TEST BANK FOR BURNS' PEDIATRIC
PRIMARY CARE 8TH EDITION BY GARZON, DIRKS,
DRIESSNACK, DUDERSTADT, AND GAYLORD ALL
CHAPTERS 1-46
,BURNS' PEDIATRIC PRIMARY CARE TEST BANK
Chapter 1: Health Status of Children: Global and National Perspectives ............................................... 2
Chapter 2. Unique Issues in Pediatrics .................................................................................................... 2
Chapter 3. Genetics and Child Health Questions .................................................................................... 4
Contents
Chapter 4. Environmental Issues Questions ........................................................................................... 6
Chapter 5. Child and Family Health Assessment Questions ................................................................... 7
Chapter 6. Cultural Considerations for Pediatric Primary Care Questions ............................................. 9
Chapter 7. Children with Special Health Care Needs ............................................................................ 10
Chapter 8. Developmental Management in Pediatric Primary Care Questions .................................. 13
Chapter 9. Developmental Management of Newborns Multiple Choice ............................................. 15
Chapter 10. Developmental Management of Infants Questions.......................................................... 16
Chapter 11. Developmental Management of Early Childhood Questions .......................................... 18
Chapter 12. Developmental Management of Middle Childhood Questions ........................................ 20
Chapter 13. Developmental Management of Adolescents/Young Adults Questions ......................... 22
Chapter 14. Introduction to Health Promotion Health Protection for Children & Families ................ 24
Chapter 15. Behavioral and Mental Health Promotion Questions ....................................................... 26
Chapter 16. Breastfeeding Questions ................................................................................................... 28
Chapter 17. Nutrition Questions ........................................................................................................... 30
Chapter 18. Elimination Questions ....................................................................................................... 31
Chapter 19. Physical Activity and Sports Questions ............................................................................. 34
Chapter 20. Sleep Questions ................................................................................................................. 37
Chapter 21. Sexuality Section Questions .............................................................................................. 39
Chapter 22. Immunizations Questions ................................................................................................. 40
Chapter 23. Dental Health and Oral Disorders ..................................................................................... 46
Chapter 24. Intentional and Unintentional Injuries: Injury Prevention Child Maltreatment .............. 48
Chapter 25. Acute/Chronic Disease Management and Principles of Diagnostic Testing Questions .... 51
Chapter 26. Prescribing Medications in Pediatrics ............................................................................... 53
Chapter 27. Complementary and Integrative Health in Pediatrics Questions .................................... 55
Chapter 28. Pediatric Pain and Fever Management Questions............................................................ 56
Chapter 29. Perinatal Disorders Questions........................................................................................... 57
Chapter 30. Mental Health Disorders Questions .................................................................................. 59
Chapter 31. Infectious Diseases ............................................................................................................ 62
Chapter 32. Common Genetic Disorders .............................................................................................. 64
Chapter 33. Atopic, Rheumatic, and Immunodeficiency Disorders Questions ................................... 66
Chapter 34. Dermatologic Disorders Questions ................................................................................... 69
Chapter 35. Eye and Vision Disorders Questions.................................................................................. 74
Chapter 36. Ear and Hearing Disorders Questions ............................................................................... 76
Chapter 37. Respiratory Disorders Questions ...................................................................................... 79
Chapter 38. Cardiovascular Disorders Questions ................................................................................. 81
Chapter 39. Hematologic Disorders Questions..................................................................................... 84
Chapter 40. Gastrointestinal Disorders Questions ............................................................................... 87
Chapter 41. Genitourinary Disorders Questions .................................................................................. 89
Chapter 42. Gynecologic Disorders Questions ..................................................................................... 92
Chapter 43. Musculoskeletal Disorders Questions ............................................................................... 95
Chapter 44. Injuries and Toxic Exposures Questions ............................................................................ 96
Chapter 45. Endocrine and Metabolic Disorders Questions ................................................................ 98
Chapter 46. Neurologic Disorders Questions ..................................................................................... 100
, Chapter 1: Health Status of Children: Global and National Perspectives
1. 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. 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.
3 . Which is true about the health status of children in the United States?
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 . Which region globally has the highest infant mortality rate?
