Burns Pediatric Final Exam Study Save Groups
Guide
Terms in this set (554)
1. The primary care pediatric nurse practitioner ANS: C
understands that a major child health outcome There is growing evidence that climate change is having a
associated dramatic effect on food crops that leads to food
with worldwide climate change is : distribution issues and food insecurity among families.
a. cost of living.
b. education.
c. nutrition.
d. pollution.
2. The primary care pediatric nurse practitioner ANS: C
understands that, to achieve the greatest Rotavirus is the most common cause of diarrhea globally and
world-wide Strep pneumonia is the leading cause of
reduction in child mortality from pneumonia pneumonia, and together these are the leading infectious causes
and diarrhea, which intervention is most of childhood morbidity and mortality
effective? globally. Both are vaccine-preventable diseases. Antibiotics to
a. Antibiotics treat pneumonia, optimal nutrition, and
b. Optimal nutrition clean water all help to reduce morbidity and mortality, but
c. Vaccinations vaccination prevents the diseases from
d. Water purification occurring.
3. When providing well child care for an infant ANS: C
in the first year of life, the primary care In the most recent AAP Recommendations for Preventive
pediatric nurse Pediatric Health Care, there is a greater
practitioner is adhering to the most recent emphasis on behavioral and developmental issues and a
American Academy of Pediatrics recommendation that well child care be based on
Recommendations for child and family development rather than the periodicity of
Preventive Pediatric Health Care guidelines by immunization schedules. This will require a
: revision of the current recommendations in Bright Futures.
a. focusing less on development and more on
illness prevention and nutrition.
b. following guidelines established by the
Bright Futures publication.
c. scheduling well-baby visits to coincide with
key developmental milestones.
d. seeing the infant at ages 2, 4, 6, and 12
months when immunizations are due.
,4. Which is true about the health status of ANS: B
children in the United States? Obesity rates are a major concern for child health in the U.S. but
a. Globalism has relatively little impact on child recently have stabilized in the rate of
health measures in the U.S. increase and have declined among 2- to 5-year-olds between
b. Obesity rates among 2- to 5-year-olds have 2004 and 2013. Globalism has an increasing
shown a recent significant decrease. effect on child health in the U.S. The rate of household poverty in
c. The rate of household poverty is lower than the U.S. is higher than in other
in other economically developed nations. economically developed nations. Young children who attend
d. Young children who attend preschool or preschool or day care have lower food
day care have higher food insecurity. insecurity.
5. Which region globally has the highest infant ANS: C
mortality rate? Although Sub-Saharan Africa and Southern Asia together account
a. Indonesia for 81% of the infant mortality rate
b. Southern Asia globally, Sub-Saharan Africa has the highest infant mortality rate
c. Sub-Saharan Africa in the world.
d. Syria
1. The parent of a toddler is concerned that the ANS: C
child may have autism. The primary care The M-CHAT is a screening tool and is useful for detecting
pediatric nurse behaviors that may indicate autism. This
practitioner completes a Modified Checklist instrument has been found to have acceptable sensitivity,
for Autism in Toddlers (M-CHAT) tool, which specificity, and significant positive predictive
indicates value. If these behaviors are detected, the PNP should refer the
several areas of concern. What will the nurse child to a specialist for further assessment,
practitioner do? using more diagnostic tools. The CARS may be used but requires
a. Administer a Childhood Autism Rating Scale specialty training and proper
(CARS) in the clinic. credentials. Until the diagnosis is determined, strategies for
b. Consult a specialist to determine intervention are not discussed. The M-CHAT
appropriate early intervention strategies. is a screening tool and is not diagnostic.
c. Refer the child to a behavioral specialist for
further evaluation.
d. Tell the parent that this result indicates that
the child has autism.
2. The mother of a newborn tells the primary ANS: A
care pediatric nurse practitioner that she is The three-generation pedigree is used to map out risks for
worried that her genetic diseases in families, as well as
child will develop allergies and asthma. Which conditions with modifiable risk factors. The review of systems is
tool will the nurse practitioner use to evaluate used to evaluate the history of the
this child's body systems. The genogram is an approach to developing
risk? a family database to provide a graphic
a. Three-generation pedigree representation of family structure, roles, and problems of
b. Review of systems recurring significance in a family. The ecomap
c. Genogram is used to identify relationships in the family and community that
d. Ecomap are supportive or harmful.
