,Burns'gPediatricgPrimarygCareg7thgEditiongTestgBank
Chapterg1:gHealthgStatusgofgChildren:gGlobalgandgNationalPerspectives
1. Whichgregionggloballyghasgtheghighestginfantg mortalitygrate?
A. Indonesia
B. SoutherngAsia
C. Sub-SaharangAfricagCorrect
D. Syria
2. Thegprimarygcaregpediatricgnursegpractitionergunderstandsgthat,gtogachieveth
eggreatestgworldwide
reductiongingchildgmortalitygfromgpneumoniagandgdiarrhea,gwhichginterventionisgm
ostgeffective?
A. Antibiotics
B. Optimalgnutrition
C. Vaccinationsg Correct
D. Watergpurification
3. WhichgisgtruegaboutgtheghealthgstatusgofgchildrengingthegUnitedgStates?
.g13348413856
A. GlobalismghasgrelativelyglittlegimpactgongchildghealthgmeasuresgingthegU.S.
B. Obesitygratesgamongg2to5yearoldsghavegshowngagrecen
tgsignificant
decrease.gCorrect
.
C. Thegrategofghouseholdgpovertygisglowergthangingothergeconomicall
ygdevelopedgnations.
D. Younggchildrengwhogattendgpreschoolgorgdaygcareghaveghighergfoo
dginsecurity.
4. Thegprimarygcaregpediatricgnursegpractitionergunderstandsgthatgagmajorchil
dghealthgoutcomegassociatedgwithgworldwidegclimategchangegis
A. costg ofg living.
B. education.
C. nutrition.gCorrect
D. pollution.
5. Whengprovidinggwellgchildgcaregforganginfantgingthegfirstgyeargofglife,gtheprimaryg
caregpediatricgnursegpractitionergisgadheringgtogthegmostgrecentgAmericanAcademygo
fgPediatricsRecommendationsgforgPreventivegPediatricgHealthgCaregguidelinesby
A. focusingglessgongdevelopmentgandgmoregongillnessgpreventiongand
gnutrition.
B. followinggguidelinesgestablishedgbygtheBrightgFuturesgpublication.
C. schedulinggwellbabygvisitsgtogcoincidegwithgkeygdevelopmenta
lgmilestones.gCorrect
D. seeingg theginfantg atgagesg2,g4,g 6,gandg12gmonthsg whengimmunizationsg aredue.
Chapterg2.gUniquegIssuesgingPediatrics
1. Agnursegisgexplaininggthegtherapeuticgmilieugtogagnewgnurse.gThegbes
tgexplanationgofgthisgtermgwouldgbe:
1. Thegplacegwheregthegchildgisgreceivinggcare.
,2. Groupgtherapy.
3. Personalginteractionsgbetweengpatientsgandgstaff.
4. Allgofgthegabovegaregcorrect
.gANS:g4
2. Ag16-year-oldgmaleghasgreceivedgagpink-
slipgfromgthegpolicegforginpatientpsychiatricgtreatment.gThegteen
hasgbeengexpressinggthoughtsgofghangingghimselfgbecausegLifegsucks.gThenursinggstaff
gshouldgconsider
placinggthegchild:
1. Withgpeers.
2. Ingangareagwhereghegcangbegwatchedgone-on-one.
3. Withgagroommategthatgisgexpressinggthegsamegconcerns.
4. Ingangareagclosegtogangexternalgdoor
.gANS:g2
3. Learninggdisabilitiesgingchildrenghavegscientificallygbeenglinkedgto:
1. Poorgnutrition.
2. Thegenvironmentgingwhichgthegchildglives.
3. Genetics.
4. Watchinggmoregthangfourghoursgofgtelevisiongagday.ANS:
3
4.gAgmentalghealthgnurseghasgassessedgagchildgandgdeterminedgthatgthegchildexhibitsgbehavi
oralgchallenges.
Whengthegschoolgnursegexplainsg thisgtogagteacher,g thegbestgdescriptiong wouldbe:
.