A. Indonesia
B. Southern Asia
C. SubSaharan Africa Correct
D. Syria
5. 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
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:
A. The place where the child is receiving care.
B. Group therapy.
C. Personal interactions between patients and staff.
D. All of the above are correct. ANS: D
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:
A. With peers.
B. In an area where he can be watched one-on-one.
C. With a roommate that is expressing the same concerns.
D. In an area close to an external door. ANS: B
3 . Learning disabilities in children have scientifically been linked to :
, A. Poor nutrition.
B. The environment in which the child lives.
C. Genetics.
D. Watching more than four hours of television a day. ANS: C
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:
A. Hallucinations.
B. Behavioral challenges.
C. Delusions.
D. Stress. ANS: D
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:
A. Discussing the individuals everyday activities.
B. Recognizing that the patient may be in a catharsis state.
C. Expressing empathy toward the caller.
D. Avoiding entropy. ANS: A
7. An 8-year-old boy with a history of hallucinations and violent behavior has been place in a seclusion
room at the hospital because he has been hurting others. The nurse checks on the patient and realizes
she must take him out of the seclusion room when:
A. He is crying to be released.
B. He states, I will be a good boy now.
C. He starts headbutting the window.
D. He complains that his parents will file a lawsuit. ANS: C
8 . A child has been exhibiting the MacDonald Triad. These behaviors include :
A. Enuresis, pushing others, and pyromania.
B. Swinging a cat by the tail, bed-wetting, and lighting paper on fire in the trash can.
C. Playing with other children, laughing, and conversing with adults.
D. Playing with a campfire, watching television, and seeking adult attention. ANS: B
9. A teenager diagnosed with borderline personality disorder should have discharge planning
instructions of:
A. A consistent caregiver.
B. Monitoring of media, such as the Internet, television, and video games.
C. Obtaining support from family and friends.
D. Seeking medical attention when the teenager feels good. ANS: C
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:
A. Placing visual aids on the bathroom mirror so that the child will follow the morning routine.
B. Give the child a choice in foods to eat.
C. Allowing the child to ask for help when needed.
D. Reminding the child to be nice to others. ANS: A
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:
A. Provide education on decreasing stimuli in the home environment that triggers the anger.
B. Realize Ellie may have attachment issues related to her previous history and will need to
encourage the family to be active in her care.
PRIMARY CARE 8TH EDITION BY GARZON, DIRKS,
DRIESSNACK, DUDERSTADT, AND GAYLORD ALL
CHAPTERS 1-46
,BURNS' PEDIATRIC PRIMARY CARE TEST BANK
Chapter 1: Health Status of Children: Global and National Perspectives ............................................... 2
Chapter 2. Unique Issues in Pediatrics .................................................................................................... 2
Chapter 3. Genetics and Child Health Questions .................................................................................... 4
Contents
Chapter 4. Environmental Issues Questions ........................................................................................... 6
Chapter 5. Child and Family Health Assessment Questions ................................................................... 7
Chapter 6. Cultural Considerations for Pediatric Primary Care Questions ............................................. 9
Chapter 7. Children with Special Health Care Needs ............................................................................ 10
Chapter 8. Developmental Management in Pediatric Primary Care Questions .................................. 13
Chapter 9. Developmental Management of Newborns Multiple Choice ............................................. 15
Chapter 10. Developmental Management of Infants Questions.......................................................... 16
Chapter 11. Developmental Management of Early Childhood Questions .......................................... 18
Chapter 12. Developmental Management of Middle Childhood Questions ........................................ 20
Chapter 13. Developmental Management of Adolescents/Young Adults Questions ......................... 22
Chapter 14. Introduction to Health Promotion Health Protection for Children & Families ................ 24
Chapter 15. Behavioral and Mental Health Promotion Questions ....................................................... 26
Chapter 16. Breastfeeding Questions ................................................................................................... 28
Chapter 17. Nutrition Questions ........................................................................................................... 30
Chapter 18. Elimination Questions ....................................................................................................... 31
Chapter 19. Physical Activity and Sports Questions ............................................................................. 34
Chapter 20. Sleep Questions ................................................................................................................. 37
Chapter 21. Sexuality Section Questions .............................................................................................. 39
Chapter 22. Immunizations Questions ................................................................................................. 40
Chapter 23. Dental Health and Oral Disorders ..................................................................................... 46
Chapter 24. Intentional and Unintentional Injuries: Injury Prevention Child Maltreatment .............. 48
