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Test gBank gFor gBurns' gPediatric gPrimary gCare
g7th gEdition
Chapter g1: gHealth g Status gof g Children: gGlobal g and gNationalgPerspectives
- Which g region g globally g has g the g highest g infant g mortality g rate? A. Indonesia B. SoutherngAsia C. SubSaharan g Africa g Correct D. Syria
- The gprimary gcare gpediatric gnurse gpractitioner gunderstands gthat, gto gachievegthe greatest gworldwide reduction gin gchild gmortality gfrom gpneumonia gand gdiarrhea, gwhich ginterventiongis most g effective? A. Antibiotics B. Optimalgnutrition C. VaccinationsgCorrect D. Watergpurification
- Which gis gtrue g about gthe g health gstatus gof gchildren gin gthe g United gStates? . g 13348413856 A. Globalism ghas grelatively glittle gimpact gon gchild ghealth gmeasures gin gthe gU.S. B. Obesity g rates g among g 2to5yearolds g have g shown g a g recentgsignificant decrease. g Correct . C. The grate gof ghousehold g poverty gis g lower gthan gin gother geconomicallygdeveloped gnations. D. Young g children g who g attend g preschool g or gday g care g have g higher g foodginsecurity.
- The gprimary gcare gpediatric gnurse gpractitioner gunderstands gthat ga gmajorgchild health g outcome g associated g with g worldwide g climate g change g is A. cost g of g living. B. education. C. nutrition. g Correct D. pollution.
- When gproviding gwell gchild gcare gfor gan ginfant gin gthe gfirst gyear gof glife,
gthegprimary care gpediatric gnurse gpractitioner gis gadhering g to gthe g most grecent gAmericangAcademy gof Pediatrics Recommendations gfor gPreventive gPediatric gHealth gCare g guidelinesgby A. focusing g less g on g development g and g more g on g illness g prevention g andgnutrition. B. following gguidelines gestablished gby gthe Bright gFutures g publication. C. scheduling gwellbaby gvisits gto gcoincide gwith gkey gdevelopmentalgmilestones. gCorrect D. seeing g the g infant g at g ages g 2, g 4, g 6, g and g 12 g months g when g immunizations g aregdue.
Chapter g 2. g Unique g Issues g in g Pediatrics
- A gnurse gis gexplaining g the gtherapeutic g milieu g to ga gnew gnurse. g The gbestgexplanation gof gthis gterm gwould gbe:
- The gplace gwhere gthe gchild gis greceiving gcare.
- Discussing g the g individuals g everyday g activities.
- Recognizing g that gthe g patient g may gbe g in ga gcatharsis g state.
- Expressing gempathy gtoward g the gcaller.
- Avoiding gentropy.gANS: g 1
- g An g 8-year-old gboy g with g a g history g of ghallucinations g and gviolent gbehavior ghasgbeen gplace gin ga gseclusion groom at g the g hospital g because g he g has g been g hurting g others. g The g nurse g checks g on g thegpatient gand grealizes gshe gmust gtake him gout g of gthe gseclusion groom gwhen:
- He gis gcrying gto gbe greleased.
- He gstates, gI gwill gbe ga ggood gboy gnow. .
- He gstarts gheadbutting gthe gwindow.
- He gcomplains gthat ghis gparents gwill gfile ga glawsuit.gANS: g 3
- g A gchild ghas g been g exhibiting g the gMacDonald gTriad. g These gbehaviors ginclude:
- Enuresis,gpushinggothers,gandgpyromania.
- Swinging ga gcat gby gthe gtail, gbed-wetting, gand glighting gpaper gon gfire gin gthegtrash gcan.
- Playing gwith gother gchildren, glaughing, gand gconversing gwith gadults.
- Playing gwith ga gcampfire, gwatching gtelevision, gand gseeking gadult gattention.gANS: g 2
- g A g teenager g diagnosed g with g borderline g personality g disorder g should g havegdischarge gplanning ginstructions gof:
- A gconsistent gcaregiver.