,3. The primary care pediatric nurse practitioner ANS: A
is performing a well child check-up on a 20- This child should be at a 19-month adjusted age for prematurity
month-old so, according to the parent screen, is 4
child. The child was 4 weeks premature and, months behind. The PNP should perform a more in-depth screen
according to a parent-completed to evaluate this delay. Waiting to see if
developmental the child will "catch up" or assuring the parent that this will
questionnaire, has achieved milestones for a happen will cause the delays to become more
15-month-old infant. Which action is correct? severe. A referral to a specialty clinic should not be made solely
a. Perform an in-depth developmental on the basis of the parent-completed
assessment screen at this visit to evaluate this questionnaire but only after further evaluation of possible delays.
child.
b. Reassure the parent that the child will catch
up to normal development by age 2 years.
c. Re-evaluate this child's development and
milestone achievements at the 2-year visit.
d. Refer the child to a specialty clinic for
evaluation and treatment of developmental
delay.
4. When formulating developmental diagnoses ANS: A
for pediatric patients, the primary care The DC: 0-3R refers to the Diagnostic Classification of Mental
pediatric nurse Health and Developmental Disorders of
practitioner may use which resource? Infancy and Early Childhood and is useful for developmental
a. DC: 0-3R problem diagnosis. The ICD-10-CM is the
b. ICD-10-CM International Classification of Diseases-Tenth Revision, Clinical
c. ICSD-3 Modification and is useful for
d. NANDA International identifying physiologic diseases. The ICSD-3 is the International
Classification of Sleep Disorders - 3rd
edition. NANDA International is used to label problems in the
functional health domain.
5. The primary care pediatric nurse practitioner ANS: A
is evaluating health literacy in the mother of a The "newest vital sign," or health literacy, can be determined
new quickly by asking the parent how many
preschool-age child. How will the nurse children's books are in the home. Greater than 10 books in the
practitioner assess this? home is an independent positive predictor
a. Ask the child how many books he has at of adequate parent health literacy. The other questions may
home. determine a specific level of literacy in
b. Ask the mother about her highest grade in general but are not as efficient.
school.
c. Ask the mother to determine the correct
dose of a drug from a label.
d. Ask the mother to read a health information
handout aloud.
, 6. The primary care pediatric nurse practitioner ANS: D
learns that the mother of a 3-year-old child Maternal depression in the first year of life has been associated
has been with poorer language development at 3
treated for depression for over 5 years. Which years of age.
aspect of this child's development will be of
the most
concern to the nurse practitioner?
a. Fine motor
b. Gross motor
c. Social/emotional
d. Speech and language
7. The primary care pediatric nurse practitioner ANS: C
sees a 3-year-old child who chronically Encopresis is a medical diagnosis, classified in the ICD-10-CM,
withholds stools, and is recognized for reimbursement
in spite of the parents' attempts to stop the purposes. "Altered elimination pattern" and "Parenting alteration"
behavior, requiring frequent treatments with are NANDA International diagnoses
laxative and are not recognized for reimbursement. "Elimination disorder"
medications. Which diagnosis will the nurse is a developmental diagnosis.
practitioner use to facilitate third-party
reimbursement?
a. Altered elimination pattern
b. Elimination disorder
c. Encopresis
d. Parenting alteration
8. A child is in the clinic for evaluation of an ANS: D
asthma action plan. The primary care pediatric The PNP should remember that young children are learning
nurse "scripts" for health care visits and may be
practitioner notes that the child's last visit was stressed when recalling previous visits, especially if those
for a pre-kindergarten physical and observes involved immunizations. The PNP should
that the explain the purpose and any anticipated procedures for this visit
child is extremely anxious. What will the nurse to help put the child at ease.
practitioner do initially?
a. Ask the child's parent why the child is so
anxious.
b. Perform a physical assessment to rule out
shortness of breath.
c. Reassure the child that there is nothing to be
afraid of.
d. Review the purpose of this visit and any
anticipated procedures.
