Test Bank - Pediatric Primary Care 6th Edition
TEST BANK
Pediatric Primary Care
Catherine E. Burns, Ardys M. Dunn, Margaret A. Brady, Nancy Barber Starr,
Catherine G. Blosser, Dawn Lee Garzon
6th Edition
, Test Bank - Pediatric Primary Care 6th Edition
Table of Contents
Unit One: Pediatric Primary Care Foundations
1.Health Status of Children: Global and Local Perspectives
2.Child and Family Health Assessment
3.Cultural Perspectives for Pediatric Primary Care
Unit Two: Management of Development
4.Developmental Management in Pediatric Primary Care
5.Developmental Management of Infants
6.Developmental Management in Early Childhood
7.Developmental Management of School-Age Children
8.Developmental Management of Adolescents
Unit Three: Approaches to Health Management in Pediatric Primary Care
9.Introduction to Functional Health Patterns and Health Promotion
10.Breastfeeding
11.Nutrition
12.Elimination Patterns
13.Physical Activity and Sports for Children and Adolescents
14.Sleep and Rest
15.Sexuality
16.Values and Beliefs
17.Role Relationships
18.Self-Perception Issues
19.Coping and Stress Tolerance: Mental Health and Illness
20.Cognitive-Perceptual Disorders: Attention-Deficit/Hyperactivity Disorder, Learning Problems, Sensory
Processing Disorder, Autism Spectrum Disorder, Blindness, and Deafness
Unit Four: Approaches to Disease Management
21.Introduction to Disease Management
22.Prescribing Medications in Pediatrics NEW!
23.Pediatric Pain Management
24.Infectious Diseases and Immunizations
25.Atopic and Rheumatic Disorders
26.Endocrine and Metabolic Disorders
27.Hematologic Disorders
28.Neurologic Disorders
29.Eye Disorders
30.Ear Disorders
31.Cardiovascular Disorders
32.Respiratory Disorders
33.Gastrointestinal Disorders
34.Dental and Oral Disorders
35.Genitourinary Disorders
36.Gynecologic Disorders
37.Dermatologic Disorders
38.Musculoskeletal Disorders
39.Common Injuries
40.Perinatal Conditions
41.Genetic Disorders
42.Environmental Health Issues
43.Complementary Medicine
44.Strategies for Managing a Pediatric Health Care Practice
, Test Bank - Pediatric Primary Care 6th Edition
Pediatric Primary Care, 6th Edition by Dawn Lee Test Bank
Questions
1. A child who has attention-deficit/hyperactivity disorder (ADHD) has difficulty
stopping activities to begin other activities at school. The primary care pediatric nurse
practitioner understands that this is due to difficulty with the self-regulation component of
A. emotional control.
B. flexibility. Correct
C. inhibition.
D. problem-solving.
2. The primary care pediatric nurse practitioner cares for a preschool-age child
who was exposed to drugs prenatally. The child bites other children and has tantrums when
asked to stop but is able to state later why this behavior is wrong. This child most likely has a
disorder of
A. executive function. Correct
B. information processing.
C. sensory processing.
D. social cognition.
3. The primary care pediatric nurse practitioner uses the Neurodevelopmental
Learning Framework to assess cognition and learning in an adolescent. When evaluating
social cognition, the nurse practitioner will ask the adolescent
A. about friends and activities at school. Correct
B. if balancing sports and homework is difficult.
C. to interpret material from a pie chart.
D. to restate the content of something just read.
4. The primary care pediatric nurse practitioner is evaluating a school-age child
who has been diagnosed with ADHD. Which plan will the nurse practitioner recommend asking
the child’s school about to help with academic performance?
A. 504 Correct
B. FAPE
C. IDEA
D. IEP
5. The parent of a child diagnosed with ADHD tells the primary care pediatric
, Test Bank - Pediatric Primary Care 6th Edition
nurse practitioner that the child gets overwhelmed by homework assignments, doesn’t seem to
know which ones to do first, and then doesn’t do any assignments. The nurse practitioner
tells the parent that this represents impairment in which executive function? A.
Activation Correct
B. Effort
C. Emotion
D. Focus
6. The primary care pediatric nurse practitioner is considering medication
options for a school-age child recently diagnosed with ADHD who has a primarily hyperactive
presentation. Which medication will the nurse practitioner select initially?
