Burns Pediatric Primary Care 7th Edition Maaks Starr Brady Test Bank 2025.pdf, Exams of Nursing

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Burns Pediatric Primary Care 7th Edition Maaks Starr Brady Test Bank Table of Contents Unit I: Influences on Child Health and Child Health Assessment

1. Health Status of Children: Global and National Perspectives
2. Unique Issues in Pediatrics
3. Genetics and Child Health
4. Environmental Issues
5. Child and Family Health Assessment
6. Cultural Considerations for Pediatric Primary Care
7. Children with Special Health Care Needs Unit II: Child Development
8. Developmental Management in Pediatric Primary Care
9. Developmental Management of Newborns
10. Developmental Management of Infants
11. Developmental Management of Early Childhood
12. Developmental Management of Middle Childhood
13. Developmental Management of Adolescents/Young Adults Unit III: Child Health Supervision: Health Promotion and Health Protection
14. Introduction to Health Promotion and Health Protection for Children and Families Section A. Behavioral-Mental Health Wellness

32. Common Genetic Disorders
33. Atopic, Rheumatic, and Immunodeficiency Disorders
34. Dermatologic Disorders
35. Eye and Vision Disorders
36. Ear and Hearing Disorders
37. Respiratory Disorders
38. Cardiovascular Disorders
39. Hematologic Disorders
40. Gastrointestinal Disorders
41. Genitourinary Disorders
42. Gynecologic Disorders
43. Musculoskeletal Disorders
44. Injuries and Toxic Exposures
45. Endocrine and Metabolic Disorders
46. Neurologic Disorders

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? . 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 . 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 Pediatrics Recommendations for Preventive Pediatric Health Care guidelines by A. focusing less on development and more on illness prevention and nutrition. B. following guidelines established by the Bright 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
6. A nurse is explaining the therapeutic milieu to a new nurse. The best explanation of this term would be:
7. The place where the child is receiving care.

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
5. A child has been exhibiting the MacDonald Triad. These behaviors include:
6. Enuresis, pushing others, and pyromania.
7. Swinging a cat by the tail, bed-wetting, and lighting paper on fire in the trash can.
8. Playing with other children, laughing, and conversing with adults.
9. Playing with a campfire, watching television, and seeking adult attention. ANS: 2
10. A teenager diagnosed with borderline personality disorder should have discharge planning instructions of:
11. A consistent caregiver.
12. Monitoring of media, such as the Internet, television, and video games.
13. Obtaining support from family and friends.
14. Seeking medical attention when the teenager feels good. ANS: 3
15. 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:
16. Placing visual aids on the bathroom mirror so that the child will follow the morning routine.
17. Give the child a choice in foods to eat.
18. Allowing the child to ask for help when needed.
19. 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:
12. Provide education on decreasing stimuli in the home environment that triggers the anger.
13. Realize Ellie may have attachment issues related to her previous history and will need to encourage the family to be active in her care.
14. Support the family in the decision-making process of continuing to let Ellie live in the home.
15. Discuss inpatient therapy to decrease Ellies manipulative behavior patterns. ANS: 2
16. An infant displays depression by:
17. Smiling at strangers.
18. Bonding to someone other than the immediate family.
19. Crying more than an average infant.
20. Looks away when an adult attempts to play with the infant. ANS: 4

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:
14. Realize that this is a natural part of growing up.
15. Perform a mental health screening to check for depression.
16. Attempt to get the adolescent to discuss why she does not like her father anymore.
17. Let the adolescent talk when she is ready. ANS: 2
18. A teen should be checked for depression at physician visit(s).
19. Every