- Monitoring g of g media, g such g as g the g Internet, g television, g and gvideo ggames.
- Obtaining gsupport gfrom g family g and gfriends.
- Seeking g medical g attention g when g the g teenager g feels g good.gANS: g 3
- gA gmental ghealth gnurse gis gteaching gthe gmother gof ga gchild gwith gexecutivegfunctioning gissues gways gto ghelp her gchild. gInterventions gthe gmother gshould guse ginclude:
- Placing gvisual gaids gon gthe gbathroom gmirror gso gthat gthe gchild gwill gfollow gthegmorning groutine.
- Give gthe gchild ga gchoice gin gfoods gto geat.
- Allowing gthe gchild gto gask gfor ghelp gwhen gneeded.
- Reminding gthe gchild gto gbe gnice gto gothers.gANS: g 1 .
- gEllie, ga g9-year-old ggirl, gwas gadopted gby ga gfamily gat gthe gage gof g 4 gafter gseveral gyears gof gsevere gneglect gby g her gbirth gfamily. g The gadoptive g family ghasgbeen greporting gthat gEllie gis gangry ga glot, gmanipulative gwith gher teachers, gand gdoes gnot gseek gpositive gattention. g The gnurse gworking g with gElliegwill gneed gto:
- Provide g education g on g decreasing g stimuli g in g the g home g environment g thatgtriggers gthe ganger.
- Realize g Ellie g may g have g attachment g issues g related g to g her g previous g historygand gwill gneed gto gencourage gthe family gto gbe gactive gin gher gcare.
- Support gthe gfamily gin gthe gdecision-making gprocess gof gcontinuing gto glet gEllieglive gin gthe ghome.
- Discuss g inpatient g therapy g to g decrease g Ellies g manipulative
- g A g father g reports g that g his g adolescent g daughter g has g gotten g good g grades g upguntil gthe glast gquarter gof gschool. She g has g been g hanging g out g by g herself g and g does g not g want g to g talk g to g himganymore. gThe gmental ghealth gnurse should:
- Realize gthat gthis gis ga gnatural gpart gof ggrowing gup.
- Perform ga gmental ghealth gscreening gto gcheck gfor gdepression.
- Attempt gto g get gthe g adolescent gto g discuss g why g she gdoes g not g like g her gfatherganymore.
- Let gthe gadolescent gtalk gwhen gshe gis gready.gANS: g 2
14.gAgteengshouldgbegcheckedgforgdepressiongat physician g visit(s).
- Every .
- One
- Monthly
- Bi- yearlygANS: g 1
15.gWhengusinggthegSADgFACESgdepressiongscreen,gitgisgimportantgtogassess:
- Anhedonia.
- Suicidal gideations.
- Sleep gpatterns.
- All gof gthe gabovegANS: g 4
- g A g school g nurse g is g giving g an g in-service g to g teachers g on g bullycide. g The g maingreason gfor gthe gteaching gis gso that:
- Teachers gare gaware gbullying goccurs.
- Teachers gare gable gto gidentify gstudents gwho gare grisk.
- Teachers gcan gbe gaware gof gthe gfact gthat gsuicides gcan ghappen gdue gto gbullyinggby gothers.
- Teachers gare gaware gof gtheir grole gin gcausing gbullycide.gANS: g 3
- gAn g adolescent g with ga gknown g history gof gbipolar gdisorder g is gin gthe g schoolgnurses goffice gbecause ga gteacher reported g that g she g was g talking g fast gand g acting g like g she g was g God. gThe g schoolgnurse gassesses gthe ggirl gand gnotes that:
- She g is g probably g in g a g manic g phase g and g needs g to g be g treated g professionally.
- She g has g had g too g much g sleep g and g is g now g hyperactive.
- She gforgot gto gtake gher gmedications gtoday.