A. Low-dose stimulant
B. Moderate-dose stimulant Correct
C. Low-dose non-stimulant
D. Moderate-dose non-stimulant
7. The parent of a 4-year-old child reports that the child gets upset when the
hall light is left on at night and won’t leave the house unless both shoes are tied equally tight. The
primary care pediatric nurse practitioner recognizes that this child likely has which type of
sensory processing disorder?
A. Dyspraxia
B. Over-responder Correct
C. Sensory seeker
D. Under-responder
8. The parent of a preschool-age child who is diagnosed with a sensory
processing disorder (SPD) asks the primary care pediatric nurse practitioner how to help the
child manage the symptoms. What will the nurse practitioner recommend?
A. Establishing a reward system for acceptable behaviors
B. Introducing the child to a variety of new experiences
C. Maintaining predictable routines as much as possible Correct D.
Providing frequent contact, such as hugs and cuddling
9. The primary care pediatric nurse practitioner is performing an examination on
a 5-year-old child who exhibits ritualistic behaviors, avoids contact with other children, and has
limited speech. The parent reports having had concerns more than 2 years ago about autism, but
was told that it was too early to diagnose. What will the nurse practitioner do first?
A. Administer an M-CHAT screen to screen the child for communication and
, Test Bank - Pediatric Primary Care 6th Edition
socialization delays.
B. Ask the parent to describe the child’s earlier behaviors from infancy through
preschool. Correct
C. Reassure the parent that if symptoms weren’t present earlier, the likelihood of
autism is low.
D. Refer the child to a pediatric behavioral specialist to develop a plan
of treatment and management.
10. The primary care pediatric nurse practitioner is examining a 3-year-old child
who speaks loudly, in a monotone, does not make eye contact, and prefers to sit on the exam
room floor moving a toy truck back and forth in a repetitive manner. Which disorder does the
nurse practitioner suspect?
A. Attention-deficit/hyperactivity disorder
B. Autism spectrum disorder Correct
C. Executive function disorder
D. Sensory processing disorder
11. The primary care pediatric nurse practitioner is selecting a medication for a
12-year-old child who is newly diagnosed with ADHD. The child is overweight, has a history of an
atrial septal defect at birth, and reports mild shortness of breath during exercise. What will the
nurse practitioner prescribe?
A. A low-dose stimulant medication
B. A non-stimulant medication
C. Behavioral therapy only
D. Cardiovascular pre-screening Correct
12. The primary care pediatric nurse practitioner is conducting a follow-up
examination on a child who has recently begun taking a low-dose stimulant medication to treat
ADHD. The child’s school performance and home behaviors have improved. The child’s parent
reports noticing a few tics, such a twitching of the eyelids, but the child is unaware of them and
isn’t bothered by them. What will the nurse practitioner recommend?
A. Adding an alpha-agonist medication
B. Changing to a non-stimulant medication
C. Continuing the medication as prescribed Correct
D. Stopping the medication immediately
Continue
, Test Bank - Pediatric Primary Care 6th Edition
Questions
1. The primary care pediatric nurse practitioner uses a shared decision-making
(SDM) model when working with families of children with chronic health conditions. When using this
model, the nurse practitioner can expect
A. considerably more time in each encounter.
B. improved patient health outcomes. Correct
C. less PNP involvement in health care decisions.
D. lower provider and higher patient satisfaction.
2. The primary care pediatric nurse practitioner diagnoses a 5-year-old child with
asthma and prescribes an oral steroid and a short-acting beta-adrenergic medication via a
metered-dose inhaler to manage acute symptoms. Along with education about the prescribed
medications, what information is important to give the child’s family at this visit?
A. An asthma action plan
B. Effects and side effects of current medications Correct
C. Information about spirometry testing
D. Instructions for medications at school
2. The parent of a child with complex health care needs tells the primary care
pediatric nurse practitioner that the child has had difficulty breathing the past two nights but can’t
articulate specific symptoms. The child has normal oxygen saturations and a normal respiratory rate
with clear breath sounds. What will the nurse practitioner do?
A. Admit the child to the hospital for close observation and monitoring of respiratory status.
B. Encourage the parent to call when concerned and schedule a follow-up appointment
the next day. Correct
C. Perform a complete blood count, blood cultures, and a chest radiograph to evaluate
symptoms.
