Pediatrics Final Exam Review Questions and
Answers
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
d. Water purification - -c. Vaccinations
-What is an important responsibility of the primary care pediatric nurse practitioner to
help determine genetic risk factors in families?
a. Assessing physical characteristics of genetic disorder.
b. Knowing which genetic screening tests to perform.
c. Making appropriate referrals to pediatric geneticists.
d. Obtaining a three-generation pedigree for each family. - -d. Obtaining a three-generation
pedigree for each family.
-All of the following are suitable interventions for a child diagnosed with several complex
health conditions EXCEPT?
a. Maintaining the child's routine vaccinations as well as a yearly flu shot.
b. Providing diagnosis and treatment for the child's acute onset of ear fullness and pain.
c. Providing an explanation regarding the use and care of the client's respiratory support
equipment.
d. Discussing the expected physical implications of puberty with the patient's parents. - -
XXXXXXXXXXX
-What has been the result of passage of the Toxic Substances Control Act (TSCA) of 1976?
a. A mandate for corporations to disclose known toxic chemicals.
b. A requirement that all manufactured chemicals undergo toxicity testing.
c. Authorization of the EPA to require testing and reporting of some chemicals.
d. Development of mechanism to report reactions to toxic chemicals. - -c. Authorization of
the EPA to require testing and reporting of some chemicals.
-Which type of testing will the primary care pediatric nurse practitioner recommend for a
couple concerned about the potential for having children with cystic fibrosis?
a. Biochemical testing
b. Carrier testing
c. FISH testing
d. Karyotype testing - -b. Carrier testing
-Many European nations use the "precautionary principle" to help regulate potentially
toxic chemicals. What does this mean?
,a. Chemicals must be proven to be safe before being introduced into the environment.
b. Corporations maybe exempt from testing if their costs in doing so are too high.
c. Regulators must demonstrate risk to the public before banning a chemical.
d. Without a strong risk, corporations need not release data about their products. - -a.
Chemicals must be proven to be safe before being introduced into the environment.
-The primary care pediatric nurse practitioner (PNP) prescribes a twice daily inhaled
corticosteroid for a 12-year-old child. At a well child visit, the child reports not using the
medication on a regular basis. Which response by the pediatric nurse practitioner
demonstrates an understanding of client-centered care?
a. Asking the child to describe usual daily routines and schedules
b. Referring the family to a social worker to help with medication compliance
c. Reviewing the asthma action plan with the parent and the child
d. Teaching the child how the medication will help to control asthma symptoms - -a. Asking
the child to describe usual daily routines and schedules
-What is the foundational basis of patient-and-family centered care (PFCC)?
a. The family is to be considered when patient care is being planned
b. The patient has ultimate control over health care decisions.
c. A family member acts as the patient's surrogate decision maker.
d. The patient is the focus of the primary care providers attention. - -b. The patient has
ultimate control over health care decisions.
-Which is true about the health status of children in the United States?
a. Globalism has relatively little impact on child health measures in the U.S.
b. Obesity rates among 2 to 5 years old have shown a recent significant decrease.
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 - -b.
Obesity rates among 2 to 5 years old have shown a recent significant decrease.
-What is the criteria for Supplemental Security Income (SSI) approval?
a. The existing impairment is chronic
b. The impairment is life threatening
c. The family is unable to cover health care costs
d. The child is a ward of the state - -b. The impairment is life threatening
-Which region globally has the highest infant mortality rate?
a. Indonesia
b. Southern Asia
c. SubSaharan Africa
d. Syria - -b. Southern Asia
-Which complex health condition is the result of chromosomal defect causing varied
physical and emotional symptoms?
a. Cerebral Palsy
b. Prader-Willi Syndrome
,c. Cystic Fibrosis
d. Diabetes - -b. Prader-Willi Syndrome
-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
d. Pollution - -c. Nutrition
-A primary care pediatric nurse practitioner working in a community health center wishes
to develop a program to assist impoverished children and families to have access to healthy
foods. Which strategy will the pediatric nurse practitioner employ to ensure the success of
such a program?
a. Asking community members to assist in researching and implementing a program
b. Designing a community garden approach that involves children and their parents
c. Gaining support from the corporate community to provide needed resources
d. Providing evidence-based information about the importance of a healthy diet - -a. Asking
community members to assist in researching and implementing a program
-The primary care pediatric nurse practitioner in a community health center meets a
family who has recently immigrated to the United States who speak only Karon. They
arrive in the clinic with a church sponsor, who translates for them. The pediatric nurse
practitioner notices that the sponsor answers for the family without giving them time to
speak. The pediatric nurse practitioner will implement what intervention to help with
communication?
a. Ask the sponsor to allow the family to respond.
b. Develop the plan of care and ask the sponsor to make sure it is followed.
c. Request that the sponsor translate written instructions for the family.
d. Use the telephone interpreter service to communicate with the family. - -d. Use the
telephone interpreter service to communicate with the family.
