Burns' Pediatric Primary Care 7th Edition Test Bank 2. Group therapy.
3. Personal interactions between patients and staff.
Chapter 1: Health Status of Children: Global and National 4. All of the above are correct.
Perspectives ANS: 4
1. Which region globally has the highest infant mortality rate? 2. A 16-year-old male has received a pink-slip from the police for inpatient
A. Indonesia psychiatric treatment. The teen
B. Southern Asia has been expressing thoughts of hanging himself because Life sucks. The
C. SubSaharan Africa Correct nursing staff should consider
D. Syria placing the child:
1. With peers.
2. The primary care pediatric nurse practitioner understands that, to achieve 2. In an area where he can be watched one-on-one.
the 3. With a roommate that is expressing the same concerns.
greatest worldwide 4. In an area close to an external door.
reduction in child mortality from pneumonia and diarrhea, which intervention ANS: 2
is
most effective? 3. Learning disabilities in children have scientifically been linked to:
A. Antibiotics 1. Poor nutrition.
B. Optimal nutrition 2. The environment in which the child lives.
C. Vaccinations Correct 3. Genetics.
D. Water purification 4. Watching more than four hours of television a day.
ANS: 3
3. Which is true about the health status of children in the United States?
. 4. A mental health nurse has assessed a child and determined that the child
13348413856 exhibits behavioral challenges.
A. Globalism has relatively little impact on child health measures in the U.S. When the school nurse explains this to a teacher, the best description would
B. Obesity rates among 2to5yearolds have shown a recent be:
.
significant
decrease. Correct
.
C. The rate of household poverty is lower than in other economically
developed nations. 1. The child may exhibit physical outbursts.
D. Young children who attend preschool or day care have higher food 2. The child may exhibit violence toward others.
insecurity. 3. The child may be defiant or have tantrums.
4. The primary care pediatric nurse practitioner understands that a major 4. The child will need special interventions for learning.
child ANS: 3
health outcome associated with worldwide climate change is
A. cost of living. 5. A child that has not exhibited enuresis in four years has exhibited this
B. education. behavior pattern for the last week.
C. nutrition. Correct The reason a child may revert back to this behavior pattern is because of:
D. pollution. 1. Hallucinations.
2. Behavioral challenges.
5. When providing well child care for an infant in the first year of life, the 3. Delusions.
primary 4. Stress.
care pediatric nurse practitioner is adhering to the most recent American ANS: 4
Academy of
PediatricsRecommendations for Preventive Pediatric Health Care guidelines 6. An 18-year-old male has called the crisis line for help. The crisis nurse
by recognizes the intervention needs
A. focusing less on development and more on illness prevention and may consist of all of the following except:
nutrition. 1. Discussing the individuals everyday activities.
B. following guidelines established by theBright Futures publication. 2. Recognizing that the patient may be in a catharsis state.
C. scheduling wellbaby visits to coincide with key developmental 3. Expressing empathy toward the caller.
milestones. Correct 4. Avoiding entropy.
D. seeing the infant at ages 2, 4, 6, and 12 months when immunizations are ANS: 1
due.
7. An 8-year-old boy with a history of hallucinations and violent behavior has
Chapter 2. Unique Issues in Pediatrics been place in a seclusion room
at the hospital because he has been hurting others. The nurse checks on the
1. A nurse is explaining the therapeutic milieu to a new nurse. The best patient and realizes she must take
explanation of this term would be: him out of the seclusion room when:
1. The place where the child is receiving care. 1. He is crying to be released.
,2. He states, I will be a good boy now.
13. A father reports that his adolescent daughter has gotten good grades up
.
3. He starts headbutting the window.
until the last quarter of school.
She has been hanging out by herself and does not want to talk to him
anymore. The mental health nurse
should:
1. Realize that this is a natural part of growing up.
4. He complains that his parents will file a lawsuit. 2. Perform a mental health screening to check for depression.
ANS: 3 3. Attempt to get the adolescent to discuss why she does not like her father
anymore.
8. A child has been exhibiting the MacDonald Triad. These behaviors include: 4. Let the adolescent talk when she is ready.
