1
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 achieve
the
greatest worldwide
reduction in child mortality from pneumonia and diarrhea, which intervention
is
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 major
child
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, the
primary
care pediatric nurse practitioner is adhering to the most recent American
Academy of
PediatricsRecommendations 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 are
due.
, 2
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 inpatient
psychiatric treatment. The teen
has been expressing thoughts of hanging himself because Life sucks. The
nursing 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 child
exhibits behavioral challenges.
When the school nurse explains this to a teacher, the best description would
be:
.
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 this
behavior 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 nurse
recognizes 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
, 3
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 the
trash 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 have
discharge 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 executive
functioning 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 the
morning 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 has
been reporting that Ellie is angry a lot, manipulative with her
teachers, and does not seek positive attention. The nurse working with Ellie
will need to:
1. Provide education on decreasing stimuli in the home environment that
triggers the anger.
2. Realize Ellie may have attachment issues related to her previous history
and 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 Ellie
live in the home.
4. Discuss inpatient therapy to decrease Ellies manipulative behavior
patterns.
ANS: 2
, 4
13. A father reports that his adolescent daughter has gotten good grades up
until the last quarter of school.
She has been hanging out by herself and does not want to talk to him
anymore. The mental health nurse
should:
1. Realize that this is a natural part of growing up.
2. Perform a mental health screening to check for depression.
3. Attempt to get the adolescent to discuss why she does not like her father
anymore.
4. Let the adolescent talk when she is ready.
ANS: 2
14. A teen should be checked for depression at physician visit(s).
1. Every
.
2. One
3. Monthly
4. Bi-yearly
ANS: 1
15. When using the SAD FACES depression screen, it is important to assess:
1. Anhedonia.
2. Suicidal ideations.
3. Sleep patterns.
4. All of the above
ANS: 4
16. A school nurse is giving an in-service to teachers on bullycide. The main
reason for the teaching is so
that:
1. Teachers are aware bullying occurs.
2. Teachers are able to identify students who are risk.
3. Teachers can be aware of the fact that suicides can happen due to bullying
by others.
4. Teachers are aware of their role in causing bullycide.
ANS: 3
17. An adolescent with a known history of bipolar disorder is in the school
nurses office because a teacher
reported that she was talking fast and acting like she was God. The school
nurse assesses the girl and notes
that:
1. She is probably in a manic phase and needs to be treated professionally.
2. She has had too much sleep and is now hyperactive.
3. She forgot to take her medications today.
4. She requires some food and rest before going back to class.
ANS: 1
Chapter 3. Genetics and Child
lt lt lt lt
HealthQuestions
lt tl
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 achieve
the
greatest worldwide
reduction in child mortality from pneumonia and diarrhea, which intervention
is
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 major
child
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, the
primary
care pediatric nurse practitioner is adhering to the most recent American
Academy of
PediatricsRecommendations 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 are
due.
, 2
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 inpatient
psychiatric treatment. The teen
has been expressing thoughts of hanging himself because Life sucks. The
nursing 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 child
exhibits behavioral challenges.
When the school nurse explains this to a teacher, the best description would
be:
.
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 this
behavior 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 nurse
recognizes 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
, 3
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 the
trash 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 have
discharge 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 executive
functioning 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 the
morning 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 has
been reporting that Ellie is angry a lot, manipulative with her
teachers, and does not seek positive attention. The nurse working with Ellie
will need to:
1. Provide education on decreasing stimuli in the home environment that
triggers the anger.
2. Realize Ellie may have attachment issues related to her previous history
and 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 Ellie
live in the home.
4. Discuss inpatient therapy to decrease Ellies manipulative behavior
patterns.
ANS: 2
, 4
13. A father reports that his adolescent daughter has gotten good grades up
until the last quarter of school.
She has been hanging out by herself and does not want to talk to him
anymore. The mental health nurse
should:
1. Realize that this is a natural part of growing up.
2. Perform a mental health screening to check for depression.
3. Attempt to get the adolescent to discuss why she does not like her father
anymore.
4. Let the adolescent talk when she is ready.
ANS: 2
14. A teen should be checked for depression at physician visit(s).
1. Every
.
2. One
3. Monthly
4. Bi-yearly
ANS: 1
15. When using the SAD FACES depression screen, it is important to assess:
1. Anhedonia.
2. Suicidal ideations.
3. Sleep patterns.
4. All of the above
ANS: 4
16. A school nurse is giving an in-service to teachers on bullycide. The main
reason for the teaching is so
that:
1. Teachers are aware bullying occurs.
2. Teachers are able to identify students who are risk.
3. Teachers can be aware of the fact that suicides can happen due to bullying
by others.
4. Teachers are aware of their role in causing bullycide.
ANS: 3
17. An adolescent with a known history of bipolar disorder is in the school
nurses office because a teacher
reported that she was talking fast and acting like she was God. The school
nurse assesses the girl and notes
that:
1. She is probably in a manic phase and needs to be treated professionally.
2. She has had too much sleep and is now hyperactive.
3. She forgot to take her medications today.
4. She requires some food and rest before going back to class.
ANS: 1
Chapter 3. Genetics and Child
lt lt lt lt
HealthQuestions
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