Pediatric Primary Care 6th Edition Burns Test Bank

Complete Test Bank With Answers

 

Sample Questions Posted Below

 

ID: 13348437935

ID: 13348437931

ID: 13348437923

ID: 13348437929

Questions

 

 

1. The primary care pediatric nurse practitioner provides well child care for a

 

community of immigrant children from Central America. The pediatric nurse practitioner is surprised to learn that some of the families are Jewish and not Catholic. This response is an example of cultural

 

 

 

 

1.    Correct

 

 

 

 

 

2. The primary care pediatric nurse practitioner learns that an African­American

 

family lives in a neighborhood with a high crime rate and suggests that they try moving to

 

another neighborhood for the safety of their children. This is an example of

 

1. cultural sensitivity.

 

1. group bias.

 

1. individual privilege.   Correct

 

1. racial awareness.

 

 

 

 

3. 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?

 

1. Ask about the types of practices used and when they are applied.   Correct

 

1. Provide a list of harmful herbs and ask the family to avoid those.

 

1. Suggest that the family avoid using these remedies in their children.

 

1. 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?

 

1. Giving health care advice that takes cultural differences into account

 

1. Identification of other cultures that may be superior to one’s own culture

 

1. Receptivity to learning about the perspectives of other cultures          Correct

 

1. Respecting other cultures while maintaining the views of one’s own

 

 

 

 

 

5. A Somalian immigrant mother is concerned that her 8­year­old child is ID: 13348437937

 

ID: 13348437933

ID: 13348437939

ID: 13348437927

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?

ID: 13348437983

ID: 13348437975

ID: 13348437977

ID: 13348437967

ID: 13348437935

ID: 13348437931

ID: 13348437923

ID: 13348437929

Questions

 

 

1. The primary care pediatric nurse practitioner provides well child care for a

 

community of immigrant children from Central America. The pediatric nurse practitioner is surprised to learn that some of the families are Jewish and not Catholic. This response is an example of cultural

 

 

 

 

1.    Correct

 

 

 

 

 

2. The primary care pediatric nurse practitioner learns that an African­American

 

family lives in a neighborhood with a high crime rate and suggests that they try moving to

 

another neighborhood for the safety of their children. This is an example of

 

1. cultural sensitivity.

 

1. group bias.

 

1. individual privilege.   Correct

 

1. racial awareness.

 

 

 

 

3. 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?

 

1. Ask about the types of practices used and when they are applied.   Correct

 

1. Provide a list of harmful herbs and ask the family to avoid those.

 

1. Suggest that the family avoid using these remedies in their children.

 

1. 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?

 

1. Giving health care advice that takes cultural differences into account

 

1. Identification of other cultures that may be superior to one’s own culture

 

1. Receptivity to learning about the perspectives of other cultures          Correct

 

1. Respecting other cultures while maintaining the views of one’s own

 

 

 

 

 

5. A Somalian immigrant mother is concerned that her 8­year­old child is ID: 13348437937

 

ID: 13348437933

ID: 13348437939

ID: 13348437927

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?

 

 

1. Global

 

1. Interpersonal      Correct

 

1. Intrapersonal

 

1. 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

 

1. ask the sponsor to allow the family to respond.

 

1. develop the plan of care and ask the sponsor to make sure it is followed.

 

1. request that the sponsor translate written instructions for the family.

 

1. 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?

 

1. Asking the child to describe usual daily routines and schedules         Correct

 

1. Referring the family to a social worker to help with medication compliance

 

1. Reviewing the asthma action plan with the parent and the child

 

1. 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?

 

1. Asking community members to assist in researching and implementing a program Correct

 

1. Designing a community garden approach that involves children and their parents

 

1. Gaining support from the corporate community to provide needed resources

 

1. Providing evidence­based information about the importance of a healthy diet

 

E.

F.                      ID: 13348437925

G.

H.                     ID: 13348437941

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

 

 

1. global application.   Correct

 

1. global awareness.

 

1. system application.

 

1. 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?