1. Enuresis, pushing others, and pyromania. ANS: 2
2. Swinging a cat by the tail, bed-wetting, and lighting paper on fire in the
trash can. 14. A teen should be checked for depression at __________ physician visit(s).
3. Playing with other children, laughing, and conversing with adults. 1. Every
4. Playing with a campfire, watching television, and seeking adult attention.
.
ANS: 2
9. A teenager diagnosed with borderline personality disorder should have
discharge planning instructions of:
1. A consistent caregiver. 2. One
2. Monitoring of media, such as the Internet, television, and video games. 3. Monthly
3. Obtaining support from family and friends. 4. Bi-yearly
4. Seeking medical attention when the teenager feels good. ANS: 1
ANS: 3
15. When using the SAD FACES depression screen, it is important to assess:
10. A mental health nurse is teaching the mother of a child with executive 1. Anhedonia.
functioning issues ways to help 2. Suicidal ideations.
her child. Interventions the mother should use include: 3. Sleep patterns.
1. Placing visual aids on the bathroom mirror so that the child will follow the 4. All of the above
morning routine. ANS: 4
2. Give the child a choice in foods to eat.
3. Allowing the child to ask for help when needed. 16. A school nurse is giving an in-service to teachers on bullycide. The main
4. Reminding the child to be nice to others. reason for the teaching is so
ANS: 1 that:
1. Teachers are aware bullying occurs.
.
11. Ellie, a 9-year-old girl, was adopted by a family at the age of 4 after
2. Teachers are able to identify students who are risk.
3. Teachers can be aware of the fact that suicides can happen due to bullying
by others.
4. Teachers are aware of their role in causing bullycide.
ANS: 3
several years of severe neglect by her birth family. The adoptive family has
been reporting that Ellie is angry a lot, manipulative with her 17. An adolescent with a known history of bipolar disorder is in the school
teachers, and does not seek positive attention. The nurse working with Ellie nurses office because a teacher
will need to: reported that she was talking fast and acting like she was God. The school
1. Provide education on decreasing stimuli in the home environment that nurse assesses the girl and notes
triggers the anger. that:
2. Realize Ellie may have attachment issues related to her previous history
1. She is probably in a manic phase and needs to be treated professionally.
and will need to encourage the 2. She has had too much sleep and is now hyperactive.
family to be active in her care. 3. She forgot to take her medications today.
3. Support the family in the decision-making process of continuing to let Ellie 4. She requires some food and rest before going back to class.
live in the home.
ANS: 1
4. Discuss inpatient therapy to decrease Ellies manipulative behavior
patterns.
ANS: 2
Chapter 3. Genetics and Child Health
Questions
12. An infant displays depression by:
1. Smiling at strangers. 1. What is true about haploid cells?
2. Bonding to someone other than the immediate family. .
3. Crying more than an average infant. 13348407644
4. Looks away when an adult attempts to play with the infant. C. Each contains 23 paired chromosomes.
ANS: 4 D. Each one contains 23 chromosomes. Correct
E. Replication produces two identical cells.
,F. They replicate via the process of mitosis. recessive disorder, is present in males in three previous
2. What does the following genetic notation symbol mean 47,XX,6q? generations in the mother’s family, whose father had the disease. What will
. the primary care
13348407650 pediatric nurse practitioner tell the parents about the risk of this disease in
A. Male with deletion of chromosome 6 their children?
B. Female with deletion of chromosome 6 E. All of their sons will be affected by the disease.
C. Male with deletion on the long arm of chromosome 6 F. Any sons they have will not be affected by the disease.
D. Female with deletion on the long arm of chromosome 6 G. Daughters have a 50% chance of being carriers of the disease.
Correct Correct
3. A child has a recessive genetic disorder that is homozygous for that H. Their daughter has a 25% chance of having the disease.
mutation.
. 8. What is an important responsibility of the primary care pediatric nurse
13348407646 practitioner . to
What is most likely about this child’s parents? help determine genetic risk factors in families?
A. Neither parent has a copy of that gene mutation. E. Assessing physical characteristics of genetic disorders
B. Only the mother has a copy of that gene mutation. F. Knowing which genetic screening tests to perform
C. Only the father has a copy of that gene mutation. G. Making appropriate referrals to pediatric geneticists
D. Each parent has one copy of that gene mutation. Correct D. Obtaining a threegeneration
4. Which type of mutation is responsible for many singlegene pedigree for each family Correct
genetic disorders? 9. Which diagnostic study may be ordered when the provider wishes to
. detect the
13348407636 .
