Burns' IPediatric IPrimary ICare I7th IEdition ITest IBank
Chapter 1: Health Status of Children: Global and National Perspectives
I I I I I I I I I
1. A Ichild Ithat Ihas Inot Iexhibited Ienuresis Iin Ifour Iyears Ihas Iexhibited Ithis behaviorI
Ipattern Ifor Ithe Ilast Iweek.
The Ireason Ia Ichild Imay Irevert Iback Ito Ithis Ibehavior Ipattern Iis Ibecause Iof:
1. Hallucinations.
2. Behavioral I challenges.
3. Delusions.
4. Stress. ANS:I I4
6. IAn I18-year-old Imale Ihas Icalled Ithe Icrisis Iline Ifor Ihelp. IThe Icrisis Inurse
recognizesI Ithe Iintervention Ineeds may Iconsist Iof Iall Iof Ithe Ifollowing Iexcept:
1. Discussing I the I individuals I everyday I activities.
2. Recognizing Ithat Ithe Ipatient Imay Ibe Iin Ia Icatharsis Istate.
3. Expressing Iempathy Itoward Ithe Icaller.
4. Avoiding Ientropy. ANS:I I1
7. IAn I8-year-old Iboy Iwith Ia Ihistory Iof Ihallucinations Iand Iviolent Ibehavior Ihas beenI
Iplace Iin Ia Iseclusion Iroom at Ithe Ihospital Ibecause Ihe Ihas Ibeen Ihurting Iothers. IThe
Inurse Ichecks Ion Ithe patientI Iand Irealizes Ishe Imust Itake him Iout Iof Ithe Iseclusion Iroom
Iwhen:
1. He Iis Icrying Ito Ibe Ireleased.
2. He Istates, II Iwill Ibe Ia Igood Iboy Inow.
.
3. He Istarts Iheadbutting Ithe Iwindow.
4. He Icomplains Ithat Ihis Iparents Iwill Ifile Ia Ilawsuit. ANS:I I 3
8. IA Ichild Ihas Ibeen Iexhibiting Ithe IMacDonald ITriad. IThese Ibehaviors Iinclude:
1. Enuresis, Ipushing Iothers, Iand Ipyromania.
2. Swinging Ia Icat Iby Ithe Itail, Ibed-wetting, Iand Ilighting Ipaper Ion Ifire Iin Ithe trashI Ican.
3. Playing Iwith Iother Ichildren, Ilaughing, Iand Iconversing Iwith Iadults.
4. Playing Iwith Ia Icampfire, Iwatching Itelevision, Iand Iseeking Iadult Iattention. ANS:I
I2
9. IA Iteenager Idiagnosed Iwith Iborderline Ipersonality Idisorder Ishould Ihave dischargeI
Iplanning Iinstructions Iof:
1. A Iconsistent Icaregiver.
2. Monitoring Iof Imedia, Isuch Ias Ithe IInternet, Itelevision, Iand Ivideo Igames.
3. Obtaining Isupport Ifrom Ifamily Iand Ifriends.
4. Seeking Imedical Iattention Iwhen Ithe Iteenager Ifeels Igood. ANS:I I3
,4. Reminding Ithe Ichild Ito Ibe Inice Ito Iothers.
ANS:I I1
.
11. IEllie, Ia I9-year-old Igirl, Iwas Iadopted Iby Ia Ifamily Iat Ithe Iage Iof I4 Iafter Iseveral
Iyears Iof Isevere Ineglect Iby Iher Ibirth Ifamily. IThe Iadoptive Ifamily IhasbeenI Ireporting Ithat
IEllie Iis Iangry Ia Ilot, Imanipulative Iwith Iher teachers, Iand Idoes Inot Iseek Ipositive Iattention.
IThe Inurse Iworking Iwith IElliewillI Ineed Ito:
1. Provide Ieducation Ion Idecreasing Istimuli Iin Ithe Ihome Ienvironment Ithat triggersI
Ithe Ianger.
2. Realize IEllie Imay Ihave Iattachment Iissues Irelated Ito Iher Iprevious Ihistory andI
I will I need Ito Iencourage Ithe family Ito Ibe Iactive Iin Iher Icare.
