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

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Test Bank ForBurns'PediatricPrimaryCare7thEditionChapter1:HealthStatusofChildren:GlobalandNationalPerspectives1.Whichregiongloballyhasthehighestinfantmortalityrate?A.IndonesiaB.SouthernAsiaC.SubSaharanAfricaCorrectD.Syria2.Theprimarycarepediatricnursepractitionerunderstandsthat,toachievethegreatestworldwidereduction in child mortality from pneumonia and diarrhea, which interventionismosteffective?A.AntibioticsB.OptimalnutritionC.VaccinationsCorrectD.Waterpurification3.WhichistrueaboutthehealthstatusofchildrenintheUnitedStates?.13348413856A.Globalismhasrelativelylittleimpactonchildhealthmeasures intheU.S.B.Obesityratesamong2to5yearoldshaveshownarecentsignificantdecrease.Correct.C.Therateofhouseholdpovertyislowerthaninothereconomicallydevelopednations.D.Youngchildrenwhoattendpreschoolordaycarehavehigherfoodinsecurity.4.TheprimarycarepediatricnursepractitionerunderstandsthatamajorchildhealthoutcomeassociatedwithworldwideclimatechangeisA.costofliving.B.education.C.nutrition.CorrectD.pollution.

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5.Whenprovidingwellchildcareforaninfantinthefirstyearoflife,theprimarycarepediatricnursepractitionerisadheringtothemostrecentAmericanAcademyofPediatricsRecommendationsforPreventivePediatricHealthCareguidelinesbyA.focusinglessondevelopmentandmoreonillnesspreventionandnutrition.B.followingguidelinesestablishedby theBrightFuturespublication.C.schedulingwellbabyvisitstocoincidewithkeydevelopmentalmilestones.CorrectD.seeingtheinfantatages2,4,6,and12monthswhenimmunizationsaredue.Chapter2.UniqueIssuesinPediatrics1.Anurseisexplainingthetherapeuticmilieutoanewnurse.Thebestexplanationofthistermwouldbe:1.Theplacewherethechildisreceivingcare.

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2.Grouptherapy.3.Personalinteractions betweenpatientsandstaff.4.Alloftheabovearecorrect.ANS:42. A 16-year-old male has received a pink-slip fromthe police for inpatientpsychiatrictreatment.TheteenhasbeenexpressingthoughtsofhanginghimselfbecauseLifesucks.Thenursingstaffshouldconsiderplacingthechild:1.Withpeers.2.Inanareawherehecanbewatchedone-on-one.3.Witharoommatethatisexpressingthesameconcerns.4.In an area close to an external door.ANS:23.Learningdisabilitiesinchildrenhavescientificallybeenlinkedto:1.Poornutrition.2.Theenvironment inwhichthechildlives.3.Genetics.4.Watching morethan fourhoursoftelevisionaday.ANS:34.Amentalhealthnursehasassessedachildanddeterminedthatthechildexhibitsbehavioralchallenges.Whentheschoolnurseexplainsthistoateacher,thebestdescriptionwouldbe:.1.Thechildmayexhibitphysicaloutbursts.2.Thechildmayexhibitviolencetoward others.3.Thechildmaybedefiantorhavetantrums.4.Thechildwillneedspecialinterventionsforlearning.ANS:35.Achildthathasnotexhibitedenuresisinfouryearshasexhibitedthisbehaviorpatternforthelastweek.Thereasonachildmayrevertbacktothisbehaviorpatternisbecauseof:1.Hallucinations.2.Behavioralchallenges.3.Delusions.4.Stress.ANS:46.An18-year-oldmalehascalledthecrisislinefor help.The crisisnurserecognizestheinterventionneedsmayconsistofallofthefollowingexcept:

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1.Discussingtheindividualseverydayactivities.2.Recognizingthatthepatientmaybeinacatharsisstate.3.Expressingempathytowardthecaller.4.Avoidingentropy.ANS:17.An8-year-oldboywithahistoryofhallucinationsandviolentbehaviorhasbeenplaceinaseclusionroomatthehospitalbecausehehasbeenhurtingothers.Thenursechecksonthepatientandrealizes shemusttakehimoutoftheseclusionroomwhen:1.Heiscryingtobereleased.

