NURS 612V: FNP Pediatrics Arkansas State University
Burns Pediatric Final Exam Study Guide Questions With
Complete Solutions
1. 1. A child has a 1-cm laceration on the forehead proximal to
the hairline after
running into a pole while playing sports. To minimize the risk of
infection, the primary care
pediatric nurse practitioner will irrigate the wound and
a. a. allow the wound to heal by secondary intention.
b. b. delay closure of the wound for several days.
c. c. refer the child to a plastic surgeon for wound closure.
d. d. suture the wound within 6 hours. Correct Answers ANS:
D
Children are less likely than adults to get wound infections, with
an infection rate from sutured
lacerations at 2%. The PNP should clean and suture the wound.
Wounds from animal bites are
often left to heal by secondary intention to prevent infection.
Referral to a plastic surgeon is
necessary for cosmetic reasons. Delaying closure for several
days is recommended for heavily
contaminated wounds and those caused by high-velocity missile
injuries, crush injuries, and
explosion injuries.
1. 1. According to the 2007 NHIS analysis of the use of CAM
therapy, use was higher
among :
a. a. families whose parent or parents had a college education.
b. b. Hispanic and African-American populations.
,c. c. persons who had not recently taken prescription
medications.
d. d. those living in households earning less than $65,000.
Correct Answers ANS: A
The NHIS review showed that CAM use was higher in
households with at least one college-
educated parent. CAM use was also higher in non-Hispanic
Caucasians, persons who had
taken prescription drugs within the past 3 months, and those
living in households with incomes
higher than $65,000.
1. 1. The mother of a 15-year-old female expresses concerns that
her daughter may be
sexually active because she's had a steady boyfriend for over a
year. The primary care
pediatric nurse practitioner learns that the family is Catholic and
that the mother had an
abortion when she was 16 years old. What will the nurse
practitioner do initially?
a. a. Explore the mother's feelings about her own past
experience.
b. b. Offer to prescribe contraception to prevent pregnancy.
c. c. Recommend that the mother discuss this with her daughter.
d. d. Suggest that the mother talk to a priest about her daughter.
Correct Answers ANS: A
An initial step when assisting families to manage ethical and
behavioral issues is to assist
,parents and children in values clarification. Before offering
other suggestions, the PNP should
help the mother to clarify her own feelings. The other options
may be necessary after values are
clarified.
1. 1. The parent of a 4-year-old points to a picture and says,
"That's your sister." The
child responds by saying, "No! It's my baby!" This is an
example of which type of thinking in
preschool-age children?
a. a. Animism
b. b. Artificialism
c. c. Egocentrism
d. d. Realism Correct Answers ANS: D
Children at this age are developing their ability to establish
causality. Nominal realism occurs
when children think that one type of thing can only be called by
one name. All dogs are dogs
and not various breeds. Animism refers to the belief that objects
possess person-like qualities.
Artificialism occurs when children think things are caused by a
controlling force. Egocentrism is
when children see things only as they relate to themselves.
1. 1. The parent of a school-age child reports that the child
usually has allergic rhinitis
symptoms beginning each fall and that non-sedating
antihistamines are only marginally
effective, especially for nasal obstruction symptoms. What will
the primary care pediatric
, nurse practitioner do?
a. a. Order an intranasal corticosteroid to begin 1 to 2 weeks
prior to pollen season.
b. b. Prescribe a decongestant medication as adjunct therapy
during pollen season.
c. c. Recommend adding diphenhydramine to the child's
regimen for additional
relief.
d. d. Suggest using an over-the-counter intranasal decongestant.
Correct Answers ANS: A
Intranasal corticosteroids are a key component in long-term
therapy to manage symptoms
associated with AR. These should be begun 1 to 2 weeks prior to
the beginning of pollen
season. Decongestants are not recommended for long-term use
because of side effects.
Diphenhydramine causes daytime drowsiness.
1. 1. The primary care pediatric nurse practitioner is evaluating a
school-age child who,
after removal of a pituitary tumor, has altered hypothalamic
control over hunger and satiety.
