TEST BANK
j
MedjC
, Burns'jPediatricjPrimaryjCarej7thjEditionjTestjBank
Chapterj1:jHealthjStatusjofjChildren:jGlobaljandjNationalPerspectives
1. Whichjregionjgloballyjhasjthejhighestjinfantjmortalityjrate?
A. Indonesia
B. SouthernjAsia
C. Sub-SaharanjAfricajCorrect
D. Syria
2. Thejprimaryjcarejpediatricjnursejpractitionerjunderstandsjthat,jtojachievethejg
reatestjworldwide
reductionjinjchildjmortalityjfromjpneumoniajandjdiarrhea,jwhichjinterventionisjmostj
effective?
A. Antibiotics
B. Optimaljnutrition
C. Vaccinationsj Correct
D. Waterjpurification
3. WhichjisjtruejaboutjthejhealthjstatusjofjchildrenjinjthejUnitedjStates?
.j13348413856
A. GlobalismjhasjrelativelyjlittlejimpactjonjchildjhealthjmeasuresjinjthejU.S.
B. Obesityjratesjamongj2to5yearoldsjhavejshownjajrecentjs
ignificant
decrease.jCorrect
.
C. Thejratejofjhouseholdjpovertyjisjlowerjthanjinjotherjeconomicallyjd
evelopedjnations.
D. Youngjchildrenjwhojattendjpreschooljorjdayjcarejhavejhigherjfoodjin
security.
4. Thejprimaryjcarejpediatricjnursejpractitionerjunderstandsjthatjajmajorchildjh
ealthjoutcomejassociatedjwithjworldwidejclimatejchangejis
A. costj ofj living.
B. education.
C. nutrition.jCorrect
D. pollution.
5. Whenjprovidingjwelljchildjcarejforjanjinfantjinjthejfirstjyearjofjlife,jtheprimaryjcarej
pediatricjnursejpractitionerjisjadheringjtojthejmostjrecentjAmericanAcademyjofjPediat
ricsRecommendationsjforjPreventivejPediatricjHealthjCarejguidelinesby
A. focusingjlessjonjdevelopmentjandjmorejonjillnessjpreventionjandjnu
trition.
B. followingjguidelinesjestablishedjbyjtheBrightjFuturesjpublication.
C. schedulingjwellbabyjvisitsjtojcoincidejwithjkeyjdevelopmentalj
milestones.jCorrect
D. seeingjthejinfantj atj agesj2,j4,j 6,j andj12jmonthsj whenjimmunizationsj aredue.
Chapterj2.jUniquejIssuesjinjPediatrics
1. Ajnursejisjexplainingjthejtherapeuticjmilieujtojajnewjnurse.jThejbestjex
planationjofjthisjtermjwouldjbe:
1. Thejplacejwherejthejchildjisjreceivingjcare.
MedjC
, 2. Groupjtherapy.
3. Personaljinteractionsjbetweenjpatientsjandjstaff.
4. Alljofjthejabovejarejcorrect.j
ANS:j4
2. Aj16-year-oldjmalejhasjreceivedjajpink-
slipjfromjthejpolicejforjinpatientpsychiatricjtreatment.jThejteen
hasjbeenjexpressingjthoughtsjofjhangingjhimselfjbecausejLifejsucks.jThenursingjstaffjsho
uldjconsider
placingjthejchild:
1. Withjpeers.
2. Injanjareajwherejhejcanjbejwatchedjone-on-one.
3. Withjajroommatejthatjisjexpressingjthejsamejconcerns.
4. Injanjareajclosejtojanjexternaljdoor.j
ANS:j2
3. Learningjdisabilitiesjinjchildrenjhavejscientificallyjbeenjlinkedjto:
1. Poorjnutrition.
2. Thejenvironmentjinjwhichjthejchildjlives.
3. Genetics.
4. Watchingjmorejthanjfourjhoursjofjtelevisionj ajday.ANS:
3
4.jAjmentaljhealthjnursejhasjassessedjajchildjandjdeterminedjthatjthejchildexhibitsjbehavioralj
challenges.
Whenjthejschooljnursejexplainsjthisjtojajteacher,jthejbestjdescriptionjwouldbe:
.
1. Thejchildjmayjexhibitjphysicaljoutbursts.
2. Thejchildjmayjexhibitjviolencejtowardjothers.
3. Thejchildjmayjbejdefiantj orjhavejtantrums.
4. Thejchildjwilljneedjspecialjinterventionsjforjlearning.ANS:
3
5. Ajchildjthatjhasjnotjexhibitedjenuresisjinjfourjyearsjhasjexhibitedjthisbehaviorjpa
tternjforjthejlastjweek.
