Burns Pediatric Primary Care 7th Edition Maaks Starr Brady Test Bank Chapter 146 Complete, Exams of Pediatrics

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Chapterg1:gHealthgStatusgofgChildren:gGlobalgandgNationalgPerspectives

1. Whichgregionggloballyghasgtheghighestginfantgmortalitygrate? A. Indonesia B. SoutherngAsia C. SubSaharangAfricagCorrect D. Syria
2. Thegprimarygcaregpediatricgnursegpractitionergunderstandsgthat,gtogachievegth eggreatestgworldwide reductiongingchildgmortalitygfromgpneumoniagandgdiarrhea,gwhichginterventiongisgmostge ffective?gA.gAntibiotics B.g Optimalgnutrition C.g VaccinationsgCorrect D.g Watergpurification
3. WhichgisgtruegaboutgtheghealthgstatusgofgchildrengingthegUnitedgStates? .g 1334841385 6 A. GlobalismghasgrelativelyglittlegimpactgongchildghealthgmeasuresgingthegU.S.g B.gObesitygratesg amongg2to5yearoldsghavegshowngagrecentgsignificant decrease .g Correct . C. Thegrategofghouseholdgpovertygisglowergthangingothergeconomicallygdevelopedgnations. D. Younggchildrengwhogattendgpreschoolgorgdaygcareghaveghighergfoodginsecurity.
4. Thegprimarygcaregpediatricgnursegpractitionergunderstandsgthatgagmajorgchil dghealthgoutcomegassociatedgwithgworldwidegclimategchangegisgA.gcostgofglivi ng. B.g education. C.g nutrition.gCorrect D.g pollution.
5. Whengprovidinggwellgchildgcaregforganginfantgingthegfirstgyeargofglife,gthegprimary

3. Genetics.
4. Watchinggmoregthangfourghoursgofgtelevisiongagday. ANS:g 3 4.gAgmentalghealthgnurseghasgassessedgagchildgandgdeterminedgthatgthegchildgexhibitsgbehavior algchallenges. Whengthegschoolgnursegexplainsgthisgtogagteacher,gthegbestgdescriptiongwouldgbe: .
5. Thegchildgmaygexhibitgphysicalgoutbursts.
6. Thegchildgmaygexhibitgviolencegtowardgothers.
7. Thegchildgmaygbegdefiantgorghavegtantrums.
8. Thegchildgwillgneedgspecialginterventionsgforglearning. ANS:g 3
9. Agchildgthatghasgnotgexhibitedgenuresisgingfourgyearsghasgexhibitedgthisgbehaviorgpatterngf orgtheglastgweek. Thegreasongagchildgmaygrevertgbackgtogthisgbehaviorgpatterngisgbecausegof:
10. Hallucinations.
11. Behavioralgchallenges.
12. Delusions.
13. Stress.ANS:g 4
14. Ang 18 - year- oldgmaleghasgcalledgthegcrisisglinegforghelp.gThegcrisisgnursegrecognizesgtheginterventio ngneedsgmaygconsistgofgallgofgthegfollowinggexcept:
15. Discussinggthegindividualsgeverydaygactivities.

