active at an earlier age 6. The mother of a 15yearold adolescent female tells the primary care pediatric nurse practitioner that her daughter has extreme mood swings prior to her periods, which the adolescent vehemently denies. When asked if she notices anything different just before her periods, the adolescent points to her mother and says, "She gets really hard to live with." This demonstrates which characteristic of adolescent thinking? A. Apparent hypocrisy S. Imaginary audience T. Overthinking U. Personal fable - Answer A. Apparent hypocrisy 7. The primary care pediatric nurse practitioner is performing an exam on an adolescent male who asks about sexual identity because of concern that a friend is worried about being gay. Which response will the nurse practitioner make in this situation? W. Provide the teen with a questionnaire to gain information about his sexuality. X. Remind the adolescent that mandatory reporting requires disclosure to parents. Y. Suggest that the adolescent discuss sexual concerns with his parents. Z. Tell the adolescent that, unless he is at risk, what he says will be confidential. - Answer Z. tell the adolescen that unless he is at risk what he says is confidential 8. The parent of a 14yearold child tells the primary care pediatric nurse practitioner that the child skips classes frequently in spite of various disciplinary measures, such as grounding and extra homework and is earning Cs and Ds in most classes. What will the nurse practitioner recommend? CC. Counseling for emotional problems DD. Development of an Individual Education Plan C. Evaluation for possible learning disorders D. Referral for a behavioral disorder - Answer C. Evaluation for possible learning disorders 9. The parent of a 14yearold child tells the primary c are pediatric nurse practitioner that the adolescent has expressed a desire to be a vegetarian, is refusing all meat served at home, and wants the family to eat vegetarian meals. What will the nurse practitioner tell the parent? U. Do not allow a vegetarian diet in order to maintain appropriate limits for the adolescent. V. Provide vegetarian options for the adolescent that preserve adequate nutrition and protein intake. W. Suggest that the adolescent prepare appropriate vegetarian dishes to complement family meals. X. Tell the adolescent that a vegetarian diet may be considered in adulthood but not while living at home. - Answer W. suggest the adolescent prepare appropriate vegetarian dishes to complement family meals 1 0. The primary care pediatric nurse practitioner is performing a well child exam on a 17yearold female whose mother is present during the history. The mother expresses concern that her daughter wishes to have an eyebrow piercing and states that she is opposed to the idea. What will the nurse practitioner do? V. Provide information about piercings and encourage continued discussion. W. Remind the adolescent that her mother is responsible for her health. X. State that piercings are relatively harmless and are an expression of individuality. Y. Suggest that she wait until she is 18 years old and can make her own decisions. - Answer V. provide info about piercings and encourage continued discussion 11. The parent of a 16yearold tells the primary care pediatric nurse practitioner that the teen was recently caught smoking an electronic cigarette (ecigarette). What will the nurse practitioner tell this parent? P. Ecigarette use may be a risk factor for later substance abuse. Q. Experimentation with ecigarettes does not lead to future tobacco use. R. Most teens who experiment with tobacco usually do not become addicted. S. This form of nicotine ingestion is safer than regular cigarettes. - Answer P. e cig use may be a risk factor for later substance abuse 12. The parent of an adolescent reports noting cutting marks on the teen's arms and asks the primary care pediatric nurse practitioner what it means. What will the nurse practitioner tell this parent? J. Cutting is a way of dealing with emotional distress. K. It is a method of fitting in with other adolescents. L. The behavior is common and will usually stop. H. This type of behavior is a type of suicide attempt. - Answer J cutting is a way of dealing with emotional stress 1. The primary care pediatric nurse practitioner is performing a focused problem assessment on a child who has asthma and learns that one of the child's parents smokes around the child in spite of being advised against this. The nurse practitioner recognizes this as a possible alteration in which functional health pattern? A. Cognitiveperceptual B. Health perception KK. Rolerelationship LL. Valuesbeliefs - Answer B health perception