- Shegrequiresgsomegfoodgandgrestgbeforeggoinggbackgto gclass.gANS: g 1
Chapter g3. gGenetics gand gChild gHealthgQuestions
- What g is g true g about g haploid g cells? . g 1334840764 4 C. Eachgcontainsg 23 gpairedgchromosomes. D. Each gone gcontains g 23 gchromosomes. g Correct E. Replication gproduces gtwo gidenticalgcells.
parent g does g not. g What gwill g the gnurse g practitioner ginclude gwhen g discussinggthis gdisorder gand gits transmission? C. Children gmust g inherit g a ggene g from g both g parents g to gdevelop gthe g disease. D. Each gchild gborn gto gthis gcouple gwill ghave ga g50% grisk gof ghaving gthegdisease. gCorrect E. This g type g of g disorder g characteristically gskips g generations. F. Unaffected goffspring gmay gstill gpass g on gthe gdisease gto gtheir goffspring.
- A g family g medical g history g conducted g during g a g well g baby g exam g for g a g newbornggirl reveals gthat ghemophilia gA, gan gXlinked
recessive g disorder, g is g present g in g males g in g three g previous generations gin gthe gmother‟s gfamily, gwhose gfather ghad gthe gdisease. gWhat g willgthe gprimary gcare pediatric gnurse gpractitioner gtell gthe gparents gabout gthe grisk gof gthis gdisease gingtheir gchildren? E. All gof gtheir gsons gwill gbe gaffected gby gthe gdisease. F. Any g sons g they g have g will g not g be gaffected g by g the g disease. G. Daughtersghavegag50%gchancegofgbeinggcarriersgofgthe gdisease.gCorrect H. Their gdaughter ghas ga g25% gchance gof ghaving gthegdisease.
- What gis gan gimportant gresponsibility gof gthe gprimary g care gpediatric g nursegpractitioner g. gto help g determine ggenetic g risk gfactors gin g families? E. Assessing g physical g characteristics g of g genetic g disorders F. Knowing g which g genetic g screening g tests g to g perform G. Making gappropriate greferrals gto gpediatric ggeneticists D. g Obtaining g a g threegeneration gpedigree gfor geach gfamily gCorrect
- Which g diagnostic g study g may g be g ordered g when g the g provider g wishes g togdetect gthe . presencegofgadditionalggeneticgmaterialgongagchromosome? A. Chromosomalgmicroarray B. FISH gCorrect D. g Karyotype E. gMolecular gtesting
- Which gtype gof gtesting gwill gthe gprimary gcare gpediatric gnurse gpractitionergrecommend g. for ga gcouple gconcerned gabout gthe gpotential gfor ghaving gchildren gwith gcysticgfibrosis? A. Biochemical g testing B. Carrier gtesting gCorrect C. FISHgtesting D. Karyotype g testing
environment.gCorrect H. Corporations g may g be g exempt g from g testing g if g their g costs g in g doing g sogare gtoo ghigh. I. Regulators g must g demonstrate g risk g to g the g public g before g banning g agchemical. J. Without ga gstrong grisk, g corporations gneed gnot g release gdata gabout g theirgproducts.
- During ga gclinic gvisit, ga gchild‟s grapid gcapillary gscreening gtest gfor glead grevealsga level gof g 11 gmcg/dL. gWhat gwill gthe gprimary gcare gpediatric gnurse gpractitioner gdognext? I. Institute g lead g abatement gmeasures gin gthe g child‟s g home. J. Monitor glead glevels gmonthly guntil gdecreased. K. Order ga gvenous gsample gto gtest gfor glead glevels. gCorrect L. Test gthe gchild‟s gsiblings gand gparents gfor glead.
