Burns' Pediatric Primary Care 8th Edition Test Bank
x x x x x x x
Chapter 1: Health Status of Children: Global and National Perspective
x x x x x x x x x
s
,A. Antibiotics
B. Optimal nutrition x
C. Vaccinations Correct x
D. Water purification x
3. Which is true about the health status of children in the United States?
x x x x x x x x x x x x
.
13348413856
A. Globalism has relatively little impact on child health measures in the U.S.
x x x x x x x x x x x
B. Obesity rates among 2to5yearolds have shown a recent si
x x x x x x x x
gnificant
decrease. Correct x
.
C. The rate of household poverty is lower than in other economically de
x x x x x x x x x x x
veloped nations. x
D. Young children who attend preschool or day care have higher food ins
x x x x x x x x x x x
ecurity.
4. The primary care pediatric nurse practitioner understands that a major ch
x x x x x x x x x x
ild
health outcome associated with worldwide climate change is
x x x x x x x
A. cost of living. x x
B. education.
C. nutrition. Correct x
D. pollution.
5. When providing well child care for an infant in the first year of life, the prim
x x x x x x x x x x x x x x x
ary
care pediatric nurse practitioner is adhering to the most recent American Acade
x x x x x x x x x x x
my ofx
PediatricsRecommendations for Preventive Pediatric Health Care guidelines by x x x x x x x
A. focusing less on development and more on illness prevention and nut
x x x x x x x x x x
rition.
B. following guidelines established by theBright Futures publication.
x x x x x x
C. scheduling wellbaby visits to coincide with key developmental x x x x x x x x
milestones. Correct x
D. seeing the infant at ages 2, 4, 6, and 12 months when immunizations are due
x x x x x x x x x x x x x x
.
Chapter 2. Unique Issues in Pediatrics x x x x x
1. A nurse is explaining the therapeutic milieu to a new nurse. The best exp
x x x x x x x x x x x x x
lanation of this term would be:
x x x x x
1. The place where the child is receiving care.
x x x x x x x
,2. Group therapy. x
3. Personal interactions between patients and staff. x x x x x
4. All of the above are correct. A
x x x x x x
NS: 4 x
2. A 16-year-old male has received a pink-
x x x x x x
slip from the police for inpatient psychiatric treatment. The teen
x x x x x x x x x
has been expressing thoughts of hanging himself because Life sucks. Thenursing staff
x x x x x x x x x x x x
should consider x
placing the child: x x
1. With peers. x
2. In an area where he can be watched one-on-one.
x x x x x x x x
3. With aroommate thatisexpressing the sameconcerns.
x x x x
4. In an area close to an external door. A
x x x x x x x x
NS: 2 x
3. Learning disabilities in children have scientifically been linked to:
x x x x x x x x
1. Poornutrition.
2. The environment in which the child lives.
x x x x x x
3. Genetics.
4. Watching more than four hours of television a day. A x x x x x x x x x
NS: 3 x
4. A mental health nurse has assessed a child and determined that the child exhibits b
x x x x x x x x x x x x x x x
ehavioral challenges. x
When the school nurse explains this to a teacher, the best description wouldbe:
x x x x x x x x x x x x
.
1. The child may exhibit physical outbursts.
x x x x x
2. The child may exhibit violence toward others.
x x x x x x
3. The child may be defiant or have tantrums.
x x x x x x x
4. The child will need special interventions for learning. AN
x x x x x x x x
S: 3
x
5. A child that has not exhibited enuresis in four years has exhibited this be
x x x x x x x x x x x x x
havior pattern for the last week.
x x x x x
The reason a child may revert back to this behavior pattern is because of:
x x x x x x x x x x x x x
1. Hallucinations.
2. Behavioral challenges. x
3. Delusions.
4. Stress.
ANS: 4 x
6. An 18-year- x
old male has called the crisis line for help. The crisis nurse recognizes the in
x x x x x x x x x x x x x x
tervention needs x
may consist of all of the following except:
x x x x x x x
1. Discussing the individuals everyday activities. x x x x
2. Recognizing that the patient may be in a catharsis state. x x x x x x x x x
3. Expressing empathy toward the caller. x x x x
4. Avoiding entropy. x
ANS: 1 x
, 2. He states, I will be a good boy now.
x x x x x x x x
.
