Burns'g Pediatricg Primaryg Careg 7thg Editiong Testg Bank
Chapterg1:gHealthgStatusgofgChildren:gGlobalgandgNationalgPerspectiv
es
1. Whichgregionggloballyghasgtheghighestginfantgmortalitygrate?
A. Indonesia
B. SoutherngAsia
C. SubSaharangAfricagCorrect
D. Syria
2. Thegprimarygcaregpediatricgnursegpractitionergunderstandsgthat,gtogachieve
gthe
greatestg worldwide
reductiongingchildgmortalitygfromgpneumoniagandgdiarrhea,gwhichginterventionisgmo
stgeffective?
A. Antibiotics
B. Optimalgnutrition
C. VaccinationsgCorrect
D. Watergpurification
3. WhichgisgtruegaboutgtheghealthgstatusgofgchildrengingthegUnitedgStates?
.
13348413856
A. Globalismg hasg relativelyg littleg impactg ong childg healthg measuresg ing theg U.S.
B. Obesitygratesgamongg2to5yearoldsghavegshowngagrecent
gsignificant
decrease.g Correct
.
C. Thegrategofghouseholdgpovertygisglowergthangingothergeconomically
gdevelopedgnations.
D. Younggchildrengwhogattendgpreschoolgorgdaygcareghaveghighergfood
ginsecurity.
4. Thegprimarygcaregpediatricgnursegpractitionergunderstandsgthatgagmajor
gchild
healthgoutcomegassociatedgwithgworldwidegclimategchangegis
A. costg ofg living.
B. education.
C. nutrition.gCorrect
D. pollution.
5. Wheng providinggwellg childgcareg forgang infantg ing theg firstgyeargofg life,g theg
primary
caregpediatricgnursegpractitionergisgadheringgtogthegmostgrecentgAmericangAca
demygof
PediatricsRecommendationsgforgPreventivegPediatricgHealthgCaregguidelinesgb
y
A. focusingglessgongdevelopmentgandgmoregongillnessgpreventiongandg
nutrition.
B. followingg guidelinesg establishedg byg theBrightg Futuresg publication.
C. schedulinggwellbabygvisitsgtogcoincidegwithgkeygdevelopmental
gmilestones.gCorrect
D. seeinggtheginfantgatgagesg2,g4,g6,gandg12gmonthsgwhengimmunizationsgareg
due.
,2. Groupgtherapy.
3. Personalg interactionsg betweeng patientsg andg staff.
4. Allgofgthegabovegaregcorrect.g
ANS:g4
2. Ag16-year-oldgmaleghasgreceivedgagpink-
slipgfromgthegpolicegforginpatientgpsychiatricgtreatment.gThegteen
hasgbeengexpressinggthoughtsgofghangingghimselfgbecausegLifegsucks.gThenursinggst
affgshouldgconsider
placingg theg child:
1. Withg peers.
2. Ingangareagwhereghegcangbegwatchedgone-on-one.
3. Withgaroommate gthatisexpressing gthegsameconcerns.
4. Ingangareagclosegtogangexternalgdoor.
gANS:g2
3. Learningg disabilitiesg ing childreng haveg scientificallyg beeng linkedg to:
1. Poornutrition.
2. Theg environmentg ing whichg theg childg lives.
3. Genetics.
4. Watchinggmoregthangfourghoursgofgtelevisiongagday.
gANS:g3
4.gAgmentalghealthgnurseghasgassessedgagchildgandgdeterminedgthatgthegchildgexhib
itsgbehavioralgchallenges.
Whengthegschoolgnursegexplainsgthisgtogagteacher,gthegbestgdescriptiongwouldbe:
.
1. Thegchildgmaygexhibitgphysicalgoutbursts.
2. Theg childg mayg exhibitg violenceg towardg others.
3. Thegchildgmaygbegdefiantgorghavegtantrums.
4. Theg childg willg needg specialg interventionsg forg learning.g
ANS:g3
5. Agchildgthatghasgnotgexhibitedgenuresisgingfourgyearsghasgexhibitedgthisg
behaviorgpatterngforgtheglastgweek.