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2.Hestates,Iwillbeagoodboy now..3.Hestarts headbuttingthewindow.4.Hecomplainsthathisparentswillfilealawsuit.ANS:38.AchildhasbeenexhibitingtheMacDonaldTriad.Thesebehaviorsinclude:1.Enuresis,pushingothers,andpyromania.2.Swinging a cat by the tail, bed-wetting, and lighting paper on fire in thetrashcan.3.Playingwithotherchildren,laughing,andconversingwithadults.4.Playing with a campfire, watching television, and seeking adult attention.ANS:29.Ateenagerdiagnosedwithborderlinepersonalitydisordershouldhavedischargeplanninginstructionsof:1.A consistentcaregiver.2.Monitoringofmedia,suchastheInternet,television,andvideogames.3.Obtainingsupportfromfamilyandfriends.4.Seekingmedicalattentionwhentheteenagerfeelsgood.ANS:310.Amentalhealthnurseisteachingthemotherofachildwithexecutivefunctioningissuesways tohelpherchild.Interventionsthemothershoulduseinclude:1.Placing visual aids on the bathroommirror so that the child will follow themorningroutine.2.Givethechildachoiceinfoodstoeat.3.Allowingthe childto askfor helpwhenneeded.4.Reminding the child to be nice to others.ANS:1.11. Ellie, a 9-year-old girl, was adopted by a family atthe age of 4 afterseveralyearsofsevereneglectbyherbirthfamily.TheadoptivefamilyhasbeenreportingthatEllieisangryalot,manipulativewithherteachers,anddoesnotseekpositiveattention.ThenurseworkingwithElliewillneedto:1.Provideeducationondecreasingstimuliinthehomeenvironmentthattriggerstheanger.2.RealizeElliemayhaveattachmentissuesrelatedtoherprevioushistoryandwillneedtoencouragethefamilytobeactiveinhercare.3.Supportthefamilyinthedecision-makingprocessofcontinuingtoletEllieliveinthehome.4.DiscussinpatienttherapytodecreaseElliesmanipulativebehavior

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patterns.ANS:212.Aninfantdisplaysdepressionby:1.Smilingatstrangers.2.Bondingtosomeoneotherthantheimmediatefamily.3.Cryingmorethananaverageinfant.4.Looksawaywhenanadultattemptstoplaywiththeinfant.ANS:4

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13.Afatherreportsthathisadolescentdaughterhasgottengoodgradesupuntilthelastquarterofschool.Shehasbeenhangingoutbyherselfanddoesnotwanttotalktohimanymore.Thementalhealthnurseshould:1.Realizethatthisisanaturalpartofgrowingup.2.Performamentalhealthscreeningtocheckfordepression.3.Attempttogettheadolescenttodiscusswhyshedoesnotlikeherfatheranymore.4.Let the adolescent talk when she is ready.ANS:214.Ateenshouldbecheckedfordepressionatphysicianvisit(s).1.Every.2.One3.Monthly4.Bi-yearlyANS:115.WhenusingtheSADFACESdepressionscreen,itisimportanttoassess:1.Anhedonia.2.Suicidal ideations.3.Sleeppatterns.4.All of the aboveANS:416.Aschoolnurseisgivinganin-servicetoteachersonbullycide.Themainreasonfortheteachingissothat:1.Teachers areawarebullyingoccurs.2.Teachersareabletoidentifystudentswhoarerisk.3.Teacherscanbeawareofthefactthatsuicidescanhappenduetobullyingbyothers.4.Teachersareawareoftheirroleincausingbullycide.ANS:317.AnadolescentwithaknownhistoryofbipolardisorderisintheschoolnursesofficebecauseateacherreportedthatshewastalkingfastandactinglikeshewasGod.Theschoolnurseassessesthegirland notesthat:1.Sheisprobablyinamanicphaseandneedstobetreatedprofessionally.2.Shehashadtoomuchsleepandisnowhyperactive.

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3.Sheforgot totakehermedicationstoday.4.Sherequiressomefoodandrestbeforegoingbacktoclass.ANS:1Chapter3.GeneticsandChildHealthQuestions1.Whatistrueabouthaploidcells?.13348407644C.Eachcontains23pairedchromosomes.D.Eachonecontains23chromosomes.CorrectE.Replicationproducestwoidenticalcells.