3. Support Ithe Ifamily Iin Ithe Idecision-making Iprocess Iof Icontinuing Ito Ilet IEllie liveI
Iin Ithe Ihome.
4. Discuss Iinpatient Itherapy Ito Idecrease IEllies Imanipulative Ibehavior patterns.I
ANS: I2
1. Which Iregion Iglobally Ihas Ithe Ihighest Iinfant Imortality Irate?
A. Indonesia
B. Southern IAsia
C. SubSaharan IAfrica ICorrect
D. Syria
2. The Iprimary Icare Ipediatric Inurse Ipractitioner Iunderstands Ithat, Ito Iachieve theI
greatest Iworldwide reduction Iin Ichild Imortality Ifrom Ipneumonia Iand Idiarrhea, Iwhich
IinterventionisI most Ieffective? A. Antibiotics
B. Optimal Inutrition
C. Vaccinations ICorrect
D. Water Ipurification
3. Which Iis Itrue Iabout Ithe Ihealth Istatus Iof Ichildren Iin Ithe IUnited IStates?
.
I13348413856
A. Globalism Ihas Irelatively Ilittle Iimpact Ion Ichild Ihealth Imeasures Iin Ithe IU.S.
B. Obesity Irates Iamong I2to5yearolds Ihave Ishown Ia Irecent significantI
decrease. ICorrect
.
C. The Irate Iof Ihousehold Ipoverty Iis Ilower Ithan Iin Iother Ieconomically developedI
Inations.
D. Young Ichildren Iwho Iattend Ipreschool Ior Iday Icare Ihave Ihigher Ifood insecurity.I
4. The Iprimary Icare Ipediatric Inurse Ipractitioner Iunderstands Ithat Ia Imajor childI
health Ioutcome Iassociated Iwith Iworldwide Iclimate Ichange Iis A. cost Iof Iliving.
B. education.
C. nutrition. ICorrect
D. pollution.
5. When Iproviding Iwell Ichild Icare Ifor Ian Iinfant Iin Ithe Ifirst Iyear Iof Ilife, Ithe primaryI
care Ipediatric Inurse Ipractitioner Iis Iadhering Ito Ithe Imost Irecent IAmerican
,Chapter 2. Unique Issues in Pediatrics
I I I I I
1. A Inurse Iis Iexplaining Ithe Itherapeutic Imilieu Ito Ia Inew Inurse. IThe Ibest explanationI Iof
Ithis Iterm Iwould Ibe:
1. The Iplace Iwhere Ithe Ichild Iis Ireceiving Icare.
2. Group Itherapy.
3. Personal Iinteractions Ibetween Ipatients Iand Istaff.
4. All Iof Ithe Iabove Iare Icorrect.
ANS:I I4
2. IA I16-year-old Imale Ihas Ireceived Ia Ipink-slip Ifrom Ithe Ipolice Ifor Iinpatient psychiatricI
Itreatment. IThe Iteen has Ibeen Iexpressing Ithoughts Iof Ihanging Ihimself Ibecause ILife
Isucks. ITheI nursing Istaff Ishould Iconsider placing Ithe Ichild:
1. With Ipeers.
2. In Ian Iarea Iwhere Ihe Ican Ibe Iwatched Ione-on-one.
3. With Ia Iroommate Ithat Iis Iexpressing Ithe Isame Iconcerns.
4. In Ian Iarea Iclose Ito Ian Iexternal Idoor. ANS:I I2
3. ILearning Idisabilities Iin Ichildren Ihave Iscientifically Ibeen Ilinked Ito:
1. Poor Inutrition.
2. The Ienvironment Iin Iwhich Ithe Ichild Ilives.
3. Genetics.
4. Watching Imore Ithan Ifour Ihours Iof Itelevision Ia Iday. ANS:I I3
4. IA Imental Ihealth Inurse Ihas Iassessed Ia Ichild Iand Idetermined Ithat Ithe Ichild exhibitsI
Ibehavioral Ichallenges.
When Ithe Ischool Inurse Iexplains Ithis Ito Ia Iteacher, Ithe Ibest Idescription Iwouldbe:I
2. The Ichild Imay Iexhibit Iphysical Ioutbursts.
.
