Test Bank for Burns' Pediatric
r r r r r
Primary Care 8th Edition by Dawn
r r r r r
rLee Garzon, Mary Dirks, Martha
r r r r
,Burns'PediatricPrimaryCare8thEditionTestBank r r r r r r r
Chapter 1: Health Status of Children: Global and NationalPerspectives
r r r r r r r r
1. Which region globally has the highest infant mortality rate?
r r r r r r r r
A. Indonesia
B. Southern Asia r
C. SubSaharan Africa Correct r r
D. Syria
2. The primary care pediatric nurse practitioner understands that, to achievethe
r r r r r r r r r
greatest worldwide
r r
reduction in child mortality from pneumonia and diarrhea, which interventionis
r r r r r r r r r
most effective?
r r
A. Antibiotics
B. Optimalnutrition
C. Vaccinations Correct r
D. Waterpurification
3. Which is true about the health status of children in the United States?
r r r r r r r r r r r r
. 13348413856
r
A. Globalism has relatively little impact on child health measures in the U.S.
r r r r r r r r r r r
B. Obesity rates among 2to5yearolds have shown a recent r r r r r r r
significant
r
decrease. Correct r
.
C. The rate of household poverty is lower than in other economically
r r r r r r r r r r
developednations.
r r
D. Young children who attend preschool or day care have higher food
r r r r r r r r r r
insecurity.
r
4. The primary care pediatric nurse practitioner understands that a majorchild
r r r r r r r r r
health outcome associated with worldwide climate change is
r r r r r r r r
A. cost of living. r r
B. education.
C. nutrition. Correct r
D. pollution.
5. Whenprovidingwell childcarefor aninfant in the first year of life, theprimary r r r r r r r r r
care pediatric nurse practitioner is adhering to the most recent AmericanAcademy of
r r r r r r r r r r r
Pediatrics Recommendations for Preventive Pediatric Health Care guidelinesby
r r r r r r r r
A. focusing less on development and more on illness prevention
r r r r r r r r
randnutrition.
r
B. following guidelines established by theBright Futures publication.
r r r r r r
C. scheduling wellbaby visits to coincide with key developmental r r r r r r r
milestones. Correct
r r
D. seeing the infant at ages 2, 4, 6, and 12 months when immunizations are due.
r r r r r r r r r r r r r r
Chapter 2. Unique Issues in Pediatrics r r r r r
1. A nurse is explaining the therapeutic milieu to a new nurse. The best
r r r r r r r r r r r r
explanation of this term wouldbe:
r r r r r r
1. The place where the child is receiving care.
r r r r r r r
,2. Grouptherapy.
3. Personal interactions between patients and staff. r r r r r
4. Alloftheabovearecorrect.ANS:
4
2. A 16-year-old male has received a pink-slip from the police for inpatientpsychiatric
r r r r r r r r r r r r
treatment.The teen
r r r
hasbeenexpressingthoughtsofhanginghimselfbecauseLifesucks.Thenursing staff r
should consider
r r
placingthechild:
1. Withpeers.
2. In an area where he can be watched one-on-one.
r r r r r r r r
3. Witharoommatethatisexpressingthesameconcerns.
4. In an area close to an external door.ANS:
r r r r r r r
2
3.Learning disabilities inchildren have scientifically been linked to:
r r r r r r r r r
1. Poornutrition.
2. The environment in which the child lives.
r r r r r r
3. Genetics.
4. Watching more than four hours of television a r r r r r r r
day.ANS:3
r r r
4. A mental health nurse has assessed a child and determined that the childexhibits
r r r r r r r r r r r r r
behavioral challenges.
r r
When the school nurse explains this to a teacher, the best description wouldbe:
r r r r r r r r r r r r
1. The child may exhibit physical outbursts.
r r r r r
2. The child may exhibit violence toward others.
r r r r r r
3. The child may be defiant or have tantrums.
r r r r r r r
4. Thechild will need special interventions for learning.ANS: 3 r r r r r r r
5. A child that has not exhibited enuresis in four years has exhibited thisbehavior
r r r r r r r r r r r r
patternfor the last week.
r r r r r
The reason a child may revert back to this behavior pattern is because of:
r r r r r r r r r r r r r
1. Hallucinations.
2. Behavioral challenges. r
3. Delusions.
4. Stress.
ANS: 4
r r
6. An 18-year-old male has called the crisis line for help. The crisis nurserecognizes the
r r r r r r r r r r r r r r
intervention needs
r r
mayconsist of allof the following except:
r r r r r r r
1. Discussing the individuals everyday activities. r r r r
2. Recognizing that the patient may be in a catharsis state. r r r r r r r r r
3. Expressing empathy toward the caller. r r r r
4. Avoidingentropy.
ANS:1
r r
7. An 8-year-old boy with a history of hallucinations and violent behavior hasbeenplacein
r r r r r r r r r r r r r r
a seclusion room
r r r
at the hospital because he has been hurting others. The nurse checks on thepatient
r r r r r r r r r r r r r
and realizes she must take
r r r r r
, 2. He states, I will be a good boy now.
r r r r r r r r
.
