Burns' Pediatric Primary Care 7th Edition Test Bank
Chapter 1: Health Status Of Children: Global And National Perspectives
1. Which region globally has the highest infant mortality rate?
A. Indonesia
B. Southern Asia
C. SubSaharan Africa Correct
D. Syria
2. The primary care pediatric nurse practitioner understands that, to achievethe greatest worldwide
reduction in child mortality from pneumonia and diarrhea, which interventionis most effective?
A. Antibiotics
B. Optimal nutrition
C. Vaccinations Correct
D. Water purification
3. Which is true about the health status of children in the United States?
. 13348413856
A. Globalism has relatively little impact on child health measures in the U.S.
B. Obesity rates among 2to5yearolds have shown a recent
significant
decrease. Correct
.
C. The rate of household poverty is lower than in other economically
developed nations.
D. Young children who attend preschool or day care have higher food
insecurity.
4. The primary care pediatric nurse practitioner understands that a majorchild health
outcome associated with worldwide climate change is
A. cost of living.
B. education.
C. nutrition. Correct
D. pollution.
5. When providing well child care for an infant in the first year of life, theprimary care
pediatric nurse practitioner is adhering to the most recent AmericanAcademy of Pediatrics
Recommendations for Preventive Pediatric Health Care guidelines by
A. focusing less on development and more on illness prevention and nutrition.
B. following guidelines established by theBright Futures publication.
C. scheduling wellbaby visits to coincide with key developmental
milestones. Correct
D. seeing the infant at ages 2, 4, 6, and 12 months when immunizations aredue.
Chapter 2. Unique Issues in Pediatrics
1. A nurse is explaining the therapeutic milieu to a new nurse. The best explanation of
this term would be:
1. The place where the child is receiving care.
2. Group therapy.
3. Personal interactions between patients and staff.
4. All of the above are correct.
ANS: 4
2. A 16-year-old male has received a pink-slip from the police for inpatientpsychiatric
,1. Poor nutrition.
2. The environment in which the child lives.
3. Genetics.
4. Watching more than four hours of television a day.
ANS: 3
4. A mental health nurse has assessed a child and determined that the childexhibits behavioral
challenges.
When the school nurse explains this to a teacher, the best description wouldbe:
1. The child may exhibit physical outbursts.
2. The child may exhibit violence toward others.
3. The child may be defiant or have tantrums.
4. The child will need special interventions for learning.
ANS: 3
5. A child that has not exhibited enuresis in four years has exhibited thisbehavior pattern
for the last week.
The reason a child may revert back to this behavior pattern is because of:
1. Hallucinations.
2. Behavioral challenges.
3. Delusions.
4. Stress.
ANS: 4
6. An 18-year-old male has called the crisis line for help. The crisis nurserecognizes the interventio
needs
may consist of all of the following except:
1. Discussing the individuals everyday activities.
2. Recognizing that the patient may be in a catharsis state.
3. Expressing empathy toward the caller.
4. Avoiding entropy.
ANS: 1
7. An 8-year-old boy with a history of hallucinations and violent behavior hasbeen place in a
seclusion room
at the hospital because he has been hurting others. The nurse checks on thepatient and realizes she
must take
him out of the seclusion room when:
1. He is crying to be released.
2. He states, I will be a good boy now.
3. He starts headbutting the window.
4. He complains that his parents will file a lawsuit.
ANS: 3
8. A child has been exhibiting the MacDonald Triad. These behaviors include:
1. Enuresis, pushing others, and pyromania.
2. Swinging a cat by the tail, bed-wetting, and lighting paper on fire in thetrash can.
3. Playing with other children, laughing, and conversing with adults.
4. Playing with a campfire, watching television, and seeking adult attention.ANS: 2
9. A teenager diagnosed with borderline personality disorder should havedischarge planning
instructions of:
1. A consistent caregiver.
2. Monitoring of media, such as the Internet, television, and video games.
3. Obtaining support from family and friends.
4. Seeking medical attention when the teenager feels good.
ANS: 3
,manipulative with her
teachers, and does not seek positive attention. The nurse working with Elliewill need to:
1. Provide education on decreasing stimuli in the home environment thattriggers the anger.
2. Realize Ellie may have attachment issues related to her previous historyand will need to
encourage the
family to be active in her care.
