Burns Pediatric Final Exam Study Guide
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1. 2. The primary care pediatric nurse prac- ANS: C
titioner understands that, to achieve the Rotavirus is the most common cause of di-
greatest world-wide arrhea globally and Strep pneumonia is the
reduction in child mortality from pneu- leading cause of
monia and diarrhea, which intervention is pneumonia, and together these are the
most effective? leading infectious causes of childhood mor-
a. Antibiotics bidity and mortality
b. Optimal nutrition globally. Both are vaccine-preventable dis-
c. Vaccinations eases. Antibiotics to treat pneumonia, opti-
d. Water purification mal nutrition, and
clean water all help to reduce morbidity and
mortality, but vaccination prevents the dis-
eases from
occurring.
2. 5. The primary care pediatric nurse prac- ANS: A
titioner is evaluating health literacy in the The "newest vital sign," or health literacy, can
mother of a new be determined quickly by asking the parent
preschool-age child. How will the nurse how many
practitioner assess this? children's books are in the home. Greater
a. Ask the child how many books he has at than 10 books in the home is an indepen-
home. dent positive predictor
b. Ask the mother about her highest grade of adequate parent health literacy. The other
in school. questions may determine a specific level of
c. Ask the mother to determine the correct literacy in
dose of a drug from a label. general but are not as efficient.
d. Ask the mother to read a health infor-
mation handout aloud.
3. 12. The primary care pediatric nurse prac- ANS: A
titioner is performing a well child assess- The CRAFFT tool is a six-question tool used
ment on an adolescent to screen for adolescent substance abuse.
, Burns Pediatric Final Exam Study Guide
Study online at https://quizlet.com/_jmg3oq
and is concerned about possible alcohol The HEEADSSS
and tobacco use. Which assessment tool is used as a psychosocial screening tool. The
will the nurse PHQ-2 is a rapid screen for depression. The
practitioner use? RAAPS is used
a. CRAFFT to assess risk behaviors that contribute to
b. HEEADSSS most morbidity, mortality, and social prob-
c. PHQ-2 lems in teens.
d. RAAPS
4. 9. The primary care pediatric nurse practi- ANS: A
tioner prescribes a twice daily inhaled cor- In a client-centered relationship, there is
ticosteroid for a 12- reciprocal communication and understand-
year-old child. At a well child visit, the child ing. The PNP should
reports not using the medication on a reg- be able to understand the client's perspec-
ular basis. tive and unique situation. The first step is to
Which response by the pediatric nurse evaluate possible
practitioner demonstrates an understand- reasons for nonadherence and not to make
ing of client-centered referrals or re-educate until potential barri-
care? ers have been
a. Asking the child to describe usual daily identified and negotiation with the client
routines and schedules has occurred.
b. Referring the family to a social worker
to help with medication compliance
c. Reviewing the asthma action plan with
the parent and the child
d. Teaching the child how the medication
will help to control asthma symptoms
5. 8. The primary care pediatric nurse practi- ANS: D
tioner performs a physical examination on The American Academy of Pediatric Dentistry
a 9-month-old infant recommends a first dental examination at
and notes two central incisors on the low- the time of
, Burns Pediatric Final Exam Study Guide
Study online at https://quizlet.com/_jmg3oq
er gums. The parent states that the infant eruption of the first tooth and no later than
nurses, takes solid 12 months old. Parents should be coun-
foods three times daily, and occasionally seled to clean the
takes water from a cup. What will the pe- infant's teeth but with water only. Wean-
diatric nurse ing from breastfeeding is not indicated, al-
practitioner counsel the parent to pro- though mothers should
mote optimum dental health? not let the infant nurse while sleeping to
a. To begin brushing the infant's teeth with prevent milk from bathing the teeth. Fluo-
toothpaste ride supplements
b. To consider weaning the infant from should not be discontinued.
breastfeeding
c. To discontinue giving fluoride supple-
ments
d. To make an appointment for an initial
dental examination
6. 2. The parent of a newborn infant asks the ANS: C
primary care pediatric nurse practitioner General learning and acquisition of skills for
when to intervene to later reading and writing begin at birth, not
help the infant's future intellectual in kindergarten
growth. What will the nurse practitioner or first grade, and these skills grow with
tell the parent? everyday loving interactions between infants
a. Cognitive learning begins during the and caregivers.
toddler years. Cognitive learning changes during toddler
b. Intellectual growth begin when speech years but begins at birth. Intellectual growth
develops. is not tied to
c. Language and literacy skills begin at speech alone.
birth.
d. Preschool is an optimal time to begin
general learning.