A. Copy number variations presence of additional genetic material on a chromosome?
B. Nucleotide repeat expansions A. Chromosomal microarray
C. Point mutations Correct B. FISH Correct
D. Single nucleotide polymorphisms (SNP) D. Karyotype
E. Molecular testing
.
5. Cystic fibrosis is a recessive disease requiring the presence of a gene
10. Which type of testing will the primary care pediatric nurse practitioner
recommend .
for a couple concerned about the potential for having children with cystic
fibrosis?
mutation A. Biochemical testing
. B. Carrier testing Correct
13348407638 C. FISH testing
on both alleles inherited from the parents. Which type of genetic disorder is D. Karyotype testing
this?
A. Chromosome
B. Mitochondrial
C. Monogenetic Correct
D. Multifactorial
.
6. The primary care pediatric nurse practitioner is counseling a couple about
genetic Chapter 4. Environmental Issues
risks and learns that one parent has neurofibromatosis, an autosomal Questions
dominant disorder, and the other
parent does not. What will the nurse practitioner include when discussing 1. What has been the result of passage of the Toxic Substances Control Act.
this disorder and its (TSCA) of 1976?
transmission? G. A mandate for corporations to disclose known toxic chemicals
C. Children must inherit a gene from both parents to develop the disease. H. A requirement that all manufactured chemicals undergo toxicity testing
D. Each child born to this couple will have a 50% risk of having the I. Authorization of the EPA to require testing and reporting of some
disease. Correct chemicals Correct
E. This type of disorder characteristically skips generations. J. Development of a mechanism to report reactions to toxic chemicals
F. Unaffected offspring may still pass on the disease to their offspring.
2. Many European nations use the “precautionary principle” to help regulate
7. A family medical history conducted during a well baby exam for a newborn potentially toxic chemicals. What does this mean?
girl G. Chemicals must be proven to be safe before being introduced
reveals that hemophilia A, an Xlinked into the
, environment. Correct Besides avoiding using plastic containers when possible, what else will the
H. Corporations may be exempt from testing if their costs in doing so primary care
are too high. pediatric nurse practitioner recommend?
I. Regulators must demonstrate risk to the public before banning a A. Avoid heating foods and liquids in plastic containers. Correct
chemical. B. Clean plastic containers well using the dishwasher.
J. Without a strong risk, corporations need not release data about their C. Use only plastics stamped with “#7” on the bottom.
products. D. Used canned food products whenever possible.
3. During a clinic visit, a child’s rapid capillary screening test for lead reveals 9. A parent desires to buy only organic produce to avoid exposing a child to
a pesticides but complains that these foods are expensive. The primary care
level of 11 mcg/dL. What will the primary care pediatric nurse practitioner do pediatric nurse
next? practitioner provides a list of foods that are relatively safe whether they are
I. Institute lead abatement measures in the child’s home. organic or not.
J. Monitor lead levels monthly until decreased. Which foods are on this list?
K. Order a venous sample to test for lead levels. Correct A. Apples, celery, and peaches
L. Test the child’s siblings and parents for lead. B. Potatoes, cherry tomatoes, and peaches
C. Strawberries, grapes, and cucumbers
4. A child has a lead level of 25 mcg/dL. Once lead abatement measures are D. Sweet corn, cantaloupe, and kiwi Correct
instituted, what is an important intervention to help prevent permanent
damage Chapter 5. Child and Family Health Assessment
H. Chelation therapy Questions
I. Dietary changes
C. Followup testing Correct 1. The primary care pediatric nurse practitioner is obtaining a medical history
. about a child. To integrate both nursing and medical aspects of primary care,
D. Testing family members which will be included in the medical history?
K. Complementary medications, alternative health practices, and chief
5. A child whose parent works in a factory pr esents with swelling of the complaint
extremities, pain and weakness in the pelvis, and an erythematous L. Developmental delays, nutritional status, and linear growth patterns
maculopapular rash. Which M. Medication currently taking, allergy information, and family medical
industrial toxin will the primary care pediatric nurse practitioner suspect in history
this child? N. Speech and language development, beliefs about health, and
A. Lead previous
B. Mercury illnesses Correct
C. Organophosphates Correct
D. Phthalates 2. When formulating developmental diagnoses for pediatric patients, the
primary
6. When counseling a mother who smokes about preventing exposure to care pediatric nurse practitioner may use which resource?