Thegreasongagchildgmaygrevertgbackgtogthisgbehaviorgpatterngisgbecausegof:
1. Hallucinations.
2. Behavioralg challenges.
3. Delusions.
4. Stress.
ANS:g4
6. Ang18-year-
oldgmaleghasgcalledgthegcrisisglinegforghelp.gThegcrisisgnursegrecognizesgth
eginterventiongneeds
mayg consistg ofg allg ofg theg followingg except:
1. Discussingg theg individualsg everydayg activities.
2. Recognizinggthatgthegpatientgmaygbegingagcatharsisgstate.
3. Expressinggempathygtowardgthegcaller.
4. Avoidinggentropy.
ANS:g1
,2. Heg states,g Ig willg beg ag goodg boyg now.
.
3. Heg startsg headbuttingg theg window.
4. Hegcomplainsg thatghisg parentsg willgfilegaglawsuit.g
ANS:g3
8. AgchildghasgbeengexhibitinggthegMacDonaldgTriad.gThesegbehaviorsginclude:
1. Enuresis,gpushinggothers,gandgpyromania.
2. Swinginggagcatgbygthegtail,gbed-
wetting,gandglightinggpapergongfiregingthegtrashgcan.
3. Playingg withg otherg children,g laughing,g andg conversingg withg adults.
4. Playinggwithgagcampfire,gwatchinggtelevision,gandgseekinggadultgattention.
gANS:g2
9. Agteenagergdiagnosedgwithgborderlinegpersonalitygdisordergshouldghaveg
dischargegplanningginstructionsgof:
1. Ag consistentg caregiver.
2. Monitoringgofgmedia,gsuchgasgthegInternet,gtelevision,gandgvideoggames.
3. Obtaininggsupportgfromgfamilygandgfriends.
4. Seekinggmedicalgattentiongwhengthegteenagergfeelsggood.
gANS:g3
10. Agmentalghealthgnursegisgteachinggthegmothergofgagchildgwithgexecutiveg
functioninggissuesgwaysgtoghelp
hergchild.gInterventionsgthegmothergshouldguseginclude:
1. Placinggvisualgaidsgongthegbathroomgmirrorgsogthatgthegchildgwillgfollowgtheg
morninggroutine.
2. Giveg theg childg ag choiceg ing foodsg tog eat.
3. Allowingg theg childg tog askg forg helpg wheng needed.
4. Remindinggthegchildgtogbegnicegtogothers.
gANS:g1
.
11. Ellie,gag9-year-
oldggirl,gwasgadoptedgbygagfamilygatgthegagegofg4gaftergseveralgyearsgofgseveregn
eglectgbyghergbirthgfamily.gThegadoptivegfamilyghasbeengreportinggthatgElliegisg
angrygaglot,gmanipulativegwithgher
teachers,gandgdoesgnotgseekgpositivegattention.gThegnursegworkinggwithgEllieIwillgne
edgto:
1. Providegeducationgongdecreasinggstimuligingtheghomegenvironmentgthat
gtriggersgtheganger.
2. RealizegElliegmayghavegattachmentgissuesgrelatedgtoghergpreviousghistoryg
andgwillgneedgtogencouragegthe
familyg tog beg activeg ing herg care.
3. Supportgthegfamilygingthegdecision-
makinggprocessgofgcontinuinggtogletgEllieglivegingtheghome.
4. DiscussginpatientgtherapygtogdecreasegElliesgmanipulativegbehaviorg
patterns.
ANS:g2
, 13. Agfathergreportsgthatghisgadolescentgdaughterghasggottenggoodggradesgupg
untilgtheglastgquartergofgschool.
Sheghasgbeenghanginggoutgbygherselfgandgdoesgnotgwantgtogtalkgtoghimanymore.