 

1. Asking about physical, psychological, and emotional trauma         Correct

 

1. Determining the parents’ English language competency and literacy level

 

1. Learning about cultural preferences and complementary medicine practices

 

1. Reviewing the child’s previous health and illness records

 

 

 

 

 

Continue

Questions

 

 

1. The primary care pediatric nurse practitioner is examining a 6­year­old child who

 

attends first grade. The child reports “hating” school. The parent states that the child pretends to be sick frequently in order to stay home from school. To further assess this situation, the nurse practitioner will first ask the child

 

 

1. about school performance and grades.

 

1. why school is so distressing.

 

1. to name one or two friends.   Correct

 

1. whether bullying is taking place.

 

 

 

2. The parent of a 10­year­old boy tells the primary care pediatric nurse practitioner

 

that the child doesn’t appear to have any interest in girls and spends most of his time with a couple of other boys. The parent is worried about the child’s sexual identity. The nurse practitioner will tell the parent

 

1. children at this age who prefer interactions with same­gender peers usually have a homosexual orientation.

 

1. children experiment with sexuality at this age as a means of deciding later sexual orientation.

 

1. this attachment to other same­gender children is how the child learns to interact with others. Correct

 

1. to encourage mixed­gender interactions in order to promote development of sexual values.

 

 

3. The parents of a 12­year­old child are concerned that some of the child’s older

 

classmates may be a bad influence on their child, who, they say, has been raised to believe in right and wrong. What will the primary care pediatric nurse practitioner tell the parent?

 

1. Allowing the child to make poor choices and accept consequences is important for learning values

 

1. Children at this age have a high regard for authority and social norms, so this is not likely to happen

 

1. Moral values instilled in the early school­age period will persist throughout childhood

 

1. The pressures from outside influences may supersede parental teachings and should be confronted Correct

 

 

4. During a well child exam of a school­age child, the primary care pediatric nurse

 

practitioner learns that the child has been having angry episodes at school. The nurse practitioner observes the child to appear withdrawn and sad. Which action is appropriate?

 

1. Ask the child and the parent about stressors at home       Correct

 

1. Make a referral to a child behavioral specialist

 

1. Provide information about anger management

 

F.

G.                       ID: 13348437973

H.

I.                         ID: 13348437987

J.

K.                       ID: 13348437971

D.	Suggest consideration of a different classroom
5.  The primary care pediatric nurse practitioner is preparing to conduct a well child		ID: 13348437965
assessment of an 8­year­old child. How will the nurse practitioner begin the exam?
A.	Ask the child about school, friends, home activities, and sports   Correct

 

1. Discuss the purpose of the visit and explain the procedures that will be performed

 

1. Offer age­appropriate information about usual developmental tasks

 

1. Provide information about healthy nutrition and physical activities

 

 

 

6. The parent of a 6­year­old child expresses concern that the child may have ADHD.

 

Which screening tool will the primary care pediatric nurse practitioner use to evaluate this possibility?

 

1. Behavioral and Emotional Screening System for Children (BESS­2)

 

1. Behavioral Assessment for Children – 2nd ed. (BASC­2)

 

 

1. Conner’s 3 Parent and Teacher Rating Scale

Correct

 

 

1. Pediatric Symptom Checklist (PSC)

 

 

 

 

7. The parent of a 5­year­old child who has just begun kindergarten expresses concern

 

that the child will have difficulty adjusting to the birth of a sibling. What will the primary care pediatric nurse practitioner recommend?

 

1. Allowing the child opportunities to discuss feelings about the baby

 

1. Giving the child specific baby care tasks to promote sibling bonding

 

C.	Having snack time with the child each day to discuss the school day   Correct
D.	Providing reassurance that the sibling will not replace the child
8.  A school­age child has begun refusing all cooked vegetables. What will the primary		ID: 13348437969
care pediatric nurse practitioner recommend to the parent?

 

1. Allow the child to make food choices since this is usually a phase

 

1. Ensure that the child has three nutritious meals and two nutritious snacks each day Correct

 

1. Prepare vegetables separately for the child to encourage adequate intake

 

1. Teach the child how important it is to eat healthy fruits and vegetables

 

 

 

9. The primary care pediatric nurse practitioner performs a physical examination on a

 

12­year­old child and notes poor hygiene and inappropriate clothes for the weather. The child’s mother appears clean and well dressed. The child reports getting 6 to 7 hours of sleep each night because of texting with friends late each evening. What action by the nurse practitioner will help promote healthy practices?