1. Thegchildgmaygexhibitgphysicalgoutbursts.
2. Thegchildgmaygexhibitgviolencegtowardgothers.
3. Thegchildgmaygbegdefiantg orghavegtantrums.
4. Thegchildgwillgneedgspecialginterventionsgforglearning.ANS:
3
5. Agchildgthatghasgnotgexhibitedgenuresisgingfourgyearsghasgexhibitedgthisbehavio
rgpatterngforgtheglastgweek.
Thegreasongagchildgmaygrevertgbackgtogthisgbehaviorgpatterngisgbecausegof:
1. Hallucinations.
2. Behavioralg challenges.
3. Delusions.
4. Stress.
ANS:g4
6. Ang18-year-
oldgmaleghasgcalledgthegcrisisglinegforghelp.gThegcrisisgnurserecognizesgtheginterventiong
needs
maygconsistgofgallgofgthegfollowinggexcept:
1. Discussingg theg individualsg everydayg activities.
2. Recognizinggthatgthegpatientg maygbegingagcatharsisgstate.
3. Expressinggempathygtowardgthegcaller.
4. Avoidinggentropy.
ANS:g1
, 2. Hegstates,gIgwillgbegaggoodgboygnow.
.
3. Hegstartsgheadbuttinggthegwindow.
4. Hegcomplainsgthatghisgparentsgwillgfilegaglawsuit.ANS:
3
8. AgchildghasgbeengexhibitinggthegMacDonaldgTriad.gThesegbehaviorsginclude:
1. Enuresis,gpushinggothers,gandgpyromania.
2. Swinginggagcatgbygthegtail,gbed-wetting,gandglightinggpapergongfiregingthetrashgcan.
3. Playinggwithgothergchildren,glaughing,gandgconversinggwithgadults.
4. Playinggwithgagcampfire,gwatchinggtelevision,gandgseekinggadultgattention.ANS:g2
9. Agteenagergdiagnosedgwithgborderlinegpersonalitygdisordergshouldghavedischarg
egplanningginstructionsgof:
1. Agconsistentgcaregiver.
2. Monitoringgofgmedia,g suchgasgthegInternet,g television,gandgvideoggames.
3. Obtaininggsupportgfromgfamilygandgfriends.
4. Seekingg medicalg attentiong wheng thegteenagerg feelsg good.ANS:g3
10. Agmentalghealthgnursegisgteachinggthegmothergofgagchildgwithgexecutivefunctionin
ggissuesgwaysgtoghelp
hergchild.gInterventionsgthegmothergshouldguseginclude:
1. Placinggvisualgaidsgongthegbathroomgmirrorgsogthatgthegchildgwillgfollowgthemornin
ggroutine.
2. Givegthegchildgagchoicegingfoodsgtogeat.
3. Allowinggthegchildgtogaskgforghelpgwhengneeded.
4. Remindinggthegchildgtogbegnicegtogothers
.gANS:g1
.
11. Ellie,gag9-year-
oldggirl,gwasgadoptedgbygagfamilygatgthegagegofg4gaftergseveralgyearsgofgseveregneglect
gbyghergbirthgfamily.gThegadoptivegfamilyghasbeengreportinggthatgElliegisgangrygaglot,g
manipulativegwithgher
teachers,gandgdoesgnotgseekgpositivegattention.gThegnursegworkinggwithgElliewillgneedgto:
1. Providegeducationgongdecreasinggstimuligingtheghomegenvironmentgthattrigger
sgtheganger.
2. RealizegElliegmayghavegattachmentgissuesgrelatedgtoghergpreviousghistoryandgwil
lgneedgtogencouragegthe
familygtogbegactiveginghergcare.
3. Supportgthegfamilygingthegdecision-
makinggprocessgofgcontinuinggtogletgEllielivegingtheghome.
4. DiscussginpatientgtherapygtogdecreasegElliesgmanipulativegbehavior
gpatterns.