2. Recognizinggthatgthegpatientgmaygbegingagcatharsisgstate.
3. Expressinggempathygtowardgthegcaller.
4. Avoidinggentropy.ANS:g 1
5. Ang 8 - year- oldgboygwithgaghistorygofghallucinationsgandgviolentgbehaviorghasgbeengplacegingagseclusiongr oom atgtheghospitalgbecausegheghasgbeenghurtinggothers.gThegnursegchecksgongthegpatientgan dgrealizesgshegmustgtakeghimgoutgofgthegseclusiongroomgwhen:
6. Hegisgcryinggtogbegreleased.
7. Hegstates,gIgwillgbegaggoodgboygnow. .
8. Hegstartsgheadbuttinggthegwindow.
9. Hegcomplainsgthatghisgparentsgwillgfilegaglawsuit.ANS:g 3
10. AgchildghasgbeengexhibitinggthegMacDonaldgTriad.gThesegbehaviorsginclude:
11. Enuresis,gpushinggothers,gandgpyromania.
12. Swinginggagcatgbygthegtail,gbed-wetting,gandglightinggpapergongfiregingthegtrashgcan.
13. Playinggwithgothergchildren,glaughing,gandgconversinggwithgadults.
14. Playinggwithgagcampfire,gwatchinggtelevision,gandgseekinggadultgattention.ANS:g 2
15. Agteenagergdiagnosedgwithgborderlinegpersonalitygdisordergshouldghavegdischargegplannin gginstructionsgof:
16. Agconsistentgcaregiver.
17. Monitoringgofgmedia,gsuchgasgthegInternet,gtelevision,gandgvideoggames.
18. Obtaininggsupportgfromgfamilygandgfriends.
19. Seekinggmedicalgattentiongwhengthegteenagergfeelsggood.ANS:g 3

Sheghasgbeenghanginggoutgbygherselfgandgdoesgnotgwantgtogtalkgtoghimganymore.gThegm entalghealthgnursegshould:

1. Realizegthatgthisgisgagnaturalgpartgofggrowinggup.
2. Performgagmentalghealthgscreeninggtogcheckgforgdepression.
3. Attemptgtoggetgthegadolescentgtogdiscussgwhygshegdoesgnotglikeghergfatherganymore.
4. Letgthegadolescentgtalkgwhengshegisgready.ANS:g 2
5. Agteengshouldgbegcheckedgforgdepressiongatg physiciangvisit(s).
6. Every .
7. One
8. Monthly
9. Bi-yearlyANS:g 1
10. WhengusinggthegSADgFACESgdepressiongscreen,gitgisgimportantgtogassess:
11. Anhedonia.
12. Suicidalgideations.
13. Sleepgpatterns.
14. AllgofgthegaboveANS:g 4
15. Agschoolgnursegisggivinggangin- servicegtogteachersgongbullycide.gThegmaingreasongforgthegteachinggisgsogthat:
16. Teachersgaregawaregbullyinggoccurs.
17. Teachersgaregablegtogidentifygstudentsgwhogaregrisk.
18. Teachersgcangbegawaregofgthegfactgthatgsuicidesgcanghappengduegtogbullyingbygothers.
19. Teachersgaregawaregofgtheirgrolegingcausinggbullycide.ANS:g 3

17. Angadolescentgwithgagknownghistorygofgbipolargdisordergisgingthegschoolgnursesgoffi cegbecausegagteacher reportedgthatgshegwasgtalkinggfastgandgactingglikegshegwasgGod.gThegschoolgnursegassess esgtheggirlgandgnotesgthat:
    1. Shegisgprobablygingagmanicgphasegandgneedsgtogbegtreatedgprofessionally.
    2. Sheghasghadgtoogmuchgsleepgandgisgnowghyperactive.
    3. Shegforgotgtogtakeghergmedicationsgtoday.
    4. Shegrequiresgsomegfoodgandgrestgbeforeggoinggbackgtogclass.ANS:g 1 Chapterg3.gGeneticsgandgChildgHealthgQuestions
18. Whatgisgtruegaboutghaploidgcells? .g 1334840764 4 C. Eachgcontainsg 23 gpairedgchromosomes. D. Eachgonegcontainsg 23 gchromosomes.g Correct E. Replicationgproducesgtwogidenticalgcells. F. Theygreplicategviagthegprocessgofgmitosis.
19. Whatgdoesgthegfollowingggeneticgnotationgsymbolgmeang47,XX,6q? .g 1334840765 0 A. Malegwithgdeletiongofgchromosomeg 6 B. Femalegwithgdeletiongofgchromosomeg 6 C. Malegwithgdeletiongongtheglonggarmgofgchromosomeg 6 D. Femalegwithgdeletiongongtheglonggarmgofgchromosomeg 6 Correct
20. Agchildghasgagrecessiveggeneticgdisordergthatgisghomozygousgforgthatgmutation. .g 1334840764 6 Whatgisgmostglikelygaboutgthisgchild’sgparents?