Thejreasonj ajchildjmayjrevertjbackjtojthisjbehaviorjpatternjisjbecausejof:
1. Hallucinations.
2. Behavioralj challenges.
3. Delusions.
4. Stress.
ANS:j4
6. Anj18-year-
oldjmalejhasjcalledjthejcrisisjlinejforjhelp.jThejcrisisjnurserecognizesjthejinterventionjneed
s
mayjconsistjofjalljofjthejfollowingjexcept:
1. Discussingj thej individualsj everydayj activities.
2. Recognizingjthatjthejpatientjmayjbejinjajcatharsisjstate.
3. Expressingjempathyjtowardjthejcaller.
4. Avoidingjentropy.
ANS:j1
7. Anj8-year-
oldjboyjwithjajhistoryjofjhallucinationsjandjviolentjbehaviorjhasbeenjplacejinjajseclusionjro
om
atjthejhospitaljbecausejhejhasjbeenjhurtingjothers.jThejnursejchecksjonjthepatientjandjrealizesj
shejmustjtake
himjoutjofjthejseclusionjroomjwhen:
1. Hejisjcryingjtojbejreleased.
MedjC
, 2. Hejstates,jIjwilljbejajgoodjboyjnow.
.
3. Hejstartsjheadbuttingjthejwindow.
4. Hejcomplainsjthatjhisjparentsjwilljfilejajlawsuit.ANS:
3
8. AjchildjhasjbeenjexhibitingjthejMacDonaldjTriad.jThesejbehaviorsjinclude:
1. Enuresis,jpushingjothers,jandjpyromania.
2. Swingingjajcatjbyjthejtail,jbed-wetting,jandjlightingjpaperjonjfirejinjthetrashjcan.
3. Playingjwithjotherjchildren,jlaughing,jandjconversingjwithjadults.
4. Playingjwithjajcampfire,jwatchingjtelevision,jandjseekingjadultjattention.ANS:j2
9. Ajteenagerjdiagnosedjwithjborderlinejpersonalityjdisorderjshouldjhavedischargejpl
anningjinstructionsjof:
1. Ajconsistentjcaregiver.
2. Monitoringjofjmedia,jsuchjasjthejInternet,jtelevision,jandjvideojgames.
3. Obtainingjsupportjfromjfamilyjandjfriends.
4. Seekingjmedicalj attentionj whenjthejteenagerj feelsj good.ANS:j3
10. Ajmentaljhealthjnursejisjteachingjthejmotherjofjajchildjwithjexecutivefunctioningjiss
uesjwaysjtojhelp
herjchild.jInterventionsjthejmotherjshouldjusejinclude:
1. Placingjvisualjaidsjonjthejbathroomjmirrorjsojthatjthejchildjwilljfollowjthemorningjro
utine.
2. Givejthejchildjajchoicejinjfoodsjtojeat.
3. Allowingjthejchildjtojaskjforjhelpjwhenjneeded.
4. Remindingjthejchildjtojbejnicejtojothers.j
ANS:j1
.
11. Ellie,jaj9-year-
oldjgirl,jwasjadoptedjbyjajfamilyjatjthejagejofj4jafterjseveraljyearsjofjseverejneglectjbyjhe
rjbirthjfamily.jThejadoptivejfamilyjhasbeenjreportingjthatjElliejisjangryjajlot,jmanipulati
vejwithjher
teachers,jandjdoesjnotjseekjpositivejattention.jThejnursejworkingjwithjElliewilljneedjto:
1. Providejeducationjonjdecreasingjstimulijinjthejhomejenvironmentjthattriggersjth
ejanger.
2. RealizejElliejmayjhavejattachmentjissuesjrelatedjtojherjpreviousjhistoryandjwilljne
edjtojencouragejthe
familyjtojbejactivejinjherjcare.
3. Supportjthejfamilyjinjthejdecision-
makingjprocessjofjcontinuingjtojletjEllielivejinjthejhome.
4. DiscussjinpatientjtherapyjtojdecreasejElliesjmanipulativejbehaviorjp
atterns.
