NR 602 Midterm Test Bank:
Pediatric Nursing Topics and
Practice Questions
Week 1
Chapter 14 Introduction to Health Promotion and Health Protection,
1. The primary care pediatric nurse practitioner is performing a focused problem assessment
on a child who has asthma and learns that one of the child's parents smokes around the child in
spite of being advised against this. The nurse practitioner recognizes this as a possible
alteration in which functional health pattern?
A. Cognitive perceptual
B. Health Perception
C. Role relationship
D. Values beliefs
2. The primary care pediatric nurse practitioner examines an infant whose weight is below
the 3rd percentile and whose mother does not comply with the feeding regimen. When
attempting to enlist the help of the infant's grandmother, the grandmother says, "My
daughter was like this when she was a baby, and she turned out all right." Which approach
will the nurse practitioner take to improve the outcome for this infant?
A. Ask the grandmother about her daughter's health during childhood.
B. Explain that the condition is potentially serious if not treated.
C. Give the grandmother and mother information about normal growth.
D. Refer the family to a social worker to investigate possible neglect.
3. The primary care pediatric nurse practitioner provides patient teaching for children newly
mailto:https://www.stuvia.com/user/Wisdoms
,diagnosed with irritable bowel syndrome (IBS). At which stage of development will children
be able to understand the link between stress and the symptoms of the disease?
A. Concrete operational stage
B. Formal operational stage
C. Preconceptual stage
mailto:https://www.stuvia.com/user/Wisdoms
,D. Sensorimotor stage
4. The primary care pediatric nurse practitioner is counseling an obese
adolescent whose parents both have type 2 diabetes mellitus. Which health
behavior prediction model is useful when the nurse practitioner discusses
lifestyle changes with this client?
A. Behavioral change model
B. Health belief model
C. Health promotion model
D. Transtheoretical model
5. The primary care pediatric nurse practitioner is counseling a school-age child
about asthma management strategies. The child states that it is "too much trouble"
to remember to use an inhaled corticosteroid medication twice daily and reports
feeling fine in spite of exhibiting expiratory wheezes. Which action uses the health
belief and self-efficacy model to teach this child about asthma management?
A. Asking the child to try to use the inhaler at least once daily
B. Discussing whether the child wants to participate in athletics
C. Obtaining pre and post-treatment spirometry testing
D. Providing written information about inhaled corticosteroids.
6. An adolescent who is overweight expresses a desire to lose weight in order to
participate in sports but tells the primary care pediatric nurse practitioner that he
doesn't want to give up sweets and soft drinks because he enjoys them too much.
Which stage of change does this represent?
A. Action
B. Contemplation
C. Precontemplation
D. Preparation
7. The primary care pediatric nurse practitioner sees a 17-year-old client who quit
smoking almost a year prior but who reports having renewed cravings when
around friends who smoke. Using knowledge of the maintenance stage of change,
the primary care pediatric nurse practitioner will
mailto:https://www.stuvia.com/user/Wisdoms
, A. go over with the adolescent about the health risks associated with
smoking.
B. recommend avoiding friends who smoke and making new friends.
C. remind the adolescent about the struggles associated with quitting
smoking.
D. suggest that the teen consider taking up a sport or other physical
activity.
8. The primary care pediatric nurse practitioner is working with a 12-year-old
female who has poor diabetes control. The child tells the nurse practitioner that
the parent forgets to remind her to check her blood sugars. Which action is
correct?
A. Assess the parent's knowledge about diabetes management.
B. Help the child develop a strategy to remember without parental
prompts.
C. Refer to a social worker to help the family overcome obstacles to care.
D. Remind the child's parent about the importance of good diabetes control.
9. The primary care pediatric nurse practitioner is counseling an obese 16- year-
old client about weight management. The adolescent says, "I know I need to lose
weight, but I don't want to give up all my favorite foods." When using
motivational interviewing techniques, how will the nurse practitioner respond?
A. "Do you think there are any foods you could limit or do without
for a while?"
B. "I hear you telling me that you really don't have a desire to lose weight."
C. "If you can't give up these foods, you won't see the benefits of weight loss."
D. "In the long run, the sacrifices you make today will improve your health."
10. The parent of a newborn has quit smoking cigarettes within the past
month and reports feeling fidgety. Using a "reframing" technique, how will the
primary care pediatric nurse practitioner respond?