smokingrelated A. DC: 03R Correct
risks to her nursing newborn, what will the primary care pediatric nurse K. ICD10CM
practitioner tell her? L. ICSD3
F. If she quits now, her child will not have longterm M. NANDA International
effects from exposure.
G. Prenatal smoke exposure does not cause respiratory effects after the 3. The primary care pediatric nurse practitioner sees a 3yearold
infant is born. child who
H. Smoking outdoors or near an open window prevents exposure to tobacco chronically withholds stools, in spite of the parents’ attempts to stop the
smoke. behavior, requiring frequent treatments with laxative medications. Which
I. Thirdhandsmoke exposure risks may last for years even if the diagnosis will the nurse practitioner use to facilitate thirdparty
mother quits now. Correct reimbursement?
M. Altered elimination pattern
7. A child who has been playing in a public park is brought to the clinic with N. Elimination disorder
wheezing, vomiting, diarrhea, and drooling. A physical exam reveals a low C. Encopresis Correct
heart D. Parenting alteration
rate and diaphoresis. What will the primary care pediatric nurse practitioner
suspect as a cause for these symptoms? 4. The primary care pediatric nurse practitioner is assessing a toddler whose
B. Arsenic consumption weight and body mass index (BMI) are below the 3rd percentile for age. The
C. Lead poisoning nurse practitioner
C. Organophosphate exposure Correct learns that the child does not have regular mealtimes and is allowed to carry
D. Phthalate ingestion a bottle of juice
around at all times. The nurse practitioner plans to work with this family to
8. A parent asks about ways to limit exposure to risks associated with develop improved meal
plastics. patterns. Which diagnosis will the nurse practitioner use for this problem?
3. Personal interactions between patients and staff.
Chapter 1: Health Status of Children: Global and National 4. All of the above are correct.
Perspectives ANS: 4
1. Which region globally has the highest infant mortality rate? 2. A 16-year-old male has received a pink-slip from the police for inpatient
A. Indonesia psychiatric treatment. The teen
B. Southern Asia has been expressing thoughts of hanging himself because Life sucks. The
C. SubSaharan Africa Correct nursing staff should consider
D. Syria placing the child:
1. With peers.
2. The primary care pediatric nurse practitioner understands that, to achieve 2. In an area where he can be watched one-on-one.
the 3. With a roommate that is expressing the same concerns.
greatest worldwide 4. In an area close to an external door.
reduction in child mortality from pneumonia and diarrhea, which intervention ANS: 2
is
most effective? 3. Learning disabilities in children have scientifically been linked to:
A. Antibiotics 1. Poor nutrition.
B. Optimal nutrition 2. The environment in which the child lives.
C. Vaccinations Correct 3. Genetics.
D. Water purification 4. Watching more than four hours of television a day.
ANS: 3
3. Which is true about the health status of children in the United States?
. 4. A mental health nurse has assessed a child and determined that the child
13348413856 exhibits behavioral challenges.
A. Globalism has relatively little impact on child health measures in the U.S. When the school nurse explains this to a teacher, the best description would
B. Obesity rates among 2to5yearolds have shown a recent be:
.
significant
decrease. Correct
.
C. The rate of household poverty is lower than in other economically
developed nations. 1. The child may exhibit physical outbursts.
D. Young children who attend preschool or day care have higher food 2. The child may exhibit violence toward others.
insecurity. 3. The child may be defiant or have tantrums.