Guide
Terms in this set (554)
1. The primary care pediatric nurse practitioner ANS: C
understands that a major child health outcome There is growing evidence that climate change is having a
associated dramatic effect on food crops that leads to food
with worldwide climate change is : distribution issues and food insecurity among families.
a. cost of living.
b. education.
c. nutrition.
d. pollution.
2. The primary care pediatric nurse practitioner ANS: C
understands that, to achieve the greatest Rotavirus is the most common cause of diarrhea globally and
world-wide Strep pneumonia is the leading cause of
reduction in child mortality from pneumonia pneumonia, and together these are the leading infectious causes
and diarrhea, which intervention is most of childhood morbidity and mortality
effective? globally. Both are vaccine-preventable diseases. Antibiotics to
a. Antibiotics treat pneumonia, optimal nutrition, and
b. Optimal nutrition clean water all help to reduce morbidity and mortality, but
c. Vaccinations vaccination prevents the diseases from
d. Water purification occurring.
3. When providing well child care for an infant ANS: C
in the first year of life, the primary care In the most recent AAP Recommendations for Preventive
pediatric nurse Pediatric Health Care, there is a greater
practitioner is adhering to the most recent emphasis on behavioral and developmental issues and a
American Academy of Pediatrics recommendation that well child care be based on
Recommendations for child and family development rather than the periodicity of
Preventive Pediatric Health Care guidelines by immunization schedules. This will require a
: revision of the current recommendations in Bright Futures.
a. focusing less on development and more on
illness prevention and nutrition.
b. following guidelines established by the
Bright Futures publication.
c. scheduling well-baby visits to coincide with
key developmental milestones.
d. seeing the infant at ages 2, 4, 6, and 12
months when immunizations are due.
,4. Which is true about the health status of ANS: B
children in the United States? Obesity rates are a major concern for child health in the U.S. but
a. Globalism has relatively little impact on child recently have stabilized in the rate of
health measures in the U.S. increase and have declined among 2- to 5-year-olds between
b. Obesity rates among 2- to 5-year-olds have 2004 and 2013. Globalism has an increasing
shown a recent significant decrease. effect on child health in the U.S. The rate of household poverty in
c. The rate of household poverty is lower than the U.S. is higher than in other
in other economically developed nations. economically developed nations. Young children who attend
d. Young children who attend preschool or preschool or day care have lower food
day care have higher food insecurity. insecurity.
5. Which region globally has the highest infant ANS: C
mortality rate? Although Sub-Saharan Africa and Southern Asia together account
a. Indonesia for 81% of the infant mortality rate
b. Southern Asia globally, Sub-Saharan Africa has the highest infant mortality rate
c. Sub-Saharan Africa in the world.
d. Syria
1. The parent of a toddler is concerned that the ANS: C
child may have autism. The primary care The M-CHAT is a screening tool and is useful for detecting
pediatric nurse behaviors that may indicate autism. This
practitioner completes a Modified Checklist instrument has been found to have acceptable sensitivity,
for Autism in Toddlers (M-CHAT) tool, which specificity, and significant positive predictive
indicates value. If these behaviors are detected, the PNP should refer the
several areas of concern. What will the nurse child to a specialist for further assessment,
practitioner do? using more diagnostic tools. The CARS may be used but requires
a. Administer a Childhood Autism Rating Scale specialty training and proper
(CARS) in the clinic. credentials. Until the diagnosis is determined, strategies for
b. Consult a specialist to determine intervention are not discussed. The M-CHAT
appropriate early intervention strategies. is a screening tool and is not diagnostic.
c. Refer the child to a behavioral specialist for
further evaluation.
d. Tell the parent that this result indicates that
the child has autism.
2. The mother of a newborn tells the primary ANS: A
care pediatric nurse practitioner that she is The three-generation pedigree is used to map out risks for
worried that her genetic diseases in families, as well as
child will develop allergies and asthma. Which conditions with modifiable risk factors. The review of systems is
tool will the nurse practitioner use to evaluate used to evaluate the history of the
this child's body systems. The genogram is an approach to developing
risk? a family database to provide a graphic
a. Three-generation pedigree representation of family structure, roles, and problems of
b. Review of systems recurring significance in a family. The ecomap
c. Genogram is used to identify relationships in the family and community that
d. Ecomap are supportive or harmful.