parentgdoesgnot.gWhatgwillgthegnursegpractitionergincludegwhengdiscussinggthisgdisorderg andgitsgtransmission? C. Childrengmustginheritgaggenegfromgbothgparentsgtogdevelopgthegdisease. D. Eachgchildgborngtogthisgcouplegwillghavegag50%griskgofghavinggthedisease.gCorrect E. Thisgtypegofgdisordergcharacteristicallygskipsggenerations. F. Unaffectedgoffspringgmaygstillgpassgongthegdiseasegtogtheirgoffspring.

7. Agfamilygmedicalghistorygconductedgduringgagwellgbabygexamgforgagnewbornggi rlgrevealsgthatghemophiliagA,gangXlinked recessivegdisorder,gisgpresentgingmalesgingthreegprevious generationsgingthegmother’sgfamily,gwhosegfatherghadgthegdisease.gWhatgwillgthegprimarygcareg pediatricgnursegpractitionergtellgthegparentsgaboutgthegriskgofgthisgdiseasegingtheirgchildren? E. Allgofgtheirgsonsgwillgbegaffectedgbygthegdisease. F. Anygsonsgtheyghavegwillgnotgbegaffectedgbygthegdisease. G. Daughtersghavegag50%gchancegofgbeinggcarriersgofgthegdisease. Correct H. Theirgdaughterghasgag25%gchancegofghavinggthegdisease.
8. Whatgisgangimportantgresponsibilitygofgthegprimarygcaregpediatricgnursegpractitionerg.gt oghelpgdetermineggeneticgriskgfactorsgingfamilies? E. Assessinggphysicalgcharacteristicsgofggeneticgdisorders F. Knowinggwhichggeneticgscreeninggtestsgtogperform G. Makinggappropriategreferralsgtogpediatricggeneticists D.gObtaininggagthreegeneratio ngpedigreegforgeachgfamilygCorrect
9. Whichgdiagnosticgstudygmaygbegorderedgwhengthegprovidergwishesgtogdetectgthe .gpresencegofgadditionalggeneticgmaterialgongagchromosome? A. Chromosomalgmicroarray B. FISHgCorrect D. Karyotype E. Moleculargtesting

10. Whichgtypegofgtestinggwillgthegprimarygcaregpediatricgnursegpractitionergrecommend g.gforgagcouplegconcernedgaboutgthegpotentialgforghavinggchildrengwithgcysticgfibrosis? A. Biochemicalgtesting B. CarriergtestinggCorrect C. FISHgtesting D. Karyotypegtesting Chapterg4.gEnvironmentalgIssuesgQuestions
11. WhatghasgbeengthegresultgofgpassagegofgthegToxicgSubstancesgControlgAct.g (TSCA)gofg1976? G. Agmandategforgcorporationsgtogdisclosegknowngtoxicgchemicals H. Agrequirementgthatgallgmanufacturedgchemicalsgundergogtoxicitygtesting I.gAuthorizationgo fgthegEPAgtogrequiregtestinggandgreportinggofgsomegchemicalsgCorrect J. Developmentgofgagmechanismgtogreportgreactionsgtogtoxicgchemicals
12. ManygEuropeangnationsgusegtheg“precautionarygprinciple”gtoghelpgregulategpotentiallygtoxic chemicals.gWhatgdoesgthisgmean? G. Chemicalsgmustgbegprovengtogbegsafegbeforegbeinggintroducedgintogth egenvironment.gCorrect H. Corporationsgmaygbegexemptgfromgtestinggifgtheirgcostsgingdoinggsoaregtooghigh. I. Regulatorsgmustgdemonstrategriskgtogthegpublicgbeforegbanninggachemical. J. Withoutgagstronggrisk,gcorporationsgneedgnotgreleasegdatagaboutgtheirproducts.
13. Duringgagclinicgvisit,gagchild’sgrapidgcapillarygscreeninggtestgforgleadgrevealsga levelgofg 11 gmcg/dL.gWhatgwillgthegprimarygcaregpediatricgnursegpractitionergdognext? I. Institutegleadgabatementgmeasuresgingthegchild’sghome. J. Monitorgleadglevelsgmonthlyguntilgdecreased.

