Burns' Pediatric Primary Care 7th Edition Test Bank
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Chapter 1: Health Status of Children: Global a nd National Perspectiv
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es
1. Which region globally has the h ighest infant mortality rate?
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A. Indonesia
B. Southern Asia mf
C. SubSaharan Afri ca Correct mf mf
D. Syria
2. The primary care pediatric n urse practitioner u nderstands that, to a chieve t
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he
greatest worldwide mf
reduction i n child mortality from pneumonia a nd diarrhea, which i nterventionis mos
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t effective?
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A. Antibiotics
B. Optimal nutrition mf
C. Vaccinations Correct mf
D. Water purification m
f
3. Which is true a bout the h ealth s tatus o f c hildren in the United S tates?
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.
133484 13856
A. Globalism has relatively little impact on child health measures in the U.S.
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B. Obesity rates among 2to5yearol ds have show n a recent
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significant
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decrease. Correct mf
.
C. The rate o f househo ld poverty is lo wer than i n o ther e conomically
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developed nations. mf
D. Young c hildren who attend preschoo l o r day care have higher food
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insecurity.
4. The primary care pediatric nurse p ractitioner understands that a m ajor
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child
health o utcom e associated with wo rldwide c limate c hange is
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A. cost of living. mf mf
B. education.
C. nutrition. Correct mf
D. pollution.
5. When providing well child care for an infant in the first year of life, th
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e primary
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care pediatric n urse practitioner is adhering to the m ost recent Am erican Acad
mf mf mf mf mf mf mf mf mf mf mf
emy o f mf
Pediatrics Recom mendations for Preventive Pediatric Health Care guidelines b mf mf mf mf mf mf mf
y
A. focusing less on developm ent and mo re on illness prevention and
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nutrition.
B. following guidelines established by theBright Futures publication.
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C. scheduli ng w ell baby visits to coi nci de w ith k ey devel opmental mf mf mf mf mf mf mf mf
milestones. Correct mf
D. seeing the infant at ages 2, 4, 6, and 12 months when im munizations are
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due.
,2. Group therapy. m
f
3. Personal interactions between patients and staff. m f m f m f m f m f
4. All of the above are correct.
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ANS: 4 mf
2. A 16-year-old m ale has r eceived a pink-
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slip from the police for inpatient psychiatric treatm ent. The teen
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has been expressing thoughts o f hanging himself because Life s ucks. Thenursing sta
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ff should consider
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placing the child: mf m f
1. With peers. mf
2. In a n a rea where he c an be watched o ne-on-one.
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3. With a roo m mate thatisex pressing t he s ameconcerns.
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f
4. In a n a rea close to a n external door.
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ANS: 2 mf
3. Learning disabilities in children have scientifically been linked to:
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1. Poornutrition.
2. The environment in which the child lives.
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3. Genetics.
4. Watching m ore than four hours o f television a day. mf mf mf mf mf mf mf mf mf
ANS: 3 mf
4. A m ental health nurse has assessed a child and determined that the child exhib
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its behavio ral challenges.
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When t he school n urse explains this to a teacher, the best description wouldbe:
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.
1. The child m ay exhibit physical o utbursts.
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2. The child may exhibit violence toward others.
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3. The child may be defiant o r h ave tantrums.
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4. The child will need special interventions for learning
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. ANS: 3
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5. A child that has no t e xhibited enuresis in four years has exhibited this
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behavior pattern fo r the last week. mf mf mf mf mf
The reason a child may revert back to this b ehavior pattern is because o f:
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1. Hallucinations.
2. Behavioral challenges. m f
3. Delusions.
4. Stress.
ANS: 4 mf
6. An 18-year- mf
old m ale has c alled the crisis line for help. The crisis n urse recognizes the
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intervention needs mf
may consist of all of the following except:
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1. Discussing the individuals everyday activities. mf m f m f m f
2. Recognizing that the patient m ay be in a c atharsis s tate. mf mf mf mf mf mf mf mf mf
3. Expressing em pathy to ward the caller. mf mf mf mf
4. Avoiding entropy. mf
ANS: 1 mf
,2. He states, I will be a good boy now.
