BURNS PEDIATRIC FINAL EXAM STUDY GUIDE QUES
k k k k k k
TION AND ANSWERS LATEST VERSION VERIFIED RAT
k k k k k k
IONALE GRADED A+ k k
-kans
1.k1.kAkchildkhaskak1-cmklacerationkonkthekforeheadkproximalktokthekhairlinekafter
runningkintokakpolekwhilekplayingksports.kTokminimizekthekriskkofkinfection,kthekprimarykcare
pediatricknursekpractitionerkwillkirrigatekthekwoundkand
a.ka.kallowkthekwoundktokhealkbyksecondarykintention.
b.kb.kdelaykclosurekofkthekwoundkforkseveralkdays.
c.kc.kreferkthekchildktokakplasticksurgeonkforkwoundkclosure.
d.kd.ksuturekthekwoundkwithink6khours.k-kansANS:kD
Childrenkareklessklikelykthankadultsktokgetkwoundkinfections,kwithkankinfectionkratekfromksutured
lacerationskatk2%.kThekPNPkshouldkcleankandksuturekthekwound.kWoundskfromkanimalkbiteskare
oftenkleftktokhealkbyksecondarykintentionktokpreventkinfection.kReferralktokakplasticksurgeonkis
necessarykforkcosmetickreasons.kDelayingkclosurekforkseveralkdayskiskrecommendedkforkheavily
contaminatedkwoundskandkthosekcausedkbykhigh-velocitykmissilekinjuries,kcrushkinjuries,kand
explosionkinjuries.
1.k1.kAccordingktokthek2007kNHISkanalysiskofkthekusekofkCAMktherapy,kusekwaskhigher
amongk:
a.ka.kfamilieskwhosekparentkorkparentskhadkakcollegekeducation.
b.kb.kHispanickandkAfrican-Americankpopulations.
c.kc.kpersonskwhokhadknotkrecentlyktakenkprescriptionkmedications.
d.kd.kthoseklivingkinkhouseholdskearningklesskthank$65,000.k-kansANS:kA
ThekNHISkreviewkshowedkthatkCAMkusekwaskhigherkinkhouseholdskwithkatkleastkonekcollege-
educatedkparent.kCAMkusekwaskalsokhigherkinknon-HispanickCaucasians,kpersonskwhokhad
,BURNS PEDIATRIC FINAL EXAM STUDY GUIDE QUES
k k k k k k
TION AND ANSWERS LATEST VERSION VERIFIED RAT
k k k k k k
IONALE GRADED A+ k k
takenkprescriptionkdrugskwithinkthekpastk3kmonths,kandkthoseklivingkinkhouseholdskwithkincomes
higherkthank$65,000.
1.k1.kThekmotherkofkak15-year-oldkfemalekexpresseskconcernskthatkherkdaughterkmaykbe
sexuallykactivekbecausekshe'skhadkaksteadykboyfriendkforkoverkakyear.kThekprimarykcare
pediatricknursekpractitionerklearnskthatkthekfamilykiskCatholickandkthatkthekmotherkhadkan
abortionkwhenkshekwask16kyearskold.kWhatkwillktheknursekpractitionerkdokinitially?
a.ka.kExplorekthekmother'skfeelingskaboutkherkownkpastkexperience.
b.kb.kOfferktokprescribekcontraceptionktokpreventkpregnancy.
c.kc.kRecommendkthatkthekmotherkdiscusskthiskwithkherkdaughter.
d.kd.kSuggestkthatkthekmotherktalkktokakpriestkaboutkherkdaughter.k-kansANS:kA
Ankinitialkstepkwhenkassistingkfamiliesktokmanagekethicalkandkbehavioralkissueskisktokassist
parentskandkchildrenkinkvalueskclarification.kBeforekofferingkotherksuggestions,kthekPNPkshould
helpkthekmotherktokclarifykherkownkfeelings.kThekotherkoptionskmaykbeknecessarykafterkvalueskare
clarified.
1.k1.kThekparentkofkak4-year-oldkpointsktokakpicturekandksays,k"That'skyourksister."kThe
childkrespondskbyksaying,k"No!kIt'skmykbaby!"kThiskiskankexamplekofkwhichktypekofkthinkingkin
preschool-agekchildren?
a.ka.kAnimism
b.kb.kArtificialism
c.kc.kEgocentrism
d.kd.kRealismk-kansANS:kD
Childrenkatkthiskagekarekdevelopingktheirkabilityktokestablishkcausality.kNominalkrealismkoccurs
,BURNS PEDIATRIC FINAL EXAM STUDY GUIDE QUES
k k k k k k
TION AND ANSWERS LATEST VERSION VERIFIED RAT
k k k k k k
IONALE GRADED A+ k k
whenkchildrenkthinkkthatkonektypekofkthingkcankonlykbekcalledkbykonekname.kAllkdogskarekdogs
andknotkvariouskbreeds.kAnimismkrefersktokthekbeliefkthatkobjectskpossesskperson-likekqualities.
