,Burns'.Pediatric.Primary.Care.7th.Edition.Test.Bank
Chapter.1:.Health.Status.of.Children:.Global.and.NationalPerspectives
1. Which.region. globally.has. the.highest.infant. mortality. rate?
A. Indonesia
B. Southern.Asia
C. Sub-Saharan.Africa.Correct
D. Syria
2. The.primary.care.pediatric.nurse.practitioner.understands.that,.to.achievethe.gre
atest.worldwide
reduction.in.child.mortality.from.pneumonia.and.diarrhea,.which.interventionis.most.ef
fective?
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.si
gnificant
decrease..Correct
.
C. The.rate.of.household.poverty.is.lower.than.in.other.economically.dev
eloped.nations.
D. Young.children.who.attend.preschool.or.day.care.have.higher.food.ins
ecurity.
4. The.primary.care.pediatric.nurse.practitioner.understands.that.a.majorchild.he
alth.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.pe
diatric.nurse.practitioner.is.adhering.to.the.most.recent.AmericanAcademy.of.Pediatrics
Recommendations.for.Preventive.Pediatric.Health.Care.guidelinesby
A. focusing.less.on.development.and.more.on.illness.prevention.and.nutr
ition.
B. following.guidelines.established.by.theBright.Futures.publication.
C. scheduling.wellbaby.visits.to.coincide.with.key.developmental.m
ilestones..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.expl
anation.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.shou
ld.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..A
NS:.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.ch
allenges.
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.patt
ern.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-
, 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.pla
nning.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.issu
es.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.routi
ne.
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..A
NS:.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.b
irth.family..The.adoptive.family.hasbeen.reporting.that.Ellie.is.angry.a.lot,.manipulative.wi
th.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.nee
d.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.pat
terns.
ANS:.2
12. An.infant. displays.depression. by:
1. Smiling. at. strangers.
2. Bonding.to.someone.other.than.the.immediate. family.
Chapter.1:.Health.Status.of.Children:.Global.and.NationalPerspectives
1. Which.region. globally.has. the.highest.infant. mortality. rate?
A. Indonesia
B. Southern.Asia
C. Sub-Saharan.Africa.Correct
D. Syria
2. The.primary.care.pediatric.nurse.practitioner.understands.that,.to.achievethe.gre
atest.worldwide
reduction.in.child.mortality.from.pneumonia.and.diarrhea,.which.interventionis.most.ef
fective?
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.si
gnificant
decrease..Correct
.
C. The.rate.of.household.poverty.is.lower.than.in.other.economically.dev
eloped.nations.
D. Young.children.who.attend.preschool.or.day.care.have.higher.food.ins
ecurity.
4. The.primary.care.pediatric.nurse.practitioner.understands.that.a.majorchild.he
alth.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.pe
diatric.nurse.practitioner.is.adhering.to.the.most.recent.AmericanAcademy.of.Pediatrics
Recommendations.for.Preventive.Pediatric.Health.Care.guidelinesby
A. focusing.less.on.development.and.more.on.illness.prevention.and.nutr
ition.
B. following.guidelines.established.by.theBright.Futures.publication.
C. scheduling.wellbaby.visits.to.coincide.with.key.developmental.m
ilestones..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.expl
anation.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.shou
ld.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..A
NS:.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.ch
allenges.
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.patt
ern.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-
, 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.pla
nning.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.issu
es.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.routi
ne.
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..A
NS:.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.b
irth.family..The.adoptive.family.hasbeen.reporting.that.Ellie.is.angry.a.lot,.manipulative.wi
th.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.nee
d.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.pat
terns.
ANS:.2
12. An.infant. displays.depression. by:
1. Smiling. at. strangers.
2. Bonding.to.someone.other.than.the.immediate. family.