3. Support the family in the decision-making process of continuing to let Ellielive in the home.
4. Discuss inpatient therapy to decrease Ellies manipulative behavior patterns.
ANS: 2
12. An infant displays depression by:
1. Smiling at strangers.
2. Bonding to someone other than the immediate family.
3. Crying more than an average infant.
4. Looks away when an adult attempts to play with the infant.
ANS: 4
13. A father reports that his adolescent daughter has gotten good grades upuntil the last quarter of
school.
She has been hanging out by herself and does not want to talk to himanymore. The mental
health nurse
should:
1. Realize that this is a natural part of growing up.
2. Perform a mental health screening to check for depression.
3. Attempt to get the adolescent to discuss why she does not like her fatheranymore.
4. Let the adolescent talk when she is ready.
ANS: 2
14. A teen should be checked for depression at physician visit(s).
1. Every
2. One
3. Monthly
4. Bi-yearly
ANS: 1
15. When using the SAD FACES depression screen, it is important to assess:
1. Anhedonia.
2. Suicidal ideations.
3. Sleep patterns.
4. All of the above
ANS: 4
16. A school nurse is giving an in-service to teachers on bullycide. The mainreason for the
teaching is so
that:
1. Teachers are aware bullying occurs.
2. Teachers are able to identify students who are risk.
3. Teachers can be aware of the fact that suicides can happen due to bullyingby others.
4. Teachers are aware of their role in causing bullycide.
ANS: 3
17. An adolescent with a known history of bipolar disorder is in the schoolnurses office because a
teacher
reported that she was talking fast and acting like she was God. The schoolnurse assesses the girl and
notes
that:
1. She is probably in a manic phase and needs to be treated professionally.
2. She has had too much sleep and is now hyperactive.
3. She forgot to take her medications today.
, 2. What does the following genetic notation symbol mean 47,XX,6q?
. 13348407650
A. Male with deletion of chromosome 6
B. Female with deletion of chromosome 6
C. Male with deletion on the long arm of chromosome 6
D. Female with deletion on the long arm of chromosome 6
Correct
3. A child has a recessive genetic disorder that is homozygous for that mutation.
. 13348407646
What is most likely about this child’s parents?
A. Neither parent has a copy of that gene mutation.
B. Only the mother has a copy of that gene mutation.
C. Only the father has a copy of that gene mutation.
D. Each parent has one copy of that gene mutation. Correct
4. Which type of mutation is responsible for many singlegene genetic
disorders?
. 13348407636
A. Copy number variations
B. Nucleotide repeat expansions
C. Point mutations Correct
D. Single nucleotide polymorphisms (SNP)
.
5. Cystic fibrosis is a recessive disease requiring the presence of a gene mutation
. 13348407638
on both alleles inherited from the parents. Which type of genetic disorder isthis?
A. Chromosome
B. Mitochondrial
C. Monogenetic Correct
D. Multifactorial
.
6. The primary care pediatric nurse practitioner is counseling a couple aboutgenetic risks and
learns that one parent has neurofibromatosis, an autosomaldominant disorder, and the other
parent does not. What will the nurse practitioner include when discussingthis disorder and its
transmission?
C. Children must inherit a gene from both parents to develop the disease.
D. Each child born to this couple will have a 50% risk of having the disease.
Correct
E. This type of disorder characteristically skips generations.
F. Unaffected offspring may still pass on the disease to their offspring.
7. A family medical history conducted during a well baby exam for a newborngirl reveals
that hemophilia A, an Xlinked
recessive disorder, is present in males in three previous
generations in the mother’s family, whose father had the disease. What willthe primary care
pediatric nurse practitioner tell the parents about the risk of this disease intheir children?