4. The primary care pediatric nurse practitioner understands that a major 4. The child will need special interventions for learning.
child ANS: 3
health outcome associated with worldwide climate change is
A. cost of living. 5. A child that has not exhibited enuresis in four years has exhibited this
B. education. behavior pattern for the last week.
C. nutrition. Correct The reason a child may revert back to this behavior pattern is because of:
D. pollution. 1. Hallucinations.
2. Behavioral challenges.
5. When providing well child care for an infant in the first year of life, the 3. Delusions.
primary 4. Stress.
care pediatric nurse practitioner is adhering to the most recent American ANS: 4
Academy of
PediatricsRecommendations for Preventive Pediatric Health Care guidelines 6. An 18-year-old male has called the crisis line for help. The crisis nurse
by recognizes the intervention needs
A. focusing less on development and more on illness prevention and may consist of all of the following except:
nutrition. 1. Discussing the individuals everyday activities.
B. following guidelines established by theBright Futures publication. 2. Recognizing that the patient may be in a catharsis state.
C. scheduling wellbaby visits to coincide with key developmental 3. Expressing empathy toward the caller.
milestones. Correct 4. Avoiding entropy.
D. seeing the infant at ages 2, 4, 6, and 12 months when immunizations are ANS: 1
due.
7. An 8-year-old boy with a history of hallucinations and violent behavior has
Chapter 2. Unique Issues in Pediatrics been place in a seclusion room
at the hospital because he has been hurting others. The nurse checks on the
1. A nurse is explaining the therapeutic milieu to a new nurse. The best patient and realizes she must take
explanation of this term would be: him out of the seclusion room when:
1. The place where the child is receiving care. 1. He is crying to be released.
,2. He states, I will be a good boy now.
13. A father reports that his adolescent daughter has gotten good grades up
.
3. He starts headbutting the window.
until the last quarter of school.
She has been hanging out by herself and does not want to talk to him
anymore. The mental health nurse
should:
1. Realize that this is a natural part of growing up.
4. He complains that his parents will file a lawsuit. 2. Perform a mental health screening to check for depression.
ANS: 3 3. Attempt to get the adolescent to discuss why she does not like her father
anymore.
8. A child has been exhibiting the MacDonald Triad. These behaviors include: 4. Let the adolescent talk when she is ready.
1. Enuresis, pushing others, and pyromania. ANS: 2
2. Swinging a cat by the tail, bed-wetting, and lighting paper on fire in the
trash can. 14. A teen should be checked for depression at __________ physician visit(s).
3. Playing with other children, laughing, and conversing with adults. 1. Every
4. Playing with a campfire, watching television, and seeking adult attention.
.
ANS: 2
9. A teenager diagnosed with borderline personality disorder should have
discharge planning instructions of:
1. A consistent caregiver. 2. One
2. Monitoring of media, such as the Internet, television, and video games. 3. Monthly
3. Obtaining support from family and friends. 4. Bi-yearly
4. Seeking medical attention when the teenager feels good. ANS: 1
ANS: 3
15. When using the SAD FACES depression screen, it is important to assess:
10. A mental health nurse is teaching the mother of a child with executive 1. Anhedonia.
functioning issues ways to help 2. Suicidal ideations.
her child. Interventions the mother should use include: 3. Sleep patterns.
1. Placing visual aids on the bathroom mirror so that the child will follow the 4. All of the above
morning routine. ANS: 4
2. Give the child a choice in foods to eat.
3. Allowing the child to ask for help when needed. 16. A school nurse is giving an in-service to teachers on bullycide. The main
4. Reminding the child to be nice to others. reason for the teaching is so
ANS: 1 that:
1. Teachers are aware bullying occurs.
.
11. Ellie, a 9-year-old girl, was adopted by a family at the age of 4 after
2. Teachers are able to identify students who are risk.
3. Teachers can be aware of the fact that suicides can happen due to bullying
by others.
4. Teachers are aware of their role in causing bullycide.
ANS: 3
several years of severe neglect by her birth family. The adoptive family has
been reporting that Ellie is angry a lot, manipulative with her 17. An adolescent with a known history of bipolar disorder is in the school
teachers, and does not seek positive attention. The nurse working with Ellie nurses office because a teacher
will need to: reported that she was talking fast and acting like she was God. The school
1. Provide education on decreasing stimuli in the home environment that nurse assesses the girl and notes
triggers the anger. that:
2. Realize Ellie may have attachment issues related to her previous history
1. She is probably in a manic phase and needs to be treated professionally.
and will need to encourage the 2. She has had too much sleep and is now hyperactive.
family to be active in her care. 3. She forgot to take her medications today.
