Burns Pediatric Primary Care 7th Edition Test Bank | Burns Pediatric Primary Care 7th Edition Test Bank |
Complete Chapters 1-46 Questions, Answers & Rationales | Complete Chapters 1-46 Questions, Answers & Rationales |
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Burns' Pediatric Primary Care 7th Edition Test Bank 2. Group therapy.
3. Personal interactions between patients and staff.
Chapter 1: Health Status of Children: Global and National 4. All of the above are correct.
Perspectives ANS: 4
1. Which region globally has the highest infant mortality rate? 2. A 16-year-old male has received a pink-slip from the police for inpatientpsychiatric
A. Indonesia treatment. The teen
B. Southern Asia has been expressing thoughts of hanging himself because Life sucks. Thenursing staff
C. SubSaharan Africa Correct should consider
D. Syria placing the child:
1. With peers.
2. The primary care pediatric nurse practitioner understands that, to achievethe 2. In an area where he can be watched one-on-one.
greatest worldwide 3. With a roommate that is expressing the same concerns.
reduction in child mortality from pneumonia and diarrhea, which interventionis 4. In an area close to an external door.
most effective? ANS: 2
A. Antibiotics
B. Optimal nutrition 3. Learning disabilities in children have scientifically been linked to:
C. Vaccinations Correct 1. Poor nutrition.
D. Water purification 2. The environment in which the child lives.
3. Genetics.
3. Which is true about the health status of children in the United States? 4. Watching more than four hours of television a day.ANS:
. 13348413856 3
A. Globalism has relatively little impact on child health measures in the U.S.
B. Obesity rates among 2to5yearolds have shown a recent 4. A mental health nurse has assessed a child and determined that the childexhibits
significant behavioral challenges.
decrease. Correct When the school nurse explains this to a teacher, the best description wouldbe:
.
.
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.
1. The child may exhibit physical outbursts.
4. The primary care pediatric nurse practitioner understands that a majorchild
2. The child may exhibit violence toward others.
health outcome associated with worldwide climate change is 3. The child may be defiant or have tantrums.
A. cost of living. 4. The child will need special interventions for learning.ANS:
B. education. 3
C. nutrition. Correct
D. pollution. 5. A child that has not exhibited enuresis in four years has exhibited thisbehavior
pattern for the last week.
5. When providing well child care for an infant in the first year of life, theprimary The reason a child may revert back to this behavior pattern is because of:
care pediatric nurse practitioner is adhering to the most recent AmericanAcademy of
1. Hallucinations.
PediatricsRecommendations for Preventive Pediatric Health Care guidelinesby
2. Behavioral challenges.
A. focusing less on development and more on illness prevention and
3. Delusions.
nutrition.
4. Stress.
B. following guidelines established by theBright Futures publication. ANS: 4
C. scheduling wellbaby visits to coincide with key developmental
milestones. Correct 6. An 18-year-old male has called the crisis line for help. The crisis nurserecognizes the
D. seeing the infant at ages 2, 4, 6, and 12 months when immunizations aredue. intervention needs
may consist of all of the following except:
Chapter 2. Unique Issues in Pediatrics 1. Discussing the individuals everyday activities.
2. Recognizing that the patient may be in a catharsis state.
1. A nurse is explaining the therapeutic milieu to a new nurse. The best 3. Expressing empathy toward the caller.
explanation of this term would be: 4. Avoiding entropy.
1. The place where the child is receiving care. ANS: 1
7. An 8-year-old boy with a history of hallucinations and violent behavior hasbeen place
in a seclusion room
at the hospital because he has been hurting others. The nurse checks on thepatient and
realizes she must take
him out of the seclusion room when:
1. He is crying to be released.
, Burns Pediatric Primary Care 7th Edition Test Bank | Burns Pediatric Primary Care 7th Edition Test Bank |
Complete Chapters 1-46 Questions, Answers & Rationales | Complete Chapters 1-46 Questions, Answers & Rationales |
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2. He states, I will be a good boy now. 13. A father reports that his adolescent daughter has gotten good grades upuntil the last
quarter of school.
.
3. He starts headbutting the window.
She has been hanging out by herself and does not want to talk to himanymore. 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.
4. He complains that his parents will file a lawsuit.ANS: 3. Attempt to get the adolescent to discuss why she does not like her fatheranymore.