 

 

1. Discuss setting clear expectations about self­care with the mother

Correct

 

 

1. Give the child information about sleep and self­care

 

ID: 13348437981

ID: 13348437985

ID: 13348437979

1. Reassure the mother that this “non­compliance” is temporary

 

1. Tell the mother that experimenting with self­care behaviors is normal

 

 

 

10. During a well child exam on a 5­year­old child, the primary care pediatric nurse

 

practitioner assesses the child for school readiness. Which finding may be a factor in limiting school

 

readiness for this child?

 

1. Adherence to daily family routines and regular activities

 

1. Having two older siblings who attend the same school

 

 

1. Parental concerns about bullying in the school

Correct

 

 

1. The child’s ability to recognize four different colors

 

 

 

 

11. The primary care pediatric nurse practitioner is examining a school­age child who

 

complains of frequent stomach pain and headaches. The parent reports that the child misses several days of school each month. The child has a normal exam. Before proceeding with further diagnostic tests, what will the nurse practitioner initially ask the parent?

 

 

1. About the timing of the symptoms each day and during the week       Correct

 

1. How well the child performs in school and in extracurricular activities

 

1. If the parent feels a strong need to protect the child from problems

 

1. Whether there are any unusual stressors or circumstances at home

 

 

 

12. The primary care pediatric nurse practitioner is evaluating recurrent stomach pain in

 

a school­age child. The child’s exam is normal. The nurse practitioner learns that the child reports pain most evenings after school and refuses to participate in sports but does not have nausea or vomiting. The child’s grandmother recently had gallbladder surgery. Which action is correct?

 

1. Encourage the child to keep a log of pain, stool patterns, and dietary intake       Correct

 

1. Order radiologic studies and laboratory tests to rule out systemic causes

 

1. Reassure the child and encourage resuming sports when symptoms subside

 

1. Refer the child to a counselor to discuss anxiety about health problems

 

 

 

 

 

Continue

ID: 13348419808

ID: 13348417494

ID: 13348417484

ID: 13348417474

Questions

 

 

1. The primary care pediatric nurse practitioner counseling the parent of an

 

overweight school­age child about improving overall fitness. What will the nurse practitioner include?

 

1. Encourage the child to begin by engaging in swimming or cycling.  Correct

 

1. Exercise will help lower total cholesterol and low­density lipoproteins.

 

1. School­age children need 60 minutes of moderate exercise daily.

 

1. Strength training exercises are not safe for school­age children.

 

 

 

 

2. The parent of a child who has asthma asks the primary care pediatric nurse

 

practitioner about whether the child may engage in strenuous exercise. What will the nurse practitioner tell the parent?

 

1. Children with asthma should be excluded from vigorous exercise and most strenuous sports.

 

1. Children with asthma show improved aerobic and anaerobic fitness with moderate to vigorous/physical activity. Correct

 

1. Physical activity has been shown to improve overall pulmonary function in children with asthma.

 

1. Vigorous exercise helps improve symptoms in children with poorly controlled asthma.

 

 

 

3. The primary care pediatric nurse practitioner is discussing lifestyle changes

 

with an adolescent who has hypertension. What will the nurse practitioner recommend about exercise for this client?

 

 

A.

Regular to vigorous activity initially with a combination of resistance and aerobic

 

exercise to maintain lower blood pressure      Correct

 

 

1. Moderate daily exercise such as walking for 20 minutes daily with increasing intensity as blood pressure drops

 

1. Vigorous aerobic exercise combined with maximal strength training to lower blood pressure

 

1. Vigorous aerobic exercise only to reduce blood pressure and then to maintain lowered blood pressure

 

 

 

4. The primary care pediatric nurse practitioner is offering anticipatory guidance

 

to the parents of a 6­year­old child who has Down syndrome. What will the nurse practitioner tell the parents about physical activity and sports in school?