3. Support the family in the decision-making process of continuing to let Ellie 4. She requires some food and rest before going back to class.
live in the home.
ANS: 1
4. Discuss inpatient therapy to decrease Ellies manipulative behavior
patterns.
ANS: 2
Chapter 3. Genetics and Child Health
Questions
12. An infant displays depression by:
1. Smiling at strangers. 1. What is true about haploid cells?
2. Bonding to someone other than the immediate family. .
3. Crying more than an average infant. 13348407644
4. Looks away when an adult attempts to play with the infant. C. Each contains 23 paired chromosomes.
ANS: 4 D. Each one contains 23 chromosomes. Correct
E. Replication produces two identical cells.
,F. They replicate via the process of mitosis. recessive disorder, is present in males in three previous
2. What does the following genetic notation symbol mean 47,XX,6q? generations in the mother’s family, whose father had the disease. What will
. the primary care
13348407650 pediatric nurse practitioner tell the parents about the risk of this disease in
A. Male with deletion of chromosome 6 their children?
B. Female with deletion of chromosome 6 E. All of their sons will be affected by the disease.
C. Male with deletion on the long arm of chromosome 6 F. Any sons they have will not be affected by the disease.
D. Female with deletion on the long arm of chromosome 6 G. Daughters have a 50% chance of being carriers of the disease.
Correct Correct
3. A child has a recessive genetic disorder that is homozygous for that H. Their daughter has a 25% chance of having the disease.
mutation.
. 8. What is an important responsibility of the primary care pediatric nurse
13348407646 practitioner . to
What is most likely about this child’s parents? help determine genetic risk factors in families?
A. Neither parent has a copy of that gene mutation. E. Assessing physical characteristics of genetic disorders
B. Only the mother has a copy of that gene mutation. F. Knowing which genetic screening tests to perform
C. Only the father has a copy of that gene mutation. G. Making appropriate referrals to pediatric geneticists
D. Each parent has one copy of that gene mutation. Correct D. Obtaining a threegeneration
4. Which type of mutation is responsible for many singlegene pedigree for each family Correct
genetic disorders? 9. Which diagnostic study may be ordered when the provider wishes to
. detect the
13348407636 .
A. Copy number variations presence of additional genetic material on a chromosome?
B. Nucleotide repeat expansions A. Chromosomal microarray
C. Point mutations Correct B. FISH Correct
D. Single nucleotide polymorphisms (SNP) D. Karyotype
E. Molecular testing
.
5. Cystic fibrosis is a recessive disease requiring the presence of a gene
10. Which type of testing will the primary care pediatric nurse practitioner
recommend .
for a couple concerned about the potential for having children with cystic
fibrosis?
mutation A. Biochemical testing
. B. Carrier testing Correct
13348407638 C. FISH testing
on both alleles inherited from the parents. Which type of genetic disorder is D. Karyotype testing
this?
A. Chromosome
B. Mitochondrial
C. Monogenetic Correct
D. Multifactorial
.
6. The primary care pediatric nurse practitioner is counseling a couple about
genetic Chapter 4. Environmental Issues
risks and learns that one parent has neurofibromatosis, an autosomal Questions
dominant disorder, and the other
parent does not. What will the nurse practitioner include when discussing 1. What has been the result of passage of the Toxic Substances Control Act.
this disorder and its (TSCA) of 1976?
transmission? G. A mandate for corporations to disclose known toxic chemicals
C. Children must inherit a gene from both parents to develop the disease. H. A requirement that all manufactured chemicals undergo toxicity testing
D. Each child born to this couple will have a 50% risk of having the I. Authorization of the EPA to require testing and reporting of some
disease. Correct chemicals Correct
E. This type of disorder characteristically skips generations. J. Development of a mechanism to report reactions to toxic chemicals
F. Unaffected offspring may still pass on the disease to their offspring.
2. Many European nations use the “precautionary principle” to help regulate
7. A family medical history conducted during a well baby exam for a newborn potentially toxic chemicals. What does this mean?
girl G. Chemicals must be proven to be safe before being introduced
reveals that hemophilia A, an Xlinked into the
, environment. Correct Besides avoiding using plastic containers when possible, what else will the
H. Corporations may be exempt from testing if their costs in doing so primary care
are too high. pediatric nurse practitioner recommend?