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F.Theyreplicateviatheprocessofmitosis.2.Whatdoesthefollowinggeneticnotationsymbolmean47,XX,6q?.13348407650A.Malewithdeletionofchromosome6B.Femalewithdeletionofchromosome6C.Malewithdeletiononthelongarmofchromosome6D.Femalewithdeletiononthelongarmofchromosome6Correct3.Achildhasarecessivegeneticdisorderthatishomozygousforthatmutation..13348407646Whatismostlikelyaboutthischild’sparents?A.Neitherparenthasacopyofthatgenemutation.B.Onlythemotherhasacopyofthatgenemutation.C.Onlythefatherhasacopyofthatgenemutation.D.Eachparent hasonecopyofthatgenemutation.Correct4.Whichtypeofmutationisresponsibleformanysinglegenegeneticdisorders?.13348407636A.CopynumbervariationsB.NucleotiderepeatexpansionsC.Pointmutations CorrectD.Singlenucleotidepolymorphisms(SNP).5.Cysticfibrosisisarecessivediseaserequiringthepresenceofagenemutation.13348407638onbothalleles inheritedfromtheparents.Whichtypeof geneticdisorder isthis?A.ChromosomeB.MitochondrialC.MonogeneticCorrectD.Multifactorial.6.Theprimarycarepediatricnursepractitioneriscounselingacoupleaboutgeneticrisksandlearnsthatoneparenthasneurofibromatosis,anautosomaldominantdisorder,andtheotherparentdoesnot.Whatwillthenursepractitionerincludewhendiscussingthisdisorderanditstransmission?C.Childrenmustinheritagenefrombothparentstodevelopthedisease.

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D.Eachchildborntothiscouplewillhavea50%riskofhavingthedisease.CorrectE.Thistypeofdisordercharacteristicallyskipsgenerations.F.Unaffectedoffspringmaystillpassonthediseasetotheiroffspring.7.AfamilymedicalhistoryconductedduringawellbabyexamforanewborngirlrevealsthathemophiliaA,anXlinked

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recessivedisorder,ispresentinmalesinthreepreviousgenerationsinthemother’sfamily,whosefatherhadthedisease.Whatwilltheprimarycarepediatric nurse practitioner tell the parents about the risk of this disease intheirchildren?E.Alloftheirsonswillbeaffectedbythedisease.F.Anysonstheyhavewillnotbeaffectedbythedisease.G.Daughtershavea50%chanceofbeingcarriersofthedisease.CorrectH.Theirdaughterhasa25%chanceofhavingthedisease.8.Whatisanimportantresponsibilityoftheprimarycarepediatricnursepractitioner.tohelpdeterminegeneticriskfactorsinfamilies?E.AssessingphysicalcharacteristicsofgeneticdisordersF.KnowingwhichgeneticscreeningteststoperformG.MakingappropriatereferralstopediatricgeneticistsD.ObtainingathreegenerationpedigreeforeachfamilyCorrect9.Whichdiagnosticstudymaybeorderedwhentheproviderwishestodetectthe.presenceofadditionalgeneticmaterialonachromosome?A.ChromosomalmicroarrayB.FISHCorrectD.KaryotypeE.Moleculartesting10.Which type of testing will the primary care pediatric nurse practitionerrecommend.fora coupleconcernedaboutthepotential for havingchildrenwithcysticfibrosis?A.BiochemicaltestingB.CarriertestingCorrectC.FISHtestingD.Karyotypetesting

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Chapter4.EnvironmentalIssuesQuestions1.WhathasbeentheresultofpassageoftheToxicSubstancesControlAct.(TSCA)of1976?G.AmandateforcorporationstodiscloseknowntoxicchemicalsH.ArequirementthatallmanufacturedchemicalsundergotoxicitytestingI.Authorization of the EPA to require testing and reporting ofsomechemicalsCorrectJ.Developmentofamechanismtoreportreactionstotoxicchemicals2.ManyEuropeannationsusethe“precautionaryprinciple”tohelpregulatepotentiallytoxic chemicals.Whatdoesthismean?G.Chemicalsmustbeproventobesafebeforebeingintroducedintothe