D. Reassure the parent that the child has a normal exam and is most likely not ill.
3. Which characteristic is the key criterion that identifies a child has having special
needs?
A. Cognitive function
B. Emotional health
C. Health service requirements Correct
D. Medical diagnosis
, Test Bank - Pediatric Primary Care 6th Edition
5. The primary care pediatric nurse practitioner is performing a well baby
examination on a 2-week-old infant who was recently discharged home from the neonatal intensive
care unit. The mother reports that the infant was born at 26 weeks’ gestation and states she was told
that her baby will probably have developmental delays. What is the most important aspect of long-term
management for this infant?
A. Careful monitoring of attainment of developmental milestones Correct
B. Familiarizing the parent with laws that mandate educational support
C. Providing genetic counseling to the infant’s parents
D. Referral to social services for assistance with resources
6. The primary care pediatric nurse practitioner is preparing to perform a well child
examination on a 5-year-old child who has multiple developmental and cognitive delays. The child’s
mother is angry and tells the nurse practitioner that her friends’ children are all preparing for
kindergarten. The nurse practitioner will
A. allow the mother to express her feelings, understanding that she is experiencing
grief. Correct
B. reassure the mother that special educational opportunities are available for her child.
C. suggest that the mother find a support group with other children with special needs.
D. tell her that most schools provide services for children with special health care needs.
7. The parent of a toddler who has special health care needs is resistant to a
suggestion that her child needs a gastrostomy tube for nutrition. The toddler has fallen from the 10th
percentile to the 5th percentile in the past few months and resists taking in appropriate amounts of
food by mouth even with assistance from occupational therapy. What will the primary care pediatric
nurse practitioner do?
A. Inform the mother that, since other options have failed, the gastrostomy tube is the only
option.
B. Refer the child to a dietician to teach the mother the importance of adequate nutrition.
C. Set weight gain and food intake goals with the mother and schedule regular visits to
monitor weight. Correct
D. Suggest that the gastrostomy tube may be tried temporarily and
removed once the child gains weight.
8. What is the most important role of the primary care pediatric nurse practitioner
who provides care for a child with special health care needs who sees several specialists and
receives community and school-based services?
A. Assessing the parent’s ability to perform home care tasks
B. Coordinating services to ensure continuity of care Correct
C. Monitoring the family’s adherence to the health care plan
, Test Bank - Pediatric Primary Care 6th Edition
D. Ordering medications and other prescribed treatments
9. A toddler swallowed a coin several days prior. The child’s parent has not found
the coin in the child’s stool. Which imaging test will the primary care pediatric nurse practitioner employ to
evaluate this ingestion?
A. Abdominal ultrasound
B. Computed tomography
C. Conventional radiograph Correct
D. Magnetic resonance imaging
10. The primary care pediatric nurse practitioner is assessing an ill 2-month-old infant
who is febrile and refusing most fluids. The preliminary blood work indicates a viral infection and shows
that the infant is hydrated. The infant is alert. The infant’s parents are attentive and live
close by. What will the nurse practitioner do?
A. Administer a parenteral antibiotic and antipyretic and send the infant home.
B. Admit the infant to an inpatient hospital unit for overnight monitoring.
C. Give the parents sick care instructions and follow up in the clinic in the
morning. Correct
D. Send the infant to the urgent care center for intravenous fluids.
11. A toddler is prescribed a liquid oral medication. The parent tells the primary care
pediatric nurse practitioner that the child refuses to take medications and usually spits them out.
What will the nurse practitioner do?
A. Demonstrate oral medication administration with the toddler in the office. rrect
B. Instruct the parent to hide the medication in a favorite food or beverage.
C. Order the medication to be given via another route if possible.
D. Tell the parent to offer the child a reward each time the medication is taken.
12. The primary care pediatric nurse practitioner orders a pulmonology consult for a
child who has severe asthma. The nurse practitioner writes “child with asthma refractory to conventional