Artificialismkoccurskwhenkchildrenkthinkkthingskarekcausedkbykakcontrollingkforce.kEgocentrismkis
whenkchildrenkseekthingskonlykasktheykrelatektokthemselves.
1.k1.kThekparentkofkakschool-agekchildkreportskthatkthekchildkusuallykhaskallergickrhinitis
symptomskbeginningkeachkfallkandkthatknon-sedatingkantihistamineskarekonlykmarginally
effective,kespeciallykforknasalkobstructionksymptoms.kWhatkwillkthekprimarykcarekpediatric
nursekpractitionerkdo?
a.ka.kOrderkankintranasalkcorticosteroidktokbegink1ktok2kweekskpriorktokpollenkseason.
b.kb.kPrescribekakdecongestantkmedicationkaskadjunctktherapykduringkpollenkseason.
c.kc.kRecommendkaddingkdiphenhydraminektokthekchild'skregimenkforkadditional
relief.
d.kd.kSuggestkusingkankover-the-counterkintranasalkdecongestant.k-kansANS:kA
Intranasalkcorticosteroidskarekakkeykcomponentkinklong-termktherapyktokmanageksymptoms
associatedkwithkAR.kThesekshouldkbekbegunk1ktok2kweekskpriorktokthekbeginningkofkpollen
season.kDecongestantskareknotkrecommendedkforklong-termkusekbecausekofksidekeffects.
Diphenhydraminekcauseskdaytimekdrowsiness.
1.k1.kThekprimarykcarekpediatricknursekpractitionerkiskevaluatingkakschool-agekchildkwho,
afterkremovalkofkakpituitaryktumor,khaskalteredkhypothalamickcontrolkoverkhungerkandksatiety.
Thekchildkiskmorbidlykobesekandkexpresseskfeelingkdepressedkbecausekofkthekobesity.kWhat
willktheknursekpractitionerkrecommend?
a.ka.kDevelopingkaksystemktokrewardkcompliancekwithkakdietarykregimen
b.kb.kRestrictingkallkaccessktokfoodkinkthekhousekandkatkschool
, BURNS PEDIATRIC FINAL EXAM STUDY GUIDE QUES
k k k k k k
TION AND ANSWERS LATEST VERSION VERIFIED RAT
k k k k k k
IONALE GRADED A+ k k
c.kc.kSuggestingkankafter-schoolkexercisekprogramktokhelpkwithkweightkloss
d.kd.kUsingkakfoodkdiaryktoktrackkallkcalorieskandkfoodkintakek-kansANS:kB
Childrenkwithkbrainkdysfunctionkaffectingkhypothalamickcontrolkmaykneedkrigidkrestrictionskof
accessktokallkfoodskinkrefrigerators,kcupboards,kandkevenkgarbagekcans
1.k1.kThekprimarykcarekpediatricknursekpractitionerkiskexaminingkaknewbornkwhokis
breastfeedingkandknoteskthekpresencekofkankankyloglossia.kWhatkwillktheknursekpractitioner
doknext?
a.ka.kAskkthekmotherkifkthekinfantkhaskanykfeedingkdifficulties.
b.kb.kReferkthekinfantkforkakpossiblekfrenulectomy.
c.kc.kSchedulekankappointmentkwithkaklactationkconsultant.
d.kd.kSuggestkthatkthekmotherkfeedkbreastkmilkkbykbottle.k-kansANS:kA
Infantskwithkankyloglossiakmaykhavekdifficultykfeedingkifkthektonguekdoesknotkextendkwell.kThe
PNPkshouldkfirstkassesskfeedingkdifficultieskandkthenkmaykreferkforkaklactationkconsultantkor
considerkakfrenulectomy.
1.k10.kThekmotherkofkak3-year-oldkchildktakeskthekchildktokakplaykgroupkoncekakweek.