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environment.CorrectH.Corporationsmaybeexemptfromtestingiftheircostsindoingsoaretoohigh.I.Regulatorsmustdemonstraterisktothepublicbeforebanningachemical.J.Withoutastrongrisk,corporationsneednotreleasedataabouttheirproducts.3.Duringaclinic visit,achild’srapidcapillaryscreening test for leadrevealsalevelof11mcg/dL.Whatwilltheprimarycarepediatricnursepractitionerdonext?I.Instituteleadabatementmeasuresinthechild’shome.J.Monitorleadlevelsmonthlyuntildecreased.K.Ordera venoussampletotestfor lead levels. CorrectL.Testthechild’ssiblingsandparentsforlead.4.Achildhasaleadlevelof25mcg/dL.Onceleadabatementmeasuresareinstituted, what is animportant intervention to help prevent permanentdamageH. ChelationtherapyI.DietarychangesC.FollowuptestingCorrect.D.Testingfamilymembers5.Achildwhoseparentworksinafactorypresentswithswellingoftheextremities,painandweaknessinthepelvis,andanerythematousmaculopapularrash.Whichindustrial toxin will the primary care pediatric nurse practitioner suspect inthischild?A.LeadB.MercuryC.OrganophosphatesCorrectD.Phthalates6.Whencounselingamotherwhosmokesaboutpreventingexposuretosmokingrelatedriskstohernursingnewborn,whatwilltheprimarycarepediatricnursepractitionertellher?F.If she quits now, her child will not have longtermeffectsfromexposure.G.Prenatalsmokeexposuredoesnotcauserespiratoryeffectsaftertheinfantisborn.H.Smokingoutdoorsornearanopenwindowpreventsexposuretotobaccosmoke.

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I.Thirdhandsmokeexposurerisksmaylastforyearsevenifthemotherquitsnow.Correct7.Achildwhohasbeenplayinginapublicparkisbroughttotheclinicwithwheezing,vomiting,diarrhea,anddrooling.Aphysicalexamrevealsalowheartrate and diaphoresis. What will the primary care pediatric nurse practitionersuspectas acauseforthesesymptoms?B.ArsenicconsumptionC.LeadpoisoningC.OrganophosphateexposureCorrectD.Phthalateingestion8.Aparentasksaboutwaystolimitexposuretorisksassociatedwithplastics.

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Besidesavoidingusingplasticcontainerswhenpossible,whatelsewilltheprimarycarepediatricnursepractitionerrecommend?A.Avoidheatingfoodsandliquidsinplasticcontainers.CorrectB.Cleanplasticcontainerswellusingthedishwasher.C.Useonlyplasticsstampedwith“#7”onthebottom.D.Usedcannedfoodproductswheneverpossible.9.Aparentdesirestobuyonlyorganicproducetoavoidexposingachildtopesticidesbutcomplainsthatthesefoodsareexpensive.Theprimarycarepediatricnursepractitioner provides a list of foods that are relatively safe whether they areorganicornot.Whichfoodsareonthislist?A.Apples,celery,andpeachesB.Potatoes,cherrytomatoes,andpeachesC.Strawberries,grapes,andcucumbersD.Sweetcorn,cantaloupe,andkiwiCorrectChapter5.ChildandFamilyHealthAssessmentQuestions1.The primary care pediatric nursepractitioner is obtaining a medical historyabout a child. To integrate both nursing and medical aspects of primary care,whichwillbeincludedinthemedicalhistory?K.Complementarymedications,alternativehealthpractices,andchiefcomplaintL.Developmentaldelays,nutritionalstatus,andlineargrowthpatternsM.Medication currently taking, allergy information, and family medicalhistoryN.Speechandlanguagedevelopment,beliefsabouthealth,andpreviousillnessesCorrect2.Whenformulatingdevelopmentaldiagnosesforpediatricpatients,theprimarycarepediatricnursepractitionermayusewhichresource?A.DC:03RCorrectK.ICD10CML.ICSD3M.NANDAInternational3.Theprimarycarepediatricnursepractitionerseesa3yearoldchildwhochronicallywithholds stools, in spite of the parents’ attempts to stop the