3. The Ichild Imay Iexhibit Iviolence Itoward Iothers.
4. The Ichild Imay Ibe Idefiant Ior Ihave Itantrums.
5. The Ichild Iwill Ineed Ispecial Iinterventions Ifor Ilearning. ANS:I I 3
12. IAn Iinfant Idisplays Idepression Iby:
1. Smiling Iat Istrangers.
2. Bonding Ito Isomeone Iother Ithan Ithe Iimmediate Ifamily.
3. Crying Imore Ithan Ian Iaverage Iinfant.
4. Looks Iaway Iwhen Ian Iadult Iattempts Ito Iplay Iwith Ithe Iinfant. ANS:I I4
13. IA Ifather Ireports Ithat Ihis Iadolescent Idaughter Ihas Igotten Igood Igrades Iup untilI Ithe
Ilast Iquarter Iof Ischool.
She Ihas Ibeen Ihanging Iout Iby Iherself Iand Idoes Inot Iwant Ito Italk Ito Ihimanymore.I IThe
Imental Ihealth Inurse should:
1. Realize Ithat Ithis Iis Ia Inatural Ipart Iof Igrowing Iup.
2. Perform Ia Imental Ihealth Iscreening Ito Icheck Ifor Idepression.
3. Attempt Ito Iget Ithe Iadolescent Ito Idiscuss Iwhy Ishe Idoes Inot Ilike Iher Ifather anymore.I
, .
2. One
3. Monthly
4. Bi-yearly ANS:I I 1
15. IWhen Iusing Ithe ISAD IFACES Idepression Iscreen, Iit Iis Iimportant Ito Iassess:
1. Anhedonia.
2. Suicidal Iideations.
3. Sleep Ipatterns.
4. All Iof Ithe Iabove
ANS:I I4
16. IA Ischool Inurse Iis Igiving Ian Iin-service Ito Iteachers Ion Ibullycide. IThe Imain reasonI Ifor
Ithe Iteaching Iis Iso that:
1. Teachers Iare Iaware Ibullying Ioccurs.
2. Teachers Iare Iable Ito Iidentify Istudents Iwho Iare Irisk.
3. Teachers Ican Ibe Iaware Iof Ithe Ifact Ithat Isuicides Ican Ihappen Idue Ito Ibullying byI
Iothers.
4. Teachers Iare Iaware Iof Itheir Irole Iin Icausing Ibullycide. ANS:I I3
17. IAn Iadolescent Iwith Ia Iknown Ihistory Iof Ibipolar Idisorder Iis Iin Ithe IschoolnursesI Ioffice
Ibecause Ia Iteacher reported Ithat Ishe Iwas Italking Ifast Iand Iacting Ilike Ishe Iwas IGod. IThe
IschoolnurseI Iassesses Ithe Igirl Iand Inotes that:
1. She Iis Iprobably Iin Ia Imanic Iphase Iand Ineeds Ito Ibe Itreated Iprofessionally.
2. She Ihas Ihad Itoo Imuch Isleep Iand Iis Inow Ihyperactive.
3. She Iforgot Ito Itake Iher Imedications Itoday.
4. She Irequires Isome Ifood Iand Irest Ibefore Igoing Iback Ito Iclass. ANS:I I1
Chapter 3. Genetics and Child Health Questions
I I I I I I
1. What Iis Itrue Iabout Ihaploid Icells?
.
I13348407644
C. Each Icontains I23 Ipaired Ichromosomes. D. Each Ione
Icontains I23 Ichromosomes. ICorrect
E. Replication Iproduces Itwo Iidentical Icells.
F. They Ireplicate Ivia Ithe Iprocess Iof Imitosis.
2. What Idoes Ithe Ifollowing Igenetic Inotation Isymbol Imean I47,XX,6q?
.
I13348407650
A. Male Iwith Ideletion Iof Ichromosome I6
B. Female Iwith Ideletion Iof Ichromosome I6
C. Male Iwith Ideletion Ion Ithe Ilong Iarm Iof Ichromosome I6
D. Female Iwith Ideletion Ion Ithe Ilong Iarm Iof Ichromosome I6
Correct
3. A Ichild Ihas Ia Irecessive Igenetic Idisorder Ithat Iis Ihomozygous Ifor Ithat mutation.I
Chapter 1: Health Status of Children: Global and National Perspectives
I I I I I I I I I
1. A Ichild Ithat Ihas Inot Iexhibited Ienuresis Iin Ifour Iyears Ihas Iexhibited Ithis behaviorI
Ipattern Ifor Ithe Ilast Iweek.