treatments needs suggestions for alternative treatments.” The nurse practitioner
expects the pulmonologist to
A. confirm the medical diagnosis for the child’s parents.
B. make recommendations for disease management. Correct
C. stress the importance of adherence to the medication regimen.
D. take over management of this child’s chronic illness.
TEST BANK
Pediatric Primary Care
Catherine E. Burns, Ardys M. Dunn, Margaret A. Brady, Nancy Barber Starr,
Catherine G. Blosser, Dawn Lee Garzon
6th Edition
, Test Bank - Pediatric Primary Care 6th Edition
Table of Contents
Unit One: Pediatric Primary Care Foundations
1.Health Status of Children: Global and Local Perspectives
2.Child and Family Health Assessment
3.Cultural Perspectives for Pediatric Primary Care
Unit Two: Management of Development
4.Developmental Management in Pediatric Primary Care
5.Developmental Management of Infants
6.Developmental Management in Early Childhood
7.Developmental Management of School-Age Children
8.Developmental Management of Adolescents
Unit Three: Approaches to Health Management in Pediatric Primary Care
9.Introduction to Functional Health Patterns and Health Promotion
10.Breastfeeding
11.Nutrition
12.Elimination Patterns
13.Physical Activity and Sports for Children and Adolescents
14.Sleep and Rest
15.Sexuality
16.Values and Beliefs
17.Role Relationships
18.Self-Perception Issues
19.Coping and Stress Tolerance: Mental Health and Illness
20.Cognitive-Perceptual Disorders: Attention-Deficit/Hyperactivity Disorder, Learning Problems, Sensory
Processing Disorder, Autism Spectrum Disorder, Blindness, and Deafness
Unit Four: Approaches to Disease Management
21.Introduction to Disease Management
22.Prescribing Medications in Pediatrics NEW!
23.Pediatric Pain Management
24.Infectious Diseases and Immunizations
25.Atopic and Rheumatic Disorders
26.Endocrine and Metabolic Disorders
27.Hematologic Disorders
28.Neurologic Disorders
29.Eye Disorders
30.Ear Disorders
31.Cardiovascular Disorders
32.Respiratory Disorders
33.Gastrointestinal Disorders
34.Dental and Oral Disorders
35.Genitourinary Disorders
36.Gynecologic Disorders
37.Dermatologic Disorders
38.Musculoskeletal Disorders
39.Common Injuries
40.Perinatal Conditions
41.Genetic Disorders
42.Environmental Health Issues
43.Complementary Medicine
44.Strategies for Managing a Pediatric Health Care Practice
, Test Bank - Pediatric Primary Care 6th Edition
Pediatric Primary Care, 6th Edition by Dawn Lee Test Bank
Questions
1. A child who has attention-deficit/hyperactivity disorder (ADHD) has difficulty
stopping activities to begin other activities at school. The primary care pediatric nurse
practitioner understands that this is due to difficulty with the self-regulation component of
A. emotional control.
B. flexibility. Correct
C. inhibition.
D. problem-solving.
2. The primary care pediatric nurse practitioner cares for a preschool-age child
who was exposed to drugs prenatally. The child bites other children and has tantrums when
asked to stop but is able to state later why this behavior is wrong. This child most likely has a
disorder of
A. executive function. Correct
B. information processing.
C. sensory processing.
D. social cognition.
3. The primary care pediatric nurse practitioner uses the Neurodevelopmental
Learning Framework to assess cognition and learning in an adolescent. When evaluating
social cognition, the nurse practitioner will ask the adolescent
A. about friends and activities at school. Correct
B. if balancing sports and homework is difficult.
C. to interpret material from a pie chart.
D. to restate the content of something just read.
4. The primary care pediatric nurse practitioner is evaluating a school-age child
who has been diagnosed with ADHD. Which plan will the nurse practitioner recommend asking
the child’s school about to help with academic performance?
A. 504 Correct
B. FAPE
C. IDEA
D. IEP
5. The parent of a child diagnosed with ADHD tells the primary care pediatric
, Test Bank - Pediatric Primary Care 6th Edition
nurse practitioner that the child gets overwhelmed by homework assignments, doesn’t seem to
know which ones to do first, and then doesn’t do any assignments. The nurse practitioner
tells the parent that this represents impairment in which executive function? A.
Activation Correct
B. Effort
C. Emotion
D. Focus
6. The primary care pediatric nurse practitioner is considering medication
options for a school-age child recently diagnosed with ADHD who has a primarily hyperactive
presentation. Which medication will the nurse practitioner select initially?