 

1. Children with Down syndrome get frustrated easily when engaging in sports.

 

ID: 13348417488

ID: 13348417478

ID: 13348417476

ID: 13348417496

1. Children with Down syndrome should not participate in strenuous aerobic activity.

 

1. Their child should have a cervical spine evaluation before participation in

 

sports.     Correct

 

1. Their child should only participate in sports sanctioned by the Special Olympics.

 

 

 

 

5. The primary care pediatric nurse practitioner is discussing fitness and

 

exercise with the parents of a 5­year­old child who ask what kinds of activities are developmentally appropriate for their child. What will the nurse practitioner recommend?

 

1. Bike riding     Correct

 

1. Interactive play

 

1. Martial arts

 

1. Organized sports

 

 

 

 

6. The parents of a pre­pubertal female who is on the local swim team tell the

 

primary care pediatric nurse practitioner that their daughter wants to begin a strength training program to help improve her swimming ability. What will the nurse practitioner recommend?

 

1. Avoiding strength training programs until after puberty to minimize the risk for injury

 

1. Enrolling their daughter in a program that uses fixed weight machines or resistance bands Correct

 

1. Having their daughter participate in weight training 4 or 5 times each week for maximum effect

 

1. Making sure that their daughter begins with the greatest weight tolerable using lower repetitions

 

 

 

7. The parent of a 14­year­old child asks the primary care pediatric nurse

 

practitioner how to help the child prevent injuries when basketball tryouts begin later in the

 

school year. Which recommendation will be of most benefit? A.  Preseason conditioning Correct

1. Proper footwear

 

1. Protective knee braces

 

1. Stretching before practices

 

 

 

 

8. The primary care pediatric nurse practitioner is counseling a parent about

 

bicycle helmet use. The parent reports having a helmet used a year previously by an older child and wonders about using it for a younger child since they are so expensive. What will the nurse practitioner tell the parent?

 

1. “As long as the helmet does not have cracks, you may use it.”

 

1. “If the helmet is free from marks, you may use it.”   Correct

 

O.

P.                      ID: 13348419802

Q.

R.                     ID: 13348417492

S.

T.                      ID: 13348417472

U.

V.                      ID: 13348417490

1. “You may continue to use a helmet up to 10 years.”

 

1. “You should always purchase a new helmet for each child.”

 

 

 

 

9. The primary care pediatric nurse practitioner is performing a well child

 

examination on a high school age adolescent who plays football who has hypercalciuria. Which dietary supplement will the nurse practitioner question the adolescent about?

 

1. Protein supplements      Correct

 

1. Salt tablets

 

1. Sports drinks

 

1. Vitamin C

 

 

 

 

10. The primary care pediatric nurse practitioner is performing a pre­participation

 

sports physical examination on a 14­year­old male who will be on the wrestling team at school. What will the nurse practitioner include when discussing healthy practices with this adolescent?

 

1. Risks associated with repeatedly losing and gaining weight         Correct

 

1. The need for an electrocardiogram or echocardiogram prior to participation

 

1. The need to consume 20 to 30 grams of protein after exercise

 

1. To consume water with CHO prior to activity lasting up to an hour

 

 

 

 

11. The primary care pediatric nurse practitioner is evaluating a heart murmur

 

during a pre­participation examination of a high school athlete. Which finding would be a

 

concern requiring referral to a cardiologist?

 

1. A murmur that is louder when squatting and softer when standing

 

1. A murmur that is quieter when squatting and louder with a Valsalva maneuver Correct

 

1. A murmur with narrow and variable splitting of S2

 

1. A systolic murmur that is grade 1 or 2

 

 

 

 

12. The parent of a 12­year­old child who has sickle cell trait (SCT) asks the

 

primary care pediatric nurse practitioner whether the child may play football. What will the nurse practitioner tell this parent?

 

1. Children with SCT should not play any contact sports.

 

1. Children with SCT may not play for NCAA schools in college.

 

1. Children with SCT should follow heat acclimatization guidelines.   Correct

 

1. Children with SCT should not participate in organized sports.

 

E.

F.                          ID: 13348419804

G.

H.                         ID: 13348417480

I.

J.                          ID: 13348419806

K.

L.                          ID: 13348417486

M.

N.                         ID: 13348417498

13. The parent of a child newly diagnosed with epilepsy asks the primary care

 

pediatric nurse practitioner if the child will ever be able to participate in gym or sports. What

 

will the nurse practitioner recommend?

