Burns' Pediatric Primary Care 7th Edition Test Bank
h h h h h h h
Chapter 1: Health Status of Children: Global and National Perspectives
h h h h h h h h h
1. Which region globally has the highest infant mortality rate?
h h h h h h h h
A. Indonesia
B. Southern Asia h
C. SubSaharan Africa Correct h h
D. Syria
2. The primary care pediatric nurse practitioner understands that, to achieve the
h h h h h h h h h h
greatest worldwide h
reduction in child mortality from pneumonia and diarrhea, w hich interventionis most e
h h h h h h h h h h h
ffective?
A. Antibiotics
B. Optimal nutrition h
C. Vaccinations Correct h
D. Waterpurification h
3. Which is true about the health status of children in the United States?
h h h h h h h h h h h h
.
133484 13856
A. Globalism has relatively little impact on child health measures in the U.S.
h h h h h h h h h h h
B. Obesity rates among 2to5yearolds have shown a recent sih h h h h h h h
gnificant
decrease. Correct h
.
C. The rate of household poverty is low er than in other economically dev
h h h h h h h h h h h
eloped nations.
h
D. Young children who attend preschool or day care have higher food ins
h h h h h h h h h h h
ecurity.
4. The primary care pediatric nurse practitioner understands that a major chi
h h h h h h h h h h
ld
health outcome associated with worldwide clim ate change is
h h h h h h h
A. cost of living.
h h
B. education.
C. nutrition. Correct h
D. pollution.
5. When providing well child care for an infant in the first year of life, the prim
h h h h h h h h h h h h h h h
ary
care pediatric nurse practitioner is adhering to the most recent American Academ
h h h h h h h h h h h
y of
h
PediatricsRecom mendations for Preventive Pediatric Health Care guidelines by h h h h h h h
A. focusing less on development and more on illness prev ention and nutr
h h h h h h h h h h
ition.
B. following guidelines established by theBright Futures publication.
h h h h h h
C. scheduling wellbaby visits to coincide with key developmental m h h h h h h h h
ilestones. Correct h
D. seeing the infant at ages 2, 4, 6, and 12 months when im munizations are due.
h h h h h h h h h h h h h h
Chapter 2. Unique I ssues in Pediatrics h h h h h
1. A nurse is explaining the therapeutic milieu to a new nurse. The best expl
h h h h h h h h h h h h h
anation of this term would be:
h h h h h
,2. Grouptherapy. h
3. Personal interactions between patients and staff. h h h h h
4. All of the above are correct. A
h h h h h h
NS: 4 h
2. A 16-year-old male has received a pink-
h h h h h h
slip from the police for inpatient psychiatric treatment. The teen
h h h h h h h h h
has been expressing thoughts of hanging himself because Life sucks. Thenursing staff s
h h h h h h h h h h h h
hould consider h
placing the child: h h
1. With peers. h
2. Inan area w here he can be w atched one-on-one.
h h h h h h h h
3. Witha roomm ate thatisexpressing the sameconcerns.
h h h h
4. Inan area close to an external door. A
h h h h h h h h
NS: 2 h
3. Learning disabilities in children have scientifically been linked to:
h h h h h h h h
1. Poornutrition.
2. The environment in which the child lives.
h h h h h h
3. Genetics.
4. Watching more than four hours of television a day. AN h h h h h h h h h
S: 3
h
4. A mental health nurse has assessed a child and determined that the child exhibits b
h h h h h h h h h h h h h h h
ehavioral challenges. h
Whenthe school nurse explains this to a teacher, the best description wouldbe:
h h h h h h h h h h h h
.
1. The child may exhibit physical outbursts.
h h h h h
2. The child may exhibit violence toward others.
h h h h h h
3. The child m ay be defiant or have tantrum s.
h h h h h h h
4. The child will need special interventions for learning. AN
h h h h h h h h
S: 3
h
5. A child that has not exhibited enuresis in four years has exhibited this beh
h h h h h h h h h h h h h
avior pattern for the last week.
h h h h h
The reason a child m ay revert back to this behavior pattern is because of:
h h h h h h h h h h h h h
1. Hallucinations.
2. Behavioral challenges. h
3. Delusions.
4. Stress.
ANS: 4 h
6. An18-year- h
old male has called the crisis line for help. The crisis nurse recognizes the int
h h h h h h h h h h h h h h
ervention needs h
may consist of all of the following except:
h h h h h h h
1. Discussing the individuals everyday activities. h h h h
2. Recognizing that the patient m ay be in a catharsis state. h h h h h h h h h
3. Expressing empathy tow ard the caller. h h h h
4. Avoiding entropy. h
ANS: 1 h
,2. He states, I will be a good boy now.
h h h h h h h h
.
