TEST BANK
QUIZ & ANS |MULTICHOICES |ALL CHAPTERS|
|VERIFIED ANSWERS| ALREADY GRADED A+|NEW
PEDIATRIC PRIMARY CARE BURNS DUNN
BRADDY 8th EDITION BRAND NEW !!
,ALL QUESTIONS WITH ANSWERS AND RATIONALE
Question:
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
Multi choices
A. Emotional control
B. Flexibility
C. Inhibition
D. Problem-solving
Correct Answer:
✅ B. Flexibility
Rationale:
Difficulty transitioning from one activity to another in ADHD relates
to impaired cognitive flexibility, which is the ability to shift attention
and adapt to changing demands.
Question:
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
Multi choices
A. Executive function
B. Information processing
C. Sensory processing
D. Social cognition
Correct Answer:
✅ A. Executive function
Rationale:
Children with executive function disorders may struggle with
impulse control and emotional regulation, even if they understand
appropriate behavior cognitively.
Question :
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
Multi choices
A. About friends and activities at school
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
,Correct Answer:
✅ A. About friends and activities at school
Rationale:
Social cognition involves understanding and managing social
interactions, making questions about friendships and social
activities relevant.
Question :
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?
Multi choices
A. 504
B. FAPE
C. IDEA
D. IEP
Correct Answer:
✅ A. 504
Rationale:
A 504 plan provides accommodations in the educational setting
for students with disabilities, including ADHD, to support
academic success.
,Question :
The parent of a child diagnosed with ADHD tells the primary care
pediatric 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?
Multi choices
A. Activation
B. Effort
C. Emotion
D. Focus
Correct Answer:
✅ A. Activation
Rationale:
Activation includes organizing tasks, prioritizing, and initiating
work. Difficulty in this area often leads to procrastination or
avoidance.
Question :
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?
Multi choices
A. Low-dose stimulant
,B. Moderate-dose stimulant
C. Low-dose non-stimulant
D. Moderate-dose non-stimulant
Correct Answer:
✅ B. Moderate-dose stimulant
Rationale:
Stimulants are the first-line treatment for ADHD, particularly with
hyperactive symptoms. A moderate dose may be necessary to
manage more pronounced symptoms effectively.
Question :
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?
Multi choices
A. Dyspraxia
B. Over-responder
C. Sensory seeker
D. Under-responder
Correct Answer:
✅ B. Over-responder
,Rationale:
Over-responders are highly sensitive to sensory input, causing
distress with minor environmental changes or sensations.
Question:
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?
Multi choices
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
D. Providing frequent contact, such as hugs and cuddling
Correct Answer:
✅ C. Maintaining predictable routines as much as possible
Rationale:
Children with SPD often respond best to structured environments.
Predictable routines help minimize sensory overload and anxiety.
Question:
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?
Multi choices
A. Administer an M-CHAT screen to screen the child for
communication and socialization delays.
B. Ask the parent to describe the child’s earlier behaviors from
infancy through preschool.
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.
Correct Answer:
✅ B. Ask the parent to describe the child’s earlier behaviors from
infancy through preschool.
Rationale:
A detailed developmental history is essential for assessing
symptoms over time and identifying patterns consistent with
autism.
Question:
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?
,Multi choices
A. Attention-deficit/hyperactivity disorder
B. Autism spectrum disorder
C. Executive function disorder
D. Sensory processing disorder
Correct Answer:
✅ B. Autism spectrum disorder
Rationale:
Repetitive behaviors, lack of eye contact, and unusual speech
patterns are hallmark signs of autism spectrum disorder.
Question:
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?
Multi choices
A. A low-dose stimulant medication
B. A non-stimulant medication
C. Behavioral therapy only
D. Cardiovascular pre-screening
Correct Answer:
✅ D. Cardiovascular pre-screening
, Rationale:
Cardiovascular evaluation is essential before initiating stimulant
medications, especially in children with cardiac history and
symptoms like shortness of breath.
Question:
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 as twitching of the eyelids,
but the child is unaware of them and isn’t bothered by them. What
will the nurse practitioner recommend?
Multi choices
A. Adding an alpha-agonist medication
B. Changing to a non-stimulant medication
C. Continuing the medication as prescribed
D. Stopping the medication immediately
Correct Answer:
✅ C. Continuing the medication as prescribed
Rationale:
If tics are mild, do not bother the child, and therapeutic response
is positive, it is appropriate to continue the current treatment.