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behavior, requiring frequenttreatmentswith laxativemedications. Whichdiagnosis will the nurse practitioner use to facilitate thirdpartyreimbursement?M.AlteredeliminationpatternN.EliminationdisorderC.EncopresisCorrectD.Parentingalteration4.Theprimarycarepediatricnursepractitionerisassessingatoddlerwhoseweightandbodymassindex(BMI)arebelowthe3rdpercentileforage.Thenursepractitionerlearnsthatthechilddoesnothaveregularmealtimesandisallowedtocarryabottleofjuicearound at all times. The nurse practitioner plans to work with this family todevelopimprovedmealpatterns.Whichdiagnosiswillthenursepractitioneruseforthisproblem?

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J.FailuretothriveK.HomecareresourcesinadequateL.Nutritionalteration–lessthan requiredD.ParentingalterationCorrect.5.The primary care pediatric nurse practitioner is p erforming a well childcheckupona20montholdchild.Thechildwas4weeksprematureand,accordingtoaparentcompleteddevelopmentalquestionnaire,hasachievedmilestonesfora15montholdinfant.Whichactioniscorrect?J.Performanindepthdevelopmentalassessmentscreenatthisvisittoevaluatethischild.CorrectK.Reassuretheparentthatthechildwillcatchuptonormaldevelopmentbyage2years.L.Reevaluatethischild’sdevelopmentandmilestoneachievementsatthe2yearvisit.M.Referthechildtoaspecialtyclinicforevaluationandtreatmentofdevelopmentaldelay.6.Theprimarycarepediatricnursepractitionerperformsadevelopmentalassessmentona3yearoldchildandnotesnormalcognitive,finemotor,andgrossmotorabilities.Thechildrespondsappropriatelytoverbalcommandsduringtheassessmentbutrefusestospeakwhenaskedquestions.Theparenttellsthenursepractitionerthatthechildtalksathomeandthatmostotheradultscanunderstandwhatthechildsays.ThenursepractitionerwillD.asktheparenttoconsiderapossiblespeechdelayandreportanyconcerns.E.continuetoevaluatethechild’sspeechatsubsequentvisits.CorrectF.refer thechildforaspeechand hearingevaluation.G.telltheparentto spendmoretimeininteractive conversations withthechild.7.The parent of a toddler isconcerned that the child may have autism. Theprimary care pediatric nurse practitioner completes a Modified Checklist forAutisminToddlers(MCHAT)tool, which indicates several areas of concern. What will the nursepractitionerdo?

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E.AdministeraChildhoodAutismRatingScale(CARS)intheclinic.F.Consultaspecialisttodetermineappropriateearlyinterventionstrategies.G.Referthechildtoabehavioralspecialistforfurtherevaluation.CorrectH.Telltheparentthatthisresultindicatesthatthechildhasautism.8.The primary care pediatric nurse practitioner learns that the mother of a3yearoldchildhasbeentreatedfordepressionforover5years.Whichaspectofthischild’sdevelopmentwillbeofthemostconcerntothenursepractitioner?

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D.FinemotorE.GrossmotorF.Social/emotionalD.SpeechandlanguageCorrect.9.Whenmeetingwithanewfamily,theprimarycarepediatricnursepractitionerdevelopsadatabasethatidentifiesfamilymembersandotherslivinginthehousehold,relationshipswithothersoutsidethehousehold,andsignificantbehavioralandemotionalproblems. Which tool will the nurse practitioner use to record thisinformation?C.CRAFFTD.EcomapC.GenogramCorrectD. Pedigree10.A child is in the clinic forevaluation of an asthma action plan. Theprimarycare pediatric nurse practitioner notes that the child’s last visit was for aprekindergartenphysicalandobservesthatthechildisextremelyanxious.Whatwillthenursepractitionerdoinitially?A.Askthechild’sparentwhythechildissoanxious.B.Performaphysicalassessmenttoruleoutshortnessofbreath.C.Reassurethechildthatthereisnothingtobeafraidof.D.Reviewthepurposeofthisvisitandanyanticipatedprocedures.Correct11.Theprimarycarepediatricnursepractitionerisevaluatinghealthliteracyinthemotherofanewpreschoolagechild.HowwillthenursepractitionerassessC.Ask the child howmanybookshehas athome. CorrectD.Askthemotheraboutherhighestgradeinschool.E.Ask themother to determinethecorrect doseof a drugfromalabel.F.Askthemothertoreadahealthinformationhandoutaloud.12.Themotherofanewborntellstheprimarycarepediatricnursepractitionerthat she isworried that herchildwill developallergiesand asthma.Whichtoolwillthenursepractitionerusetoevaluatethisrisk?