3. He starts headbutting the window.
h h h h
4. He complains that his parents will file a lawsuit. ANS
h h h h h h h h h
:3 h
8. A child has been exhibiting the M acDonald Triad. These behaviors include:
h h h h h h h h h h
1. Enuresis, pushing o thers, and pyromania. h h h h
2. Swinging a cat by the tail, bed- h h h h h h
wetting, and lighting paper on fire in the trash can.
h h h h h h h h h
3. Playing with other children, laughing, and conversing with adults.
h h h h h h h h
4. Playing with a cam pfire, w atching television, and seeking adult attention. AN
h h h h h h h h h h
S: 2 h
9. A teenager diagnosed with borderline personality disorder should hav e dis
h h h h h h h h h
charge planning instructions of: h h h
1. A consistent caregiver.
h h
2. Monitoring of m edia, such as the Internet, television, and video games. h h h h h h h h h h
3. Obtaining support from family and friends. h h h h h
4. Seeking m edical attention when the teenager feels good. AN h h h h h h h h
S: 3 h
10. A mental health nurse is teaching the mother of a child with executive func
h h h h h h h h h h h h h
tioning issues w ays to help h h h h
her child. Interventions the mother should use include:
h h h h h h h
1. Placing visual aids on the bathroom mirror so that the child will follow the mor
h h h h h h h h h h h h h h
ning routine. h
2. Give the child a choice in foods to eat. h h h h h h h h
3. Allowing the child to ask for help when needed. h h h h h h h h
4. Reminding the child to be nice to others. A h h h h h h h h
NS: 1 h
.
11. Ellie, a 9-year- h h
old girl, w as adopted by a family at the age of 4 after several years of severe neglect
h h h h h h h h h h h h h h h h h h
by her birth family. The adoptive family hasbeen reporting that Ellie is angry a lot,
h h h h h h h h h h h h h h h
manipulativ e with her h h
teachers, and does not seek positive attention. The nurse w orking with EllieIwill need t
h h h h h h h h h h h h h
o:
1. Provide education on decreasing stim uli in the home environment that tri
h h h h h h h h h h
ggers the anger. h h
2. Realize Ellie m ay have attachment issues related to her previous history and
h h h h h h h h h h h
will need to encourage the
h h h h h
family to be active in her care. h h h h h h
3. Support the family in the decision- h h h h h
making process of continuing to let Ellie live in the home.
h h h h h h h h h h
4. Discuss inpatient therapy to decrease Ellies m anipulativ e behavior pat
h h h h h h h h
terns.
ANS:2 h
, 13. A father reports that his adolescent daughter has gotten good grades up until
h h h h h h h h h h h h
the last quarter of school.
h h h h h
She has been hanging out by herself and does not w ant to talk to himanymore.
h h h h h h h h h h h h h h
The mental health nurse should
h h h h
:
1. Realize that this is a natural part of growing up. h h h h h h h h h
2. Perform a mental health screening to check for depression. h h h h h h h h
3. Attempt to get the adolescent to discuss w hy she does not like her father any
h h h h h h h h h h h h h h
more.
4. Let the adolescent talk when she is ready. A
h h h h h h h h
NS: 2 h
14. Ateenshouldbe check ed f or depr essio n at h h physician visit(s). h
1. Every
.
2. One
3. Monthly
4. Bi-yearly
ANS: 1 h
15. Whenusing the SAD FACES depression screen, it i s important to assess:
h h h h h h h h h h h
1. Anhedonia.
2. Suicidal ideations. h
3. Sleep patterns. h
4. Allof the above h h h h
ANS: 4 h
16. A school nurse is giving an in-
h h h h h h
service to teachers on bullycide. The m ain reason for the teaching is so
h h h h h h h h h h h h
that:
1. Teachers are aware bullying occurs. h h h h
2. Teachers are able to identify students who are risk. h h h h h h h h
3. Teachers can be aw are of the fact that suicides can happen due to bullying by oth h h h h h h h h h h h h h h
hers.
4. Teachers are aware of their role in causing bullycide. AN h h h h h h h h h
S: 3 h
17. An adolescent with a know n history of bipolar disorder is in the schoolnurses offi
h h h h h h h h h h h h h
ce because a teacher
h h h
reported that she w as talking fast and acting like she w as God. The schoolnurse assesse
h h h h h h h h h h h h h h
s the girl and notes
h h h h
that:
1. She is probably in a m anic phase and needs to be treated professionally.
h h h h h h h h h h h h
2. She has had too m uch sleep and is now hyperactive.
h h h h h h h h h
3. She forgot to take her medications today.
h h h h h h
4. Sherequires som efoodandrest b eforegoing backtoclass. AN
h h h h h
S:1 h
Chapter 3. Genetics a nd Child Health Questi h h h h h h
ons
h h h h h h h
Chapter 1: Health Status of Children: Global and National Perspectives
h h h h h h h h h
1. Which region globally has the highest infant mortality rate?
h h h h h h h h
A. Indonesia
B. Southern Asia h
C. SubSaharan Africa Correct h h
D. Syria
2. The primary care pediatric nurse practitioner understands that, to achieve the
h h h h h h h h h h
greatest worldwide h
reduction in child mortality from pneumonia and diarrhea, w hich interventionis most e
h h h h h h h h h h h
ffective?