A. Explore ways that the parent can use this extra energy to do
things for the baby.
mailto:https://www.stuvia.com/user/Wisdoms
Pediatric Nursing Topics and
Practice Questions
Week 1
Chapter 14 Introduction to Health Promotion and Health Protection,
1. The primary care pediatric nurse practitioner is performing a focused problem assessment
on a child who has asthma and learns that one of the child's parents smokes around the child in
spite of being advised against this. The nurse practitioner recognizes this as a possible
alteration in which functional health pattern?
A. Cognitive perceptual
B. Health Perception
C. Role relationship
D. Values beliefs
2. The primary care pediatric nurse practitioner examines an infant whose weight is below
the 3rd percentile and whose mother does not comply with the feeding regimen. When
attempting to enlist the help of the infant's grandmother, the grandmother says, "My
daughter was like this when she was a baby, and she turned out all right." Which approach
will the nurse practitioner take to improve the outcome for this infant?
A. Ask the grandmother about her daughter's health during childhood.
B. Explain that the condition is potentially serious if not treated.
C. Give the grandmother and mother information about normal growth.
D. Refer the family to a social worker to investigate possible neglect.
3. The primary care pediatric nurse practitioner provides patient teaching for children newly
mailto:https://www.stuvia.com/user/Wisdoms
,diagnosed with irritable bowel syndrome (IBS). At which stage of development will children
be able to understand the link between stress and the symptoms of the disease?
A. Concrete operational stage
B. Formal operational stage
C. Preconceptual stage
mailto:https://www.stuvia.com/user/Wisdoms
,D. Sensorimotor stage
4. The primary care pediatric nurse practitioner is counseling an obese
adolescent whose parents both have type 2 diabetes mellitus. Which health
behavior prediction model is useful when the nurse practitioner discusses
lifestyle changes with this client?
A. Behavioral change model
B. Health belief model
C. Health promotion model
D. Transtheoretical model
5. The primary care pediatric nurse practitioner is counseling a school-age child
about asthma management strategies. The child states that it is "too much trouble"
to remember to use an inhaled corticosteroid medication twice daily and reports
feeling fine in spite of exhibiting expiratory wheezes. Which action uses the health
belief and self-efficacy model to teach this child about asthma management?
A. Asking the child to try to use the inhaler at least once daily
B. Discussing whether the child wants to participate in athletics
C. Obtaining pre and post-treatment spirometry testing
D. Providing written information about inhaled corticosteroids.
6. An adolescent who is overweight expresses a desire to lose weight in order to
participate in sports but tells the primary care pediatric nurse practitioner that he
doesn't want to give up sweets and soft drinks because he enjoys them too much.
Which stage of change does this represent?
A. Action
B. Contemplation
C. Precontemplation
D. Preparation
7. The primary care pediatric nurse practitioner sees a 17-year-old client who quit
smoking almost a year prior but who reports having renewed cravings when
around friends who smoke. Using knowledge of the maintenance stage of change,
the primary care pediatric nurse practitioner will
mailto:https://www.stuvia.com/user/Wisdoms
, A. go over with the adolescent about the health risks associated with
smoking.
B. recommend avoiding friends who smoke and making new friends.
C. remind the adolescent about the struggles associated with quitting
smoking.
D. suggest that the teen consider taking up a sport or other physical
activity.
8. The primary care pediatric nurse practitioner is working with a 12-year-old
female who has poor diabetes control. The child tells the nurse practitioner that
the parent forgets to remind her to check her blood sugars. Which action is
correct?
A. Assess the parent's knowledge about diabetes management.
B. Help the child develop a strategy to remember without parental
prompts.
C. Refer to a social worker to help the family overcome obstacles to care.
D. Remind the child's parent about the importance of good diabetes control.
9. The primary care pediatric nurse practitioner is counseling an obese 16- year-
old client about weight management. The adolescent says, "I know I need to lose
weight, but I don't want to give up all my favorite foods." When using
motivational interviewing techniques, how will the nurse practitioner respond?
A. "Do you think there are any foods you could limit or do without
for a while?"
B. "I hear you telling me that you really don't have a desire to lose weight."
C. "If you can't give up these foods, you won't see the benefits of weight loss."
D. "In the long run, the sacrifices you make today will improve your health."
10. The parent of a newborn has quit smoking cigarettes within the past
month and reports feeling fidgety. Using a "reframing" technique, how will the
primary care pediatric nurse practitioner respond?
A. Explore ways that the parent can use this extra energy to do
things for the baby.
mailto:https://www.stuvia.com/user/Wisdoms