ANS:j2
12. Anjinfantjdisplaysjdepressionjby:
1. Smilingj atj strangers.
2. Bondingjtojsomeonejotherjthanjthejimmediatejfamily.
3. Cryingjmorejthanjanjaveragejinfant.
4. Looksjawayjwhenjanjadultjattemptsjtojplayjwithjthejinfant.ANS:j4
MedjC
j
MedjC
, Burns'jPediatricjPrimaryjCarej7thjEditionjTestjBank
Chapterj1:jHealthjStatusjofjChildren:jGlobaljandjNationalPerspectives
1. Whichjregionjgloballyjhasjthejhighestjinfantjmortalityjrate?
A. Indonesia
B. SouthernjAsia
C. Sub-SaharanjAfricajCorrect
D. Syria
2. Thejprimaryjcarejpediatricjnursejpractitionerjunderstandsjthat,jtojachievethejg
reatestjworldwide
reductionjinjchildjmortalityjfromjpneumoniajandjdiarrhea,jwhichjinterventionisjmostj
effective?
A. Antibiotics
B. Optimaljnutrition
C. Vaccinationsj Correct
D. Waterjpurification
3. WhichjisjtruejaboutjthejhealthjstatusjofjchildrenjinjthejUnitedjStates?
.j13348413856
A. GlobalismjhasjrelativelyjlittlejimpactjonjchildjhealthjmeasuresjinjthejU.S.
B. Obesityjratesjamongj2to5yearoldsjhavejshownjajrecentjs
ignificant
decrease.jCorrect
.
C. Thejratejofjhouseholdjpovertyjisjlowerjthanjinjotherjeconomicallyjd
evelopedjnations.
D. Youngjchildrenjwhojattendjpreschooljorjdayjcarejhavejhigherjfoodjin
security.
4. Thejprimaryjcarejpediatricjnursejpractitionerjunderstandsjthatjajmajorchildjh
ealthjoutcomejassociatedjwithjworldwidejclimatejchangejis
A. costj ofj living.
B. education.
C. nutrition.jCorrect
D. pollution.
5. Whenjprovidingjwelljchildjcarejforjanjinfantjinjthejfirstjyearjofjlife,jtheprimaryjcarej
pediatricjnursejpractitionerjisjadheringjtojthejmostjrecentjAmericanAcademyjofjPediat
ricsRecommendationsjforjPreventivejPediatricjHealthjCarejguidelinesby
A. focusingjlessjonjdevelopmentjandjmorejonjillnessjpreventionjandjnu
trition.
B. followingjguidelinesjestablishedjbyjtheBrightjFuturesjpublication.
C. schedulingjwellbabyjvisitsjtojcoincidejwithjkeyjdevelopmentalj
milestones.jCorrect
D. seeingjthejinfantj atj agesj2,j4,j 6,j andj12jmonthsj whenjimmunizationsj aredue.
Chapterj2.jUniquejIssuesjinjPediatrics
1. Ajnursejisjexplainingjthejtherapeuticjmilieujtojajnewjnurse.jThejbestjex
planationjofjthisjtermjwouldjbe:
1. Thejplacejwherejthejchildjisjreceivingjcare.
MedjC
, 2. Groupjtherapy.
3. Personaljinteractionsjbetweenjpatientsjandjstaff.
4. Alljofjthejabovejarejcorrect.j
ANS:j4
2. Aj16-year-oldjmalejhasjreceivedjajpink-
slipjfromjthejpolicejforjinpatientpsychiatricjtreatment.jThejteen
hasjbeenjexpressingjthoughtsjofjhangingjhimselfjbecausejLifejsucks.jThenursingjstaffjsho
uldjconsider
placingjthejchild:
1. Withjpeers.
2. Injanjareajwherejhejcanjbejwatchedjone-on-one.
3. Withjajroommatejthatjisjexpressingjthejsamejconcerns.
4. Injanjareajclosejtojanjexternaljdoor.j
ANS:j2
3. Learningjdisabilitiesjinjchildrenjhavejscientificallyjbeenjlinkedjto:
1. Poorjnutrition.
2. Thejenvironmentjinjwhichjthejchildjlives.
3. Genetics.
4. Watchingjmorejthanjfourjhoursjofjtelevisionj ajday.ANS:
3
4.jAjmentaljhealthjnursejhasjassessedjajchildjandjdeterminedjthatjthejchildexhibitsjbehavioralj
challenges.
Whenjthejschooljnursejexplainsjthisjtojajteacher,jthejbestjdescriptionjwouldbe:
.
1. Thejchildjmayjexhibitjphysicaljoutbursts.
2. Thejchildjmayjexhibitjviolencejtowardjothers.
3. Thejchildjmayjbejdefiantj orjhavejtantrums.
4. Thejchildjwilljneedjspecialjinterventionsjforjlearning.ANS:
3
5. Ajchildjthatjhasjnotjexhibitedjenuresisjinjfourjyearsjhasjexhibitedjthisbehaviorjpa
tternjforjthejlastjweek.