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A.ThreegenerationpedigreeCorrectA.ReviewofsystemsB.GenogramC.Ecomap1 3. The primary care pediatric nurse practitioner is performing a well childassessmentonanadolescentandisconcernedaboutpossiblealcoholandtobaccouse.Whichassessmenttoolwillthenursepractitioneruse?A.CRAFFTCorrectA.HEEADSSSB.PHQ2C.RAAPS

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14.Theprimarycarepediatricnursepractitionerevaluatesaschoolagechildwhosebodymassindex(BMI)isgreaterthanthe97thpercentile.Thenursepractitionerisconcernedaboutpossiblemetabolicsyndromeandorderslaboratoryteststoevaluatethis.Whichdiagnosiswillthenursepractitionerdocumentforthisvisit?A.MetabolicsyndromeB.Nutritionalalteration:morethanrequiredC.ObesityCorrectA. Ruleouttype2 diabetes mellitusChapter 6. Cultural Considerations for Pediatric PrimaryCareQuestions1.The primary care pediatric nurse practitioner provides well child care for acommunityofimmigrantchildrenfromCentralAmerica.ThepediatricnursepractitionerissurprisedtolearnthatsomeofthefamiliesareJewishandnotCatholic.ThisresponseisanexampleofculturalO.collectivism.P.constructivism.Q.essentialism.CorrectR.individualism.2.The primarycarepediatricnursepractitionerlearnsthatanAfricanAmericanfamilylivesinaneighborhoodwithahighcrimerateandsuggeststhattheytrymovingtoanotherneighborhoodforthesafetyoftheirchildren.ThisisanexampleofN.culturalsensitivity.O.groupbias.P.individualprivilege.CorrectQ.racialawareness.3.The primary care pediatric nurse practitioner cares f or children from aNativeAmericanfamilyandlearnsthattheyusedmanyherbstotreatandpreventillness.Whichapproach will thepediatric nurse practitioneruseto promoteoptimumhealthinthechildren?O.Askaboutthetypesofpracticesusedandwhentheyareapplied.CorrectP.Providealistofharmfulherbsandask thefamilytoavoidthose.Q.Suggestthatthefamilyavoidusingtheseremediesintheirchildren.

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R.Telltheparentstousetheherbsinconjunctionwithmodernmedications.4.The primary care pediatric nurse practitioner works with families from avarietyofculturesandsocioeconomicclasses.Whichisanexampleofculturalhumilityinpractice?M.Givinghealthcareadvicethattakes cultural differences into accountN.Identificationofotherculturesthatmaybesuperiortoone’s owncultureC. Receptivity to learning about the perspectivesof otherculturesCorrectD.Respectingothercultureswhilemaintainingtheviewsofone’sown5.ASomalianimmigrantmotherisconcernedthather8yearold

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childisunderweight.The primary carepediatricnursepractitionernotesthatthechild’s weight is at the 25th percentile. After realizing that the mother iscomparingherchildtoagroupofAmericanborn childrenwhoareoverweight,thepediatricnurse practitionerisabletoconvincethe mother that thisisanormal weight.Whichdomainof culturalcompetencedoesthisrepresent?A.GlobalB.InterpersonalCorrectN.IntrapersonalO.Organizational6.TheprimarycarepediatricnursepractitionerinacommunityhealthcentermeetsafamilywhohasrecentlyimmigratedtotheUnitedStateswhospeakonlyKaron.Theyarrive in the clinic with a church sponsor, who translates for them. Thepediatricnursepractitionernoticesthatthesponsoranswersforthefamilywithoutgivingthemtimetospeak.ThepediatricnursepractitionerwillH.askthesponsortoallowthefamilytorespond.I.developtheplanofcareandaskthesponsortomakesureitisfollowed.J.requestthatthesponsortranslatewritteninstructionsforthefamily.K.usethetelephoneinterpreterservicetocommunicatewiththefamily.Correct7.Theprimary care pediatric nurse practitionerprescribesatwicedailyinhaledcorticosteroidfora12yearoldchild.Atawellchildvisit,thechildreportsnotusingthemedicationonaregularbasis.Whichresponsebythepediatricnursepractitionerdemonstratesanunderstandingofclientcenteredcare?A.AskingthechildtodescribeusualdailyroutinesandschedulesCorrectI.Referringthefamily toasocialworkertohelpwithmedicationcomplianceJ.ReviewingtheasthmaactionplanwiththeparentandthechildK.TeachingthechildhowthemedicationwillhelptocontrolasthmaSymptoms8.Aprimarycarepediatricnursepractitionerworkinginacommunityhealthcenterwishestodevelopaprogramtoassistimpoverishedchildrenand