7.
, Burns Pediatric Final Exam Study Guide
Study online at https://quizlet.com/_jmg3oq
3. During an assessment of a 4-week-old ANS: A
infant, the primary care pediatric nurse Infants who are encouraged to breastfeed
practitioner learns that a every 2 to 3 hours may have one longer
breastfed infant nurses every 2 hours dur- stretch of 4 hours at
ing the day but is able to sleep for a 4-hour night. This infant is gaining between 0.5 and
period during the 1 gram per day, which is appropriate. It is
night. The infant has gained 20 grams per not necessary to
day in the interval since last seen in the alter the pattern of nursing or to supple-
clinic. What will the ment with formula.
nurse practitioner recommend?
a. Continuing to nurse the infant using the
current pattern
b. Nursing the infant for longer periods
every 4 hours
c. Supplementing with formula at the last
nighttime feeding
d. Waking the infant every 2 hours to
nurse during the night
8. 1. 5. The parent of a 24-month-old child ANS: C
asks the primary care pediatric nurse To assess the parent's understanding of toi-
practitioner when toilet training should let readiness, the nurse practitioner will ask
begin. How will the pediatric nurse practi- the
tioner parents about the child's daily habits and
respond? routines to see if the child has predictable
a. a. "Begin by reading to your child about patterns
toileting." that can be the basis for toilet training.
b. b. "Most children are capable by age 2 While providing storybooks about toileting
years." can help
c. c. "Tell me about your child's daily children learn, the first step is to assess toilet
habits." readiness. Even though many children are
capable at this age, evaluating personal
Study online at https://quizlet.com/_jmg3oq
1. 2. The primary care pediatric nurse prac- ANS: C
titioner understands that, to achieve the Rotavirus is the most common cause of di-
greatest world-wide arrhea globally and Strep pneumonia is the
reduction in child mortality from pneu- leading cause of
monia and diarrhea, which intervention is pneumonia, and together these are the
most effective? leading infectious causes of childhood mor-
a. Antibiotics bidity and mortality
b. Optimal nutrition globally. Both are vaccine-preventable dis-
c. Vaccinations eases. Antibiotics to treat pneumonia, opti-
d. Water purification mal nutrition, and
clean water all help to reduce morbidity and
mortality, but vaccination prevents the dis-
eases from
occurring.
2. 5. The primary care pediatric nurse prac- ANS: A
titioner is evaluating health literacy in the The "newest vital sign," or health literacy, can
mother of a new be determined quickly by asking the parent
preschool-age child. How will the nurse how many
practitioner assess this? children's books are in the home. Greater
a. Ask the child how many books he has at than 10 books in the home is an indepen-
home. dent positive predictor
b. Ask the mother about her highest grade of adequate parent health literacy. The other
in school. questions may determine a specific level of
c. Ask the mother to determine the correct literacy in
dose of a drug from a label. general but are not as efficient.
d. Ask the mother to read a health infor-
mation handout aloud.
3. 12. The primary care pediatric nurse prac- ANS: A
titioner is performing a well child assess- The CRAFFT tool is a six-question tool used
ment on an adolescent to screen for adolescent substance abuse.
