TEST BANK
BURNS' PEDIATRIC PRIMARY CARE
7TH EDITION TEST BANK Questions
and Complete Solutions
,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
achievethe greatest worldwide reduction in child mortality from
pneumonia and diarrhea, which interventionis 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?
. 13348413856
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
majorchild health outcome associated with worldwide climate
change is
A. cost of living.
B. education.
C. nutrition. Correct
D. pollution.
5. When providing well child care for an infant in the first year of life,
theprimary care pediatric nurse practitioner is adhering to the most
recent AmericanAcademy 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 theBright 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
aredue.
Chapter 2. Unique Issues in Pediatrics
1. A nurse is explaining the therapeutic milieu to a new nurse.
The best explanation of this term would be:
1. The place where the child is receiving care.
,2. Group therapy.
3. Personal interactions between patients and staff.
4. All of the above are correct.
ANS: 4
2. A 16-year-old male has received a pink-slip from the police for
inpatientpsychiatric treatment. The teen
has been expressing thoughts of hanging himself because Life sucks.
Thenursing staff should consider
placing the child:
1. With peers.
2. In an area where he can be watched one-on-one.
3. With a roommate that is expressing the same concerns.
4. In an area close to an external door.
ANS: 2
3. Learning disabilities in children have scientifically been linked to:
1. Poor nutrition.
2. The environment in which the child lives.
3. Genetics.
4. Watching more than four hours of television a day.
ANS: 3
4. A mental health nurse has assessed a child and determined that the
childexhibits behavioral challenges.
When the school nurse explains this to a teacher, the best description
wouldbe:
1. The child may exhibit physical outbursts.
2. The child may exhibit violence toward others.
3. The child may be defiant or have tantrums.
4. The child will need special interventions for learning.
ANS: 3
5. A child that has not exhibited enuresis in four years has exhibited
thisbehavior pattern for the last week.
The reason a child may revert back to this behavior pattern is because of:
1. Hallucinations.
2. Behavioral challenges.
3. Delusions.
4. Stress.
ANS: 4
6. An 18-year-old male has called the crisis line for help. The crisis
nurserecognizes the intervention needs
may consist of all of the following except:
1. Discussing the individuals everyday activities.
2. Recognizing that the patient may be in a catharsis state.
3. Expressing empathy toward the caller.
4. Avoiding entropy.
ANS: 1
7. An 8-year-old boy with a history of hallucinations and violent behavior
hasbeen place in a seclusion room
at the hospital because he has been hurting others. The nurse checks on
thepatient and realizes she must take
him out of the seclusion room when:
1. He is crying to be released.
, 2. He states, I will be a good boy now.
3. He starts headbutting the window.
4. He complains that his parents will file a lawsuit.
ANS: 3
8. A child has been exhibiting the MacDonald Triad. These behaviors include:
1. Enuresis, pushing others, and pyromania.
2. Swinging a cat by the tail, bed-wetting, and lighting paper on fire in
thetrash can.
3. Playing with other children, laughing, and conversing with adults.
4. Playing with a campfire, watching television, and seeking adult
attention.ANS: 2
9. A teenager diagnosed with borderline personality disorder should
havedischarge planning instructions of:
1. A consistent caregiver.
2. Monitoring of media, such as the Internet, television, and video games.
3. Obtaining support from family and friends.
4. Seeking medical attention when the teenager feels good.
ANS: 3
10. A mental health nurse is teaching the mother of a child with
executivefunctioning issues ways to help
her child. Interventions the mother should use include:
1. Placing visual aids on the bathroom mirror so that the child will follow
themorning routine.
2. Give the child a choice in foods to eat.
3. Allowing the child to ask for help when needed.
4. Reminding the child to be nice to others.
ANS: 1
11. 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
hasbeen reporting that Ellie is angry a lot, manipulative with her
teachers, and does not seek positive attention. The nurse working with
Elliewill need to:
1. Provide education on decreasing stimuli in the home environment
thattriggers the anger.
2. Realize Ellie may have attachment issues related to her previous
historyand will need to encourage the
family to be active in her care.
3. Support the family in the decision-making process of continuing to let
Ellielive in the home.
4. Discuss inpatient therapy to decrease Ellies manipulative
behavior patterns.