ANS:g2
12. Anginfantg displaysgdepressiongby:
1. Smilingg atg strangers.
2. Bondinggtogsomeonegothergthangthegimmediategfamily.
Chapterg1:gHealthgStatusgofgChildren:gGlobalgandgNationalPerspectives
1. Whichgregionggloballyghasgtheghighestginfantg mortalitygrate?
A. Indonesia
B. SoutherngAsia
C. Sub-SaharangAfricagCorrect
D. Syria
2. Thegprimarygcaregpediatricgnursegpractitionergunderstandsgthat,gtogachieveth
eggreatestgworldwide
reductiongingchildgmortalitygfromgpneumoniagandgdiarrhea,gwhichginterventionisgm
ostgeffective?
A. Antibiotics
B. Optimalgnutrition
C. Vaccinationsg Correct
D. Watergpurification
3. WhichgisgtruegaboutgtheghealthgstatusgofgchildrengingthegUnitedgStates?
.g13348413856
A. GlobalismghasgrelativelyglittlegimpactgongchildghealthgmeasuresgingthegU.S.
B. Obesitygratesgamongg2to5yearoldsghavegshowngagrecen
tgsignificant
decrease.gCorrect
.
C. Thegrategofghouseholdgpovertygisglowergthangingothergeconomicall
ygdevelopedgnations.
D. Younggchildrengwhogattendgpreschoolgorgdaygcareghaveghighergfoo
dginsecurity.
4. Thegprimarygcaregpediatricgnursegpractitionergunderstandsgthatgagmajorchil
dghealthgoutcomegassociatedgwithgworldwidegclimategchangegis
A. costg ofg living.
B. education.
C. nutrition.gCorrect
D. pollution.
5. Whengprovidinggwellgchildgcaregforganginfantgingthegfirstgyeargofglife,gtheprimaryg
caregpediatricgnursegpractitionergisgadheringgtogthegmostgrecentgAmericanAcademygo
fgPediatricsRecommendationsgforgPreventivegPediatricgHealthgCaregguidelinesby
A. focusingglessgongdevelopmentgandgmoregongillnessgpreventiongand
gnutrition.
B. followinggguidelinesgestablishedgbygtheBrightgFuturesgpublication.
C. schedulinggwellbabygvisitsgtogcoincidegwithgkeygdevelopmenta
lgmilestones.gCorrect
D. seeingg theginfantg atgagesg2,g4,g 6,gandg12gmonthsg whengimmunizationsg aredue.
Chapterg2.gUniquegIssuesgingPediatrics
1. Agnursegisgexplaininggthegtherapeuticgmilieugtogagnewgnurse.gThegbes
tgexplanationgofgthisgtermgwouldgbe:
1. Thegplacegwheregthegchildgisgreceivinggcare.
,2. Groupgtherapy.
3. Personalginteractionsgbetweengpatientsgandgstaff.
4. Allgofgthegabovegaregcorrect
.gANS:g4
2. Ag16-year-oldgmaleghasgreceivedgagpink-
slipgfromgthegpolicegforginpatientpsychiatricgtreatment.gThegteen
hasgbeengexpressinggthoughtsgofghangingghimselfgbecausegLifegsucks.gThenursinggstaff
gshouldgconsider
placinggthegchild:
1. Withgpeers.
2. Ingangareagwhereghegcangbegwatchedgone-on-one.
3. Withgagroommategthatgisgexpressinggthegsamegconcerns.
4. Ingangareagclosegtogangexternalgdoor
.gANS:g2
3. Learninggdisabilitiesgingchildrenghavegscientificallygbeenglinkedgto:
1. Poorgnutrition.
2. Thegenvironmentgingwhichgthegchildglives.
3. Genetics.
4. Watchinggmoregthangfourghoursgofgtelevisiongagday.ANS:
3
4.gAgmentalghealthgnurseghasgassessedgagchildgandgdeterminedgthatgthegchildexhibitsgbehavi
oralgchallenges.
Whengthegschoolgnursegexplainsg thisgtogagteacher,g thegbestgdescriptiong wouldbe:
.