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.
3. He starts headbutting the window.
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4. He complains that his parents will file a lawsuit.
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ANS: 3 mf
8. A child has been exhibiting the MacDonald Triad. These behavio rs i nclude:
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1. Enuresis, p ushing o thers, a nd pyromania. m
f m
f m
f m
f
2. Swinging a cat b y the tail, bed- mf mf mf mf mf mf
wetting, a nd lighting paper o n fire i n the trash can.
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3. Playing with other children, laughing, and conversing with adults.
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4. Playing with a cam pfire, watching television, and s eeking a dult a ttention.
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ANS: 2 mf
9. A teenager diagnosed with borderline personality disorder should have
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discharge planning instructions o f: mf mf mf
1. A consistent caregiver.
m f m f
2. Monitoring o f m edia, s uch a s the Internet, television, a nd video g ames. mf mf mf mf mf mf mf mf mf mf
3. Obtaining s upport from family a nd friends. mf mf mf mf mf
4. Seeking medical attention when the teenager feels good. mf mf mf mf mf mf mf m
ANS: 3
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10. A m ental h ealth nurse is teaching the m o ther o f a child with e xecutive f
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unctioning issues ways to help mf mf mf mf
her child. Interventions the mother s hould use include:
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1. Placing visual aids o n the bathroom mirro r s o that the child will fo llow the m
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orning routine. mf
2. Give the child a choice in foods to eat.
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3. Allowing the child to ask for help when needed. m f m f m f m f m f m f m f m f
4. Reminding the c hild to be nice to o thers. mf mf mf mf mf mf mf mf
ANS: 1 mf
.
11. Ellie, a 9-year- mf mf
old girl, was a dopted by a family at the a ge o f 4 a fter s everal years o f severe neg
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lect by her birth family. The adoptive family hasbeen reporting that Ellie is an
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gry a lo t, m anipulative with her
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teachers, a nd does not s eek positive attention. The nurse wo rking with EllieI will nee
mf mf mf mf mf mf mf mf mf mf mf mf
d to:
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1. Provide education on decreasing stimuli in the hom e environment that
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triggers the anger. mf mf
2. Realize Ellie may have attachm ent issues related to her previous history
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and will need to encourage the
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family to be active in her care.
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3. Support the family i n the decision- mf mf mf mf mf
making pro cess o f continuing to let E llie live in the hom e.
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4. Discuss inpatient therapy to decrease Ellies manipulative behavior
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patterns.
ANS:2 f
m
, 13. A father reports that his adolescent daughter has go tten good grades up
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until the last quarter o f school.
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She has been hanging out by herself and does not want to talk to himanymore.
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The mental health nurse shou
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ld:
1. Realize that this is a natural part of growing up.
m f m f m f m f m f m f m f m f m f
2. Perform a m ental h ealth s creening to c heck fo r depression.
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3. Attempt to get the a do lescent to discuss why s he does no t like her father
mf mf mf mf mf mf mf mf mf mf mf mf mf mf
anymore.
4. Let the a do lescent talk when s he is ready.
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ANS: 2 mf
14. Ateensho uldbechecked fo rdepressio n a t m
f m
f physician visit(s). mf
1. Every
.
2. One
3. Monthly
4. Bi-yearly
ANS: 1 mf
15. When using the SAD FACES d epressio n screen, i t is i mpo rtant to a ssess:
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f mf mf mf mf mf m
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1. Anhedonia.
2. Suicidal ideations. mf
3. Sleep patterns. mf
4. All o f the a bove
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ANS: 4
f mf
16. A school nurse is giving an in-
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service to teachers on bullycide. The main reason for the teaching is so
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that:
1. Teachers are aware bullying occurs. m f m f m f m f
2. Teachers are able to identify students who are risk. m f m f m f m f m f m f m f m f
3. Teachers can be a ware o f the fact that s uicides can h appen due to bullying b
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y others.