-The primary care pediatric nurse practitioner in a community health center meets a
family who has recently immigrated to the United States who speak only Karon. They
arrive in the clinic with a church sponsor, who translates for them. The pediatric nurse
practitioner notices that the sponsor answers for the family without giving them time to
speak. The pediatric nurse practitioner will implement what intervention to help with
communication?
a. Ask the sponsor to allow the family to respond.
b. Develop the plan of care and ask the sponsor to make sure it is followed.
c. Request that the sponsor translate written instructions for the family.
d. Use the telephone interpreter service to communicate with the family. - -d. Use the
telephone interpreter service to communicate with the family.
-Support for a child with complex health issues may require the use of what high level tech
equipment?
, a. Urinary catheter
b. Enteral feeding pump
c. A handheld magnifier
d. Crutches - -b. Enteral feeding pump
-The primary care pediatric nurse practitioner works with families from a variety of
cultures and socioeconomic classes. Which is an example of cultural humility in practice?
a. Giving health care advice that takes cultural differences into account
b. Identification of other cultures that may be superior to one's own culture
c. Receptivity to learning about the perspectives of other cultures
d. Respecting other cultures while maintaining the views of one's own - -c. Receptivity to
learning about the perspectives of other cultures
-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 Pediatrics
Recommendations for Preventive Pediatric Health Care Guidelines by:
a. Focusing less on development and more illness prevention and nutrition.
b. Following guidelines established by the Bright Futures publication
c. Scheduling well baby visits to coincide with key developmental milestones.
d. Seeing the infant at ages 2, 4, 6, and 12 months when immunizations are due. - -c.
Scheduling well baby visits to coincide with key developmental milestones.
-What is the greatest barrier to securing home health care for a child with complex medical
needs?
a. Shortage of trained service providers
b. Reimbursement for needed skilled nursing services
c. Parent resistance to accepting such service
d. Acquiring the necessary service related referral - -b. Reimbursement for needed skilled
nursing services
-The primary care pediatric nurse practitioner is examining a child whose parents recently
emigrated from a war-torn country in the Middle East. Which is a priority assessment when
performing the patient history?
a. Asking about physical, psychological, and emotional trauma
b. Determining the parents' English language competency and literacy level
c. Learning about cultural preferences and complementary medicine practices
d. Reviewing the child's previous health and illness records - -a. Asking about physical,
psychological, and emotional trauma
-The primary care pediatric nurse practitioner cares for children from a Native American
family and learns that they used many herbs to treat and prevent illness. Which approach
will the pediatric nurse practitioner use to promote optimum health in the children?
a. Ask about the types of practices used and when they are applied.
b. Provide a list of harmful herbs and ask the family to avoid those.
c. Suggest that the family avoid using these remedies in their children.
Answers
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
d. Water purification - -c. Vaccinations
-What is an important responsibility of the primary care pediatric nurse practitioner to
help determine genetic risk factors in families?
a. Assessing physical characteristics of genetic disorder.
b. Knowing which genetic screening tests to perform.
c. Making appropriate referrals to pediatric geneticists.
d. Obtaining a three-generation pedigree for each family. - -d. Obtaining a three-generation
pedigree for each family.
-All of the following are suitable interventions for a child diagnosed with several complex
health conditions EXCEPT?
a. Maintaining the child's routine vaccinations as well as a yearly flu shot.
b. Providing diagnosis and treatment for the child's acute onset of ear fullness and pain.
c. Providing an explanation regarding the use and care of the client's respiratory support
equipment.
d. Discussing the expected physical implications of puberty with the patient's parents. - -
XXXXXXXXXXX
-What has been the result of passage of the Toxic Substances Control Act (TSCA) of 1976?
a. A mandate for corporations to disclose known toxic chemicals.
b. A requirement that all manufactured chemicals undergo toxicity testing.
c. Authorization of the EPA to require testing and reporting of some chemicals.
d. Development of mechanism to report reactions to toxic chemicals. - -c. Authorization of
the EPA to require testing and reporting of some chemicals.
-Which type of testing will the primary care pediatric nurse practitioner recommend for a
couple concerned about the potential for having children with cystic fibrosis?
a. Biochemical testing
b. Carrier testing
c. FISH testing
d. Karyotype testing - -b. Carrier testing
-Many European nations use the "precautionary principle" to help regulate potentially
toxic chemicals. What does this mean?
,a. Chemicals must be proven to be safe before being introduced into the environment.
b. Corporations maybe exempt from testing if their costs in doing so are too high.
c. Regulators must demonstrate risk to the public before banning a chemical.
d. Without a strong risk, corporations need not release data about their products. - -a.
Chemicals must be proven to be safe before being introduced into the environment.
-The primary care pediatric nurse practitioner (PNP) prescribes a twice daily inhaled
corticosteroid for a 12-year-old child. At a well child visit, the child reports not using the
medication on a regular basis. Which response by the pediatric nurse practitioner
demonstrates an understanding of client-centered care?
a. Asking the child to describe usual daily routines and schedules
b. Referring the family to a social worker to help with medication compliance
c. Reviewing the asthma action plan with the parent and the child
d. Teaching the child how the medication will help to control asthma symptoms - -a. Asking
the child to describe usual daily routines and schedules
-What is the foundational basis of patient-and-family centered care (PFCC)?
a. The family is to be considered when patient care is being planned
b. The patient has ultimate control over health care decisions.
c. A family member acts as the patient's surrogate decision maker.
d. The patient is the focus of the primary care providers attention. - -b. The patient has
ultimate control over health care decisions.