3. He starts headbutting the window.
x x x x
4. He complains that his parents will file a lawsuit. AN
x x x x x x x x x
S: 3 x
8. A child has been exhibiting the MacDonald Triad. These behaviors include:
x x x x x x x x x x
1. Enuresis, pushing others, and pyromania. x x x x
2. Swinging a cat by the tail, bed- x x x x x x
wetting, and lighting paper on fire in the trash can.
x x x x x x x x x
3. Playing with other children, laughing, and conversing with adults.
x x x x x x x x
4. Playing with a campfire, watching television, and seeking adult attention. A
x x x x x x x x x x
NS: 2 x
9. A teenager diagnosed with borderline personality disorder should have dis
x x x x x x x x x
charge planning instructions of:
x x x
1. A consistent caregiver.
x x
2. Monitoring of media, such as the Internet, television, and video games. x x x x x x x x x x
3. Obtaining support from family and friends. x x x x x
4. Seeking medical attention when the teenager feels good. A
x x x x x x x x
NS: 3 x
10. A mental health nurse is teaching the mother of a child with executive fun
x x x x x x x x x x x x x
ctioning issues ways to help x x x x
her child. Interventions the mother should use include:
x x x x x x x
1. Placing visual aids on the bathroom mirror so that the child will follow the mor
x x x x x x x x x x x x x x
ning routine. x
2. Give the child a choice in foods to eat.
x x x x x x x x
3. Allowing the child to ask for help when needed. x x x x x x x x
4. Reminding the child to be nice to others. A x x x x x x x x
NS: 1 x
.
11. Ellie, a 9-year- x x
old girl, was adopted by a family at the age of 4 after several years of severe neglec
x x x x x x x x x x x x x x x x x
t by her birth family. The adoptive family hasbeen reporting that Ellie is angry a l
x x x x x x x x x x x x x x x
ot, manipulative with her
x x x
teachers, and does not seek positive attention. The nurse working with EllieIwill need t
x x x x x x x x x x x x x
o:
1. Provide education on decreasing stimuli in the home environment that tri
x x x x x x x x x x
ggers the anger. x x
2. Realize Ellie may have attachment issues related to her previous history an
x x x x x x x x x x x
d will need to encourage the
x x x x x
family to be active in her care.
x x x x x x
3. Support the family in the decision- x x x x x
making process of continuing to let Ellie live in the home.
x x x x x x x x x x
4. Discuss inpatient therapy to decrease Ellies manipulative behavior pa
x x x x x x x x
tterns.
ANS:2 x
x x x x x x x
Chapter 1: Health Status of Children: Global and National Perspective
x x x x x x x x x
s
,A. Antibiotics
B. Optimal nutrition x
C. Vaccinations Correct x
D. Water purification x
3. Which is true about the health status of children in the United States?
x x x x x x x x x x x x
.
13348413856
A. Globalism has relatively little impact on child health measures in the U.S.
x x x x x x x x x x x
B. Obesity rates among 2to5yearolds have shown a recent si
x x x x x x x x
gnificant
decrease. Correct x
.
C. The rate of household poverty is lower than in other economically de
x x x x x x x x x x x
veloped nations. x
D. Young children who attend preschool or day care have higher food ins
x x x x x x x x x x x
ecurity.
4. The primary care pediatric nurse practitioner understands that a major ch
x x x x x x x x x x
ild
health outcome associated with worldwide climate change is
x x x x x x x
A. cost of living. x x
B. education.
C. nutrition. Correct x
D. pollution.
5. When providing well child care for an infant in the first year of life, the prim
x x x x x x x x x x x x x x x
ary
care pediatric nurse practitioner is adhering to the most recent American Acade
x x x x x x x x x x x
my ofx
PediatricsRecommendations for Preventive Pediatric Health Care guidelines by x x x x x x x
A. focusing less on development and more on illness prevention and nut
x x x x x x x x x x
rition.
B. following guidelines established by theBright Futures publication.
x x x x x x
C. scheduling wellbaby visits to coincide with key developmental x x x x x x x x
milestones. Correct x
D. seeing the infant at ages 2, 4, 6, and 12 months when immunizations are due
x x x x x x x x x x x x x x
.
