Test Bank For Burns' Pediatric Primary Care
7th Edition
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?
.
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A. Globalism has relatively little impact on child health measures in the U.S.
B. Obesity rates among 2to5yearolds have shown a
recentsignificant
decrease. Correct
.
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.
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
developmentalmilestones. 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. The teen
has been expressing thoughts of hanging himself because Life sucks. The
nursing staff should consider
placing the child:
1. With peers.
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 wouldbe:
.
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.
3. Delusions.
4. Stress.
ANS: 4
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.

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F. They replicate via the process of mitosis.
2. What does the following genetic notation symbol mean 47,XX,6q?
.
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A. Male with deletion of chromosome 6
B. Female with deletion of chromosome 6
C. Male with deletion on the long arm of chromosome 6
D. Female with deletion on the long arm of chromosome 6
Correct
3. A child has a recessive genetic disorder that is homozygous for that
mutation.
.
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What is most likely about this child’s parents?
A. Neither parent has a copy of that

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recessive disorder, is present in males in three previous
generations in the mother’s family, whose father had the disease. What willthe
primary care
pediatric nurse practitioner tell the parents about the risk of this disease in their
children?
E. All of their sons will be affected by the disease.
F. Any sons they have will not be affected by the disease.
G. Daughters have a 50% chance of being carriers of the
disease.Correct
H. Their daughter has a 25% chance of having the disease.
8. What is an important responsibility of the primary care pediatric nurse
practitioner . to
help determine genetic risk factors in families?
E. Assessing physical characteristics of genetic disorders
F. Knowing which genetic screening tests to perform
G. Making appropriate referrals to pediatric geneticists
D. Obtaining a
threegeneration pedigree for
each family Correct
9. Which diagnostic study may be ordered when the provider wishes

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Chapter 4. Environmental Issues
Questions
1. What has been the result of passage of the Toxic Substances Control Act.
(TSCA) of 1976?
G. A mandate for corporations to disclose known toxic chemicals
H. A requirement that all manufactured chemicals undergo toxicity testing
I. Authorization of the EPA to require testing and reporting of
somechemicals Correct
J. Development of a mechanism to report reactions to toxic chemicals
2. Many European nations use the “precautionary principle” to help regulate
potentially toxic chemicals. What does this mean?
G. Chemicals must be proven to be safe before being
introducedinto the

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environment. Correct
H. Corporations may be exempt from testing if their costs in doing so
are too high.
I. Regulators must demonstrate risk to the public before banning a
chemical.
J. Without a strong risk, corporations need not release data about
theirproducts.
3. During a clinic visit, a child’s rapid capillary screening test for lead revealsa
level of 11 mcg/dL. What will the primary care pediatric nurse practitioner do
next?
I. Institute lead abatement measures in the child’s home.
J. Monitor lead levels monthly until decreased.
K. Order a venous sample to test for lead levels. Correct
L.

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I. Thirdhandsmoke exposure risks may last for years even
if themother quits now. Correct
7. A child who has been playing in a public park is brought to the clinic with
wheezing, vomiting, diarrhea, and drooling. A physical exam reveals a low
heart
rate and diaphoresis. What will the primary care pediatric nurse practitioner
suspect as a cause for these symptoms?
B. Arsenic consumption
C. Lead poisoning
C. Organophosphate exposure Correct
D. Phthalate ingestion
8. A parent asks about ways to limit exposure to risks associated with
plastics.

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behavior, requiring frequent treatments with laxative medications. Which
diagnosis will the nurse practitioner use to facilitate thirdparty
reimbursement?
M. Altered elimination pattern
N. Elimination disorder
C. Encopresis Correct
D. Parenting alteration
4. The primary care pediatric nurse practitioner is assessing a toddler whose
weight and body mass index (BMI) are below the 3rd percentile for age. The
nurse practitioner
learns that the child does not have regular mealtimes and is allowed to carrya
bottle of juice
around at all times. The nurse practitioner plans to work with this family to
develop improved meal
patterns. Which diagnosis will the nurse practitioner use for this problem?

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E. Administer a Childhood Autism Rating Scale (CARS) in the clinic.
F. Consult a specialist to determine appropriate early intervention
strategies.
G. Refer the child to a behavioral specialist for further
evaluation.Correct
H. Tell the parent that this result indicates that the child has autism.
8. The primary care pediatric nurse practitioner learns that the mother of a
3yearold
child has been treated for depression for over 5 years. Which aspect of this
child’s
development will be of the most concern to the nurse practitioner?

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R. Tell the parents to use the herbs in conjunction with modern medications.
4. 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?
M. Giving health care advice that takes cultural differences into account
N. Identification of other cultures that may be superior to one’s own culture
C. Receptivity to learning about the perspectives of other
culturesCorrect
D. Respecting other cultures while maintaining the views of one’s own
5. A Somalian immigrant mother is concerned that her 8yearold

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families to have access
to healthy foods. Which strategy will the pediatric nurse practitioner employto
ensure the
success of such a program?
G. Asking community members to assist in
researching andimplementing a
program Correct
H. Designing a community garden approach that involves children and their
parents
I. Gaining support from the corporate community to provide needed
resources
J. Providing evidencebased information about the importance of a
healthydiet
9. The parents of a special needs child tell the primary care pediatric nurse
practitioner that they are planning a 3month

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and discuss the findings with the doctor.
4. Document the normal findings.
ANS: 3
3. A child with a diagnosis of schizencephaly is assigned to a new nurse onthe
pediatric floor. The new nurse has not worked with a child with this diagnosis
before. A career nurse discusses the plan of care needed for the child with the
new nurse. It will be important to:
1. Assess the side of the body that has paralysis for any lesions or sores.
2. Let the patient do as much as possible for activities of daily.
3. Discourage the patient to move the paralyzed side of the body.

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1. The medication may not be in the therapeutic range.
2. Temporal lobe seizures do not respond well to medications.
3. The daughter may be missing doses of her medication.
4. The food her daughter eats may have a negative reaction with the
medication, causing more seizures.
ANS: 2
10. Which of the following types of epilepsy are photosensitive?
1. Juvenile myoclonic epilepsy
2. Temporal lobe epilepsy
3. Febrile seizures
4. Childhood absence epilepsy
ANS: 1
1. A child who had a seizure one hour ago is exhibiting signs of paralysis onthe
left side of the body.

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Test Bank for Burns' Pediatric Primary Care, 7th Edition (Chapters 1-46)

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