Shekexpresseskconcernkthatkthekchildkplayskwithktoyskbutkdoesknotkinteractkwithkthekother
toddlers.kWhatkwillkthekprimarykcarekpediatricknursekpractitionerkcounselkthekmother?
a.ka.kThekchildkprobablykiskverykshykbutkwillkoutgrowkthisktendencykwithkrepeated
exposurektokotherkchildren.
b.kb.kThektoddlerkmaykhavekaklanguagekdelaykthatkinterfereskwithksocializationkwith
otherkchildren.
c.kc.kToddlerskmaykbekinterestedkinkotherkchildrenkbutkusuallykdoknotkengagekin
interactivekplay.
k k k k k k
TION AND ANSWERS LATEST VERSION VERIFIED RAT
k k k k k k
IONALE GRADED A+ k k
-kans
1.k1.kAkchildkhaskak1-cmklacerationkonkthekforeheadkproximalktokthekhairlinekafter
runningkintokakpolekwhilekplayingksports.kTokminimizekthekriskkofkinfection,kthekprimarykcare
pediatricknursekpractitionerkwillkirrigatekthekwoundkand
a.ka.kallowkthekwoundktokhealkbyksecondarykintention.
b.kb.kdelaykclosurekofkthekwoundkforkseveralkdays.
c.kc.kreferkthekchildktokakplasticksurgeonkforkwoundkclosure.
d.kd.ksuturekthekwoundkwithink6khours.k-kansANS:kD
Childrenkareklessklikelykthankadultsktokgetkwoundkinfections,kwithkankinfectionkratekfromksutured
lacerationskatk2%.kThekPNPkshouldkcleankandksuturekthekwound.kWoundskfromkanimalkbiteskare
oftenkleftktokhealkbyksecondarykintentionktokpreventkinfection.kReferralktokakplasticksurgeonkis
necessarykforkcosmetickreasons.kDelayingkclosurekforkseveralkdayskiskrecommendedkforkheavily
contaminatedkwoundskandkthosekcausedkbykhigh-velocitykmissilekinjuries,kcrushkinjuries,kand
explosionkinjuries.
1.k1.kAccordingktokthek2007kNHISkanalysiskofkthekusekofkCAMktherapy,kusekwaskhigher
amongk:
a.ka.kfamilieskwhosekparentkorkparentskhadkakcollegekeducation.
b.kb.kHispanickandkAfrican-Americankpopulations.
c.kc.kpersonskwhokhadknotkrecentlyktakenkprescriptionkmedications.
d.kd.kthoseklivingkinkhouseholdskearningklesskthank$65,000.k-kansANS:kA
ThekNHISkreviewkshowedkthatkCAMkusekwaskhigherkinkhouseholdskwithkatkleastkonekcollege-
educatedkparent.kCAMkusekwaskalsokhigherkinknon-HispanickCaucasians,kpersonskwhokhad
,BURNS PEDIATRIC FINAL EXAM STUDY GUIDE QUES
k k k k k k
TION AND ANSWERS LATEST VERSION VERIFIED RAT
k k k k k k
IONALE GRADED A+ k k
takenkprescriptionkdrugskwithinkthekpastk3kmonths,kandkthoseklivingkinkhouseholdskwithkincomes
higherkthank$65,000.
1.k1.kThekmotherkofkak15-year-oldkfemalekexpresseskconcernskthatkherkdaughterkmaykbe
sexuallykactivekbecausekshe'skhadkaksteadykboyfriendkforkoverkakyear.kThekprimarykcare
pediatricknursekpractitionerklearnskthatkthekfamilykiskCatholickandkthatkthekmotherkhadkan
abortionkwhenkshekwask16kyearskold.kWhatkwillktheknursekpractitionerkdokinitially?
a.ka.kExplorekthekmother'skfeelingskaboutkherkownkpastkexperience.
b.kb.kOfferktokprescribekcontraceptionktokpreventkpregnancy.
c.kc.kRecommendkthatkthekmotherkdiscusskthiskwithkherkdaughter.
d.kd.kSuggestkthatkthekmotherktalkktokakpriestkaboutkherkdaughter.k-kansANS:kA
Ankinitialkstepkwhenkassistingkfamiliesktokmanagekethicalkandkbehavioralkissueskisktokassist
parentskandkchildrenkinkvalueskclarification.kBeforekofferingkotherksuggestions,kthekPNPkshould
helpkthekmotherktokclarifykherkownkfeelings.kThekotherkoptionskmaykbeknecessarykafterkvalueskare
clarified.
1.k1.kThekparentkofkak4-year-oldkpointsktokakpicturekandksays,k"That'skyourksister."kThe
childkrespondskbyksaying,k"No!kIt'skmykbaby!"kThiskiskankexamplekofkwhichktypekofkthinkingkin
preschool-agekchildren?
a.ka.kAnimism
b.kb.kArtificialism
c.kc.kEgocentrism
d.kd.kRealismk-kansANS:kD
Childrenkatkthiskagekarekdevelopingktheirkabilityktokestablishkcausality.kNominalkrealismkoccurs
,BURNS PEDIATRIC FINAL EXAM STUDY GUIDE QUES
k k k k k k
TION AND ANSWERS LATEST VERSION VERIFIED RAT
k k k k k k
IONALE GRADED A+ k k
whenkchildrenkthinkkthatkonektypekofkthingkcankonlykbekcalledkbykonekname.kAllkdogskarekdogs
andknotkvariouskbreeds.kAnimismkrefersktokthekbeliefkthatkobjectskpossesskperson-likekqualities.