3 4. Let the adolescent talk when she is ready.ANS:
2
8. A child has been exhibiting the MacDonald Triad. These behaviors include:
1. Enuresis, pushing others, and pyromania. 14. A teen should be checked for depression at physician visit(s).
2. Swinging a cat by the tail, bed-wetting, and lighting paper on fire in thetrash can. 1. Every
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
planning instructions of:
1. A consistent caregiver. 2. One
2. Monitoring of media, such as the Internet, television, and video games. 3. Monthly
3. Obtaining support from family and friends. 4. Bi-yearly
4. Seeking medical attention when the teenager feels good.ANS: 3 ANS: 1
10. A mental health nurse is teaching the mother of a child with executivefunctioning 15. When using the SAD FACES depression screen, it is important to assess:
issues ways to help 1. Anhedonia.
her child. Interventions the mother should use include: 2. Suicidal ideations.
1. Placing visual aids on the bathroom mirror so that the child will follow themorning 3. Sleep patterns.
routine. 4. All of the above
2. Give the child a choice in foods to eat. ANS: 4
3. Allowing the child to ask for help when needed.
4. Reminding the child to be nice to others. 16. A school nurse is giving an in-service to teachers on bullycide. The mainreason for
ANS: 1 the teaching is so
that:
.
11. Ellie, a 9-year-old girl, was adopted by a family at the age of 4 after several years
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 bullyingby others.
4. Teachers are aware of their role in causing bullycide.ANS:
3
of severe neglect by her birth family. The adoptive family hasbeen reporting that Ellie
is angry a lot, manipulative with her 17. An adolescent with a known history of bipolar disorder is in the schoolnurses office
teachers, and does not seek positive attention. The nurse working with Elliewill need to: because a teacher
1. Provide education on decreasing stimuli in the home environment thattriggers reported that she was talking fast and acting like she was God. The schoolnurse assesses
the anger. the girl and notes
2. Realize Ellie may have attachment issues related to her previous historyand will that:
need to encourage the 1. She is probably in a manic phase and needs to be treated professionally.
family to be active in her care. 2. She has had too much sleep and is now hyperactive.
3. Support the family in the decision-making process of continuing to let Ellielive in 3. She forgot to take her medications today.
the home. 4. She requires some food and rest before going back to class.ANS: 1
4. Discuss inpatient therapy to decrease Ellies manipulative behavior
patterns.
ANS: 2
Chapter 3. Genetics and Child Health
Questions
12. An infant displays depression by:
1. Smiling at strangers. 1. What is true about haploid cells?
2. Bonding to someone other than the immediate family. . 13348407644
3. Crying more than an average infant. C. Each contains 23 paired chromosomes.
4. Looks away when an adult attempts to play with the infant.ANS: 4 D. Each one contains 23 chromosomes. Correct
E. Replication produces two identical cells.
, Burns Pediatric Primary Care 7th Edition Test Bank | Burns Pediatric Primary Care 7th Edition Test Bank |
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F. They replicate via the process of mitosis. recessive disorder, is present in males in three previous
2. What does the following genetic notation symbol mean 47,XX,6q? generations in the mother’s family, whose father had the disease. What willthe primary
. 13348407650 care
A. Male with deletion of chromosome 6 pediatric nurse practitioner tell the parents about the risk of this disease intheir children?
B. Female with deletion of chromosome 6 E. All of their sons will be affected by the disease.
C. Male with deletion on the long arm of chromosome 6 F. Any sons they have will not be affected by the disease.
D. Female with deletion on the long arm of chromosome 6 G. Daughters have a 50% chance of being carriers of the disease.
Correct Correct
3. A child has a recessive genetic disorder that is homozygous for that H. Their daughter has a 25% chance of having the disease.
mutation.
. 13348407646 8. What is an important responsibility of the primary care pediatric nurse
What is most likely about this child’s parents? practitioner . to
A. Neither parent has a copy of that gene mutation. help determine genetic risk factors in families?
B. Only the mother has a copy of that gene mutation. E. Assessing physical characteristics of genetic disorders
C. Only the father has a copy of that gene mutation. F. Knowing which genetic screening tests to perform
D. Each parent has one copy of that gene mutation. Correct G. Making appropriate referrals to pediatric geneticists
4. Which type of mutation is responsible for many singlegene D. Obtaining a threegeneration
genetic disorders? pedigree for each family Correct
. 13348407636 9. Which diagnostic study may be ordered when the provider wishes todetect
A. Copy number variations the
B. Nucleotide repeat expansions .
C. Point mutations Correct presence of additional genetic material on a chromosome?
D. Single nucleotide polymorphisms (SNP) A. Chromosomal microarray
B. FISH Correct
.