Chapter 25. Acute/Chronic Disease Management and Principles of Diagnostic Testing Questions .... 51
Chapter 26. Prescribing Medications in Pediatrics ............................................................................... 53
Chapter 27. Complementary and Integrative Health in Pediatrics Questions .................................... 55
Chapter 28. Pediatric Pain and Fever Management Questions............................................................ 56
Chapter 29. Perinatal Disorders Questions........................................................................................... 57
Chapter 30. Mental Health Disorders Questions .................................................................................. 59
Chapter 31. Infectious Diseases ............................................................................................................ 62
Chapter 32. Common Genetic Disorders .............................................................................................. 64
Chapter 33. Atopic, Rheumatic, and Immunodeficiency Disorders Questions ................................... 66
Chapter 34. Dermatologic Disorders Questions ................................................................................... 69
Chapter 35. Eye and Vision Disorders Questions.................................................................................. 74
Chapter 36. Ear and Hearing Disorders Questions ............................................................................... 76
Chapter 37. Respiratory Disorders Questions ...................................................................................... 79
Chapter 38. Cardiovascular Disorders Questions ................................................................................. 81
Chapter 39. Hematologic Disorders Questions..................................................................................... 84
Chapter 40. Gastrointestinal Disorders Questions ............................................................................... 87
Chapter 41. Genitourinary Disorders Questions .................................................................................. 89
Chapter 42. Gynecologic Disorders Questions ..................................................................................... 92
Chapter 43. Musculoskeletal Disorders Questions ............................................................................... 95
Chapter 44. Injuries and Toxic Exposures Questions ............................................................................ 96
Chapter 45. Endocrine and Metabolic Disorders Questions ................................................................ 98
Chapter 46. Neurologic Disorders Questions ..................................................................................... 100
, Chapter 1: Health Status of Children: Global and National Perspectives
1. 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. 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.
3 . Which is true about the health status of children in the United States?
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 . Which region globally has the highest infant mortality rate?
A. Indonesia
B. Southern Asia
C. SubSaharan Africa Correct
D. Syria
5. 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
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:
A. The place where the child is receiving care.
B. Group therapy.
C. Personal interactions between patients and staff.
D. All of the above are correct. ANS: D
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:
A. With peers.
B. In an area where he can be watched one-on-one.
C. With a roommate that is expressing the same concerns.
D. In an area close to an external door. ANS: B
3 . Learning disabilities in children have scientifically been linked to :
, A. Poor nutrition.
B. The environment in which the child lives.
C. Genetics.
D. Watching more than four hours of television a day. ANS: C
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:
A. Hallucinations.
B. Behavioral challenges.
C. Delusions.
D. Stress. ANS: D
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:
A. Discussing the individuals everyday activities.
B. Recognizing that the patient may be in a catharsis state.
C. Expressing empathy toward the caller.
D. Avoiding entropy. ANS: A
7. An 8-year-old boy with a history of hallucinations and violent behavior has been place in a seclusion
room at the hospital because he has been hurting others. The nurse checks on the patient and realizes
she must take him out of the seclusion room when:
A. He is crying to be released.
B. He states, I will be a good boy now.
C. He starts headbutting the window.
D. He complains that his parents will file a lawsuit. ANS: C
8 . A child has been exhibiting the MacDonald Triad. These behaviors include :
A. Enuresis, pushing others, and pyromania.
B. Swinging a cat by the tail, bed-wetting, and lighting paper on fire in the trash can.
C. Playing with other children, laughing, and conversing with adults.
D. Playing with a campfire, watching television, and seeking adult attention. ANS: B
9. A teenager diagnosed with borderline personality disorder should have discharge planning
instructions of:
A. A consistent caregiver.
B. Monitoring of media, such as the Internet, television, and video games.
C. Obtaining support from family and friends.
D. Seeking medical attention when the teenager feels good. ANS: C
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:
A. Placing visual aids on the bathroom mirror so that the child will follow the morning routine.
B. Give the child a choice in foods to eat.
C. Allowing the child to ask for help when needed.
D. Reminding the child to be nice to others. ANS: A
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:
A. Provide education on decreasing stimuli in the home environment that triggers the anger.
B. Realize Ellie may have attachment issues related to her previous history and will need to
encourage the family to be active in her care.