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4. Teachers are aware of their role in causing bullycide mf m f m f m f m f mf m f m f
. ANS: 3
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17. An adolescent with a kno wn histo ry o f bipo lar disorder is i n the schoolnurses
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office because a teachermf mf mf
reported that she was talking fast a nd acting like she was Go d. The schoolnurse ass
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esses the girl and notes
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that:
1. She is probably in a m anic phase a nd needs to be treated pro fessionally.
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2. She has had too much sleep and is no w hyperactive.
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3. She forgot to take her medications today.
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4. She requires somefoodandrest beforegoing backtoclass. A
m
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f m
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NS: 1 mf
Chapter 3. Genetics and C hild Health Q uest m
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ions
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Chapter 1: Health Status of Children: Global a nd National Perspectiv
mf mf mf mf mf m
f mf mf mf
es
1. Which region globally has the h ighest infant mortality rate?
mf mf mf mf mf mf mf mf
A. Indonesia
B. Southern Asia mf
C. SubSaharan Afri ca Correct mf mf
D. Syria
2. The primary care pediatric n urse practitioner u nderstands that, to a chieve t
mf mf mf mf mf mf mf mf mf mf
he
greatest worldwide mf
reduction i n child mortality from pneumonia a nd diarrhea, which i nterventionis mos
mf mf mf mf mf mf mf mf mf mf
t effective?
mf
A. Antibiotics
B. Optimal nutrition mf
C. Vaccinations Correct mf
D. Water purification m
f
3. Which is true a bout the h ealth s tatus o f c hildren in the United S tates?
mf mf mf mf mf mf mf mf mf mf mf mf
.
133484 13856
A. Globalism has relatively little impact on child health measures in the U.S.
m f m f m f m f m f m f m f m f m f m f m f
B. Obesity rates among 2to5yearol ds have show n a recent
mf mf mf mf mf mf mf
significant
mf
decrease. Correct mf
.
C. The rate o f househo ld poverty is lo wer than i n o ther e conomically
mf mf mf mf mf mf mf mf mf mf mf
developed nations. mf
D. Young c hildren who attend preschoo l o r day care have higher food
mf mf mf mf mf mf mf mf mf mf mf
insecurity.
4. The primary care pediatric nurse p ractitioner understands that a m ajor
mf mf mf mf mf mf mf mf mf mf
child
health o utcom e associated with wo rldwide c limate c hange is
mf mf mf mf mf mf mf
A. cost of living. mf mf
B. education.
C. nutrition. Correct mf
D. pollution.
5. When providing well child care for an infant in the first year of life, th
mf mf m f mf mf mf mf m f mf m f mf mf m f m f
e primary
mf
care pediatric n urse practitioner is adhering to the m ost recent Am erican Acad
mf mf mf mf mf mf mf mf mf mf mf
emy o f mf
Pediatrics Recom mendations for Preventive Pediatric Health Care guidelines b mf mf mf mf mf mf mf
y
A. focusing less on developm ent and mo re on illness prevention and
mf mf mf mf mf mf mf mf mf mf
nutrition.
B. following guidelines established by theBright Futures publication.
m f m f m f m f m f m f
C. scheduli ng w ell baby visits to coi nci de w ith k ey devel opmental mf mf mf mf mf mf mf mf
milestones. Correct mf
D. seeing the infant at ages 2, 4, 6, and 12 months when im munizations are
mf mf mf mf mf mf mf mf mf mf mf mf mf mf
due.
,2. Group therapy. m
f
3. Personal interactions between patients and staff. m f m f m f m f m f
4. All of the above are correct.
mf mf mf mf mf mf
ANS: 4 mf
2. A 16-year-old m ale has r eceived a pink-
mf mf mf mf mf mf
slip from the police for inpatient psychiatric treatm ent. The teen
mf mf mf mf mf mf mf mf mf
has been expressing thoughts o f hanging himself because Life s ucks. Thenursing sta