2. One
3. Monthly
4. Bi-yearly ANS: 1
5. When using the SAD FACES depression screen, it is important to assess:
6. Anhedonia.
7. Suicidal ideations.
8. Sleep patterns.
9. All of the above ANS: 4
10. A school nurse is giving an in-service to teachers on bullycide. The main reason for the teaching is so that:
11. Teachers are aware bullying occurs.
12. Teachers are able to identify students who are risk.
13. Teachers can be aware of the fact that suicides can happen due to bullying by others.
14. Teachers are aware of their role in causing bullycide. ANS: 3
15. 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:
16. She is probably in a manic phase and needs to be treated professionally.
17. She has had too much sleep and is now hyperactive.
18. She forgot to take her medications today.
19. She requires some food and rest before going back to class. ANS: 1 Chapter 3. Genetics and Child Health Questions
20. What is true about haploid cells? . 13348407644 C. Each contains 23 paired chromosomes. D. Each one contains 23 chromosomes. Correct E. Replication produces two identical cells.

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
11. 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 some chemicals Correct J. Development of a mechanism to report reactions to toxic chemicals
12. 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 introduced into the

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 their products.

3. During a clinic visit, a child’s rapid capillary screening test for lead reveals a 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. Test the child’s siblings and parents for lead.
4. A child has a lead level of 25 mcg/dL. Once lead abatement measures are instituted, what is an important intervention to help prevent permanent damage H. Chelation therapy I. Dietary changes C. Followup testing Correct . D. Testing family members
5. A child whose parent works in a factory pr esents with swelling of the extremities, pain and weakness in the pelvis, and an erythematous maculopapular rash. Which industrial toxin will the primary care pediatric nurse practitioner suspect in this child? A. Lead B. Mercury C. Organophosphates Correct D. Phthalates
6. When counseling a mother who smokes about preventing exposure to smokingrelated risks to her nursing newborn, what will the primary care pediatric nurse practitioner tell her? F. If she quits now, her child will not have longterm effects from exposure. G. Prenatal smoke exposure does not cause respiratory effects after the infant is born. H. Smoking outdoors or near an open window prevents exposure to tobacco smoke. I. Thirdhandsmoke exposure risks may last for years even if the mother 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.

J. Failure to thrive K. Home care resources inadequate L. Nutrition alteration – less than required D. Parenting alteration Correct

5. The primary care pediatric nurse practitioner is p erforming a well child checkup on a 20monthold child. The child was 4 weeks premature and, according to a parentcompleted developmental questionnaire, has achieved milestones for a 15monthold infant. Which action is correct? J. Perform an indepth developmental assessment screen at this visit to evaluate this child. Correct K. Reassure the parent that the child will catch up to normal development by age 2 years. L. Reevaluate this child’s development and milestone achievements at the 2year visit. M. Refer the child to a specialty clinic for evaluation and treatment of developmental delay.
6. The primary care pediatric nurse practitioner performs a developmental assessment on a 3yearold child and notes normal cognitive, finemotor, and grossmotor abilities. The child responds appropriately to verbal commands during the assessment but refuses to speak when asked questions. The parent tells the nurse practitioner that the child talks at home and that most other adults can understand what the child says. The nurse practitioner will D. ask the parent to consider a possible speech delay and report any concerns. E. continue to evaluate the child’s speech at subsequent visits. Correct F. refer the child for a speech and hearing evaluation. G. tell the parent to spend more time in interactive conversations with the child.
7. The parent of a toddler is concerned that the child may have autism. The primary care pediatric nurse practitioner completes a Modified Checklist for Autism in Toddlers (MCHAT) tool, which indicates several areas of concern. What will the nurse practitioner do? 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?