5. Cystic fibrosis is a recessive disease requiring the presence of a gene
D. Karyotype
E. Molecular testing
10. Which type of testing will the primary care pediatric nurse practitioner
recommend .
mutation for a couple concerned about the potential for having children with cysticfibrosis?
. 13348407638 A. Biochemical testing
on both alleles inherited from the parents. Which type of genetic disorder isthis? B. Carrier testing Correct
A. Chromosome C. FISH testing
B. Mitochondrial D. Karyotype testing
C. Monogenetic Correct
D. Multifactorial
.
6. The primary care pediatric nurse practitioner is counseling a couple aboutgenetic
risks and learns that one parent has neurofibromatosis, an autosomaldominant
disorder, and the other
parent does not. What will the nurse practitioner include when discussingthis disorder
and its Chapter 4. Environmental IssuesQuestions
transmission?
C. Children must inherit a gene from both parents to develop the disease. 1. What has been the result of passage of the Toxic Substances Control Act.(TSCA)
D. Each child born to this couple will have a 50% risk of having the of 1976?
disease. Correct G. A mandate for corporations to disclose known toxic chemicals
E. This type of disorder characteristically skips generations. H. A requirement that all manufactured chemicals undergo toxicity testing
F. Unaffected offspring may still pass on the disease to their offspring. I. Authorization of the EPA to require testing and reporting of some
chemicals Correct
7. A family medical history conducted during a well baby exam for a newborngirl J. Development of a mechanism to report reactions to toxic chemicals
reveals that hemophilia A, an Xlinked
2. Many European nations use the “precautionary principle” to help regulate
potentially toxic chemicals. What does this mean?
G. Chemicals must be proven to be safe before being introducedinto
the
, Burns Pediatric Primary Care 7th Edition Test Bank | Burns Pediatric Primary Care 7th Edition Test Bank |
Complete Chapters 1-46 Questions, Answers & Rationales | Complete Chapters 1-46 Questions, Answers & Rationales |
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environment. Correct Besides avoiding using plastic containers when possible, what else will theprimary care
H. Corporations may be exempt from testing if their costs in doing soare too pediatric nurse practitioner recommend?
high. A. Avoid heating foods and liquids in plastic containers. Correct
I. Regulators must demonstrate risk to the public before banning a B. Clean plastic containers well using the dishwasher.
chemical. C. Use only plastics stamped with “#7” on the bottom.
J. Without a strong risk, corporations need not release data about theirproducts. D. Used canned food products whenever possible.
3. During a clinic visit, a child’s rapid capillary screening test for lead revealsa 9. A parent desires to buy only organic produce to avoid exposing a child to
level of 11 mcg/dL. What will the primary care pediatric nurse practitioner donext? pesticides but complains that these foods are expensive. The primary care pediatric
I. Institute lead abatement measures in the child’s home. nurse
J. Monitor lead levels monthly until decreased. practitioner provides a list of foods that are relatively safe whether they areorganic or
K. Order a venous sample to test for lead levels. Correct not.
L. Test the child’s siblings and parents for lead. Which foods are on this list?
A. Apples, celery, and peaches
4. A child has a lead level of 25 mcg/dL. Once lead abatement measures areinstituted, B. Potatoes, cherry tomatoes, and peaches
what is an important intervention to help prevent permanent damage C. Strawberries, grapes, and cucumbers
H. Chelation therapy D. Sweet corn, cantaloupe, and kiwi Correct
I. Dietary changes
C. Followup testing Correct Chapter 5. Child and Family Health Assessment
. Questions
D. Testing family members
1. The primary care pediatric nurse practitioner is obtaining a medical history about a
5. A child whose parent works in a factory pr esents with swelling of the child. To integrate both nursing and medical aspects of primary care, which will be
extremities, pain and weakness in the pelvis, and an erythematous maculopapular included in the medical history?