Chapter 2. Unique Issues in Pediatrics x x x x x
1. A nurse is explaining the therapeutic milieu to a new nurse. The best exp
x x x x x x x x x x x x x
lanation of this term would be:
x x x x x
1. The place where the child is receiving care.
x x x x x x x
,2. Group therapy. x
3. Personal interactions between patients and staff. x x x x x
4. All of the above are correct. A
x x x x x x
NS: 4 x
2. A 16-year-old male has received a pink-
x x x x x x
slip from the police for inpatient psychiatric treatment. The teen
x x x x x x x x x
has been expressing thoughts of hanging himself because Life sucks. Thenursing staff
x x x x x x x x x x x x
should consider x
placing the child: x x
1. With peers. x
2. In an area where he can be watched one-on-one.
x x x x x x x x
3. With aroommate thatisexpressing the sameconcerns.
x x x x
4. In an area close to an external door. A
x x x x x x x x
NS: 2 x
3. Learning disabilities in children have scientifically been linked to:
x x x x x x x x
1. Poornutrition.
2. The environment in which the child lives.
x x x x x x
3. Genetics.
4. Watching more than four hours of television a day. A x x x x x x x x x
NS: 3 x
4. A mental health nurse has assessed a child and determined that the child exhibits b
x x x x x x x x x x x x x x x
ehavioral challenges. x
When the school nurse explains this to a teacher, the best description wouldbe:
x x x x x x x x x x x x
.
1. The child may exhibit physical outbursts.
x x x x x
2. The child may exhibit violence toward others.
x x x x x x
3. The child may be defiant or have tantrums.
x x x x x x x
4. The child will need special interventions for learning. AN
x x x x x x x x
S: 3
x
5. A child that has not exhibited enuresis in four years has exhibited this be
x x x x x x x x x x x x x
havior pattern for the last week.
x x x x x
The reason a child may revert back to this behavior pattern is because of:
x x x x x x x x x x x x x
1. Hallucinations.
2. Behavioral challenges. x
3. Delusions.
4. Stress.
ANS: 4 x
6. An 18-year- x
old male has called the crisis line for help. The crisis nurse recognizes the in
x x x x x x x x x x x x x x
tervention needs x
may consist of all of the following except:
x x x x x x x
1. Discussing the individuals everyday activities. x x x x
2. Recognizing that the patient may be in a catharsis state. x x x x x x x x x
3. Expressing empathy toward the caller. x x x x
4. Avoiding entropy. x
ANS: 1 x
, 2. He states, I will be a good boy now.
x x x x x x x x
.
3. He starts headbutting the window.
x x x x
4. He complains that his parents will file a lawsuit. AN
x x x x x x x x x
S: 3 x
8. A child has been exhibiting the MacDonald Triad. These behaviors include:
x x x x x x x x x x
1. Enuresis, pushing others, and pyromania. x x x x
2. Swinging a cat by the tail, bed- x x x x x x
wetting, and lighting paper on fire in the trash can.
x x x x x x x x x
3. Playing with other children, laughing, and conversing with adults.
x x x x x x x x
4. Playing with a campfire, watching television, and seeking adult attention. A
x x x x x x x x x x
NS: 2 x
9. A teenager diagnosed with borderline personality disorder should have dis
x x x x x x x x x
charge planning instructions of:
x x x
1. A consistent caregiver.
x x
2. Monitoring of media, such as the Internet, television, and video games. x x x x x x x x x x
3. Obtaining support from family and friends. x x x x x
4. Seeking medical attention when the teenager feels good. A
x x x x x x x x
NS: 3 x
10. A mental health nurse is teaching the mother of a child with executive fun
x x x x x x x x x x x x x
ctioning issues ways to help x x x x
her child. Interventions the mother should use include:
x x x x x x x
1. Placing visual aids on the bathroom mirror so that the child will follow the mor
x x x x x x x x x x x x x x
ning routine. x
2. Give the child a choice in foods to eat.
x x x x x x x x
3. Allowing the child to ask for help when needed. x x x x x x x x
4. Reminding the child to be nice to others. A x x x x x x x x
NS: 1 x
.
11. Ellie, a 9-year- x x
old girl, was adopted by a family at the age of 4 after several years of severe neglec
x x x x x x x x x x x x x x x x x
t by her birth family. The adoptive family hasbeen reporting that Ellie is angry a l
x x x x x x x x x x x x x x x
ot, manipulative with her
x x x
teachers, and does not seek positive attention. The nurse working with EllieIwill need t
x x x x x x x x x x x x x
o:
1. Provide education on decreasing stimuli in the home environment that tri
x x x x x x x x x x
ggers the anger. x x
2. Realize Ellie may have attachment issues related to her previous history an
x x x x x x x x x x x
d will need to encourage the
x x x x x
family to be active in her care.
x x x x x x
3. Support the family in the decision- x x x x x
making process of continuing to let Ellie live in the home.
x x x x x x x x x x
4. Discuss inpatient therapy to decrease Ellies manipulative behavior pa
x x x x x x x x
tterns.
ANS:2 x
