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1. During a clinic visit, a child's rapid capillary screening test for lead
reveals a level of 11 mcg/dL. What will the primary care pediatric nurse
practitioner do next?
A. Institute lead abatement measures in the child's home.
B. Monitor lead levels monthly until decreased.
C. Order a venous sample to test for lead levels.
D. Test the child's siblings and parents for lead.: C. Order a venous
sample to test for lead levels.
2. Which region globally has the highest infant mortality rate?
A. Indonesia
B. Southern Asia
C. Sub-Saharan Africa
D. Syria: C. Sub-Saharan Africa
3. 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
,D. Water purification: C. Vaccinations
4. 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 2- to 5-year-olds have
shown a recent significant decrease.
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.: B. Obesity rates among 2- to 5-year-olds have
shown a recent significant decrease.
5. 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.
D. pollution.: C. nutrition.
6. 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
Pediatrics Recommendations for Preventive Pediatric Health Care
guidelines by
A. focusing less on development and more on illness prevention
,and nutrition.
B. following guidelines established by the Bright Futures publication.
C. scheduling well baby visits to coincide with key developmental
milestones.
D. seeing the infant at ages 2, 4, 6, and 12 months when
immunizations are due.: C. scheduling well baby visits to coincide
with key developmental milestones.
7. 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: D. All of the above are correct
8. 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.: B. In an area where he can be
watched one-on-one.
9. 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.: 3. Genetics.
10. 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.: 3. The child may be
defiant or have tantrums.
11. 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.: 4. Stress.
12. 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.