Test Bank - Burns Pediatric Primary Care, 7th Edition
(Maaks, 2020), Chapter 1 - 46 | All Chapters
,
,
,Burns' Pediatric Primary Care 7th Edition Test Bank
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 recent
significant
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 developmental
milestones. Correct Downloaded by: Ariah | abbieclin@gmail.com
D. seeing the infant at ageDsis2 , 4, 6, and 12 months when immunizations are
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,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 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.
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
,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 instructions of:
1. A consistent caregiver.
2. Monitoring of media, such as the Internet, television, and video games.
3. Obtaining support from family and friends.
4. Seeking medical attention when the teenager feels good.
ANS: 3
10. A mental health nurse is teaching the mother of a child with executive
functioning issues ways to help
her child. Interventions the mother should use include:
1. Placing visual aids on the bathroom mirror so that the child will follow the
morning routine.
2. Give the child a choice in foods to eat.
3. Allowing the child to ask for help when needed.
4. Reminding the child to be nice to others.
ANS: 1
.
11. Ellie, a 9-year-old girl, was adopted by a family at the age of 4 after
several years of severe neglect by her birth family. The adoptive family has
been reporting that Ellie is angry a lot, manipulative with her
teachers, and does not seek positive attention. The nurse working with Ellie
will need to:
1. Provide education on decreasing stimuli in the home environment that
triggers the anger.
2. Realize Ellie may have attachment issues related to her previous history
and will need to encourage the
family to be active in her care.
3. Support the family in the decision-making process of continuing to let Ellie
live in the home.
4. Discuss inpatient therapy to decrease Ellies manipulative behavior
patterns.
ANS: 2
,13. A father reports that his adolescent daughter has gotten good grades up
until the last quarter of school.
She has been hanging out by herself and does not want to talk to him
anymore. The mental health nurse
should:
1. Realize that this is a natural part of growing up.
2. Perform a mental health screening to check for depression.
3. Attempt to get the adolescent to discuss why she does not like her father
anymore.
4. Let the adolescent talk when she is ready.
ANS: 2
14. A teen should be checked for depression at physician visit(s).
1. Every
.
2. One
3. Monthly
4. Bi-yearly
ANS: 1
15. When using the SAD FACES depression screen, it is important to assess:
1. Anhedonia.
2. Suicidal ideations.
3. Sleep patterns.
4. All of the above
ANS: 4
16. A school nurse is giving an in-service to teachers on bullycide. The main
reason for the teaching is so
that:
1. Teachers are aware bullying occurs.
2. Teachers are able to identify students who are risk.
3. Teachers can be aware of the fact that suicides can happen due to bullying
by others.
4. Teachers are aware of their role in causing bullycide.
ANS: 3
17. An adolescent with a known history of bipolar disorder is in the school
nurses office because a teacher
reported that she was talking fast and acting like she was God. The school
nurse assesses the girl and notes
that:
1. She is probably in a manic phase and needs to be treated professionally.
2. She has had too much sleep and is now hyperactive.
3. She forgot to take her medications today.
4. She requires some food and rest before going back to class.
ANS: 1
Chapter 3. GeneticDsowa
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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 gene mutation.
B. Only the mother has a copy of that gene mutation.
C. Only the father has a copy of that gene mutation.
D. Each parent has one copy of that gene mutation. Correct
4. Which type of mutation is responsible for many singlegene
genetic disorders?
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A. Copy number variations
B. Nucleotide repeat expansions
C. Point mutations Correct
D. Single nucleotide polymorphisms (SNP)
.
5. Cystic fibrosis is a recessive disease requiring the presence of a gene
mutation
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on both alleles inherited from the parents. Which type of genetic disorder is
this?
A. Chromosome
B. Mitochondrial
C. Monogenetic Correct
D. Multifactorial
.
6. The primary care pediatric nurse practitioner is counseling a couple about
genetic
risks and learns that one parent has neurofibromatosis, an autosomal
dominant disorder, and the other
parent does not. What will the nurse practitioner include when discussing
this disorder and its
transmission?
C. Children must inherit Daowgne ne from both parents to develop the disease.
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D. Each child born to thiDsistrcibo uple will ha ve a 50% risk of having the
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disease. Correct
,recessive disorder, is present in males in three previous
generations in the mother’s family, whose father had the disease. What will
the 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 to
detect the
.
presence of additional genetic material on a chromosome?
A. Chromosomal microarray
B. FISH Correct
D. Karyotype
E. Molecular testing
10. 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 Correct
C. FISH testing
D. Karyotype testing
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 alDl om
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