D. Fine motor E. Gross motor F. Social/emotional D. Speech and language Correct

9. When meeting with a new family, the primary care pediatric nurse practitioner develops a database that identifies family members and others living in the household, relationships with others outside the household, and significant behavioral and emotional problems. Which tool will the nurse practitioner use to record this information? C. CRAFFT D. Ecomap C. Genogram Correct D. Pedigree
10. A child is in the clinic for evaluation of an asthma action plan. The primary care pediatric nurse practitioner notes that the child’s last visit was for a prekindergarten physical and observes that the child is extremely anxious. What will the nurse practitioner do initially? A. Ask the child’s parent why the child is so anxious. B. Perform a physical assessment to rule out shortness of breath. C. Reassure the child that there is nothing to be afraid of. D. Review the purpose of this visit and any anticipated procedures. Correct
11. The primary care pediatric nurse practitioner is evaluating health literacy in the mother of a new preschoolage child. How will the nurse practitioner assess C. Ask the child how many books he has at home. Correct D. Ask the mother about her highest grade in school. E. Ask the mother to determine the correct dose of a drug from a label. F. Ask the mother to read a health information handout aloud.
12. The mother of a newborn tells the primary care pediatric nurse practitioner that she is worried that her child will develop allergies and asthma. Which tool will the nurse practitioner use to evaluate this risk? A. Threegeneration pedigree Correct A. Review of systems B. Genogram C. Ecomap 1 3. The primary care pediatric nurse practitioner is performing a well child assessment on an adolescent and is concerned about possible alcohol and tobacco use. Which assessment tool will the nurse practitioner use? A. CRAFFT Correct A. HEEADSSS B. PHQ C. RAAPS

child is underweight. The primary care pediatric nurse practitioner notes that the child’s weight is at the 25th percentile. After realizing that the mother is comparing her child to a group of Americanborn children who are overweight, the pediatric nurse practitioner is able to convince the mother that this is a normal weight. Which domain of cultural competence does this represent? A. Global B. Interpersonal Correct N. Intrapersonal O. Organizational

6. 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 H. ask the sponsor to allow the family to respond. I. develop the plan of care and ask the sponsor to make sure it is followed. J. request that the sponsor translate written instructions for the family. K. use the telephone interpreter service to communicate with the family. Correct
7. The primary care pediatric nurse practitioner prescribes a twice daily inhaled corticosteroid for a 12yearold 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 clientcentered care? A. Asking the child to describe usual daily routines and schedules Correct I. Referring the family to a social worker to help with medication compliance J. Reviewing the asthma action plan with the parent and the child K. Teaching the child how the medication will help to control asthma Symptoms
8. 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? G. Asking community members to assist in researching and implementing 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 healthy diet
9. The parents of a special needs child tell the primary care pediatric nurse practitioner that they are planning a 3month

visit to their home country in Africa. The pediatric nurse practitioner assists the family to obtain a sufficient supply of medications and formula and to make sure that the child’s equipment can be transported and used during the trip and at the destination. This is an example of E. global application. Correct F. global awareness. G. system application. H. system awareness.

10. The primary care pediatric nurse practitioner is examining a child whose parents recently emigrated from a wartorn country in the Middle East. Which is a priority assessment when performing the patient history? A. Asking about physical, psychological, and emotional trauma Correct E. Determining the parents’ English language competency and literacy level F. Learning about cultural preferences and complementary medicine practices G. Reviewing the child’s previous health and illness records Chapter 7. Children with Special Health Care Needs
11. A child born with Dandy Walker malformation is receiving palliative care in the pediatric unit. A nurse should:
12. Provide the parents, patient, and family members with supportive care during this time.
13. Ask the parents to be part of the plan of care as much as possible.
14. Attempt to provide a primary nurse for this particular patient on each shift.
15. All of the above are correct. ANS: 4
16. A head circumference is being measured at a 4 month olds well-baby checkup. It is noted that the head circumference has not grown since the previous assessment. The nurse should:
17. Ask the mother about the childs nutrition. K. L.. M. N..
18. Notify the doctor.
19. Re-measure the head circumference, check developmental milestones, assess the nutritional status, and discuss the findings with the doctor.
20. Document the normal findings. ANS: 3
21. A child with a diagnosis of schizencephaly is assigned to a new nurse on the 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:
22. Assess the side of the body that has paralysis for any lesions or sores.
23. Let the patient do as much as possible for activities of daily.
24. Discourage the patient to move the paralyzed side of the body.
25. Provide full care for the patient. ANS: 1
26. A nurse is assessing a 6 - month-old boys suture lines. The nurse notes that the baby has