Thegmentalghealthgnursegshou
ld:
1. Realizeg thatg thisg isg ag naturalg partg ofg growingg up.
2. Performgagmentalghealthgscreeninggtogcheckgforgdepression.
3. Attemptgtoggetgthegadolescentgtogdiscussgwhygshegdoesgnotglikeghergfatherg
anymore.
4. Letgthegadolescentgtalkgwhengshegisgready.
gANS:g2
14. Ateenshouldbechecked gfordepression gat physiciangvisit(s).
1. Every
.
2. One
3. Monthly
4. Bi-yearly
ANS:g1
15. WhengusinggthegSADgFACESgdepressiongscreen,gitgisgimportantgtogassess:
1. Anhedonia.
2. Suicidalg ideations.
3. Sleepg patterns.
4. Allgofgthegabove
gANS:g4
16. Agschoolgnursegisggivinggangin-
servicegtogteachersgongbullycide.gThegmaingreasongforgthegteachinggisgso
that:
1. Teachersg areg awareg bullyingg occurs.
2. Teachersg areg ableg tog identifyg studentsg whog areg risk.
3. Teachersgcangbegawaregofgthegfactgthatgsuicidesgcanghappengduegtogbullyingg
bygothers.
4. Teachersgareg awareg ofg theirg roleging causingg bullycide.g
ANS:g3
17. Angadolescentgwithgagknownghistorygofgbipolargdisordergisgingthegschoolnursesg
officegbecausegagteacher
reportedgthatgshegwasgtalkinggfastgandgactingglikegshegwasgGod.gThegschoolnursegas
sessesgtheggirlgandgnotes
that:
1. Shegisgprobablygingagmanicgphasegandgneedsgtogbegtreatedgprofessionally.
2. Sheghasg hadgtoogmuchg sleepg andgisg nowghyperactive.
3. Sheg forgotg tog takeg herg medicationsg today.
4. Shegrequiresgsomefoodandrestgbeforegoinggbacktoclass.g A
NS:g1
Chapterg3.gGeneticsgandgChildgHealthgQues
tions
Chapterg1:gHealthgStatusgofgChildren:gGlobalgandgNationalgPerspectiv
es
1. Whichgregionggloballyghasgtheghighestginfantgmortalitygrate?
A. Indonesia
B. SoutherngAsia
C. SubSaharangAfricagCorrect
D. Syria
2. Thegprimarygcaregpediatricgnursegpractitionergunderstandsgthat,gtogachieve
gthe
greatestg worldwide
reductiongingchildgmortalitygfromgpneumoniagandgdiarrhea,gwhichginterventionisgmo
stgeffective?
A. Antibiotics
B. Optimalgnutrition
C. VaccinationsgCorrect
D. Watergpurification
3. WhichgisgtruegaboutgtheghealthgstatusgofgchildrengingthegUnitedgStates?
.
13348413856
A. Globalismg hasg relativelyg littleg impactg ong childg healthg measuresg ing theg U.S.
B. Obesitygratesgamongg2to5yearoldsghavegshowngagrecent
gsignificant
decrease.g Correct
.
C. Thegrategofghouseholdgpovertygisglowergthangingothergeconomically
gdevelopedgnations.
D. Younggchildrengwhogattendgpreschoolgorgdaygcareghaveghighergfood
ginsecurity.
4. Thegprimarygcaregpediatricgnursegpractitionergunderstandsgthatgagmajor
gchild
healthgoutcomegassociatedgwithgworldwidegclimategchangegis
A. costg ofg living.
B. education.
C. nutrition.gCorrect
D. pollution.
5. Wheng providinggwellg childgcareg forgang infantg ing theg firstgyeargofg life,g theg
primary
caregpediatricgnursegpractitionergisgadheringgtogthegmostgrecentgAmericangAca
demygof
PediatricsRecommendationsgforgPreventivegPediatricgHealthgCaregguidelinesgb
y
A. focusingglessgongdevelopmentgandgmoregongillnessgpreventiongandg
nutrition.