I. Regulators must demonstrate risk to the public before banning a A. Avoid heating foods and liquids in plastic containers. Correct
chemical. B. Clean plastic containers well using the dishwasher.
J. Without a strong risk, corporations need not release data about their C. Use only plastics stamped with “#7” on the bottom.
products. D. Used canned food products whenever possible.
3. During a clinic visit, a child’s rapid capillary screening test for lead reveals 9. A parent desires to buy only organic produce to avoid exposing a child to
a pesticides but complains that these foods are expensive. The primary care
level of 11 mcg/dL. What will the primary care pediatric nurse practitioner do pediatric nurse
next? practitioner provides a list of foods that are relatively safe whether they are
I. Institute lead abatement measures in the child’s home. organic or not.
J. Monitor lead levels monthly until decreased. Which foods are on this list?
K. Order a venous sample to test for lead levels. Correct A. Apples, celery, and peaches
L. Test the child’s siblings and parents for lead. B. Potatoes, cherry tomatoes, and peaches
C. Strawberries, grapes, and cucumbers
4. A child has a lead level of 25 mcg/dL. Once lead abatement measures are D. Sweet corn, cantaloupe, and kiwi Correct
instituted, what is an important intervention to help prevent permanent
damage Chapter 5. Child and Family Health Assessment
H. Chelation therapy Questions
I. Dietary changes
C. Followup testing Correct 1. The primary care pediatric nurse practitioner is obtaining a medical history
. about a child. To integrate both nursing and medical aspects of primary care,
D. Testing family members which will be included in the medical history?
K. Complementary medications, alternative health practices, and chief
5. A child whose parent works in a factory pr esents with swelling of the complaint
extremities, pain and weakness in the pelvis, and an erythematous L. Developmental delays, nutritional status, and linear growth patterns
maculopapular rash. Which M. Medication currently taking, allergy information, and family medical
industrial toxin will the primary care pediatric nurse practitioner suspect in history
this child? N. Speech and language development, beliefs about health, and
A. Lead previous
B. Mercury illnesses Correct
C. Organophosphates Correct
D. Phthalates 2. When formulating developmental diagnoses for pediatric patients, the
primary
6. When counseling a mother who smokes about preventing exposure to care pediatric nurse practitioner may use which resource?
smokingrelated A. DC: 03R Correct
risks to her nursing newborn, what will the primary care pediatric nurse K. ICD10CM
practitioner tell her? L. ICSD3
F. If she quits now, her child will not have longterm M. NANDA International
effects from exposure.
G. Prenatal smoke exposure does not cause respiratory effects after the 3. The primary care pediatric nurse practitioner sees a 3yearold
infant is born. child who
H. Smoking outdoors or near an open window prevents exposure to tobacco chronically withholds stools, in spite of the parents’ attempts to stop the
smoke. behavior, requiring frequent treatments with laxative medications. Which
I. Thirdhandsmoke exposure risks may last for years even if the diagnosis will the nurse practitioner use to facilitate thirdparty
mother quits now. Correct reimbursement?
M. Altered elimination pattern
7. A child who has been playing in a public park is brought to the clinic with N. Elimination disorder
wheezing, vomiting, diarrhea, and drooling. A physical exam reveals a low C. Encopresis Correct
heart D. Parenting alteration
rate and diaphoresis. What will the primary care pediatric nurse practitioner
suspect as a cause for these symptoms? 4. The primary care pediatric nurse practitioner is assessing a toddler whose
B. Arsenic consumption weight and body mass index (BMI) are below the 3rd percentile for age. The
C. Lead poisoning nurse practitioner
C. Organophosphate exposure Correct learns that the child does not have regular mealtimes and is allowed to carry
D. Phthalate ingestion a bottle of juice
around at all times. The nurse practitioner plans to work with this family to
8. A parent asks about ways to limit exposure to risks associated with develop improved meal
plastics. patterns. Which diagnosis will the nurse practitioner use for this problem?