rash. Which K. Complementary medications, alternative health practices, and chiefcomplaint
industrial toxin will the primary care pediatric nurse practitioner suspect inthis child? L. Developmental delays, nutritional status, and linear growth patterns
A. Lead M. Medication currently taking, allergy information, and family medicalhistory
B. Mercury N. Speech and language development, beliefs about health, and
C. Organophosphates Correct previous
D. Phthalates illnesses Correct
6. When counseling a mother who smokes about preventing exposure to 2. When formulating developmental diagnoses for pediatric patients, theprimary
smokingrelated care pediatric nurse practitioner may use which resource?
risks to her nursing newborn, what will the primary care pediatric nursepractitioner tell A. DC: 03R Correct
her? K. ICD10CM
F. If she quits now, her child will not have longterm L. ICSD3
effects from exposure. M. NANDA International
G. Prenatal smoke exposure does not cause respiratory effects after theinfant is
born. 3. The primary care pediatric nurse practitioner sees a 3yearoldchild
H. Smoking outdoors or near an open window prevents exposure to tobaccosmoke. who
I. Thirdhandsmoke exposure risks may last for years even if the chronically withholds stools, in spite of the parents’ attempts to stop the behavior,
mother quits now. Correct requiring frequent treatments with laxative medications. Whichdiagnosis will the nurse
practitioner use to facilitate thirdparty reimbursement?
7. A child who has been playing in a public park is brought to the clinic with M. Altered elimination pattern
wheezing, vomiting, diarrhea, and drooling. A physical exam reveals a low heart N. Elimination disorder
rate and diaphoresis. What will the primary care pediatric nurse practitionersuspect as a C. Encopresis Correct
cause for these symptoms? D. Parenting alteration
B. Arsenic consumption
C. Lead poisoning 4. The primary care pediatric nurse practitioner is assessing a toddler whoseweight
C. Organophosphate exposure Correct and body mass index (BMI) are below the 3rd percentile for age. The nurse
D. Phthalate ingestion practitioner
learns that the child does not have regular mealtimes and is allowed to carrya bottle of
8. A parent asks about ways to limit exposure to risks associated withplastics. juice
around at all times. The nurse practitioner plans to work with this family todevelop
improved meal
patterns. Which diagnosis will the nurse practitioner use for this problem?
Complete Chapters 1-46 Questions, Answers & Rationales | Complete Chapters 1-46 Questions, Answers & Rationales |
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Burns' Pediatric Primary Care 7th Edition Test Bank 2. Group therapy.
3. Personal interactions between patients and staff.
Chapter 1: Health Status of Children: Global and National 4. All of the above are correct.
Perspectives ANS: 4
1. Which region globally has the highest infant mortality rate? 2. A 16-year-old male has received a pink-slip from the police for inpatientpsychiatric
A. Indonesia treatment. The teen
B. Southern Asia has been expressing thoughts of hanging himself because Life sucks. Thenursing staff
C. SubSaharan Africa Correct should consider
D. Syria placing the child:
1. With peers.
2. The primary care pediatric nurse practitioner understands that, to achievethe 2. In an area where he can be watched one-on-one.
greatest worldwide 3. With a roommate that is expressing the same concerns.
reduction in child mortality from pneumonia and diarrhea, which interventionis 4. In an area close to an external door.
most effective? ANS: 2
A. Antibiotics
B. Optimal nutrition 3. Learning disabilities in children have scientifically been linked to:
C. Vaccinations Correct 1. Poor nutrition.
D. Water purification 2. The environment in which the child lives.
3. Genetics.
3. Which is true about the health status of children in the United States? 4. Watching more than four hours of television a day.ANS:
. 13348413856 3
A. Globalism has relatively little impact on child health measures in the U.S.
B. Obesity rates among 2to5yearolds have shown a recent 4. A mental health nurse has assessed a child and determined that the childexhibits
significant behavioral challenges.
decrease. Correct When the school nurse explains this to a teacher, the best description wouldbe:
.
.
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.
1. The child may exhibit physical outbursts.
4. The primary care pediatric nurse practitioner understands that a majorchild
2. The child may exhibit violence toward others.
health outcome associated with worldwide climate change is 3. The child may be defiant or have tantrums.
A. cost of living. 4. The child will need special interventions for learning.ANS:
B. education. 3
C. nutrition. Correct
D. pollution. 5. A child that has not exhibited enuresis in four years has exhibited thisbehavior
pattern for the last week.