B. followingg guidelinesg establishedg byg theBrightg Futuresg publication.
C. schedulinggwellbabygvisitsgtogcoincidegwithgkeygdevelopmental
gmilestones.gCorrect
D. seeinggtheginfantgatgagesg2,g4,g6,gandg12gmonthsgwhengimmunizationsgareg
due.
,2. Groupgtherapy.
3. Personalg interactionsg betweeng patientsg andg staff.
4. Allgofgthegabovegaregcorrect.g
ANS:g4
2. Ag16-year-oldgmaleghasgreceivedgagpink-
slipgfromgthegpolicegforginpatientgpsychiatricgtreatment.gThegteen
hasgbeengexpressinggthoughtsgofghangingghimselfgbecausegLifegsucks.gThenursinggst
affgshouldgconsider
placingg theg child:
1. Withg peers.
2. Ingangareagwhereghegcangbegwatchedgone-on-one.
3. Withgaroommate gthatisexpressing gthegsameconcerns.
4. Ingangareagclosegtogangexternalgdoor.
gANS:g2
3. Learningg disabilitiesg ing childreng haveg scientificallyg beeng linkedg to:
1. Poornutrition.
2. Theg environmentg ing whichg theg childg lives.
3. Genetics.
4. Watchinggmoregthangfourghoursgofgtelevisiongagday.
gANS:g3
4.gAgmentalghealthgnurseghasgassessedgagchildgandgdeterminedgthatgthegchildgexhib
itsgbehavioralgchallenges.
Whengthegschoolgnursegexplainsgthisgtogagteacher,gthegbestgdescriptiongwouldbe:
.
1. Thegchildgmaygexhibitgphysicalgoutbursts.
2. Theg childg mayg exhibitg violenceg towardg others.
3. Thegchildgmaygbegdefiantgorghavegtantrums.
4. Theg childg willg needg specialg interventionsg forg learning.g
ANS:g3
5. Agchildgthatghasgnotgexhibitedgenuresisgingfourgyearsghasgexhibitedgthisg
behaviorgpatterngforgtheglastgweek.
Thegreasongagchildgmaygrevertgbackgtogthisgbehaviorgpatterngisgbecausegof:
1. Hallucinations.
2. Behavioralg challenges.
3. Delusions.
4. Stress.
ANS:g4
6. Ang18-year-
oldgmaleghasgcalledgthegcrisisglinegforghelp.gThegcrisisgnursegrecognizesgth
eginterventiongneeds
mayg consistg ofg allg ofg theg followingg except:
1. Discussingg theg individualsg everydayg activities.
2. Recognizinggthatgthegpatientgmaygbegingagcatharsisgstate.
3. Expressinggempathygtowardgthegcaller.
4. Avoidinggentropy.
ANS:g1
,2. Heg states,g Ig willg beg ag goodg boyg now.
.
3. Heg startsg headbuttingg theg window.
4. Hegcomplainsg thatghisg parentsg willgfilegaglawsuit.g
ANS:g3
8. AgchildghasgbeengexhibitinggthegMacDonaldgTriad.gThesegbehaviorsginclude:
1. Enuresis,gpushinggothers,gandgpyromania.
2. Swinginggagcatgbygthegtail,gbed-
wetting,gandglightinggpapergongfiregingthegtrashgcan.
3. Playingg withg otherg children,g laughing,g andg conversingg withg adults.
4. Playinggwithgagcampfire,gwatchinggtelevision,gandgseekinggadultgattention.
gANS:g2
9. Agteenagergdiagnosedgwithgborderlinegpersonalitygdisordergshouldghaveg
dischargegplanningginstructionsgof:
1. Ag consistentg caregiver.
2. Monitoringgofgmedia,gsuchgasgthegInternet,gtelevision,gandgvideoggames.
3. Obtaininggsupportgfromgfamilygandgfriends.
4. Seekinggmedicalgattentiongwhengthegteenagergfeelsggood.
gANS:g3
10. Agmentalghealthgnursegisgteachinggthegmothergofgagchildgwithgexecutiveg
functioninggissuesgwaysgtoghelp
hergchild.gInterventionsgthegmothergshouldguseginclude:
1. Placinggvisualgaidsgongthegbathroomgmirrorgsogthatgthegchildgwillgfollowgtheg
morninggroutine.