The Ireason Ia Ichild Imay Irevert Iback Ito Ithis Ibehavior Ipattern Iis Ibecause Iof:
1. Hallucinations.
2. Behavioral I challenges.
3. Delusions.
4. Stress. ANS:I I4
6. IAn I18-year-old Imale Ihas Icalled Ithe Icrisis Iline Ifor Ihelp. IThe Icrisis Inurse
recognizesI Ithe Iintervention Ineeds may Iconsist Iof Iall Iof Ithe Ifollowing Iexcept:
1. Discussing I the I individuals I everyday I activities.
2. Recognizing Ithat Ithe Ipatient Imay Ibe Iin Ia Icatharsis Istate.
3. Expressing Iempathy Itoward Ithe Icaller.
4. Avoiding Ientropy. ANS:I I1
7. IAn I8-year-old Iboy Iwith Ia Ihistory Iof Ihallucinations Iand Iviolent Ibehavior Ihas beenI
Iplace Iin Ia Iseclusion Iroom at Ithe Ihospital Ibecause Ihe Ihas Ibeen Ihurting Iothers. IThe
Inurse Ichecks Ion Ithe patientI Iand Irealizes Ishe Imust Itake him Iout Iof Ithe Iseclusion Iroom
Iwhen:
1. He Iis Icrying Ito Ibe Ireleased.
2. He Istates, II Iwill Ibe Ia Igood Iboy Inow.
.
3. He Istarts Iheadbutting Ithe Iwindow.
4. He Icomplains Ithat Ihis Iparents Iwill Ifile Ia Ilawsuit. ANS:I I 3
8. IA Ichild Ihas Ibeen Iexhibiting Ithe IMacDonald ITriad. IThese Ibehaviors Iinclude:
1. Enuresis, Ipushing Iothers, Iand Ipyromania.
2. Swinging Ia Icat Iby Ithe Itail, Ibed-wetting, Iand Ilighting Ipaper Ion Ifire Iin Ithe trashI Ican.
3. Playing Iwith Iother Ichildren, Ilaughing, Iand Iconversing Iwith Iadults.
4. Playing Iwith Ia Icampfire, Iwatching Itelevision, Iand Iseeking Iadult Iattention. ANS:I
I2
9. IA Iteenager Idiagnosed Iwith Iborderline Ipersonality Idisorder Ishould Ihave dischargeI
Iplanning Iinstructions Iof:
1. A Iconsistent Icaregiver.
2. Monitoring Iof Imedia, Isuch Ias Ithe IInternet, Itelevision, Iand Ivideo Igames.
3. Obtaining Isupport Ifrom Ifamily Iand Ifriends.
4. Seeking Imedical Iattention Iwhen Ithe Iteenager Ifeels Igood. ANS:I I3
,4. Reminding Ithe Ichild Ito Ibe Inice Ito Iothers.
ANS:I I1
.
11. IEllie, Ia I9-year-old Igirl, Iwas Iadopted Iby Ia Ifamily Iat Ithe Iage Iof I4 Iafter Iseveral
Iyears Iof Isevere Ineglect Iby Iher Ibirth Ifamily. IThe Iadoptive Ifamily IhasbeenI Ireporting Ithat
IEllie Iis Iangry Ia Ilot, Imanipulative Iwith Iher teachers, Iand Idoes Inot Iseek Ipositive Iattention.
IThe Inurse Iworking Iwith IElliewillI Ineed Ito:
1. Provide Ieducation Ion Idecreasing Istimuli Iin Ithe Ihome Ienvironment Ithat triggersI
Ithe Ianger.
2. Realize IEllie Imay Ihave Iattachment Iissues Irelated Ito Iher Iprevious Ihistory andI
I will I need Ito Iencourage Ithe family Ito Ibe Iactive Iin Iher Icare.