5. When providing well child care for an infant in the first year of life, theprimary The reason a child may revert back to this behavior pattern is because of:
care pediatric nurse practitioner is adhering to the most recent AmericanAcademy of
1. Hallucinations.
PediatricsRecommendations for Preventive Pediatric Health Care guidelinesby
2. Behavioral challenges.
A. focusing less on development and more on illness prevention and
3. Delusions.
nutrition.
4. Stress.
B. following guidelines established by theBright Futures publication. ANS: 4
C. scheduling wellbaby visits to coincide with key developmental
milestones. Correct 6. An 18-year-old male has called the crisis line for help. The crisis nurserecognizes the
D. seeing the infant at ages 2, 4, 6, and 12 months when immunizations aredue. intervention needs
may consist of all of the following except:
Chapter 2. Unique Issues in Pediatrics 1. Discussing the individuals everyday activities.
2. Recognizing that the patient may be in a catharsis state.
1. A nurse is explaining the therapeutic milieu to a new nurse. The best 3. Expressing empathy toward the caller.
explanation of this term would be: 4. Avoiding entropy.
1. The place where the child is receiving care. ANS: 1
7. An 8-year-old boy with a history of hallucinations and violent behavior hasbeen place
in a seclusion room
at the hospital because he has been hurting others. The nurse checks on thepatient and
realizes she must take
him out of the seclusion room when:
1. He is crying to be released.
, Burns Pediatric Primary Care 7th Edition Test Bank | Burns Pediatric Primary Care 7th Edition Test Bank |
Complete Chapters 1-46 Questions, Answers & Rationales | Complete Chapters 1-46 Questions, Answers & Rationales |
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2. He states, I will be a good boy now. 13. A father reports that his adolescent daughter has gotten good grades upuntil the last
quarter of school.
.
3. He starts headbutting the window.
She has been hanging out by herself and does not want to talk to himanymore. 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.
4. He complains that his parents will file a lawsuit.ANS: 3. Attempt to get the adolescent to discuss why she does not like her fatheranymore.
3 4. Let the adolescent talk when she is ready.ANS:
2
8. A child has been exhibiting the MacDonald Triad. These behaviors include:
1. Enuresis, pushing others, and pyromania. 14. A teen should be checked for depression at physician visit(s).
2. Swinging a cat by the tail, bed-wetting, and lighting paper on fire in thetrash can. 1. Every
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
planning instructions of:
1. A consistent caregiver. 2. One
2. Monitoring of media, such as the Internet, television, and video games. 3. Monthly
3. Obtaining support from family and friends. 4. Bi-yearly
4. Seeking medical attention when the teenager feels good.ANS: 3 ANS: 1
10. A mental health nurse is teaching the mother of a child with executivefunctioning 15. When using the SAD FACES depression screen, it is important to assess:
issues ways to help 1. Anhedonia.
her child. Interventions the mother should use include: 2. Suicidal ideations.
1. Placing visual aids on the bathroom mirror so that the child will follow themorning 3. Sleep patterns.
routine. 4. All of the above
2. Give the child a choice in foods to eat. ANS: 4
3. Allowing the child to ask for help when needed.
4. Reminding the child to be nice to others. 16. A school nurse is giving an in-service to teachers on bullycide. The mainreason for
ANS: 1 the teaching is so
that:
.
11. Ellie, a 9-year-old girl, was adopted by a family at the age of 4 after several years
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 bullyingby others.
4. Teachers are aware of their role in causing bullycide.ANS:
3
of severe neglect by her birth family. The adoptive family hasbeen reporting that Ellie
is angry a lot, manipulative with her 17. An adolescent with a known history of bipolar disorder is in the schoolnurses office
teachers, and does not seek positive attention. The nurse working with Elliewill need to: because a teacher
1. Provide education on decreasing stimuli in the home environment thattriggers reported that she was talking fast and acting like she was God. The schoolnurse assesses
the anger. the girl and notes
2. Realize Ellie may have attachment issues related to her previous historyand will that:
need to encourage the 1. She is probably in a manic phase and needs to be treated professionally.
family to be active in her care. 2. She has had too much sleep and is now hyperactive.
3. Support the family in the decision-making process of continuing to let Ellielive in 3. She forgot to take her medications today.
the home. 4. She requires some food and rest before going back to class.ANS: 1
4. Discuss inpatient therapy to decrease Ellies manipulative behavior
patterns.