A. Antibiotics
B. Optimal nutrition h
C. Vaccinations Correct h
D. Waterpurification h
3. Which is true about the health status of children in the United States?
h h h h h h h h h h h h
.
133484 13856
A. Globalism has relatively little impact on child health measures in the U.S.
h h h h h h h h h h h
B. Obesity rates among 2to5yearolds have shown a recent sih h h h h h h h
gnificant
decrease. Correct h
.
C. The rate of household poverty is low er than in other economically dev
h h h h h h h h h h h
eloped nations.
h
D. Young children who attend preschool or day care have higher food ins
h h h h h h h h h h h
ecurity.
4. The primary care pediatric nurse practitioner understands that a major chi
h h h h h h h h h h
ld
health outcome associated with worldwide clim ate change is
h h h h h h h
A. cost of living.
h h
B. education.
C. nutrition. Correct h
D. pollution.
5. When providing well child care for an infant in the first year of life, the prim
h h h h h h h h h h h h h h h
ary
care pediatric nurse practitioner is adhering to the most recent American Academ
h h h h h h h h h h h
y of
h
PediatricsRecom mendations for Preventive Pediatric Health Care guidelines by h h h h h h h
A. focusing less on development and more on illness prev ention and nutr
h h h h h h h h h h
ition.
B. following guidelines established by theBright Futures publication.
h h h h h h
C. scheduling wellbaby visits to coincide with key developmental m h h h h h h h h
ilestones. Correct h
D. seeing the infant at ages 2, 4, 6, and 12 months when im munizations are due.
h h h h h h h h h h h h h h
Chapter 2. Unique I ssues in Pediatrics h h h h h
1. A nurse is explaining the therapeutic milieu to a new nurse. The best expl
h h h h h h h h h h h h h
anation of this term would be:
h h h h h
,2. Grouptherapy. h
3. Personal interactions between patients and staff. h h h h h
4. All of the above are correct. A
h h h h h h
NS: 4 h
2. A 16-year-old male has received a pink-
h h h h h h
slip from the police for inpatient psychiatric treatment. The teen
h h h h h h h h h
has been expressing thoughts of hanging himself because Life sucks. Thenursing staff s
h h h h h h h h h h h h
hould consider h
placing the child: h h
1. With peers. h
2. Inan area w here he can be w atched one-on-one.
h h h h h h h h
3. Witha roomm ate thatisexpressing the sameconcerns.
h h h h
4. Inan area close to an external door. A
h h h h h h h h
NS: 2 h
3. Learning disabilities in children have scientifically been linked to:
h h h h h h h h
1. Poornutrition.
2. The environment in which the child lives.
h h h h h h
3. Genetics.
4. Watching more than four hours of television a day. AN h h h h h h h h h
S: 3
h
4. A mental health nurse has assessed a child and determined that the child exhibits b
h h h h h h h h h h h h h h h
ehavioral challenges. h
Whenthe school nurse explains this to a teacher, the best description wouldbe:
h h h h h h h h h h h h
.
1. The child may exhibit physical outbursts.
h h h h h
2. The child may exhibit violence toward others.
h h h h h h
3. The child m ay be defiant or have tantrum s.
h h h h h h h
4. The child will need special interventions for learning. AN
h h h h h h h h
S: 3
h
5. A child that has not exhibited enuresis in four years has exhibited this beh
h h h h h h h h h h h h h
avior pattern for the last week.
h h h h h
The reason a child m ay revert back to this behavior pattern is because of:
h h h h h h h h h h h h h
1. Hallucinations.
2. Behavioral challenges. h
3. Delusions.
4. Stress.
ANS: 4 h
6. An18-year- h
old male has called the crisis line for help. The crisis nurse recognizes the int
h h h h h h h h h h h h h h
ervention needs h
may consist of all of the following except:
h h h h h h h
1. Discussing the individuals everyday activities. h h h h
2. Recognizing that the patient m ay be in a catharsis state. h h h h h h h h h
3. Expressing empathy tow ard the caller. h h h h
4. Avoiding entropy. h
ANS: 1 h
,2. He states, I will be a good boy now.
h h h h h h h h
.