QUIZ & ANS |MULTICHOICES |ALL CHAPTERS|
|VERIFIED ANSWERS| ALREADY GRADED A+|NEW
PEDIATRIC PRIMARY CARE BURNS DUNN
BRADDY 8th EDITION BRAND NEW !!
,ALL QUESTIONS WITH ANSWERS AND RATIONALE
Question:
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
Multi choices
A. Emotional control
B. Flexibility
C. Inhibition
D. Problem-solving
Correct Answer:
✅ B. Flexibility
Rationale:
Difficulty transitioning from one activity to another in ADHD relates
to impaired cognitive flexibility, which is the ability to shift attention
and adapt to changing demands.
Question:
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
Multi choices
A. Executive function
B. Information processing
C. Sensory processing
D. Social cognition
Correct Answer:
✅ A. Executive function
Rationale:
Children with executive function disorders may struggle with
impulse control and emotional regulation, even if they understand
appropriate behavior cognitively.
Question :
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
Multi choices
A. About friends and activities at school
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
,Correct Answer:
✅ A. About friends and activities at school
Rationale:
Social cognition involves understanding and managing social
interactions, making questions about friendships and social
activities relevant.
Question :
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?
Multi choices
A. 504
B. FAPE
C. IDEA
D. IEP
Correct Answer:
✅ A. 504
Rationale:
A 504 plan provides accommodations in the educational setting
for students with disabilities, including ADHD, to support
academic success.
,Question :
The parent of a child diagnosed with ADHD tells the primary care
pediatric 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?
Multi choices
A. Activation
B. Effort
C. Emotion
D. Focus
Correct Answer:
✅ A. Activation
Rationale:
Activation includes organizing tasks, prioritizing, and initiating
work. Difficulty in this area often leads to procrastination or
avoidance.
Question :
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?
Multi choices
A. Low-dose stimulant
,B. Moderate-dose stimulant
C. Low-dose non-stimulant
D. Moderate-dose non-stimulant
Correct Answer:
✅ B. Moderate-dose stimulant
Rationale:
Stimulants are the first-line treatment for ADHD, particularly with
hyperactive symptoms. A moderate dose may be necessary to
manage more pronounced symptoms effectively.
Question :
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?
Multi choices
A. Dyspraxia
B. Over-responder
C. Sensory seeker
D. Under-responder
Correct Answer:
✅ B. Over-responder
,Rationale:
Over-responders are highly sensitive to sensory input, causing
distress with minor environmental changes or sensations.
Question:
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?
Multi choices
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
D. Providing frequent contact, such as hugs and cuddling
Correct Answer:
✅ C. Maintaining predictable routines as much as possible
Rationale:
Children with SPD often respond best to structured environments.
Predictable routines help minimize sensory overload and anxiety.
Question:
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?
Multi choices
A. Administer an M-CHAT screen to screen the child for
communication and socialization delays.
B. Ask the parent to describe the child’s earlier behaviors from
infancy through preschool.
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.
Correct Answer:
✅ B. Ask the parent to describe the child’s earlier behaviors from
infancy through preschool.
Rationale:
A detailed developmental history is essential for assessing
symptoms over time and identifying patterns consistent with
autism.
Question:
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?
,Multi choices
A. Attention-deficit/hyperactivity disorder
B. Autism spectrum disorder
C. Executive function disorder
D. Sensory processing disorder
Correct Answer:
✅ B. Autism spectrum disorder
Rationale:
Repetitive behaviors, lack of eye contact, and unusual speech
patterns are hallmark signs of autism spectrum disorder.
Question:
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?
Multi choices
A. A low-dose stimulant medication
B. A non-stimulant medication
C. Behavioral therapy only
D. Cardiovascular pre-screening
Correct Answer:
✅ D. Cardiovascular pre-screening
, Rationale:
Cardiovascular evaluation is essential before initiating stimulant
medications, especially in children with cardiac history and
symptoms like shortness of breath.
Question:
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 as twitching of the eyelids,
but the child is unaware of them and isn’t bothered by them. What
will the nurse practitioner recommend?
Multi choices
A. Adding an alpha-agonist medication
B. Changing to a non-stimulant medication
C. Continuing the medication as prescribed
D. Stopping the medication immediately
Correct Answer:
✅ C. Continuing the medication as prescribed
Rationale:
If tics are mild, do not bother the child, and therapeutic response
is positive, it is appropriate to continue the current treatment.
