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BURNS PEDIATRIC PRIMARY CARE 7TH EDITION TEST

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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 achieve the greatest

worldwide reduction in child mortality from pneumonia and diarrhea, which intervention

is 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

.

,4. The primary care pediatric nurse practitioner understands that a major child

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, the primary care pediatric

nurse practitioner is adhering to the most recent American Academy of

PediatricsRecommendations 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 are due.




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 inpatient psychiatric treatment.

,2. In an area where he can be watched one-on-one.

3. With a roommate that is expressing the same concerns.

4. In an area close to an external door. ANS: 2



3. Learning disabilities in children have scientifically been linked to:

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 child exhibits behavioral

challenges.

When the school nurse explains this to a teacher, the best description would be:




.


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 this behavior pattern for

the last week.

The reason a child may revert back to this behavior pattern is because of:

1. Hallucinations.

2. Behavioral challenges.

, 6. An 18-year-old male has called the crisis line for help. The crisis nurse recognizes the

intervention 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 has been place in a

seclusion room

at the hospital because he has been hurting others. The nurse checks on the patient 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 the trash 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 have discharge planning

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