 

1. Bicycle riding is not safe for children with seizures.

 

1. Contact sports should be avoided.

 

1. Direct supervision of some activities is necessary.   Correct

 

1. Underwater sports are not recommended.

 

 

 

 

14. The primary care pediatric nurse practitioner diagnoses a high school

 

basketball player with mononucleosis. The adolescent asks when she may resume play. What will the nurse practitioner tell her?

 

1. After 3 weeks, she may begin lifting weights but not full sports.

 

1. After 4 weeks, she may return to full play and practice.

 

1. At 4 weeks, she must have an exam to determine fitness for play.   Correct

 

1. She may engage in moderate exertion and practice after 3 weeks.

 

 

 

 

15. A 12­year­old child who plays soccer is diagnosed with vocal cord

 

dysfunction. What will the primary care nurse practitioner say when the child’s parents ask

 

about continued sports participation?

 

1. The child may continue to participate in soccer.   Correct

 

1. The child should limit activity to non­aerobic sports.

 

1. This condition is a contraindication for all sports.

 

1. This condition predisposes the child to sudden cardiac death.

 

 

 

16. The parent of a high school basketball player tells the primary care pediatric

 

nurse practitioner that the adolescent becomes short of breath only when exercising. What will

 

the nurse practitioner recommend?

 

1. Permanent discontinuation of all strenuous and aerobic activities

 

1. Enrollment in a conditioning program to improve performance

 

1. Evaluation for underlying cardiac causes of this symptom Correct D. Treatment for exercise­induced asthma with a bronchodilator

 

 

17. A 10­year­old is hit in the head with a baseball during practice and is

 

diagnosed with concussion, even though no loss of consciousness occurred. The primary care pediatric nurse practitioner is evaluating the child 2 weeks after the injury and learns that the child is still experiencing some sleepiness every day. The neurological exam is normal. The child and the parent are adamant that the child be allowed to return to play baseball. What will the nurse practitioner recommend?

 

ID: 13348419800

ID: 13348417482

1. Continuation of cognitive rest only

 

1. Continuation of physical and cognitive rest        Correct

 

1. Continuation of physical rest only

 

1. Returning to play

 

 

 

 

18. A 15­year­old female basketball player who has secondary amenorrhea is

 

evaluated by the primary care pediatric nurse practitioner who notes a BMI in the 3rd

 

percentile. What will the nurse practitioner counsel this patient?

 

1. That amenorrhea in female athletes is not concerning

 

1. That she should begin a program of plyometrics and strength training

 

1. To consider a different sport, such as volleyball

 

1. To work with a dietician to improve healthy weight gain        Correct

 

 

 

19. The primary care pediatric nurse practitioner is examining a 17­year­old male

 

who is on his high school swim team. The adolescent is concerned about “lumps” on his chest. The nurse practitioner notes a marked increase in weight since the last visit along with worsening of the adolescent’s acne. Given this set of symptoms, which performance­ enhancing substance will the nurse practitioner be most concerned about and ask about?

 

1. Creatine

 

1. Dehydroepiandrosterone (DHEA)      Correct

 

1. Ephedra

 

1. Growth hormone

 

 

 

 

Continue

ID: 13348425764

ID: 13348425782

ID: 13348425786

Questions

 

 

1. The primary care pediatric nurse practitioner uses a shared decision­making

 

(SDM) model when working with families of children with chronic health conditions. When using this

 

model, the nurse practitioner can expect

 

1. considerably more time in each encounter.

 

1. improved patient health outcomes.  Correct

 

1. less PNP involvement in health care decisions.

 

1. lower provider and higher patient satisfaction.

 

 

 

 

2. The primary care pediatric nurse practitioner diagnoses a 5­year­old child with

 

asthma and prescribes an oral steroid and a short­acting beta­adrenergic medication via a metered­dose inhaler to manage acute symptoms. Along with education about the prescribed medications, what information is important to give the child’s family at this visit?

 

 

1. An asthma action plan

 

 

1. Effects and side effects of current medications

Correct

 

 

1. Information about spirometry testing

 

1. Instructions for medications at school

 

 

 

 

3. The parent of a child with complex health care needs tells the primary care

 

pediatric nurse practitioner that the child has had difficulty breathing the past two nights but can’t articulate specific symptoms. The child has normal oxygen saturations and a normal respiratory rate with clear breath sounds. What will the nurse practitioner do?