A. Low-dose stimulant
B. Moderate-dose stimulant Correct
C. Low-dose non-stimulant
D. Moderate-dose non-stimulant
7. The parent of a 4-year-old child reports that the child gets upset when the
hall light is left on at night and won’t leave the house unless both shoes are tied equally tight. The
primary care pediatric nurse practitioner recognizes that this child likely has which type of
sensory processing disorder?
A. Dyspraxia
B. Over-responder Correct
C. Sensory seeker
D. Under-responder
8. The parent of a preschool-age child who is diagnosed with a sensory
processing disorder (SPD) asks the primary care pediatric nurse practitioner how to help the
child manage the symptoms. What will the nurse practitioner recommend?
A. Establishing a reward system for acceptable behaviors
B. Introducing the child to a variety of new experiences
C. Maintaining predictable routines as much as possible Correct D.
Providing frequent contact, such as hugs and cuddling
9. The primary care pediatric nurse practitioner is performing an examination on
a 5-year-old child who exhibits ritualistic behaviors, avoids contact with other children, and has
limited speech. The parent reports having had concerns more than 2 years ago about autism, but
was told that it was too early to diagnose. What will the nurse practitioner do first?
A. Administer an M-CHAT screen to screen the child for communication and
, Test Bank - Pediatric Primary Care 6th Edition
socialization delays.
B. Ask the parent to describe the child’s earlier behaviors from infancy through
preschool. Correct
C. Reassure the parent that if symptoms weren’t present earlier, the likelihood of
autism is low.
D. Refer the child to a pediatric behavioral specialist to develop a plan
of treatment and management.
10. The primary care pediatric nurse practitioner is examining a 3-year-old child
who speaks loudly, in a monotone, does not make eye contact, and prefers to sit on the exam
room floor moving a toy truck back and forth in a repetitive manner. Which disorder does the
nurse practitioner suspect?
A. Attention-deficit/hyperactivity disorder
B. Autism spectrum disorder Correct
C. Executive function disorder
D. Sensory processing disorder
11. The primary care pediatric nurse practitioner is selecting a medication for a
12-year-old child who is newly diagnosed with ADHD. The child is overweight, has a history of an
atrial septal defect at birth, and reports mild shortness of breath during exercise. What will the
nurse practitioner prescribe?
A. A low-dose stimulant medication
B. A non-stimulant medication
C. Behavioral therapy only
D. Cardiovascular pre-screening Correct
12. The primary care pediatric nurse practitioner is conducting a follow-up
examination on a child who has recently begun taking a low-dose stimulant medication to treat
ADHD. The child’s school performance and home behaviors have improved. The child’s parent
reports noticing a few tics, such a twitching of the eyelids, but the child is unaware of them and
isn’t bothered by them. What will the nurse practitioner recommend?
A. Adding an alpha-agonist medication
B. Changing to a non-stimulant medication
C. Continuing the medication as prescribed Correct
D. Stopping the medication immediately
Continue
, Test Bank - Pediatric Primary Care 6th Edition
Questions
1. The primary care pediatric nurse practitioner uses a shared decision-making
(SDM) model when working with families of children with chronic health conditions. When using this
model, the nurse practitioner can expect
A. considerably more time in each encounter.
B. improved patient health outcomes. Correct
C. less PNP involvement in health care decisions.
D. lower provider and higher patient satisfaction.
2. The primary care pediatric nurse practitioner diagnoses a 5-year-old child with
asthma and prescribes an oral steroid and a short-acting beta-adrenergic medication via a
metered-dose inhaler to manage acute symptoms. Along with education about the prescribed
medications, what information is important to give the child’s family at this visit?
A. An asthma action plan
B. Effects and side effects of current medications Correct
C. Information about spirometry testing
D. Instructions for medications at school
2. The parent of a child with complex health care needs tells the primary care
pediatric nurse practitioner that the child has had difficulty breathing the past two nights but can’t
articulate specific symptoms. The child has normal oxygen saturations and a normal respiratory rate
with clear breath sounds. What will the nurse practitioner do?
A. Admit the child to the hospital for close observation and monitoring of respiratory status.
B. Encourage the parent to call when concerned and schedule a follow-up appointment
the next day. Correct
C. Perform a complete blood count, blood cultures, and a chest radiograph to evaluate
symptoms.