3. He starts headbutting the window.
r r r r
4. He complains that his parents will file a lawsuit.ANS: 3
r r r r r r r r r
8. A child has been exhibiting the MacDonald Triad. These behaviors include:
r r r r r r r r r r r
1. Enuresis,pushingothers,andpyromania.
2. Swinging a cat by the tail, bed-wetting, and lighting paper on fire in thetrash can.
r r r r r r r r r r r r r r
3. Playing with other children, laughing, and conversing with adults.
r r r r r r r r
4. Playing with a campfire, watching television, and seeking adult attention.ANS: 2
r r r r r r r r r r
9. A teenager diagnosed with borderline personality disorder should havedischarge
r r r r r r r r r
planning instructions of:
r r r
1. A consistent caregiver.
r r
2. Monitoring of media, such as the Internet, television, and video games. r r r r r r r r r r
3. Obtaining support from family and friends. r r r r r
4. Seeking medical attention when the teenager feels good.ANS: 3 r r r r r r r r
10. A mental health nurse is teaching the mother of a child with executivefunctioning
r r r r r r r r r r r r r
issues ways to help
r r r r
her child. Interventions the mother should use include:
r r r r r r r
1. Placing visual aids on the bathroom mirror so that the child will follow
r r r r r r r r r r r r
rthemorningroutine. r
2. Give the child a choice in foods to eat. r r r r r r r r
3. Allowing the child to ask for help when needed. r r r r r r r r
4. Reminding the child to be nice to others.ANS: r r r r r r r
1
.
11. Ellie, a 9-year-old girl, was adopted by a family at the age of 4 after several years of
r r r r r r r r r r r r r r r r r r
severe neglect by her birth family. The adoptive family hasbeen reporting that Ellie is
r r r r r r r r r r r r r r
rangry a lot, manipulative with her
r r r r r
teachers, and does not seek positive attention. The nurse working with Elliewill need to:
r r r r r r r r r r r r r
1. Provide education on decreasing stimuli in the home environment thattriggers
r r r r r r r r r
theanger.
r r
2. Realize Ellie may have attachment issues related to her previous historyand
r r r r r r r r r r
rwillneed toencourage the
r r r r
family to be active in her care.r r r r r r
3. Support the family in the decision-making process of continuing to let Ellielive in the
r r r r r r r r r r r r r
home.
r
4. Discuss inpatient therapy to decrease Ellies manipulative r r r r r r
rbehaviorpatterns. r
ANS:2
12. An infant displays depression by:
r r r r r
1. Smiling at strangers. r r
2. Bonding to someone other than the immediate family. r r r r r r r
r r r r r
Primary Care 8th Edition by Dawn
r r r r r
rLee Garzon, Mary Dirks, Martha
r r r r
,Burns'PediatricPrimaryCare8thEditionTestBank r r r r r r r
Chapter 1: Health Status of Children: Global and NationalPerspectives
r r r r r r r r
1. Which region globally has the highest infant mortality rate?
r r r r r r r r
A. Indonesia
B. Southern Asia r
C. SubSaharan Africa Correct r r
D. Syria
2. The primary care pediatric nurse practitioner understands that, to achievethe
r r r r r r r r r
greatest worldwide
r r
reduction in child mortality from pneumonia and diarrhea, which interventionis
r r r r r r r r r
most effective?
r r
A. Antibiotics
B. Optimalnutrition
C. Vaccinations Correct r
D. Waterpurification
3. Which is true about the health status of children in the United States?
r r r r r r r r r r r r
. 13348413856
r
A. Globalism has relatively little impact on child health measures in the U.S.
r r r r r r r r r r r
B. Obesity rates among 2to5yearolds have shown a recent r r r r r r r
significant
r
decrease. Correct r
.
C. The rate of household poverty is lower than in other economically
r r r r r r r r r r
developednations.
r r
D. Young children who attend preschool or day care have higher food
r r r r r r r r r r
insecurity.
r
4. The primary care pediatric nurse practitioner understands that a majorchild
r r r r r r r r r
health outcome associated with worldwide climate change is
r r r r r r r r
A. cost of living. r r
B. education.
C. nutrition. Correct r
D. pollution.
5. Whenprovidingwell childcarefor aninfant in the first year of life, theprimary r r r r r r r r r
care pediatric nurse practitioner is adhering to the most recent AmericanAcademy of
r r r r r r r r r r r
Pediatrics Recommendations for Preventive Pediatric Health Care guidelinesby
r r r r r r r r
A. focusing less on development and more on illness prevention
r r r r r r r r
randnutrition.
r
B. following guidelines established by theBright Futures publication.
r r r r r r
C. scheduling wellbaby visits to coincide with key developmental r r r r r r r
milestones. Correct
r r
D. seeing the infant at ages 2, 4, 6, and 12 months when immunizations are due.
r r r r r r r r r r r r r r
Chapter 2. Unique Issues in Pediatrics r r r r r
1. A nurse is explaining the therapeutic milieu to a new nurse. The best
r r r r r r r r r r r r
explanation of this term wouldbe:
r r r r r r
1. The place where the child is receiving care.
r r r r r r r
,2. Grouptherapy.