mf mf mf mf mf mf mf mf mf mf mf
ff should consider
mf mf
placing the child: mf m f
1. With peers. mf
2. In a n a rea where he c an be watched o ne-on-one.
mf mf mf mf mf mf mf mf
3. With a roo m mate thatisex pressing t he s ameconcerns.
m
f m
f m
f m
f
4. In a n a rea close to a n external door.
mf mf mf mf mf mf mf mf
ANS: 2 mf
3. Learning disabilities in children have scientifically been linked to:
m f m f m f m f m f m f m f m f
1. Poornutrition.
2. The environment in which the child lives.
m f m f m f m f m f m f
3. Genetics.
4. Watching m ore than four hours o f television a day. mf mf mf mf mf mf mf mf mf
ANS: 3 mf
4. A m ental health nurse has assessed a child and determined that the child exhib
mf mf mf mf mf mf mf mf mf mf mf mf mf mf
its behavio ral challenges.
mf mf
When t he school n urse explains this to a teacher, the best description wouldbe:
mf mf mf mf mf mf mf mf mf mf mf mf
.
1. The child m ay exhibit physical o utbursts.
mf mf mf mf mf
2. The child may exhibit violence toward others.
m f m f m f m f m f m f
3. The child may be defiant o r h ave tantrums.
mf mf mf mf mf mf mf
4. The child will need special interventions for learning
m f m f m f m f m f m f m f
. ANS: 3
mf mf
5. A child that has no t e xhibited enuresis in four years has exhibited this
mf mf mf mf mf mf mf mf mf mf mf mf mf
behavior pattern fo r the last week. mf mf mf mf mf
The reason a child may revert back to this b ehavior pattern is because o f:
mf mf mf mf mf mf mf mf mf mf mf mf mf
1. Hallucinations.
2. Behavioral challenges. m f
3. Delusions.
4. Stress.
ANS: 4 mf
6. An 18-year- mf
old m ale has c alled the crisis line for help. The crisis n urse recognizes the
mf mf mf mf mf mf mf mf mf mf mf mf mf mf
intervention needs mf
may consist of all of the following except:
mf m f m f m f mf m f m f
1. Discussing the individuals everyday activities. mf m f m f m f
2. Recognizing that the patient m ay be in a c atharsis s tate. mf mf mf mf mf mf mf mf mf
3. Expressing em pathy to ward the caller. mf mf mf mf
4. Avoiding entropy. mf
ANS: 1 mf
,2. He states, I will be a good boy now.
mf mf mf mf mf mf m f mf
.
3. He starts headbutting the window.
m f m f m f m f
4. He complains that his parents will file a lawsuit.
mf m f mf m f m f mf mf mf mf
ANS: 3 mf
8. A child has been exhibiting the MacDonald Triad. These behavio rs i nclude:
mf mf mf mf mf mf mf mf mf mf
1. Enuresis, p ushing o thers, a nd pyromania. m
f m
f m
f m
f
2. Swinging a cat b y the tail, bed- mf mf mf mf mf mf
wetting, a nd lighting paper o n fire i n the trash can.
mf mf mf mf mf mf mf mf mf
3. Playing with other children, laughing, and conversing with adults.
m f m f m f m f m f m f m f m f
4. Playing with a cam pfire, watching television, and s eeking a dult a ttention.
mf mf mf mf mf mf mf mf mf mf
ANS: 2 mf
9. A teenager diagnosed with borderline personality disorder should have
mf mf mf mf mf mf mf mf mf
discharge planning instructions o f: mf mf mf
1. A consistent caregiver.
m f m f
2. Monitoring o f m edia, s uch a s the Internet, television, a nd video g ames. mf mf mf mf mf mf mf mf mf mf
3. Obtaining s upport from family a nd friends. mf mf mf mf mf
4. Seeking medical attention when the teenager feels good. mf mf mf mf mf mf mf m
ANS: 3
f mf
10. A m ental h ealth nurse is teaching the m o ther o f a child with e xecutive f
mf mf mf mf mf mf mf mf mf mf mf mf mf
unctioning issues ways to help mf mf mf mf
her child. Interventions the mother s hould use include:
mf mf mf mf mf mf mf
1. Placing visual aids o n the bathroom mirro r s o that the child will fo llow the m
mf mf mf mf mf mf mf mf mf mf mf mf mf mf
orning routine. mf
2. Give the child a choice in foods to eat.
mf mf m f mf mf m f m f mf
3. Allowing the child to ask for help when needed. m f m f m f m f m f m f m f m f
4. Reminding the c hild to be nice to o thers. mf mf mf mf mf mf mf mf
ANS: 1 mf
.