Thejreasonj ajchildjmayjrevertjbackjtojthisjbehaviorjpatternjisjbecausejof:
1. Hallucinations.
2. Behavioralj challenges.
3. Delusions.
4. Stress.
ANS:j4
6. Anj18-year-
oldjmalejhasjcalledjthejcrisisjlinejforjhelp.jThejcrisisjnurserecognizesjthejinterventionjneed
s
mayjconsistjofjalljofjthejfollowingjexcept:
1. Discussingj thej individualsj everydayj activities.
2. Recognizingjthatjthejpatientjmayjbejinjajcatharsisjstate.
3. Expressingjempathyjtowardjthejcaller.
4. Avoidingjentropy.
ANS:j1
7. Anj8-year-
oldjboyjwithjajhistoryjofjhallucinationsjandjviolentjbehaviorjhasbeenjplacejinjajseclusionjro
om
atjthejhospitaljbecausejhejhasjbeenjhurtingjothers.jThejnursejchecksjonjthepatientjandjrealizesj
shejmustjtake
himjoutjofjthejseclusionjroomjwhen:
1. Hejisjcryingjtojbejreleased.
MedjC
, 2. Hejstates,jIjwilljbejajgoodjboyjnow.
.
3. Hejstartsjheadbuttingjthejwindow.
4. Hejcomplainsjthatjhisjparentsjwilljfilejajlawsuit.ANS:
3
8. AjchildjhasjbeenjexhibitingjthejMacDonaldjTriad.jThesejbehaviorsjinclude:
1. Enuresis,jpushingjothers,jandjpyromania.
2. Swingingjajcatjbyjthejtail,jbed-wetting,jandjlightingjpaperjonjfirejinjthetrashjcan.
3. Playingjwithjotherjchildren,jlaughing,jandjconversingjwithjadults.
4. Playingjwithjajcampfire,jwatchingjtelevision,jandjseekingjadultjattention.ANS:j2
9. Ajteenagerjdiagnosedjwithjborderlinejpersonalityjdisorderjshouldjhavedischargejpl
anningjinstructionsjof:
1. Ajconsistentjcaregiver.
2. Monitoringjofjmedia,jsuchjasjthejInternet,jtelevision,jandjvideojgames.
3. Obtainingjsupportjfromjfamilyjandjfriends.
4. Seekingjmedicalj attentionj whenjthejteenagerj feelsj good.ANS:j3
10. Ajmentaljhealthjnursejisjteachingjthejmotherjofjajchildjwithjexecutivefunctioningjiss
uesjwaysjtojhelp
herjchild.jInterventionsjthejmotherjshouldjusejinclude:
1. Placingjvisualjaidsjonjthejbathroomjmirrorjsojthatjthejchildjwilljfollowjthemorningjro
utine.
2. Givejthejchildjajchoicejinjfoodsjtojeat.
3. Allowingjthejchildjtojaskjforjhelpjwhenjneeded.
4. Remindingjthejchildjtojbejnicejtojothers.j
ANS:j1
.
11. Ellie,jaj9-year-
oldjgirl,jwasjadoptedjbyjajfamilyjatjthejagejofj4jafterjseveraljyearsjofjseverejneglectjbyjhe
rjbirthjfamily.jThejadoptivejfamilyjhasbeenjreportingjthatjElliejisjangryjajlot,jmanipulati
vejwithjher
teachers,jandjdoesjnotjseekjpositivejattention.jThejnursejworkingjwithjElliewilljneedjto:
1. Providejeducationjonjdecreasingjstimulijinjthejhomejenvironmentjthattriggersjth
ejanger.
2. RealizejElliejmayjhavejattachmentjissuesjrelatedjtojherjpreviousjhistoryandjwilljne
edjtojencouragejthe
familyjtojbejactivejinjherjcare.
3. Supportjthejfamilyjinjthejdecision-
makingjprocessjofjcontinuingjtojletjEllielivejinjthejhome.
4. DiscussjinpatientjtherapyjtojdecreasejElliesjmanipulativejbehaviorjp
atterns.
ANS:j2
12. Anjinfantjdisplaysjdepressionjby:
1. Smilingj atj strangers.
2. Bondingjtojsomeonejotherjthanjthejimmediatejfamily.
3. Cryingjmorejthanjanjaveragejinfant.
4. Looksjawayjwhenjanjadultjattemptsjtojplayjwithjthejinfant.ANS:j4
MedjC