 

1. Admit the child to the hospital for close observation and monitoring of respiratory status.

 

1. Encourage the parent to call when concerned and schedule a follow­up appointment the next day. Correct

 

1. Perform a complete blood count, blood cultures, and a chest radiograph to evaluate symptoms.

 

1. Reassure the parent that the child has a normal exam and is most likely not ill.

 

 

 

 

4.  Which characteristic is the key criterion that identifies a child has having special		ID: 13348425780
needs?
A.	Cognitive function
B.	Emotional health
C.	Health service requirements   Correct
D.	Medical diagnosis

 

ID: 13348425792

ID: 13348425766

ID: 13348425790

ID: 13348425774

5. The primary care pediatric nurse practitioner is performing a well baby

 

examination on a 2­week­old infant who was recently discharged home from the neonatal intensive care unit. The mother reports that the infant was born at 26 weeks’ gestation and states she was told that her baby will probably have developmental delays. What is the most important aspect of long­term management for this infant?

 

 

1. Careful monitoring of attainment of developmental milestones          Correct

 

1. Familiarizing the parent with laws that mandate educational support

 

1. Providing genetic counseling to the infant’s parents

 

1. Referral to social services for assistance with resources

 

 

 

 

6. The primary care pediatric nurse practitioner is preparing to perform a well child

 

examination on a 5­year­old child who has multiple developmental and cognitive delays. The child’s mother is angry and tells the nurse practitioner that her friends’ children are all preparing for kindergarten. The nurse practitioner will

 

1. allow the mother to express her feelings, understanding that she is experiencing grief. Correct

 

1. reassure the mother that special educational opportunities are available for her child.

 

1. suggest that the mother find a support group with other children with special needs.

 

1. tell her that most schools provide services for children with special health care needs.

 

 

 

 

7. The parent of a toddler who has special health care needs is resistant to a

 

suggestion that her child needs a gastrostomy tube for nutrition. The toddler has fallen from the 10th percentile to the 5th percentile in the past few months and resists taking in appropriate amounts of food by mouth even with assistance from occupational therapy. What will the primary care pediatric nurse practitioner do?

 

1. Inform the mother that, since other options have failed, the gastrostomy tube is the only option.

 

1. Refer the child to a dietician to teach the mother the importance of adequate nutrition.

 

1. Set weight gain and food intake goals with the mother and schedule regular visits to monitor weight. Correct

 

1. Suggest that the gastrostomy tube may be tried temporarily and removed once the child gains weight.

 

 

 

8. What is the most important role of the primary care pediatric nurse practitioner

 

who provides care for a child with special health care needs who sees several specialists and receives community and school­based services?

 

A.	Assessing the parent’s ability to perform home care tasks
B.	Coordinating services to ensure continuity of care   Correct
C.	Monitoring the family’s adherence to the health care plan

 

ID: 13348425788

ID: 13348425784

ID: 13348425772

ID: 13348425776

1. Ordering medications and other prescribed treatments

 

 

 

 

9. A toddler swallowed a coin several days prior. The child’s parent has not found

 

the coin in the child’s stool. Which imaging test will the primary care pediatric nurse practitioner

 

employ to evaluate this ingestion?

 

1. Abdominal ultrasound

 

1. Computed tomography

 

1. Conventional radiograph       Correct

 

1. Magnetic resonance imaging

 

 

 

 

10. The primary care pediatric nurse practitioner is assessing an ill 2­month­old infant

 

who is febrile and refusing most fluids. The preliminary blood work indicates a viral infection and shows that the infant is hydrated. The infant is alert. The infant’s parents are attentive and live close by. What will the nurse practitioner do?

 

1. Administer a parenteral antibiotic and antipyretic and send the infant home.

 

1. Admit the infant to an inpatient hospital unit for overnight monitoring.

 

1. Give the parents sick care instructions and follow up in the clinic in the morning. Correct

 

1. Send the infant to the urgent care center for intravenous fluids.

 

 

 

 

11. A toddler is prescribed a liquid oral medication. The parent tells the primary care

 

pediatric nurse practitioner that the child refuses to take medications and usually spits them out. What will the nurse practitioner do?