3. He starts headbutting the window.
h h h h
4. He complains that his parents will file a lawsuit. ANS
h h h h h h h h h
:3 h
8. A child has been exhibiting the M acDonald Triad. These behaviors include:
h h h h h h h h h h
1. Enuresis, pushing o thers, and pyromania. h h h h
2. Swinging a cat by the tail, bed- h h h h h h
wetting, and lighting paper on fire in the trash can.
h h h h h h h h h
3. Playing with other children, laughing, and conversing with adults.
h h h h h h h h
4. Playing with a cam pfire, w atching television, and seeking adult attention. AN
h h h h h h h h h h
S: 2 h
9. A teenager diagnosed with borderline personality disorder should hav e dis
h h h h h h h h h
charge planning instructions of: h h h
1. A consistent caregiver.
h h
2. Monitoring of m edia, such as the Internet, television, and video games. h h h h h h h h h h
3. Obtaining support from family and friends. h h h h h
4. Seeking m edical attention when the teenager feels good. AN h h h h h h h h
S: 3 h
10. A mental health nurse is teaching the mother of a child with executive func
h h h h h h h h h h h h h
tioning issues w ays to help h h h h
her child. Interventions the mother should use include:
h h h h h h h
1. Placing visual aids on the bathroom mirror so that the child will follow the mor
h h h h h h h h h h h h h h
ning routine. h
2. Give the child a choice in foods to eat. h h h h h h h h
3. Allowing the child to ask for help when needed. h h h h h h h h
4. Reminding the child to be nice to others. A h h h h h h h h
NS: 1 h
.
11. Ellie, a 9-year- h h
old girl, w as adopted by a family at the age of 4 after several years of severe neglect
h h h h h h h h h h h h h h h h h h
by her birth family. The adoptive family hasbeen reporting that Ellie is angry a lot,
h h h h h h h h h h h h h h h
manipulativ e with her h h
teachers, and does not seek positive attention. The nurse w orking with EllieIwill need t
h h h h h h h h h h h h h
o:
1. Provide education on decreasing stim uli in the home environment that tri
h h h h h h h h h h
ggers the anger. h h
2. Realize Ellie m ay have attachment issues related to her previous history and
h h h h h h h h h h h
will need to encourage the
h h h h h
family to be active in her care. h h h h h h
3. Support the family in the decision- h h h h h
making process of continuing to let Ellie live in the home.
h h h h h h h h h h
4. Discuss inpatient therapy to decrease Ellies m anipulativ e behavior pat
h h h h h h h h
terns.
ANS:2 h
, 13. A father reports that his adolescent daughter has gotten good grades up until
h h h h h h h h h h h h
the last quarter of school.
h h h h h
She has been hanging out by herself and does not w ant to talk to himanymore.
h h h h h h h h h h h h h h
The mental health nurse should
h h h h
:
1. Realize that this is a natural part of growing up. h h h h h h h h h
2. Perform a mental health screening to check for depression. h h h h h h h h
3. Attempt to get the adolescent to discuss w hy she does not like her father any
h h h h h h h h h h h h h h
more.
4. Let the adolescent talk when she is ready. A
h h h h h h h h
NS: 2 h
14. Ateenshouldbe check ed f or depr essio n at h h physician visit(s). h
1. Every
.
2. One
3. Monthly
4. Bi-yearly
ANS: 1 h
15. Whenusing the SAD FACES depression screen, it i s important to assess:
h h h h h h h h h h h
1. Anhedonia.
2. Suicidal ideations. h
3. Sleep patterns. h
4. Allof the above h h h h
ANS: 4 h
16. A school nurse is giving an in-
h h h h h h
service to teachers on bullycide. The m ain reason for the teaching is so
h h h h h h h h h h h h
that:
1. Teachers are aware bullying occurs. h h h h
2. Teachers are able to identify students who are risk. h h h h h h h h
3. Teachers can be aw are of the fact that suicides can happen due to bullying by oth h h h h h h h h h h h h h h
hers.
4. Teachers are aware of their role in causing bullycide. AN h h h h h h h h h
S: 3 h
17. An adolescent with a know n history of bipolar disorder is in the schoolnurses offi
h h h h h h h h h h h h h
ce because a teacher
h h h
reported that she w as talking fast and acting like she w as God. The schoolnurse assesse
h h h h h h h h h h h h h h
s the girl and notes
h h h h
that:
1. She is probably in a m anic phase and needs to be treated professionally.
h h h h h h h h h h h h
2. She has had too m uch sleep and is now hyperactive.
h h h h h h h h h
3. She forgot to take her medications today.
h h h h h h
4. Sherequires som efoodandrest b eforegoing backtoclass. AN
h h h h h
S:1 h
Chapter 3. Genetics a nd Child Health Questi h h h h h h
ons