The nurse understands the child is exhibiting signs of:

1. Lethargy due to previous seizure activity.
2. Postictal paralysis.
3. Permanent paralysis of the left side of the body.
4. Major brain damage that is going to have long-term effects. ANS: 2
5. A child with a known history of Benign Rolandic Epilepsy is having a seizure during lunch at the middle school. The school nurse is called to the cafeteria. What is the school nurses priority at this time?
6. Prevent a possible choking incident by checking the students mouth for food.
7. Lay the child down on the floor and make sure the area is safe.
8. Call the EMTs for help.
9. Notify the parents that their daughter is having a seizure. ANS: 1

13. An 18 month old is having a seizure when the nurse is assessing him. The nurse notes that the child is fluttering his eyes and smacking his lips. The nurse should document this seizure as:
14. An absence seizure.
15. A tonic-clonic seizure.
16. A myoclonic seizure.
17. A febrile seizure. ANS: 1
18. A 9 month old is admitted to the pediatric unit for seizures of unknown origin. The child has an EEG performed for several hours. The EEG notes several seizures occurring at different intervals. The nurse knows this child:
19. Will develop at the same rate as his peers.
20. May have severe mental and physical challenges due to the frequent seizure activity.
21. May exhibit a slight cognitive delay as he grows.
22. Will grow out of having seizures. ANS: 2
23. A child has been status epileptics for the last 20 minutes. The child has Depakote, Valporic Acid, and Diazepam gel ordered. The nurse should prepare which medication for administration at this time?
24. Depakote
25. Valporic acid
26. Diazepam
27. None of the medications. The child will stop on his own. ANS: 3
28. Care for a child during status epilepticus should include all of the following except:
29. Turn the patient to the right side.
30. Loosen tight clothes.
31. Move toys out of the area to prevent injury.
32. Stay with the patient until the seizure has stopped. ANS: 1

17. The nurse is identifying the difference between primary headaches to secondary headaches. Secondary headaches can occur:
18. Because of stress.
19. In relation to low blood pressure.
20. Because of concussions.
21. Because of migraines. ANS: 3
22. Cyclic vomiting may:
23. Last for days.
24. Require SSRIs to stop hurting.
25. Not be associated with a headache.
26. Requires pain medication and Zofran. ANS: 3
27. A child that has rhythmic, repetitive, involuntary movements is exhibiting:
28. Tremors.
29. Dystonia.
30. Contractures.
31. Tics. ANS: 2
32. Identify a therapeutic management technique for a child with a tic disorder.
33. Behavioral modification to suppress the tics
34. Administer anti-psychotic medications to reduce the tics
35. Education and support for the child and the family
36. Genetic counseling for the family ANS: 3
37. Identify a true statement about Tourettes Syndrome (TS) is that:
38. Manifestations rarely change once developed.
39. Children with TS do not have obsessive compulsive disorders.
40. The tics of TS can lead to mental deterioration.
41. The tics are involuntary, and the person cannot control the behavior. ANS: 4
42. The assessment a nurse performed on a 12 - year-old boy demonstrated a positive Kernigs sign and a Brudzinskis sign. Identify the priority for the nurses next action.
43. Document the findings and note as normal.
44. Further assess the neurological function of the child and call the doctor with a report.
45. Explain to the patient that the assessment was abnormal and there is no a cause for concern.
46. Prepare the child for a lumbar puncture. ANS: 2
47. Results from cerebrospinal fluid that was tested for meningitis have been received by the nurse. The results indicate bacterial meningitis. The nurse knows this because the results show:
48. A low protein count and a low glucose count.
49. A low red blood cell count.
50. An elevated protein count and a low glucose level.
51. A normal protein count and a high glucose count. ANS: 3