D. Reassure the parent that the child has a normal exam and is most likely not ill.
3. Which characteristic is the key criterion that identifies a child has having special
needs?
A. Cognitive function
B. Emotional health
C. Health service requirements Correct
D. Medical diagnosis
, Test Bank - Pediatric Primary Care 6th Edition
5. The primary care pediatric nurse practitioner is performing a well baby
examination on a 2-week-old infant who was recently discharged home from the neonatal intensive
care unit. The mother reports that the infant was born at 26 weeks’ gestation and states she was told
that her baby will probably have developmental delays. What is the most important aspect of long-term
management for this infant?
A. Careful monitoring of attainment of developmental milestones Correct
B. Familiarizing the parent with laws that mandate educational support
C. Providing genetic counseling to the infant’s parents
D. Referral to social services for assistance with resources
6. The primary care pediatric nurse practitioner is preparing to perform a well child
examination on a 5-year-old child who has multiple developmental and cognitive delays. The child’s
mother is angry and tells the nurse practitioner that her friends’ children are all preparing for
kindergarten. The nurse practitioner will
A. allow the mother to express her feelings, understanding that she is experiencing
grief. Correct
B. reassure the mother that special educational opportunities are available for her child.
C. suggest that the mother find a support group with other children with special needs.
D. tell her that most schools provide services for children with special health care needs.
7. The parent of a toddler who has special health care needs is resistant to a
suggestion that her child needs a gastrostomy tube for nutrition. The toddler has fallen from the 10th
percentile to the 5th percentile in the past few months and resists taking in appropriate amounts of
food by mouth even with assistance from occupational therapy. What will the primary care pediatric
nurse practitioner do?
A. Inform the mother that, since other options have failed, the gastrostomy tube is the only
option.
B. Refer the child to a dietician to teach the mother the importance of adequate nutrition.
C. Set weight gain and food intake goals with the mother and schedule regular visits to
monitor weight. Correct
D. Suggest that the gastrostomy tube may be tried temporarily and
removed once the child gains weight.
8. What is the most important role of the primary care pediatric nurse practitioner
who provides care for a child with special health care needs who sees several specialists and
receives community and school-based services?
A. Assessing the parent’s ability to perform home care tasks
B. Coordinating services to ensure continuity of care Correct
C. Monitoring the family’s adherence to the health care plan
, Test Bank - Pediatric Primary Care 6th Edition
D. Ordering medications and other prescribed treatments
9. A toddler swallowed a coin several days prior. The child’s parent has not found
the coin in the child’s stool. Which imaging test will the primary care pediatric nurse practitioner employ to
evaluate this ingestion?
A. Abdominal ultrasound
B. Computed tomography
C. Conventional radiograph Correct
D. Magnetic resonance imaging
10. The primary care pediatric nurse practitioner is assessing an ill 2-month-old infant
who is febrile and refusing most fluids. The preliminary blood work indicates a viral infection and shows
that the infant is hydrated. The infant is alert. The infant’s parents are attentive and live
close by. What will the nurse practitioner do?
A. Administer a parenteral antibiotic and antipyretic and send the infant home.
B. Admit the infant to an inpatient hospital unit for overnight monitoring.
C. Give the parents sick care instructions and follow up in the clinic in the
morning. Correct
D. Send the infant to the urgent care center for intravenous fluids.
11. A toddler is prescribed a liquid oral medication. The parent tells the primary care
pediatric nurse practitioner that the child refuses to take medications and usually spits them out.
What will the nurse practitioner do?
A. Demonstrate oral medication administration with the toddler in the office. rrect
B. Instruct the parent to hide the medication in a favorite food or beverage.
C. Order the medication to be given via another route if possible.
D. Tell the parent to offer the child a reward each time the medication is taken.
12. The primary care pediatric nurse practitioner orders a pulmonology consult for a
child who has severe asthma. The nurse practitioner writes “child with asthma refractory to conventional
treatments needs suggestions for alternative treatments.” The nurse practitioner
expects the pulmonologist to
A. confirm the medical diagnosis for the child’s parents.
B. make recommendations for disease management. Correct
C. stress the importance of adherence to the medication regimen.
D. take over management of this child’s chronic illness.