3. Personal interactions between patients and staff. r r r r r
4. Alloftheabovearecorrect.ANS:
4
2. A 16-year-old male has received a pink-slip from the police for inpatientpsychiatric
r r r r r r r r r r r r
treatment.The teen
r r r
hasbeenexpressingthoughtsofhanginghimselfbecauseLifesucks.Thenursing staff r
should consider
r r
placingthechild:
1. Withpeers.
2. In an area where he can be watched one-on-one.
r r r r r r r r
3. Witharoommatethatisexpressingthesameconcerns.
4. In an area close to an external door.ANS:
r r r r r r r
2
3.Learning disabilities inchildren have scientifically been linked to:
r r r r r r r r r
1. Poornutrition.
2. The environment in which the child lives.
r r r r r r
3. Genetics.
4. Watching more than four hours of television a r r r r r r r
day.ANS:3
r r r
4. A mental health nurse has assessed a child and determined that the childexhibits
r r r r r r r r r r r r r
behavioral challenges.
r r
When the school nurse explains this to a teacher, the best description wouldbe:
r r r r r r r r r r r r
1. The child may exhibit physical outbursts.
r r r r r
2. The child may exhibit violence toward others.
r r r r r r
3. The child may be defiant or have tantrums.
r r r r r r r
4. Thechild will need special interventions for learning.ANS: 3 r r r r r r r
5. A child that has not exhibited enuresis in four years has exhibited thisbehavior
r r r r r r r r r r r r
patternfor the last week.
r r r r r
The reason a child may revert back to this behavior pattern is because of:
r r r r r r r r r r r r r
1. Hallucinations.
2. Behavioral challenges. r
3. Delusions.
4. Stress.
ANS: 4
r r
6. An 18-year-old male has called the crisis line for help. The crisis nurserecognizes the
r r r r r r r r r r r r r r
intervention needs
r r
mayconsist of allof the following except:
r r r r r r r
1. Discussing the individuals everyday activities. r r r r
2. Recognizing that the patient may be in a catharsis state. r r r r r r r r r
3. Expressing empathy toward the caller. r r r r
4. Avoidingentropy.
ANS:1
r r
7. An 8-year-old boy with a history of hallucinations and violent behavior hasbeenplacein
r r r r r r r r r r r r r r
a seclusion room
r r r
at the hospital because he has been hurting others. The nurse checks on thepatient
r r r r r r r r r r r r r
and realizes she must take
r r r r r
, 2. He states, I will be a good boy now.
r r r r r r r r
.
3. He starts headbutting the window.
r r r r
4. He complains that his parents will file a lawsuit.ANS: 3
r r r r r r r r r
8. A child has been exhibiting the MacDonald Triad. These behaviors include:
r r r r r r r r r r r
1. Enuresis,pushingothers,andpyromania.
2. Swinging a cat by the tail, bed-wetting, and lighting paper on fire in thetrash can.
r r r r r r r r r r r r r r
3. Playing with other children, laughing, and conversing with adults.
r r r r r r r r
4. Playing with a campfire, watching television, and seeking adult attention.ANS: 2
r r r r r r r r r r
9. A teenager diagnosed with borderline personality disorder should havedischarge
r r r r r r r r r
planning instructions of:
r r r
1. A consistent caregiver.
r r
2. Monitoring of media, such as the Internet, television, and video games. r r r r r r r r r r
3. Obtaining support from family and friends. r r r r r
4. Seeking medical attention when the teenager feels good.ANS: 3 r r r r r r r r
10. A mental health nurse is teaching the mother of a child with executivefunctioning
r r r r r r r r r r r r r
issues ways to help
r r r r
her child. Interventions the mother should use include:
r r r r r r r
1. Placing visual aids on the bathroom mirror so that the child will follow
r r r r r r r r r r r r
rthemorningroutine. r
2. Give the child a choice in foods to eat. r r r r r r r r
3. Allowing the child to ask for help when needed. r r r r r r r r
4. Reminding the child to be nice to others.ANS: r r r r r r r
1
.
11. Ellie, a 9-year-old girl, was adopted by a family at the age of 4 after several years of
r r r r r r r r r r r r r r r r r r
severe neglect by her birth family. The adoptive family hasbeen reporting that Ellie is
r r r r r r r r r r r r r r
rangry a lot, manipulative with her
r r r r r
teachers, and does not seek positive attention. The nurse working with Elliewill need to:
r r r r r r r r r r r r r
1. Provide education on decreasing stimuli in the home environment thattriggers
r r r r r r r r r
theanger.
r r
2. Realize Ellie may have attachment issues related to her previous historyand
r r r r r r r r r r
rwillneed toencourage the
r r r r
family to be active in her care.r r r r r r
3. Support the family in the decision-making process of continuing to let Ellielive in the
r r r r r r r r r r r r r
home.
r
4. Discuss inpatient therapy to decrease Ellies manipulative r r r r r r
rbehaviorpatterns. r
ANS:2
12. An infant displays depression by:
r r r r r
1. Smiling at strangers. r r
2. Bonding to someone other than the immediate family. r r r r r r r