ANS: 2
Chapter 3. Genetics and Child Health
Questions
12. An infant displays depression by:
1. Smiling at strangers. 1. What is true about haploid cells?
2. Bonding to someone other than the immediate family. . 13348407644
3. Crying more than an average infant. C. Each contains 23 paired chromosomes.
4. Looks away when an adult attempts to play with the infant.ANS: 4 D. Each one contains 23 chromosomes. Correct
E. Replication produces two identical cells.
, Burns Pediatric Primary Care 7th Edition Test Bank | Burns Pediatric Primary Care 7th Edition Test Bank |
Complete Chapters 1-46 Questions, Answers & Rationales | Complete Chapters 1-46 Questions, Answers & Rationales |
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F. They replicate via the process of mitosis. recessive disorder, is present in males in three previous
2. What does the following genetic notation symbol mean 47,XX,6q? generations in the mother’s family, whose father had the disease. What willthe primary
. 13348407650 care
A. Male with deletion of chromosome 6 pediatric nurse practitioner tell the parents about the risk of this disease intheir children?
B. Female with deletion of chromosome 6 E. All of their sons will be affected by the disease.
C. Male with deletion on the long arm of chromosome 6 F. Any sons they have will not be affected by the disease.
D. Female with deletion on the long arm of chromosome 6 G. Daughters have a 50% chance of being carriers of the disease.
Correct Correct
3. A child has a recessive genetic disorder that is homozygous for that H. Their daughter has a 25% chance of having the disease.
mutation.
. 13348407646 8. What is an important responsibility of the primary care pediatric nurse
What is most likely about this child’s parents? practitioner . to
A. Neither parent has a copy of that gene mutation. help determine genetic risk factors in families?
B. Only the mother has a copy of that gene mutation. E. Assessing physical characteristics of genetic disorders
C. Only the father has a copy of that gene mutation. F. Knowing which genetic screening tests to perform
D. Each parent has one copy of that gene mutation. Correct G. Making appropriate referrals to pediatric geneticists
4. Which type of mutation is responsible for many singlegene D. Obtaining a threegeneration
genetic disorders? pedigree for each family Correct
. 13348407636 9. Which diagnostic study may be ordered when the provider wishes todetect
A. Copy number variations the
B. Nucleotide repeat expansions .
C. Point mutations Correct presence of additional genetic material on a chromosome?
D. Single nucleotide polymorphisms (SNP) A. Chromosomal microarray
B. FISH Correct
.
5. Cystic fibrosis is a recessive disease requiring the presence of a gene
D. Karyotype
E. Molecular testing
10. Which type of testing will the primary care pediatric nurse practitioner
recommend .
mutation for a couple concerned about the potential for having children with cysticfibrosis?
. 13348407638 A. Biochemical testing
on both alleles inherited from the parents. Which type of genetic disorder isthis? B. Carrier testing Correct
A. Chromosome C. FISH testing
B. Mitochondrial D. Karyotype testing
C. Monogenetic Correct
D. Multifactorial
.
6. The primary care pediatric nurse practitioner is counseling a couple aboutgenetic
risks and learns that one parent has neurofibromatosis, an autosomaldominant
disorder, and the other
parent does not. What will the nurse practitioner include when discussingthis disorder
and its Chapter 4. Environmental IssuesQuestions
transmission?
C. Children must inherit a gene from both parents to develop the disease. 1. What has been the result of passage of the Toxic Substances Control Act.(TSCA)
D. Each child born to this couple will have a 50% risk of having the of 1976?
disease. Correct G. A mandate for corporations to disclose known toxic chemicals
E. This type of disorder characteristically skips generations. H. A requirement that all manufactured chemicals undergo toxicity testing
F. Unaffected offspring may still pass on the disease to their offspring. I. Authorization of the EPA to require testing and reporting of some
chemicals Correct
7. A family medical history conducted during a well baby exam for a newborngirl J. Development of a mechanism to report reactions to toxic chemicals
reveals that hemophilia A, an Xlinked
2. Many European nations use the “precautionary principle” to help regulate
potentially toxic chemicals. What does this mean?