, Burns Pediatric Final Exam Study Guide
Study online at https://quizlet.com/_jmg3oq
and is concerned about possible alcohol The HEEADSSS
and tobacco use. Which assessment tool is used as a psychosocial screening tool. The
will the nurse PHQ-2 is a rapid screen for depression. The
practitioner use? RAAPS is used
a. CRAFFT to assess risk behaviors that contribute to
b. HEEADSSS most morbidity, mortality, and social prob-
c. PHQ-2 lems in teens.
d. RAAPS
4. 9. The primary care pediatric nurse practi- ANS: A
tioner prescribes a twice daily inhaled cor- In a client-centered relationship, there is
ticosteroid for a 12- reciprocal communication and understand-
year-old child. At a well child visit, the child ing. The PNP should
reports not using the medication on a reg- be able to understand the client's perspec-
ular basis. tive and unique situation. The first step is to
Which response by the pediatric nurse evaluate possible
practitioner demonstrates an understand- reasons for nonadherence and not to make
ing of client-centered referrals or re-educate until potential barri-
care? ers have been
a. Asking the child to describe usual daily identified and negotiation with the client
routines and schedules has occurred.
b. Referring the family to a social worker
to help with medication compliance
c. Reviewing the asthma action plan with
the parent and the child
d. Teaching the child how the medication
will help to control asthma symptoms
5. 8. The primary care pediatric nurse practi- ANS: D
tioner performs a physical examination on The American Academy of Pediatric Dentistry
a 9-month-old infant recommends a first dental examination at
and notes two central incisors on the low- the time of
, Burns Pediatric Final Exam Study Guide
Study online at https://quizlet.com/_jmg3oq
er gums. The parent states that the infant eruption of the first tooth and no later than
nurses, takes solid 12 months old. Parents should be coun-
foods three times daily, and occasionally seled to clean the
takes water from a cup. What will the pe- infant's teeth but with water only. Wean-
diatric nurse ing from breastfeeding is not indicated, al-
practitioner counsel the parent to pro- though mothers should
mote optimum dental health? not let the infant nurse while sleeping to
a. To begin brushing the infant's teeth with prevent milk from bathing the teeth. Fluo-
toothpaste ride supplements
b. To consider weaning the infant from should not be discontinued.
breastfeeding
c. To discontinue giving fluoride supple-
ments
d. To make an appointment for an initial
dental examination
6. 2. The parent of a newborn infant asks the ANS: C
primary care pediatric nurse practitioner General learning and acquisition of skills for
when to intervene to later reading and writing begin at birth, not
help the infant's future intellectual in kindergarten
growth. What will the nurse practitioner or first grade, and these skills grow with
tell the parent? everyday loving interactions between infants
a. Cognitive learning begins during the and caregivers.
toddler years. Cognitive learning changes during toddler
b. Intellectual growth begin when speech years but begins at birth. Intellectual growth
develops. is not tied to
c. Language and literacy skills begin at speech alone.
birth.
d. Preschool is an optimal time to begin
general learning.
7.
, Burns Pediatric Final Exam Study Guide
Study online at https://quizlet.com/_jmg3oq
3. During an assessment of a 4-week-old ANS: A
infant, the primary care pediatric nurse Infants who are encouraged to breastfeed
practitioner learns that a every 2 to 3 hours may have one longer
breastfed infant nurses every 2 hours dur- stretch of 4 hours at
ing the day but is able to sleep for a 4-hour night. This infant is gaining between 0.5 and
period during the 1 gram per day, which is appropriate. It is
night. The infant has gained 20 grams per not necessary to
day in the interval since last seen in the alter the pattern of nursing or to supple-
clinic. What will the ment with formula.
nurse practitioner recommend?
a. Continuing to nurse the infant using the
current pattern
b. Nursing the infant for longer periods
every 4 hours
c. Supplementing with formula at the last
nighttime feeding
d. Waking the infant every 2 hours to
nurse during the night
8. 1. 5. The parent of a 24-month-old child ANS: C
asks the primary care pediatric nurse To assess the parent's understanding of toi-
practitioner when toilet training should let readiness, the nurse practitioner will ask
begin. How will the pediatric nurse practi- the
tioner parents about the child's daily habits and
respond? routines to see if the child has predictable
a. a. "Begin by reading to your child about patterns
toileting." that can be the basis for toilet training.
b. b. "Most children are capable by age 2 While providing storybooks about toileting
years." can help
c. c. "Tell me about your child's daily children learn, the first step is to assess toilet
habits." readiness. Even though many children are
capable at this age, evaluating personal