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familiestohaveaccessto healthyfoods.Which strategywillthepediatricnursepractitioner employtoensurethesuccessofsuch aprogram?G.AskingcommunitymemberstoassistinresearchingandimplementingaprogramCorrectH.DesigningacommunitygardenapproachthatinvolveschildrenandtheirparentsI.GainingsupportfromthecorporatecommunitytoprovideneededresourcesJ.Providingevidencebasedinformationabouttheimportanceofahealthydiet9.Theparentsofaspecialneedschildtelltheprimarycarepediatricnursepractitionerthattheyareplanninga3month

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visittotheirhomecountryinAfrica.Thepediatricnurse practitioner assists the family to obtain a sufficient supply ofmedicationsandformulaandtomakesurethatthechild’sequipmentcanbetransportedandusedduringthetripandatthedestination.ThisisanexampleofE.globalapplication.CorrectF.globalawareness.G.systemapplication.H.systemawareness.10.Theprimarycarepediatricnursepractitionerisexaminingachildwhoseparentsrecentlyemigratedfromawartorncountry in the Middle East. Which is a priorityassessmentwhenperformingthepatienthistory?A.Askingaboutphysical,psychological,andemotionaltraumaCorrectE.Determiningtheparents’EnglishlanguagecompetencyandliteracylevelF.LearningaboutculturalpreferencesandcomplementarymedicinepracticesG.Reviewingthechild’sprevioushealthandillnessrecordsChapter7.ChildrenwithSpecialHealthCareNeeds1.A child born with DandyWalkermalformationisreceivingpalliative care inthepediatricunit.Anurseshould:1.Providetheparents,patient,andfamilymemberswith supportivecareduringthistime.2.Asktheparentstobepartoftheplanofcareasmuchaspossible.3.Attempttoprovideaprimarynurseforthisparticularpatientoneachshift.4.Alloftheabovearecorrect.ANS:42.Aheadcircumferenceisbeingmeasuredata4montholdswell-babycheckup.Itisnotedthattheheadcircumferencehasnotgrownsincethepreviousassessment.Thenurseshould:1.Askthemother aboutthechildsnutrition.K.L..M.N..2.Notifythedoctor.3.Re-measuretheheadcircumference,checkdevelopmentalmilestones,assessthenutritionalstatus,

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anddiscussthefindingswiththedoctor.4.Documentthenormalfindings.ANS:33.Achildwithadiagnosisofschizencephalyisassignedtoanewnurseonthepediatric floor. The new nurse has not worked with a child with thisdiagnosisbefore.Acareernursediscussestheplanofcareneededforthechildwiththenewnurse.Itwillbeimportantto:1.Assessthesideofthebodythathasparalysisforanylesionsorsores.2.Letthepatientdoasmuchaspossibleforactivitiesofdaily.3.Discouragethepatienttomovetheparalyzedsideofthebody.4.Providefullcareforthepatient.ANS:14.Anurseisassessinga6-month-oldboyssuturelines.Thenursenotesthatthebabyhas