1. Thegchildgmaygexhibitgphysicalgoutbursts.
2. Thegchildgmaygexhibitgviolencegtowardgothers.
3. Thegchildgmaygbegdefiantg orghavegtantrums.
4. Thegchildgwillgneedgspecialginterventionsgforglearning.ANS:
3
5. Agchildgthatghasgnotgexhibitedgenuresisgingfourgyearsghasgexhibitedgthisbehavio
rgpatterngforgtheglastgweek.
Thegreasongagchildgmaygrevertgbackgtogthisgbehaviorgpatterngisgbecausegof:
1. Hallucinations.
2. Behavioralg challenges.
3. Delusions.
4. Stress.
ANS:g4
6. Ang18-year-
oldgmaleghasgcalledgthegcrisisglinegforghelp.gThegcrisisgnurserecognizesgtheginterventiong
needs
maygconsistgofgallgofgthegfollowinggexcept:
1. Discussingg theg individualsg everydayg activities.
2. Recognizinggthatgthegpatientg maygbegingagcatharsisgstate.
3. Expressinggempathygtowardgthegcaller.
4. Avoidinggentropy.
ANS:g1
, 2. Hegstates,gIgwillgbegaggoodgboygnow.
.
3. Hegstartsgheadbuttinggthegwindow.
4. Hegcomplainsgthatghisgparentsgwillgfilegaglawsuit.ANS:
3
8. AgchildghasgbeengexhibitinggthegMacDonaldgTriad.gThesegbehaviorsginclude:
1. Enuresis,gpushinggothers,gandgpyromania.
2. Swinginggagcatgbygthegtail,gbed-wetting,gandglightinggpapergongfiregingthetrashgcan.
3. Playinggwithgothergchildren,glaughing,gandgconversinggwithgadults.
4. Playinggwithgagcampfire,gwatchinggtelevision,gandgseekinggadultgattention.ANS:g2
9. Agteenagergdiagnosedgwithgborderlinegpersonalitygdisordergshouldghavedischarg
egplanningginstructionsgof:
1. Agconsistentgcaregiver.
2. Monitoringgofgmedia,g suchgasgthegInternet,g television,gandgvideoggames.
3. Obtaininggsupportgfromgfamilygandgfriends.
4. Seekingg medicalg attentiong wheng thegteenagerg feelsg good.ANS:g3
10. Agmentalghealthgnursegisgteachinggthegmothergofgagchildgwithgexecutivefunctionin
ggissuesgwaysgtoghelp
hergchild.gInterventionsgthegmothergshouldguseginclude:
1. Placinggvisualgaidsgongthegbathroomgmirrorgsogthatgthegchildgwillgfollowgthemornin
ggroutine.
2. Givegthegchildgagchoicegingfoodsgtogeat.
3. Allowinggthegchildgtogaskgforghelpgwhengneeded.
4. Remindinggthegchildgtogbegnicegtogothers
.gANS:g1
.
11. Ellie,gag9-year-
oldggirl,gwasgadoptedgbygagfamilygatgthegagegofg4gaftergseveralgyearsgofgseveregneglect
gbyghergbirthgfamily.gThegadoptivegfamilyghasbeengreportinggthatgElliegisgangrygaglot,g
manipulativegwithgher
teachers,gandgdoesgnotgseekgpositivegattention.gThegnursegworkinggwithgElliewillgneedgto:
1. Providegeducationgongdecreasinggstimuligingtheghomegenvironmentgthattrigger
sgtheganger.
2. RealizegElliegmayghavegattachmentgissuesgrelatedgtoghergpreviousghistoryandgwil
lgneedgtogencouragegthe
familygtogbegactiveginghergcare.
3. Supportgthegfamilygingthegdecision-
makinggprocessgofgcontinuinggtogletgEllielivegingtheghome.
4. DiscussginpatientgtherapygtogdecreasegElliesgmanipulativegbehavior
gpatterns.
ANS:g2
12. Anginfantg displaysgdepressiongby:
1. Smilingg atg strangers.
2. Bondinggtogsomeonegothergthangthegimmediategfamily.