 

1. Demonstrate oral medication administration with the toddler in the office.  Correct

 

1. Instruct the parent to hide the medication in a favorite food or beverage.

 

1. Order the medication to be given via another route if possible.

 

1. Tell the parent to offer the child a reward each time the medication is taken.

 

 

 

12. The primary care pediatric nurse practitioner orders a pulmonology consult for a

 

child who has severe asthma. The nurse practitioner writes “child with asthma refractory to conventional treatments needs suggestions for alternative treatments.” The nurse practitioner expects the pulmonologist to

 

1. confirm the medical diagnosis for the child’s parents.

 

1. make recommendations for disease management.   Correct

 

1. stress the importance of adherence to the medication regimen.

 

1. take over management of this child’s chronic illness.

 

M.

N.                         ID: 13348425768

O.

P.                         ID: 13348425778

Q.

R.                         ID: 13348425770

S.

T.                          ID: 13348425794

13. The primary care pediatric nurse practitioner cares for several families with

 

chronically ill children who text status updates about their children to a mobile device that has an encryption­ protection platform installed. If the nurse practitioner misplaces the mobile device, it is important to

 

 

1. disconnect the user from the system to avoid a data breach.   Correct

 

1. notify the families that their messages may be read by others.

 

1. obtain a new device as soon as possible to resume communication.

 

1. upload the messages from another remote device.

 

 

 

 

14. The parent of an 18­month­old child calls the clinic to report that the child has a

 

rectal temperature of 100.4°F (38°C). The child is playing normally, taking fluids well, and has a slightly reduced appetite. What will the primary care pediatric nurse practitioner recommend?

 

1. Administering an antipyretic medication

 

1. Bringing the child to the clinic for evaluation

 

1. Offering extra fluids and calling if symptoms change Correct D. Ordering outpatient lab work such as a CBC

 

 

15. The parent of a preschool­age child calls the clinic to report that the child has

 

clear, watery drainage from both eyes, mild erythema of the conjunctiva, and no fever or other

 

symptoms. What will the primary care pediatric nurse practitioner recommend?

 

1. Allow the child to go to preschool.  Correct

 

1. Bring the child to the clinic for a culture.

 

1. Keep the child home for 2 days.

 

1. Use antibiotic eyedrops for 3 days..

 

 

 

 

16. A parent brings a 4­month­old infant to the clinic who has had a low­grade fever

 

for 24 hours. The primary care nurse practitioner notes that the infant has a weak cry, slightly dry oral mucosa, mottled skin, and a respiratory rate of 65 breaths per minute and sleeps unless stimulated by the examiner,. What will the nurse practitioner do?

 

1. Administer oral fluids in the clinic.

 

1. Admit the infant to the hospital.  Correct

 

1. Order outpatient laboratory tests.

 

1. Send the infant home with close follow­up.

 

 

1. Global

 

1. Interpersonal      Correct

 

1. Intrapersonal

 

1. 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

 

1. ask the sponsor to allow the family to respond.

 

1. develop the plan of care and ask the sponsor to make sure it is followed.

 

1. request that the sponsor translate written instructions for the family.

 

1. 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?

 

1. Asking the child to describe usual daily routines and schedules         Correct

 

1. Referring the family to a social worker to help with medication compliance

 

1. Reviewing the asthma action plan with the parent and the child

 

1. 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?

 

1. Asking community members to assist in researching and implementing a program Correct

 

1. Designing a community garden approach that involves children and their parents

 

1. Gaining support from the corporate community to provide needed resources

 

1. Providing evidence­based information about the importance of a healthy diet

 

E.

F.                      ID: 13348437925

G.

H.                     ID: 13348437941

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

 

 

1. global application.   Correct

 

1. global awareness.

 

1. system application.

 

1. 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?

 

1. Asking about physical, psychological, and emotional trauma         Correct

 

1. Determining the parents’ English language competency and literacy level

 

1. Learning about cultural preferences and complementary medicine practices

 

1. Reviewing the child’s previous health and illness records

 

 

 

 

 

Continue

 

 

 

 

 

 

 

 

 

Pediatric Primary Care 6th Edition Test Bank,