Final Test Bank Pediatric Primary Care 6th Edition Burns
Dunn Brady
Pediatrics (University of Mount Saint Vincent)
Lom oarc ps d| 53991452
Questions
1. A child who has attention-deficit/hyperactivity disorder (ADHD) has difficulty ID: 13348413834 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 ID: 13348413832 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.
Downloaded by kuchy kuchy ()
, 3. The primary care pediatric nurse practitioner uses the Neurodevelopmental ID: 13348413842 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 ID: 13348413838 who has
been diagnosed with ADHD. Which plan will the nurse practitioner recommend asking the childs 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 ID: 13348413844
Lom oarc ps d| 53991452
Nurse practitioner that the child gets overwhelmed by homework assignments, doesnt seem to know which
ones to do first, and then doesnt 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 ID: 13348413826 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
Downloaded by kuchy kuchy ()
,7. The parent of a 4-year-old child reports that the child gets upset when the ID: 13348413824 hall light
is left on at night and wont 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 ID: 13348413828 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 ID: 13348413846 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
Lom oarc ps d| 53991452
Socialization delays.
B. Ask the parent to describe the childs earlier behaviors from infancy through preschool. Correct
C. Reassure the parent that if symptoms werent 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 ID: 13348413830 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
Downloaded by kuchy kuchy ()
, 11. The primary care pediatric nurse practitioner is selecting a medication for a ID: 13348413836 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 ID: 13348413840 examination on a
child who has recently begun taking a low-dose stimulant medication to treat ADHD. The childs school
performance and home behaviors have improved. The childs parent reports noticing a few tics, such a
twitching of the eyelids, but the child is unaware of them and isnt 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
Lom oarc ps d| 53991452
Downloaded by kuchy kuchy ()