C.g Leadgpoisoning C.g OrganophosphategexposuregCorrect D.g Phthalategingestion

8. Agparentgasksgaboutgwaysgtoglimitgexposuregtogrisksgassociatedgwithgplastics. Besidesgavoidinggusinggplasticgcontainersgwhengpossible,gwhatgelsegwillgthegprimarygcareg pediatricgnursegpractitionergrecommend? A. Avoidgheatinggfoodsgandgliquidsgingplasticgcontainers.gCorrect B. Cleangplasticgcontainersgwellgusinggthegdishwasher. C. Usegonlygplasticsgstampedgwithg“#7”gongthegbottom. D. Usedgcannedgfoodgproductsgwhenevergpossible.
9. Agparentgdesiresgtogbuygonlygorganicgproducegtogavoidgexposinggagchildgtogpesticidesgb utgcomplainsgthatgthesegfoodsgaregexpensive.gThegprimarygcaregpediatricgnurse practitionergprovidesgaglistgofgfoodsgthatgaregrelativelygsafegwhethergtheygaregorganicgorgnot.gW hichgfoodsgaregongthisglist? A. Apples,gcelery,gandgpeaches B. Potatoes,gcherrygtomatoes,gandgpeaches C. Strawberries,ggrapes,gandgcucumbers D. Sweetgcorn,gcantaloupe,gandgkiwigCorrect Chapterg5.gChildgandgFamilygHealthgAssessmentgQuestions
10. Thegprimarygcaregpediatricgnursegpractitionergisgobtaininggagmedicalghistorygaboutgagchild.gT ogintegrategbothgnursinggandgmedicalgaspectsgofgprimarygcare,gwhichgwillgbegincludedgingtheg medicalghistory? K. Complementarygmedications,galternativeghealthgpractices,gandgchiefcomplaint L. Developmentalgdelays,gnutritionalgstatus,gandglinearggrowthgpatternsM.gMedicatio ngcurrentlygtaking,gallergyginformation,gandgfamilygmedicalghistory N.gSpeechgandglanguagegdevelopment,gbeliefsgaboutghealth,gandgpreviousgillnessesgCor rect

2. Whengformulatinggdevelopmentalgdiagnosesgforgpediatricgpatients,gthegprimarygcar egpediatricgnursegpractitionergmaygusegwhichgresource? A. DC:g03RgCorrect K. ICD10CM L. ICSD M. NANDAgInternational
3. Thegprimarygcaregpediatricgnursegpractitionergseesgag3yearoldgchildgwho chronicallygwithholdsgstools,gingspitegofgthegparents’gattemptsgtogstopgthegbehavior,grequiringgf requentgtreatmentsgwithglaxativegmedications.gWhichgdiagnosisgwillgthegnursegpractitionerguseg togfacilitategthirdpartygreimbursement? M.g Alteredgeliminationgpattern N.g Eliminationgdisorder C.g EncopresisgCorrect D.g Parentinggalteration
4. Thegprimarygcaregpediatricgnursegpractitionergisgassessinggagtoddlergwhosegweightgandgbod ygmassgindexg(BMI)garegbelowgtheg3rdgpercentilegforgage.gThegnursegpractitioner learnsgthatgthegchildgdoesgnotghavegregulargmealtimesgandgisgallowedgtogcarrygagbottlegofgjui cegaroundgatgallgtimes.gThegnursegpractitionergplansgtogworkgwithgthisgfamilygtogdevelopgimp rovedgmealgpatterns.gWhichgdiagnosisgwillgthegnursegpractitionergusegforgthisgproblem? J. Failuregtogthrive K. Homegcaregresourcesginadequate L. Nutritiongalterationg–glessgthangrequired D.gParentinggalterationgCorrectg.
5. Thegprimarygcaregpediatricgnursegpractitionergisgpgerforminggagwellgchildgcheckupgon gag20monthold

childghasgbeengtreatedgforgdepressiongforgoverg 5 gyears.gWhichgaspectgofgthisgchild’s developmentgwillgbegofgthegmostgconcerngtogthegnursegpractitioner? D.g Finegmotor E.g Grossgmotor F.g g Social/emotional D.gSpeechgandglanguagegCorrectg.