3. Support Ithe Ifamily Iin Ithe Idecision-making Iprocess Iof Icontinuing Ito Ilet IEllie liveI
Iin Ithe Ihome.
4. Discuss Iinpatient Itherapy Ito Idecrease IEllies Imanipulative Ibehavior patterns.I
ANS: I2
1. Which Iregion Iglobally Ihas Ithe Ihighest Iinfant Imortality Irate?
A. Indonesia
B. Southern IAsia
C. SubSaharan IAfrica ICorrect
D. Syria
2. The Iprimary Icare Ipediatric Inurse Ipractitioner Iunderstands Ithat, Ito Iachieve theI
greatest Iworldwide reduction Iin Ichild Imortality Ifrom Ipneumonia Iand Idiarrhea, Iwhich
IinterventionisI most Ieffective? A. Antibiotics
B. Optimal Inutrition
C. Vaccinations ICorrect
D. Water Ipurification
3. Which Iis Itrue Iabout Ithe Ihealth Istatus Iof Ichildren Iin Ithe IUnited IStates?
.
I13348413856
A. Globalism Ihas Irelatively Ilittle Iimpact Ion Ichild Ihealth Imeasures Iin Ithe IU.S.
B. Obesity Irates Iamong I2to5yearolds Ihave Ishown Ia Irecent significantI
decrease. ICorrect
.
C. The Irate Iof Ihousehold Ipoverty Iis Ilower Ithan Iin Iother Ieconomically developedI
Inations.
D. Young Ichildren Iwho Iattend Ipreschool Ior Iday Icare Ihave Ihigher Ifood insecurity.I
4. The Iprimary Icare Ipediatric Inurse Ipractitioner Iunderstands Ithat Ia Imajor childI
health Ioutcome Iassociated Iwith Iworldwide Iclimate Ichange Iis A. cost Iof Iliving.
B. education.
C. nutrition. ICorrect
D. pollution.
5. When Iproviding Iwell Ichild Icare Ifor Ian Iinfant Iin Ithe Ifirst Iyear Iof Ilife, Ithe primaryI
care Ipediatric Inurse Ipractitioner Iis Iadhering Ito Ithe Imost Irecent IAmerican
,Chapter 2. Unique Issues in Pediatrics
I I I I I
1. A Inurse Iis Iexplaining Ithe Itherapeutic Imilieu Ito Ia Inew Inurse. IThe Ibest explanationI Iof
Ithis Iterm Iwould Ibe:
1. The Iplace Iwhere Ithe Ichild Iis Ireceiving Icare.
2. Group Itherapy.
3. Personal Iinteractions Ibetween Ipatients Iand Istaff.
4. All Iof Ithe Iabove Iare Icorrect.
ANS:I I4
2. IA I16-year-old Imale Ihas Ireceived Ia Ipink-slip Ifrom Ithe Ipolice Ifor Iinpatient psychiatricI
Itreatment. IThe Iteen has Ibeen Iexpressing Ithoughts Iof Ihanging Ihimself Ibecause ILife
Isucks. ITheI nursing Istaff Ishould Iconsider placing Ithe Ichild:
1. With Ipeers.
2. In Ian Iarea Iwhere Ihe Ican Ibe Iwatched Ione-on-one.
3. With Ia Iroommate Ithat Iis Iexpressing Ithe Isame Iconcerns.
4. In Ian Iarea Iclose Ito Ian Iexternal Idoor. ANS:I I2
3. ILearning Idisabilities Iin Ichildren Ihave Iscientifically Ibeen Ilinked Ito:
1. Poor Inutrition.
2. The Ienvironment Iin Iwhich Ithe Ichild Ilives.
3. Genetics.
4. Watching Imore Ithan Ifour Ihours Iof Itelevision Ia Iday. ANS:I I3
4. IA Imental Ihealth Inurse Ihas Iassessed Ia Ichild Iand Idetermined Ithat Ithe Ichild exhibitsI
Ibehavioral Ichallenges.
When Ithe Ischool Inurse Iexplains Ithis Ito Ia Iteacher, Ithe Ibest Idescription Iwouldbe:I
2. The Ichild Imay Iexhibit Iphysical Ioutbursts.
.