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craniosynostosis.Thenurseshouldbeconcernedbecause:1.Thesuturelineclosurewillnotallowthebraintogrow.2.Thiscanleadtohydrocephalus.3.Thechildwillhaveimmediatedevelopmentaldelaysbecauseofthelackofspaceforthebraintogrow.4.Thechildwillnotrequiresurgery.ANS:15.Achildthathadashuntplacedfouryearsagoforhydrocephalusisintheemergencyroomcomplainingofarapidonsetofvomitingandincreasedlethargy.Thenurseknowsthatthechildwillneed:1.Nothing,asthisisanormalcomplicationandnotanemergency.2.TobeplacedonIVfluidstohelpmaintainanelectrolytebalance.3.Smallamountsoffluidsuntilthevomitinghassubsided.4.Toconsiderthisaneurologicalmedicalemergencyandcheckthechildsheadcircumference.ANS:46.Nightterrorscanoccurinadolescentsbecauseof:1.Emotionalstress.2.Alcoholuse.3.Bullying.4.Alloftheabovecantriggernightterrorsinadolescents.ANS:47.Whenspeakingwithafamilyabouttheir9-year-olddaughtersnightmares,itisimportanttoask:1.Ifthechildhasahistoryofdaytimenapping.2.What medicationsthechildtakesduringtheday.3.How oftenthe childconsumes caffeine.4.Alloftheaboveshouldbepartoftheassessment.ANS:48.Aqualityofapartialseizureis:1.Statusepilepticus.2.Tonicmovements.3.Flutteringeyelids.4.Clonicmovements.ANS:49.Amotherisaskingthenursewhyherdaughtercontinuestohavetemporallobeseizureseventhoughsheisonmedication.Thenurseknowsthisisoccurringbecause:

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1.Themedicationmaynotbeinthetherapeuticrange.2.Temporallobeseizures donotrespond welltomedications.3.Thedaughtermaybemissingdosesofhermedication.4.Thefoodherdaughtereatsmayhaveanegativereactionwiththemedication,causingmoreseizures.ANS:210.Whichofthefollowingtypesofepilepsyarephotosensitive?1.Juvenilemyoclonicepilepsy2.Temporallobeepilepsy3.Febrileseizures4.ChildhoodabsenceepilepsyANS:11.Achildwhohadaseizureonehouragoisexhibitingsignsofparalysisontheleftsideofthebody.

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Thenurseunderstandsthechildisexhibitingsignsof:1.Lethargyduetopreviousseizureactivity.2.Postictalparalysis.3.Permanentparalysisoftheleftsideofthebody.4.Majorbraindamagethatisgoingtohavelong-termeffects.ANS:212.AchildwithaknownhistoryofBenignRolandicEpilepsyishavingaseizureduringlunchatthemiddle school.Theschoolnurseiscalledtothecafeteria.Whatistheschoolnursespriorityatthistime?1.Preventapossiblechokingincidentbycheckingthestudentsmouthforfood.2.Laythechilddownonthefloorandmakesuretheareaissafe.3.CalltheEMTsforhelp.4.Notifytheparentsthattheirdaughterishavingaseizure.ANS:1.13.An18montholdishavingaseizurewhenthenurseisassessinghim.Thenursenotesthatthechildisflutteringhiseyesandsmackinghislips.Thenurseshoulddocumentthisseizureas:1.Anabsenceseizure.2.Atonic-clonicseizure.3.Amyoclonicseizure.4.Afebrileseizure.ANS:114. A9montholdisadmittedtothepediatricunitforseizuresofunknownorigin.ThechildhasanEEGperformedforseveralhours.TheEEGnotesseveralseizuresoccurringatdifferentintervals.Thenurseknowsthischild:1.Willdevelopatthesamerateashispeers.2.Mayhaveseverementalandphysicalchallengesduetothefrequentseizureactivity.3.Mayexhibitaslightcognitivedelayashegrows.4.Willgrowoutofhavingseizures.ANS:215.Achildhasbeenstatusepilepticsforthelast20minutes.ThechildhasDepakote,ValporicAcid,andDiazepamgelordered.Thenurseshouldpreparewhichmedicationforadministrationatthistime?1.Depakote

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2.Valporicacid3.Diazepam4.None of the medications. The child will stop on his own.ANS:316. Careforachildduringstatusepilepticusshouldincludeallofthefollowingexcept:1.Turnthepatienttotherightside.2.Loosentightclothes.3.Movetoysoutoftheareatopreventinjury.4.Stay withthepatientuntiltheseizurehasstopped.ANS:1

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