9. Whengmeetinggwithgagnewgfamily,gthegprimarygcaregpediatricgnursegpractitionergdevel opsgagdatabasegthatgidentifiesgfamilygmembersgandgothersglivinggingtheghousehold,grelati onshipsgwithgothersgoutsidegtheghousehold,gandgsignificantgbehavioralgandgemotionalgpro blems.gWhichgtoolgwillgthegnursegpractitionergusegtogrecordgthisginformation? C.gCRAFFT D.gEcomap C.g GenogramgCorrect D.g Pedigree
10. Agchildgisgingthegclinicgforgevaluationgofgangasthmagactiongplan.gThegprimary caregpediatricgnursegpractitionergnotesgthatgthegchild’sglastgvisitgwasgforgagprekindergarte ngphysicalgandgobservesgthatgthegchildgisgextremelyganxious.gWhatgwillgthegnursegpractiti onergdoginitially? A. Askgthegchild’sgparentgwhygthegchildgisgsoganxious. B. Performgagphysicalgassessmentgtogrulegoutgshortnessgofgbreath. C. Reassuregthegchildgthatgtheregisgnothinggtogbegafraidgof. D. Reviewgthegpurposegofgthisgvisitgandganyganticipatedgprocedures.gCorrect
11. Thegprimarygcaregpediatricgnursegpractitionergisgevaluatingghealthgliteracygingth egmothergofgagnewgpreschoolage child.gHowgwillgthegnursegpractitionergassess

C. Askgthegchildghowgmanygbooksgheghasgatghome.gCorrect D. Askgthegmothergaboutgherghighestggradegingschool. E. Askgthegmothergtogdeterminegthegcorrectgdosegofgagdruggfromgaglabel. F. Askgthegmothergtogreadgaghealthginformationghandoutgaloud.

12. Thegmothergofgagnewborngtellsgthegprimarygcaregpediatricgnursegpractitionergt hatgshegisgworriedgthatghergchildgwillgdevelopgallergiesgandgasthma.gWhichgtoolgwil lgthegnursegpractitionergusegtogevaluategthisgrisk? A.gThreegenerationgpedigreegCorrect A.g Reviewgofgsystems B.g Genogram C.g Ecomap 1 g3.gThegprimarygcaregpediatricgnursegpractitionergisgperforminggagwellgchildgassessmentgo ngangadolescentgandgisgconcernedgaboutgpossiblegalcoholgandgtobaccoguse.gWhichgassessm entgtoolgwillgthegnursegpractitionerguse? A. CRAFFTgCorrect A. HEEADSSS B. PHQ C. RAAPS
13. Thegprimarygcaregpediatricgnursegpractitionergevaluatesgagschoolagegchild whosegbodygmassgindexg(BMI)gisggreatergthangtheg97thgpercentile.gThegnursegpractitionergisgco ncernedgaboutgpossiblegmetabolicgsyndromegandgordersglaboratorygtestsgtogevaluategthis.gWhic hgdiagnosisgwillgthegnursegpractitionergdocumentgforgthisgvisit? A. Metabolicgsyndrome B. Nutritionalgalteration:gmoregthangrequired C. ObesitygCorrect A.gRulegoutgtypeg 2 gdiabetesgmellitus