3. The Ichild Imay Iexhibit Iviolence Itoward Iothers.
4. The Ichild Imay Ibe Idefiant Ior Ihave Itantrums.
5. The Ichild Iwill Ineed Ispecial Iinterventions Ifor Ilearning. ANS:I I 3
12. IAn Iinfant Idisplays Idepression Iby:
1. Smiling Iat Istrangers.
2. Bonding Ito Isomeone Iother Ithan Ithe Iimmediate Ifamily.
3. Crying Imore Ithan Ian Iaverage Iinfant.
4. Looks Iaway Iwhen Ian Iadult Iattempts Ito Iplay Iwith Ithe Iinfant. ANS:I I4
13. IA Ifather Ireports Ithat Ihis Iadolescent Idaughter Ihas Igotten Igood Igrades Iup untilI Ithe
Ilast Iquarter Iof Ischool.
She Ihas Ibeen Ihanging Iout Iby Iherself Iand Idoes Inot Iwant Ito Italk Ito Ihimanymore.I IThe
Imental Ihealth Inurse should:
1. Realize Ithat Ithis Iis Ia Inatural Ipart Iof Igrowing Iup.
2. Perform Ia Imental Ihealth Iscreening Ito Icheck Ifor Idepression.
3. Attempt Ito Iget Ithe Iadolescent Ito Idiscuss Iwhy Ishe Idoes Inot Ilike Iher Ifather anymore.I
, .
2. One
3. Monthly
4. Bi-yearly ANS:I I 1
15. IWhen Iusing Ithe ISAD IFACES Idepression Iscreen, Iit Iis Iimportant Ito Iassess:
1. Anhedonia.
2. Suicidal Iideations.
3. Sleep Ipatterns.
4. All Iof Ithe Iabove
ANS:I I4
16. IA Ischool Inurse Iis Igiving Ian Iin-service Ito Iteachers Ion Ibullycide. IThe Imain reasonI Ifor
Ithe Iteaching Iis Iso that:
1. Teachers Iare Iaware Ibullying Ioccurs.
2. Teachers Iare Iable Ito Iidentify Istudents Iwho Iare Irisk.
3. Teachers Ican Ibe Iaware Iof Ithe Ifact Ithat Isuicides Ican Ihappen Idue Ito Ibullying byI
Iothers.
4. Teachers Iare Iaware Iof Itheir Irole Iin Icausing Ibullycide. ANS:I I3
17. IAn Iadolescent Iwith Ia Iknown Ihistory Iof Ibipolar Idisorder Iis Iin Ithe IschoolnursesI Ioffice
Ibecause Ia Iteacher reported Ithat Ishe Iwas Italking Ifast Iand Iacting Ilike Ishe Iwas IGod. IThe
IschoolnurseI Iassesses Ithe Igirl Iand Inotes that:
1. She Iis Iprobably Iin Ia Imanic Iphase Iand Ineeds Ito Ibe Itreated Iprofessionally.
2. She Ihas Ihad Itoo Imuch Isleep Iand Iis Inow Ihyperactive.
3. She Iforgot Ito Itake Iher Imedications Itoday.
4. She Irequires Isome Ifood Iand Irest Ibefore Igoing Iback Ito Iclass. ANS:I I1
Chapter 3. Genetics and Child Health Questions
I I I I I I
1. What Iis Itrue Iabout Ihaploid Icells?
.
I13348407644
C. Each Icontains I23 Ipaired Ichromosomes. D. Each Ione
Icontains I23 Ichromosomes. ICorrect
E. Replication Iproduces Itwo Iidentical Icells.
F. They Ireplicate Ivia Ithe Iprocess Iof Imitosis.
2. What Idoes Ithe Ifollowing Igenetic Inotation Isymbol Imean I47,XX,6q?
.
I13348407650
A. Male Iwith Ideletion Iof Ichromosome I6
B. Female Iwith Ideletion Iof Ichromosome I6
C. Male Iwith Ideletion Ion Ithe Ilong Iarm Iof Ichromosome I6
D. Female Iwith Ideletion Ion Ithe Ilong Iarm Iof Ichromosome I6
Correct
3. A Ichild Ihas Ia Irecessive Igenetic Idisorder Ithat Iis Ihomozygous Ifor Ithat mutation.I