G. Chemicals must be proven to be safe before being introducedinto
the
, Burns Pediatric Primary Care 7th Edition Test Bank | Burns Pediatric Primary Care 7th Edition Test Bank |
Complete Chapters 1-46 Questions, Answers & Rationales | Complete Chapters 1-46 Questions, Answers & Rationales |
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environment. Correct Besides avoiding using plastic containers when possible, what else will theprimary care
H. Corporations may be exempt from testing if their costs in doing soare too pediatric nurse practitioner recommend?
high. A. Avoid heating foods and liquids in plastic containers. Correct
I. Regulators must demonstrate risk to the public before banning a B. Clean plastic containers well using the dishwasher.
chemical. C. Use only plastics stamped with “#7” on the bottom.
J. Without a strong risk, corporations need not release data about theirproducts. D. Used canned food products whenever possible.
3. During a clinic visit, a child’s rapid capillary screening test for lead revealsa 9. A parent desires to buy only organic produce to avoid exposing a child to
level of 11 mcg/dL. What will the primary care pediatric nurse practitioner donext? pesticides but complains that these foods are expensive. The primary care pediatric
I. Institute lead abatement measures in the child’s home. nurse
J. Monitor lead levels monthly until decreased. practitioner provides a list of foods that are relatively safe whether they areorganic or
K. Order a venous sample to test for lead levels. Correct not.
L. Test the child’s siblings and parents for lead. Which foods are on this list?
A. Apples, celery, and peaches
4. A child has a lead level of 25 mcg/dL. Once lead abatement measures areinstituted, B. Potatoes, cherry tomatoes, and peaches
what is an important intervention to help prevent permanent damage C. Strawberries, grapes, and cucumbers
H. Chelation therapy D. Sweet corn, cantaloupe, and kiwi Correct
I. Dietary changes
C. Followup testing Correct Chapter 5. Child and Family Health Assessment
. Questions
D. Testing family members
1. The primary care pediatric nurse practitioner is obtaining a medical history about a
5. A child whose parent works in a factory pr esents with swelling of the child. To integrate both nursing and medical aspects of primary care, which will be
extremities, pain and weakness in the pelvis, and an erythematous maculopapular included in the medical history?
rash. Which K. Complementary medications, alternative health practices, and chiefcomplaint
industrial toxin will the primary care pediatric nurse practitioner suspect inthis child? L. Developmental delays, nutritional status, and linear growth patterns
A. Lead M. Medication currently taking, allergy information, and family medicalhistory
B. Mercury N. Speech and language development, beliefs about health, and
C. Organophosphates Correct previous
D. Phthalates illnesses Correct
6. When counseling a mother who smokes about preventing exposure to 2. When formulating developmental diagnoses for pediatric patients, theprimary
smokingrelated care pediatric nurse practitioner may use which resource?
risks to her nursing newborn, what will the primary care pediatric nursepractitioner tell A. DC: 03R Correct
her? K. ICD10CM
F. If she quits now, her child will not have longterm L. ICSD3
effects from exposure. M. NANDA International
G. Prenatal smoke exposure does not cause respiratory effects after theinfant is
born. 3. The primary care pediatric nurse practitioner sees a 3yearoldchild
H. Smoking outdoors or near an open window prevents exposure to tobaccosmoke. who
I. Thirdhandsmoke exposure risks may last for years even if the chronically withholds stools, in spite of the parents’ attempts to stop the behavior,
mother quits now. Correct requiring frequent treatments with laxative medications. Whichdiagnosis will the nurse
practitioner use to facilitate thirdparty reimbursement?
7. A child who has been playing in a public park is brought to the clinic with M. Altered elimination pattern
wheezing, vomiting, diarrhea, and drooling. A physical exam reveals a low heart N. Elimination disorder
rate and diaphoresis. What will the primary care pediatric nurse practitionersuspect as a C. Encopresis Correct
cause for these symptoms? D. Parenting alteration
B. Arsenic consumption
C. Lead poisoning 4. The primary care pediatric nurse practitioner is assessing a toddler whoseweight
C. Organophosphate exposure Correct and body mass index (BMI) are below the 3rd percentile for age. The nurse
D. Phthalate ingestion practitioner
learns that the child does not have regular mealtimes and is allowed to carrya bottle of
8. A parent asks about ways to limit exposure to risks associated withplastics. juice
around at all times. The nurse practitioner plans to work with this family todevelop
improved meal
patterns. Which diagnosis will the nurse practitioner use for this problem?