Correct D. Respectinggothergculturesgwhilegmaintaininggthegviewsgofgone’sgown

5. AgSomaliangimmigrantgmothergisgconcernedgthatgherg8yearold childgisgunderweight.gThegprimarygcaregpediatricgnursegpractitionergnotesgthatgthegchild’sgweigh tgisgatgtheg25thgpercentile.gAftergrealizinggthatgthegmothergisgcomparingghergchildgtogaggroupgof gAmericanborngchildrengwhogaregoverweight,gthegpediatricgnursegpractitionergisgablegtogconvin cegthegmothergthatgthisgisgagnormalgweight.gWhichgdomaingofgculturalgcompetence doesgthisgrepresent? A.g Global B.g g InterpersonalgCorrect N.g Intrapersonal O.g Organizational
6. Thegprimarygcaregpediatricgnursegpractitionergingagcommunityghealthgcentergmeetsgagfamil ygwhoghasgrecentlygimmigratedgtogthegUnitedgStatesgwhogspeakgonlygKaron.gThey arrivegingthegclinicgwithgagchurchgsponsor,gwhogtranslatesgforgthem.gThegpediatricgnurseg practitioner noticesgthatgthegsponsorganswersgforgthegfamilygwithoutggivinggthemgtimegtogspeak.gTheg pediatricgnursegpractitionergwill H. askgthegsponsorgtogallowgthegfamilygtogrespond. I. developgthegplangofgcaregandgaskgthegsponsorgtogmakegsuregitgisgfollowed. J. requestgthatgthegsponsorgtranslategwrittenginstructionsgforgthegfamily. K. usegthegtelephoneginterpretergservicegtogcommunicategwithgthegfamily.gCorrect
7. Thegprimarygcaregpediatricgnursegpractitionergprescribesgagtwicegdailyginhale dgcorticosteroidgforgag12yearold child.gAtgagwellgchildgvisit,gthegchildgreportsgnotgusinggthegmedicationgongagregular gbasis.gWhichgresponsegbygthegpediatricgnursegpractitioner demonstratesgangunderstandinggofgclientcenteredgcare? A.gAskinggthegchildgtogdescribegusualgdailygroutinesgandgschedules

Correct I.g Referringgthegfamilygtogagsocialgworkergtoghelpgwithgmedicationgcompliance J.g Reviewinggthegasthmagactiongplangwithgthegparentgandgthegchild K.gTeachinggthegchildghowgthegmedicationgwillghelpgtogcontrolgasthmaSymptoms

8. Agprimarygcaregpediatricgnursegpractitionergworkinggingagcommunityghealthgcentergwishesgt ogdevelopgagprogramgtogassistgimpoverishedgchildrengandgfamiliesgtoghavegaccess toghealthygfoods.gWhichgstrategygwillgthegpediatricgnursegpractitionergemploygtogensuregthegsuc cessgofgsuchgagprogram? G. Askinggcommunitygmembersgtogassistgingresearchinggandgimplementinggagprogra mgCorrect H. Designinggagcommunityggardengapproachgthatginvolvesgchildrengandgtheirgparents I. Gaininggsupportgfromgthegcorporategcommunitygtogprovidegneededgresources J. Providinggevidencebasedginformationgaboutgthegimportancegofgaghealthygdiet
9. Thegparentsgofgagspecialgneedsgchildgtellgthegprimarygcaregpediatricgnursegpractitionergth atgtheygaregplanninggag3month visitgtogtheirghomegcountrygingAfrica.gThegpediatric nursegpractitionergassistsgthegfamilygtogobtaingagsufficientgsupplygofgmedicationsgandgformul agandgtogmakegsuregthatgthegchild’sgequipmentgcangbegtransportedgandgusedgduringgthegtripg andgatgthegdestination.gThisgisgangexamplegof E. globalgapplication.gCorrect F. globalgawareness. G. systemgapplication. H. systemgawareness.
10. Thegprimarygcaregpediatricgnursegpractitionergisgexamininggagchildgwhosegparentsgrecentl ygemigratedgfromgagwartorngcountrygingthegMiddlegEast.gWhichgisgagprioritygassessmentgwh engperforminggthegpatientghistory? A. Askinggaboutgphysical,gpsychological,gandgemotionalgtraum agCorrect