2. Giveg theg childg ag choiceg ing foodsg tog eat.
3. Allowingg theg childg tog askg forg helpg wheng needed.
4. Remindinggthegchildgtogbegnicegtogothers.
gANS:g1
.
11. Ellie,gag9-year-
oldggirl,gwasgadoptedgbygagfamilygatgthegagegofg4gaftergseveralgyearsgofgseveregn
eglectgbyghergbirthgfamily.gThegadoptivegfamilyghasbeengreportinggthatgElliegisg
angrygaglot,gmanipulativegwithgher
teachers,gandgdoesgnotgseekgpositivegattention.gThegnursegworkinggwithgEllieIwillgne
edgto:
1. Providegeducationgongdecreasinggstimuligingtheghomegenvironmentgthat
gtriggersgtheganger.
2. RealizegElliegmayghavegattachmentgissuesgrelatedgtoghergpreviousghistoryg
andgwillgneedgtogencouragegthe
familyg tog beg activeg ing herg care.
3. Supportgthegfamilygingthegdecision-
makinggprocessgofgcontinuinggtogletgEllieglivegingtheghome.
4. DiscussginpatientgtherapygtogdecreasegElliesgmanipulativegbehaviorg
patterns.
ANS:g2
, 13. Agfathergreportsgthatghisgadolescentgdaughterghasggottenggoodggradesgupg
untilgtheglastgquartergofgschool.
Sheghasgbeenghanginggoutgbygherselfgandgdoesgnotgwantgtogtalkgtoghimanymore.
Thegmentalghealthgnursegshou
ld:
1. Realizeg thatg thisg isg ag naturalg partg ofg growingg up.
2. Performgagmentalghealthgscreeninggtogcheckgforgdepression.
3. Attemptgtoggetgthegadolescentgtogdiscussgwhygshegdoesgnotglikeghergfatherg
anymore.
4. Letgthegadolescentgtalkgwhengshegisgready.
gANS:g2
14. Ateenshouldbechecked gfordepression gat physiciangvisit(s).
1. Every
.
2. One
3. Monthly
4. Bi-yearly
ANS:g1
15. WhengusinggthegSADgFACESgdepressiongscreen,gitgisgimportantgtogassess:
1. Anhedonia.
2. Suicidalg ideations.
3. Sleepg patterns.
4. Allgofgthegabove
gANS:g4
16. Agschoolgnursegisggivinggangin-
servicegtogteachersgongbullycide.gThegmaingreasongforgthegteachinggisgso
that:
1. Teachersg areg awareg bullyingg occurs.
2. Teachersg areg ableg tog identifyg studentsg whog areg risk.
3. Teachersgcangbegawaregofgthegfactgthatgsuicidesgcanghappengduegtogbullyingg
bygothers.
4. Teachersgareg awareg ofg theirg roleging causingg bullycide.g
ANS:g3
17. Angadolescentgwithgagknownghistorygofgbipolargdisordergisgingthegschoolnursesg
officegbecausegagteacher
reportedgthatgshegwasgtalkinggfastgandgactingglikegshegwasgGod.gThegschoolnursegas
sessesgtheggirlgandgnotes
that:
1. Shegisgprobablygingagmanicgphasegandgneedsgtogbegtreatedgprofessionally.
2. Sheghasg hadgtoogmuchg sleepg andgisg nowghyperactive.
3. Sheg forgotg tog takeg herg medicationsg today.
4. Shegrequiresgsomefoodandrestgbeforegoinggbacktoclass.g A
NS:g1
Chapterg3.gGeneticsgandgChildgHealthgQues
tions