11. Ellie, a 9-year- mf mf
old girl, was a dopted by a family at the a ge o f 4 a fter s everal years o f severe neg
mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf
lect by her birth family. The adoptive family hasbeen reporting that Ellie is an
mf mf mf mf mf mf mf mf mf mf mf mf mf
gry a lo t, m anipulative with her
mf mf mf mf mf
teachers, a nd does not s eek positive attention. The nurse wo rking with EllieI will nee
mf mf mf mf mf mf mf mf mf mf mf mf
d to:
mf
1. Provide education on decreasing stimuli in the hom e environment that
mf mf mf mf mf mf mf mf mf mf
triggers the anger. mf mf
2. Realize Ellie may have attachm ent issues related to her previous history
mf mf mf mf mf mf mf mf mf mf mf
and will need to encourage the
mf mf mf mf mf
family to be active in her care.
mf mf mf mf mf mf
3. Support the family i n the decision- mf mf mf mf mf
making pro cess o f continuing to let E llie live in the hom e.
mf mf mf mf mf mf mf mf mf mf
4. Discuss inpatient therapy to decrease Ellies manipulative behavior
mf mf mf mf mf mf mf mf
patterns.
ANS:2 f
m
, 13. A father reports that his adolescent daughter has go tten good grades up
mf mf mf mf mf mf mf mf mf mf mf mf
until the last quarter o f school.
mf mf mf mf mf
She has been hanging out by herself and does not want to talk to himanymore.
mf mf mf mf mf mf mf mf mf mf mf mf mf mf
The mental health nurse shou
mf mf mf mf
ld:
1. Realize that this is a natural part of growing up.
m f m f m f m f m f m f m f m f m f
2. Perform a m ental h ealth s creening to c heck fo r depression.
mf mf mf mf mf mf mf mf
3. Attempt to get the a do lescent to discuss why s he does no t like her father
mf mf mf mf mf mf mf mf mf mf mf mf mf mf
anymore.
4. Let the a do lescent talk when s he is ready.
mf mf mf mf mf mf mf mf
ANS: 2 mf
14. Ateensho uldbechecked fo rdepressio n a t m
f m
f physician visit(s). mf
1. Every
.
2. One
3. Monthly
4. Bi-yearly
ANS: 1 mf
15. When using the SAD FACES d epressio n screen, i t is i mpo rtant to a ssess:
mf m
f mf mf mf mf mf m
f mf mf mf
1. Anhedonia.
2. Suicidal ideations. mf
3. Sleep patterns. mf
4. All o f the a bove
mf mf mf m
ANS: 4
f mf
16. A school nurse is giving an in-
mf mf mf mf mf mf
service to teachers on bullycide. The main reason for the teaching is so
mf mf mf mf mf mf mf mf mf mf mf mf
that:
1. Teachers are aware bullying occurs. m f m f m f m f
2. Teachers are able to identify students who are risk. m f m f m f m f m f m f m f m f
3. Teachers can be a ware o f the fact that s uicides can h appen due to bullying b
mf mf mf mf mf mf mf mf mf mf mf mf mf mf
y others.
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4. Teachers are aware of their role in causing bullycide mf m f m f m f m f mf m f m f
. ANS: 3
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17. An adolescent with a kno wn histo ry o f bipo lar disorder is i n the schoolnurses
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office because a teachermf mf mf
reported that she was talking fast a nd acting like she was Go d. The schoolnurse ass
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esses the girl and notes
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that:
1. She is probably in a m anic phase a nd needs to be treated pro fessionally.
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2. She has had too much sleep and is no w hyperactive.
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3. She forgot to take her medications today.
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4. She requires somefoodandrest beforegoing backtoclass. A
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NS: 1 mf
Chapter 3. Genetics and C hild Health Q uest m
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ions