E. All of their sons will be affected by the disease.
F. Any sons they have will not be affected by the disease.
G. Daughters have a 50% chance of being carriers of the disease. Correct
H. Their daughter has a 25% chance of having the disease.
8. What is an important responsibility of the primary care pediatric nurse
Chapter 1: Health Status Of Children: Global And National Perspectives
1. Which region globally has the highest infant mortality rate?
A. Indonesia
B. Southern Asia
C. SubSaharan Africa Correct
D. Syria
2. The primary care pediatric nurse practitioner understands that, to achievethe greatest worldwide
reduction in child mortality from pneumonia and diarrhea, which interventionis most effective?
A. Antibiotics
B. Optimal nutrition
C. Vaccinations Correct
D. Water purification
3. Which is true about the health status of children in the United States?
. 13348413856
A. Globalism has relatively little impact on child health measures in the U.S.
B. Obesity rates among 2to5yearolds have shown a recent
significant
decrease. Correct
.
C. The rate of household poverty is lower than in other economically
developed nations.
D. Young children who attend preschool or day care have higher food
insecurity.
4. The primary care pediatric nurse practitioner understands that a majorchild health
outcome associated with worldwide climate change is
A. cost of living.
B. education.
C. nutrition. Correct
D. pollution.
5. When providing well child care for an infant in the first year of life, theprimary care
pediatric nurse practitioner is adhering to the most recent AmericanAcademy of Pediatrics
Recommendations for Preventive Pediatric Health Care guidelines by
A. focusing less on development and more on illness prevention and nutrition.
B. following guidelines established by theBright Futures publication.
C. scheduling wellbaby visits to coincide with key developmental
milestones. Correct
D. seeing the infant at ages 2, 4, 6, and 12 months when immunizations aredue.
Chapter 2. Unique Issues in Pediatrics
1. A nurse is explaining the therapeutic milieu to a new nurse. The best explanation of
this term would be:
1. The place where the child is receiving care.
2. Group therapy.
3. Personal interactions between patients and staff.
4. All of the above are correct.
ANS: 4
2. A 16-year-old male has received a pink-slip from the police for inpatientpsychiatric
,1. Poor nutrition.
2. The environment in which the child lives.
3. Genetics.
4. Watching more than four hours of television a day.
ANS: 3
4. A mental health nurse has assessed a child and determined that the childexhibits behavioral
challenges.
When the school nurse explains this to a teacher, the best description wouldbe:
1. The child may exhibit physical outbursts.
2. The child may exhibit violence toward others.
3. The child may be defiant or have tantrums.
4. The child will need special interventions for learning.
ANS: 3
5. A child that has not exhibited enuresis in four years has exhibited thisbehavior pattern
for the last week.
The reason a child may revert back to this behavior pattern is because of:
1. Hallucinations.
2. Behavioral challenges.
3. Delusions.
4. Stress.
ANS: 4
6. An 18-year-old male has called the crisis line for help. The crisis nurserecognizes the interventio
needs
may consist of all of the following except:
1. Discussing the individuals everyday activities.
2. Recognizing that the patient may be in a catharsis state.
3. Expressing empathy toward the caller.
4. Avoiding entropy.
ANS: 1
7. An 8-year-old boy with a history of hallucinations and violent behavior hasbeen place in a
seclusion room
at the hospital because he has been hurting others. The nurse checks on thepatient and realizes she
must take
him out of the seclusion room when:
1. He is crying to be released.
2. He states, I will be a good boy now.
3. He starts headbutting the window.
4. He complains that his parents will file a lawsuit.
ANS: 3
8. A child has been exhibiting the MacDonald Triad. These behaviors include:
1. Enuresis, pushing others, and pyromania.
2. Swinging a cat by the tail, bed-wetting, and lighting paper on fire in thetrash can.
3. Playing with other children, laughing, and conversing with adults.
4. Playing with a campfire, watching television, and seeking adult attention.ANS: 2
9. A teenager diagnosed with borderline personality disorder should havedischarge planning
instructions of:
1. A consistent caregiver.
2. Monitoring of media, such as the Internet, television, and video games.
3. Obtaining support from family and friends.
4. Seeking medical attention when the teenager feels good.
ANS: 3
,manipulative with her
teachers, and does not seek positive attention. The nurse working with Elliewill need to:
1. Provide education on decreasing stimuli in the home environment thattriggers the anger.
2. Realize Ellie may have attachment issues related to her previous historyand will need to
encourage the
family to be active in her care.