-Which is true about the health status of children in the United States?
a. Globalism has relatively little impact on child health measures in the U.S.
b. Obesity rates among 2 to 5 years old have shown a recent significant decrease.
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 - -b.
Obesity rates among 2 to 5 years old have shown a recent significant decrease.
-What is the criteria for Supplemental Security Income (SSI) approval?
a. The existing impairment is chronic
b. The impairment is life threatening
c. The family is unable to cover health care costs
d. The child is a ward of the state - -b. The impairment is life threatening
-Which region globally has the highest infant mortality rate?
a. Indonesia
b. Southern Asia
c. SubSaharan Africa
d. Syria - -b. Southern Asia
-Which complex health condition is the result of chromosomal defect causing varied
physical and emotional symptoms?
a. Cerebral Palsy
b. Prader-Willi Syndrome
,c. Cystic Fibrosis
d. Diabetes - -b. Prader-Willi Syndrome
-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
d. Pollution - -c. Nutrition
-A primary care pediatric nurse practitioner working in a community health center wishes
to develop a program to assist impoverished children and families to have access to healthy
foods. Which strategy will the pediatric nurse practitioner employ to ensure the success of
such a program?
a. Asking community members to assist in researching and implementing a program
b. Designing a community garden approach that involves children and their parents
c. Gaining support from the corporate community to provide needed resources
d. Providing evidence-based information about the importance of a healthy diet - -a. Asking
community members to assist in researching and implementing a program
-The primary care pediatric nurse practitioner in a community health center meets a
family who has recently immigrated to the United States who speak only Karon. They
arrive in the clinic with a church sponsor, who translates for them. The pediatric nurse
practitioner notices that the sponsor answers for the family without giving them time to
speak. The pediatric nurse practitioner will implement what intervention to help with
communication?
a. Ask the sponsor to allow the family to respond.
b. Develop the plan of care and ask the sponsor to make sure it is followed.
c. Request that the sponsor translate written instructions for the family.
d. Use the telephone interpreter service to communicate with the family. - -d. Use the
telephone interpreter service to communicate with the family.
-The primary care pediatric nurse practitioner in a community health center meets a
family who has recently immigrated to the United States who speak only Karon. They
arrive in the clinic with a church sponsor, who translates for them. The pediatric nurse
practitioner notices that the sponsor answers for the family without giving them time to
speak. The pediatric nurse practitioner will implement what intervention to help with
communication?
a. Ask the sponsor to allow the family to respond.
b. Develop the plan of care and ask the sponsor to make sure it is followed.
c. Request that the sponsor translate written instructions for the family.
d. Use the telephone interpreter service to communicate with the family. - -d. Use the
telephone interpreter service to communicate with the family.
-Support for a child with complex health issues may require the use of what high level tech
equipment?
, a. Urinary catheter
b. Enteral feeding pump
c. A handheld magnifier
d. Crutches - -b. Enteral feeding pump
-The primary care pediatric nurse practitioner works with families from a variety of
cultures and socioeconomic classes. Which is an example of cultural humility in practice?
a. Giving health care advice that takes cultural differences into account
b. Identification of other cultures that may be superior to one's own culture
c. Receptivity to learning about the perspectives of other cultures
d. Respecting other cultures while maintaining the views of one's own - -c. Receptivity to
learning about the perspectives of other cultures
-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 Pediatrics
Recommendations for Preventive Pediatric Health Care Guidelines by:
a. Focusing less on development and more illness prevention and nutrition.
b. Following guidelines established by the Bright Futures publication
c. Scheduling well baby visits to coincide with key developmental milestones.
d. Seeing the infant at ages 2, 4, 6, and 12 months when immunizations are due. - -c.
Scheduling well baby visits to coincide with key developmental milestones.
-What is the greatest barrier to securing home health care for a child with complex medical
needs?
a. Shortage of trained service providers
b. Reimbursement for needed skilled nursing services
c. Parent resistance to accepting such service
d. Acquiring the necessary service related referral - -b. Reimbursement for needed skilled
nursing services
-The primary care pediatric nurse practitioner is examining a child whose parents recently
emigrated from a war-torn country in the Middle East. Which is a priority assessment when
performing the patient history?
a. Asking about physical, psychological, and emotional trauma
b. Determining the parents' English language competency and literacy level
c. Learning about cultural preferences and complementary medicine practices
d. Reviewing the child's previous health and illness records - -a. Asking about physical,
psychological, and emotional trauma
-The primary care pediatric nurse practitioner cares for children from a Native American
family and learns that they used many herbs to treat and prevent illness. Which approach
will the pediatric nurse practitioner use to promote optimum health in the children?
a. Ask about the types of practices used and when they are applied.
b. Provide a list of harmful herbs and ask the family to avoid those.
c. Suggest that the family avoid using these remedies in their children.