,3. The primary care pediatric nurse practitioner ANS: A
is performing a well child check-up on a 20- This child should be at a 19-month adjusted age for prematurity
month-old so, according to the parent screen, is 4
child. The child was 4 weeks premature and, months behind. The PNP should perform a more in-depth screen
according to a parent-completed to evaluate this delay. Waiting to see if
developmental the child will "catch up" or assuring the parent that this will
questionnaire, has achieved milestones for a happen will cause the delays to become more
15-month-old infant. Which action is correct? severe. A referral to a specialty clinic should not be made solely
a. Perform an in-depth developmental on the basis of the parent-completed
assessment screen at this visit to evaluate this questionnaire but only after further evaluation of possible delays.
child.
b. Reassure the parent that the child will catch
up to normal development by age 2 years.
c. Re-evaluate this child's development and
milestone achievements at the 2-year visit.
d. Refer the child to a specialty clinic for
evaluation and treatment of developmental
delay.
4. When formulating developmental diagnoses ANS: A
for pediatric patients, the primary care The DC: 0-3R refers to the Diagnostic Classification of Mental
pediatric nurse Health and Developmental Disorders of
practitioner may use which resource? Infancy and Early Childhood and is useful for developmental
a. DC: 0-3R problem diagnosis. The ICD-10-CM is the
b. ICD-10-CM International Classification of Diseases-Tenth Revision, Clinical
c. ICSD-3 Modification and is useful for
d. NANDA International identifying physiologic diseases. The ICSD-3 is the International
Classification of Sleep Disorders - 3rd
edition. NANDA International is used to label problems in the
functional health domain.
5. The primary care pediatric nurse practitioner ANS: A
is evaluating health literacy in the mother of a The "newest vital sign," or health literacy, can be determined
new quickly by asking the parent how many
preschool-age child. How will the nurse children's books are in the home. Greater than 10 books in the
practitioner assess this? home is an independent positive predictor
a. Ask the child how many books he has at of adequate parent health literacy. The other questions may
home. determine a specific level of literacy in
b. Ask the mother about her highest grade in general but are not as efficient.
school.
c. Ask the mother to determine the correct
dose of a drug from a label.
d. Ask the mother to read a health information
handout aloud.
, 6. The primary care pediatric nurse practitioner ANS: D
learns that the mother of a 3-year-old child Maternal depression in the first year of life has been associated
has been with poorer language development at 3
treated for depression for over 5 years. Which years of age.
aspect of this child's development will be of
the most
concern to the nurse practitioner?
a. Fine motor
b. Gross motor
c. Social/emotional
d. Speech and language
7. The primary care pediatric nurse practitioner ANS: C
sees a 3-year-old child who chronically Encopresis is a medical diagnosis, classified in the ICD-10-CM,
withholds stools, and is recognized for reimbursement
in spite of the parents' attempts to stop the purposes. "Altered elimination pattern" and "Parenting alteration"
behavior, requiring frequent treatments with are NANDA International diagnoses
laxative and are not recognized for reimbursement. "Elimination disorder"
medications. Which diagnosis will the nurse is a developmental diagnosis.
practitioner use to facilitate third-party
reimbursement?
a. Altered elimination pattern
b. Elimination disorder
c. Encopresis
d. Parenting alteration
8. A child is in the clinic for evaluation of an ANS: D
asthma action plan. The primary care pediatric The PNP should remember that young children are learning
nurse "scripts" for health care visits and may be
practitioner notes that the child's last visit was stressed when recalling previous visits, especially if those
for a pre-kindergarten physical and observes involved immunizations. The PNP should
that the explain the purpose and any anticipated procedures for this visit
child is extremely anxious. What will the nurse to help put the child at ease.
practitioner do initially?
a. Ask the child's parent why the child is so
anxious.
b. Perform a physical assessment to rule out
shortness of breath.
c. Reassure the child that there is nothing to be
afraid of.
d. Review the purpose of this visit and any
anticipated procedures.