- A gchild g has g a glead glevel g of g 25 gmcg/dL. gOnce g lead g abatement g measures g areginstituted, gwhat gis gan gimportant gintervention gto ghelp gprevent gpermanent gdamage H. gChelation gtherapy I. g Dietary g changes C. gFollowupgtesting gCorrect . D. gTesting g family gmembers
- A gchild gwhose gparent gworks gin ga gfactory gpr gesents gwith gswelling gof gthegextremities, gpain gand gweakness g in g the g pelvis, gand gan gerythematous gmaculopapular grash. gWhich industrial gtoxin gwill gthe gprimary gcare gpediatric gnurse gpractitioner gsuspect gingthis gchild? A. Lead B. Mercury C. Organophosphates g Correct D. Phthalates
- Whengcounselinggagmothergwhogsmokesgaboutgpreventinggexposure gtogsmokingrelated risks gto gher gnursing gnewborn, gwhat gwill gthe gprimary gcare gpediatric gnursegpractitioner gtell gher? F. If gshe gquits gnow, gher gchild gwill gnot ghave glongtermgeffects gfrom gexposure. G. Prenatal gsmoke gexposure g does g not g cause g respiratory g effects g after g theginfant gis gborn. H. Smokinggoutdoorsgorgneargangopengwindowgpreventsgexposuregto gtobaccogsmoke. I. Thirdhandsmoke gexposure grisks gmay glast gfor g years g even
gif gthegmother gquits gnow. gCorrect
- A gchild gwho ghas gbeen gplaying gin ga gpublic gpark gis gbrought gto gthe gclinic gwithgwheezing, g vomiting, gdiarrhea, gand gdrooling. g A gphysical gexam g reveals ga glow gheart rate gand gdiaphoresis. gWhat gwill gthe gprimary gcare gpediatric gnurse gpractitionergsuspect gas ga gcause gfor gthese gsymptoms? B. g Arsenic g consumption C. g Lead g poisoning C. g Organophosphate g exposure gCorrect D. g Phthalate gingestion
- Agparentgasksgaboutgwaysgtoglimitgexposuregtogrisksgassociated gwithgplastics.
grequiring gfrequent gtreatments gwith glaxative gmedications. gWhichgdiagnosis gwill gthe gnurse gpractitioner guse gto gfacilitate gthirdparty greimbursement? M. g Altered g elimination g pattern N. g Elimination g disorder C. gEncopresis gCorrect D. gParenting galteration
- The g primary g care g pediatric g nurse g practitioner g is g assessing g a g toddler g whosegweight g and gbody g mass g index g (BMI) gare gbelow gthe g 3rd gpercentile g for g age. g The gnurse gpractitioner learns gthat gthe gchild g does g not g have g regular g mealtimes g and gis g allowed g to g carryga gbottle gof gjuice around gat gall gtimes. gThe gnurse gpractitioner gplans gto gwork gwith gthis gfamily gtogdevelop gimproved gmeal patterns. gWhich gdiagnosis g will g the g nurse gpractitioner g use g for gthis g problem?
J. Failuregtogthrive K. Homegcaregresourcesginadequate L. Nutrition galteration g– gless gthan grequired D. gParenting galteration gCorrect .
- The gprimary gcare gpediatric gnurse gpractitioner gis gp gerforming ga gwell gchildgcheckup ongag20monthold child. g The gchild gwas g 4 gweeks gpremature gand, gaccording gto ga gparentcompletedgdevelopmental g questionnaire, g has g achieved g milestones g for g a g 15monthold ginfant. Which g action gis gcorrect? J. Perform g an g indepth g developmental g assessment g screen g at g this g visitgto gevaluate gthis gchild. gCorrect K. Reassure gthe gparent gthat gthe gchild gwill gcatch gup gto gnormal gdevelopment gbygage g 2 years. L. Reevaluate g this g child‟s g development g and g milestone g achievements g at g theg2year gvisit. M. Refer gthe gchild gto ga gspecialty gclinic gfor gevaluation gand gtreatment gofgdevelopmental gdelay.