Artificialismkoccurskwhenkchildrenkthinkkthingskarekcausedkbykakcontrollingkforce.kEgocentrismkis
whenkchildrenkseekthingskonlykasktheykrelatektokthemselves.
1.k1.kThekparentkofkakschool-agekchildkreportskthatkthekchildkusuallykhaskallergickrhinitis
symptomskbeginningkeachkfallkandkthatknon-sedatingkantihistamineskarekonlykmarginally
effective,kespeciallykforknasalkobstructionksymptoms.kWhatkwillkthekprimarykcarekpediatric
nursekpractitionerkdo?
a.ka.kOrderkankintranasalkcorticosteroidktokbegink1ktok2kweekskpriorktokpollenkseason.
b.kb.kPrescribekakdecongestantkmedicationkaskadjunctktherapykduringkpollenkseason.
c.kc.kRecommendkaddingkdiphenhydraminektokthekchild'skregimenkforkadditional
relief.
d.kd.kSuggestkusingkankover-the-counterkintranasalkdecongestant.k-kansANS:kA
Intranasalkcorticosteroidskarekakkeykcomponentkinklong-termktherapyktokmanageksymptoms
associatedkwithkAR.kThesekshouldkbekbegunk1ktok2kweekskpriorktokthekbeginningkofkpollen
season.kDecongestantskareknotkrecommendedkforklong-termkusekbecausekofksidekeffects.
Diphenhydraminekcauseskdaytimekdrowsiness.
1.k1.kThekprimarykcarekpediatricknursekpractitionerkiskevaluatingkakschool-agekchildkwho,
afterkremovalkofkakpituitaryktumor,khaskalteredkhypothalamickcontrolkoverkhungerkandksatiety.
Thekchildkiskmorbidlykobesekandkexpresseskfeelingkdepressedkbecausekofkthekobesity.kWhat
willktheknursekpractitionerkrecommend?
a.ka.kDevelopingkaksystemktokrewardkcompliancekwithkakdietarykregimen
b.kb.kRestrictingkallkaccessktokfoodkinkthekhousekandkatkschool
, BURNS PEDIATRIC FINAL EXAM STUDY GUIDE QUES
k k k k k k
TION AND ANSWERS LATEST VERSION VERIFIED RAT
k k k k k k
IONALE GRADED A+ k k
c.kc.kSuggestingkankafter-schoolkexercisekprogramktokhelpkwithkweightkloss
d.kd.kUsingkakfoodkdiaryktoktrackkallkcalorieskandkfoodkintakek-kansANS:kB
Childrenkwithkbrainkdysfunctionkaffectingkhypothalamickcontrolkmaykneedkrigidkrestrictionskof
accessktokallkfoodskinkrefrigerators,kcupboards,kandkevenkgarbagekcans
1.k1.kThekprimarykcarekpediatricknursekpractitionerkiskexaminingkaknewbornkwhokis
breastfeedingkandknoteskthekpresencekofkankankyloglossia.kWhatkwillktheknursekpractitioner
doknext?
a.ka.kAskkthekmotherkifkthekinfantkhaskanykfeedingkdifficulties.
b.kb.kReferkthekinfantkforkakpossiblekfrenulectomy.
c.kc.kSchedulekankappointmentkwithkaklactationkconsultant.
d.kd.kSuggestkthatkthekmotherkfeedkbreastkmilkkbykbottle.k-kansANS:kA
Infantskwithkankyloglossiakmaykhavekdifficultykfeedingkifkthektonguekdoesknotkextendkwell.kThe
PNPkshouldkfirstkassesskfeedingkdifficultieskandkthenkmaykreferkforkaklactationkconsultantkor
considerkakfrenulectomy.
1.k10.kThekmotherkofkak3-year-oldkchildktakeskthekchildktokakplaykgroupkoncekakweek.
Shekexpresseskconcernkthatkthekchildkplayskwithktoyskbutkdoesknotkinteractkwithkthekother
toddlers.kWhatkwillkthekprimarykcarekpediatricknursekpractitionerkcounselkthekmother?
a.ka.kThekchildkprobablykiskverykshykbutkwillkoutgrowkthisktendencykwithkrepeated
exposurektokotherkchildren.
b.kb.kThektoddlerkmaykhavekaklanguagekdelaykthatkinterfereskwithksocializationkwith
otherkchildren.
c.kc.kToddlerskmaykbekinterestedkinkotherkchildrenkbutkusuallykdoknotkengagekin
interactivekplay.