ANS: 2
12. An infant displays depression by:
1. Smiling at strangers.
2. Bonding to someone other than the immediate family.
3. Crying more than an average infant.
4. Looks away when an adult attempts to play with the infant.
ANS: 4
BURNS' PEDIATRIC PRIMARY CARE
7TH EDITION TEST BANK Questions
and Complete Solutions
,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
achievethe greatest worldwide reduction in child mortality from
pneumonia and diarrhea, which interventionis 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?
. 13348413856
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
majorchild health outcome associated with worldwide climate
change is
A. cost of living.
B. education.
C. nutrition. Correct
D. pollution.
5. When providing well child care for an infant in the first year of life,
theprimary care pediatric nurse practitioner is adhering to the most
recent AmericanAcademy 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 theBright 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
aredue.
Chapter 2. Unique Issues in Pediatrics
1. A nurse is explaining the therapeutic milieu to a new nurse.
The best explanation of this term would be:
1. The place where the child is receiving care.
,2. Group therapy.
3. Personal interactions between patients and staff.
4. All of the above are correct.
ANS: 4
2. A 16-year-old male has received a pink-slip from the police for
inpatientpsychiatric treatment. The teen
has been expressing thoughts of hanging himself because Life sucks.
Thenursing staff should consider
placing the child:
1. With peers.
2. In an area where he can be watched one-on-one.
3. With a roommate that is expressing the same concerns.
4. In an area close to an external door.
ANS: 2
3. Learning disabilities in children have scientifically been linked to:
1. Poor nutrition.
2. The environment in which the child lives.
3. Genetics.
4. Watching more than four hours of television a day.
ANS: 3
4. A mental health nurse has assessed a child and determined that the
childexhibits behavioral challenges.
When the school nurse explains this to a teacher, the best description
wouldbe:
1. The child may exhibit physical outbursts.
2. The child may exhibit violence toward others.
3. The child may be defiant or have tantrums.
4. The child will need special interventions for learning.
ANS: 3
5. A child that has not exhibited enuresis in four years has exhibited
thisbehavior pattern for the last week.
The reason a child may revert back to this behavior pattern is because of:
1. Hallucinations.
2. Behavioral challenges.
3. Delusions.
4. Stress.
ANS: 4
6. An 18-year-old male has called the crisis line for help. The crisis
nurserecognizes the intervention needs
may consist of all of the following except:
1. Discussing the individuals everyday activities.
2. Recognizing that the patient may be in a catharsis state.
3. Expressing empathy toward the caller.
4. Avoiding entropy.
ANS: 1
7. An 8-year-old boy with a history of hallucinations and violent behavior
hasbeen place in a seclusion room
at the hospital because he has been hurting others. The nurse checks on
thepatient and realizes she must take
him out of the seclusion room when:
1. He is crying to be released.
, 2. He states, I will be a good boy now.
3. He starts headbutting the window.
4. He complains that his parents will file a lawsuit.
ANS: 3
8. A child has been exhibiting the MacDonald Triad. These behaviors include:
1. Enuresis, pushing others, and pyromania.
2. Swinging a cat by the tail, bed-wetting, and lighting paper on fire in
thetrash can.
3. Playing with other children, laughing, and conversing with adults.
4. Playing with a campfire, watching television, and seeking adult
attention.ANS: 2
9. A teenager diagnosed with borderline personality disorder should
havedischarge planning instructions of:
1. A consistent caregiver.
2. Monitoring of media, such as the Internet, television, and video games.
3. Obtaining support from family and friends.
4. Seeking medical attention when the teenager feels good.
ANS: 3
10. A mental health nurse is teaching the mother of a child with
executivefunctioning issues ways to help
her child. Interventions the mother should use include:
1. Placing visual aids on the bathroom mirror so that the child will follow
themorning routine.
2. Give the child a choice in foods to eat.
3. Allowing the child to ask for help when needed.
4. Reminding the child to be nice to others.
ANS: 1
11. 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
hasbeen reporting that Ellie is angry a lot, manipulative with her
teachers, and does not seek positive attention. The nurse working with
Elliewill need to:
1. Provide education on decreasing stimuli in the home environment
thattriggers the anger.
2. Realize Ellie may have attachment issues related to her previous
historyand will need to encourage the
family to be active in her care.
3. Support the family in the decision-making process of continuing to let
Ellielive in the home.
4. Discuss inpatient therapy to decrease Ellies manipulative
behavior patterns.
ANS: 2
12. An infant displays depression by:
1. Smiling at strangers.
2. Bonding to someone other than the immediate family.
3. Crying more than an average infant.
4. Looks away when an adult attempts to play with the infant.
ANS: 4