The child is morbidly obese and expresses feeling depressed
because of the obesity. What
will the nurse practitioner recommend?
a. a. Developing a system to reward compliance with a dietary
regimen
b. b. Restricting all access to food in the house and at school
c. c. Suggesting an after-school exercise program to help with
weight loss
Burns Pediatric Final Exam Study Guide Questions With
Complete Solutions
1. 1. A child has a 1-cm laceration on the forehead proximal to
the hairline after
running into a pole while playing sports. To minimize the risk of
infection, the primary care
pediatric nurse practitioner will irrigate the wound and
a. a. allow the wound to heal by secondary intention.
b. b. delay closure of the wound for several days.
c. c. refer the child to a plastic surgeon for wound closure.
d. d. suture the wound within 6 hours. Correct Answers ANS:
D
Children are less likely than adults to get wound infections, with
an infection rate from sutured
lacerations at 2%. The PNP should clean and suture the wound.
Wounds from animal bites are
often left to heal by secondary intention to prevent infection.
Referral to a plastic surgeon is
necessary for cosmetic reasons. Delaying closure for several
days is recommended for heavily
contaminated wounds and those caused by high-velocity missile
injuries, crush injuries, and
explosion injuries.
1. 1. According to the 2007 NHIS analysis of the use of CAM
therapy, use was higher
among :
a. a. families whose parent or parents had a college education.
b. b. Hispanic and African-American populations.
,c. c. persons who had not recently taken prescription
medications.
d. d. those living in households earning less than $65,000.
Correct Answers ANS: A
The NHIS review showed that CAM use was higher in
households with at least one college-
educated parent. CAM use was also higher in non-Hispanic
Caucasians, persons who had
taken prescription drugs within the past 3 months, and those
living in households with incomes
higher than $65,000.
1. 1. The mother of a 15-year-old female expresses concerns that
her daughter may be
sexually active because she's had a steady boyfriend for over a
year. The primary care
pediatric nurse practitioner learns that the family is Catholic and
that the mother had an
abortion when she was 16 years old. What will the nurse
practitioner do initially?
a. a. Explore the mother's feelings about her own past
experience.
b. b. Offer to prescribe contraception to prevent pregnancy.
c. c. Recommend that the mother discuss this with her daughter.
d. d. Suggest that the mother talk to a priest about her daughter.
Correct Answers ANS: A
An initial step when assisting families to manage ethical and
behavioral issues is to assist
,parents and children in values clarification. Before offering
other suggestions, the PNP should
help the mother to clarify her own feelings. The other options
may be necessary after values are
clarified.
1. 1. The parent of a 4-year-old points to a picture and says,
"That's your sister." The
child responds by saying, "No! It's my baby!" This is an
example of which type of thinking in
preschool-age children?
a. a. Animism
b. b. Artificialism
c. c. Egocentrism
d. d. Realism Correct Answers ANS: D
Children at this age are developing their ability to establish
causality. Nominal realism occurs
when children think that one type of thing can only be called by
one name. All dogs are dogs
and not various breeds. Animism refers to the belief that objects
possess person-like qualities.
Artificialism occurs when children think things are caused by a
controlling force. Egocentrism is
when children see things only as they relate to themselves.
1. 1. The parent of a school-age child reports that the child
usually has allergic rhinitis
symptoms beginning each fall and that non-sedating
antihistamines are only marginally
effective, especially for nasal obstruction symptoms. What will
the primary care pediatric
, nurse practitioner do?
a. a. Order an intranasal corticosteroid to begin 1 to 2 weeks
prior to pollen season.
b. b. Prescribe a decongestant medication as adjunct therapy
during pollen season.
c. c. Recommend adding diphenhydramine to the child's
regimen for additional
relief.
d. d. Suggest using an over-the-counter intranasal decongestant.
Correct Answers ANS: A
Intranasal corticosteroids are a key component in long-term
therapy to manage symptoms
associated with AR. These should be begun 1 to 2 weeks prior to
the beginning of pollen
season. Decongestants are not recommended for long-term use
because of side effects.
Diphenhydramine causes daytime drowsiness.
1. 1. The primary care pediatric nurse practitioner is evaluating a
school-age child who,
after removal of a pituitary tumor, has altered hypothalamic
control over hunger and satiety.
The child is morbidly obese and expresses feeling depressed
because of the obesity. What
will the nurse practitioner recommend?
a. a. Developing a system to reward compliance with a dietary
regimen
b. b. Restricting all access to food in the house and at school
c. c. Suggesting an after-school exercise program to help with
weight loss