- The gprimary gcare gpediatric gnurse gpractitioner gperforms ga gdevelopmental gassessment g on g a g 3yearold g child g and g notes g normal g cognitive, g finemotor, g andggrossmotor abilities. g The g child g responds g appropriately g to g verbal g commands g during g thegassessment gbut refuses g to g speak g when g asked g questions. g The g parent g tells g the g nursegpractitioner gthat gthe gchild gtalks at g home g and g that g most g other g adults g can g understand g what g the g child g says. g Thegnurse gpractitioner will D. ask g the g parent g to g consider g a g possible g speech g delay g and g report g anygconcerns. E. continue gto g evaluate g the gchild’s gspeech gat gsubsequent gvisits.gCorrect F. refer gthe gchild gfor ga gspeech gand ghearing gevaluation. G. tell gthe gparent gto gspend gmore gtime gin ginteractive gconversations gwithgthe gchild.
- The gparent gof ga gtoddler gis gconcerned gthat gthe gchild gmay ghave gautism. gThe gprimary gcare gpediatric gnurse gpractitioner gcompletes ga gModified gChecklist gforgAutism gin gToddlers (MCHAT) tool, gwhich gindicates gseveral gareas gof gconcern. gWhat gwill gthe gnursegpractitioner
D. Fine gmotor E. Grossgmotor F. S oc i al / e mot i onal D. g Speech g and g language g Correct .
- When gmeeting gwith g a gnew gfamily, gthe gprimary gcare gpediatric gnursegpractitioner develops g a g database g that g identifies g family g members g and g others g living g in g theghousehold, relationships g with g others g outside g the g household, g and g significant g behavioralgand gemotional problems. gWhich gtool gwill gthe gnurse gpractitioner guse gto grecord gthisginformation? C. gCRAFFT D. g Ecomap C. gGenogram gCorrect D. gPedigree
- A gchild gis gin gthe gclinic gfor gevaluation gof gan gasthma gaction gplan. gThegprimary care gpediatric gnurse gpractitioner gnotes gthat gthe gchild‟s glast gvisit gwas gfor gagprekindergarten physical gand gobserves g that gthe g child g is g extremely g anxious. g What g will g thegnurse gpractitioner gdo initially? A. Ask gthe gchild‟s g parent gwhy g the gchild g is gso ganxious. B. Performgagphysicalgassessmentgtogrulegoutgshortnessgofgbreath. C. Reassure gthe gchild gthat gthere gis gnothing gto gbe gafraid gof. D. Review gthe gpurpose gof gthis gvisit gand gany ganticipated gprocedures.gCorrect
- The gprimary gcare gpediatric gnurse gpractitioner gis gevaluating ghealth gliteracygin gthe mothergofgagnewgpreschoolage child. gHow gwill gthe gnurse gpractitioner gassess C. Ask gthe gchild ghow gmany gbooks ghe ghas gat ghome. gCorrect D. Ask g the g mother g about g her g highest g grade g in g school. E. Ask gthe gmother gto gdetermine gthe gcorrect gdose gof ga gdrug gfrom ga glabel. F. Ask gthe gmother gto gread ga ghealth ginformation ghandout galoud.
- The gmother gof ga gnewborn gtells gthe gprimary gcare gpediatric gnursegpractitioner that gshe gis gworried gthat gher gchild gwill gdevelop gallergies gand gasthma. Which gtool gwill gthe gnurse practitioner g use g to gevaluate g this g risk?
A. gThreegeneration gpedigree gCorrect A. Review g of g systems B. Genogram C. Ecomap
1 g3. gThe gprimary gcare gpediatric gnurse gpractitioner gis gperforming ga gwell gchildgassessment g on g an g adolescent g and g is g concerned g about g possible g alcohol g and gtobacco guse. gWhich assessment g tool g will g the g nurse g practitioner g use? A. g CRAFFT g Correct A. HEEADSSS B. PHQ C. RAAPS