3. Support the family in the decision-making process of continuing to let Ellielive in the home.
4. Discuss inpatient therapy to decrease Ellies manipulative behavior patterns.
ANS: 2
12. An infant displays depression by:
1. Smiling at strangers.
2. Bonding to someone other than the immediate family.
3. Crying more than an average infant.
4. Looks away when an adult attempts to play with the infant.
ANS: 4
13. A father reports that his adolescent daughter has gotten good grades upuntil the last quarter of
school.
She has been hanging out by herself and does not want to talk to himanymore. The mental
health nurse
should:
1. Realize that this is a natural part of growing up.
2. Perform a mental health screening to check for depression.
3. Attempt to get the adolescent to discuss why she does not like her fatheranymore.
4. Let the adolescent talk when she is ready.
ANS: 2
14. A teen should be checked for depression at physician visit(s).
1. Every
2. One
3. Monthly
4. Bi-yearly
ANS: 1
15. When using the SAD FACES depression screen, it is important to assess:
1. Anhedonia.
2. Suicidal ideations.
3. Sleep patterns.
4. All of the above
ANS: 4
16. A school nurse is giving an in-service to teachers on bullycide. The mainreason for the
teaching is so
that:
1. Teachers are aware bullying occurs.
2. Teachers are able to identify students who are risk.
3. Teachers can be aware of the fact that suicides can happen due to bullyingby others.
4. Teachers are aware of their role in causing bullycide.
ANS: 3
17. An adolescent with a known history of bipolar disorder is in the schoolnurses office because a
teacher
reported that she was talking fast and acting like she was God. The schoolnurse assesses the girl and
notes
that:
1. She is probably in a manic phase and needs to be treated professionally.
2. She has had too much sleep and is now hyperactive.
3. She forgot to take her medications today.
, 2. What does the following genetic notation symbol mean 47,XX,6q?
. 13348407650
A. Male with deletion of chromosome 6
B. Female with deletion of chromosome 6
C. Male with deletion on the long arm of chromosome 6
D. Female with deletion on the long arm of chromosome 6
Correct
3. A child has a recessive genetic disorder that is homozygous for that mutation.
. 13348407646
What is most likely about this child’s parents?
A. Neither parent has a copy of that gene mutation.
B. Only the mother has a copy of that gene mutation.
C. Only the father has a copy of that gene mutation.
D. Each parent has one copy of that gene mutation. Correct
4. Which type of mutation is responsible for many singlegene genetic
disorders?
. 13348407636
A. Copy number variations
B. Nucleotide repeat expansions
C. Point mutations Correct
D. Single nucleotide polymorphisms (SNP)
.
5. Cystic fibrosis is a recessive disease requiring the presence of a gene mutation
. 13348407638
on both alleles inherited from the parents. Which type of genetic disorder isthis?
A. Chromosome
B. Mitochondrial
C. Monogenetic Correct
D. Multifactorial
.
6. The primary care pediatric nurse practitioner is counseling a couple aboutgenetic risks and
learns that one parent has neurofibromatosis, an autosomaldominant disorder, and the other
parent does not. What will the nurse practitioner include when discussingthis disorder and its
transmission?
C. Children must inherit a gene from both parents to develop the disease.
D. Each child born to this couple will have a 50% risk of having the disease.
Correct
E. This type of disorder characteristically skips generations.
F. Unaffected offspring may still pass on the disease to their offspring.
7. A family medical history conducted during a well baby exam for a newborngirl reveals
that hemophilia A, an Xlinked
recessive disorder, is present in males in three previous
generations in the mother’s family, whose father had the disease. What willthe primary care
pediatric nurse practitioner tell the parents about the risk of this disease intheir children?
E. All of their sons will be affected by the disease.
F. Any sons they have will not be affected by the disease.
G. Daughters have a 50% chance of being carriers of the disease. Correct
H. Their daughter has a 25% chance of having the disease.
8. What is an important responsibility of the primary care pediatric nurse
