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Questions 1. Which region globally has the highest infant mortality rate? A.
Indonesia
B.
Southern Asia
C.
Sub-Saharan Africa
D.
Syria
ID: 13348413858
Correct
ID: 13348413852 2. The primary care pediatric nurse practitioner understands that, to achieve the greatest world-wide reduction in child mortality from pneumonia and diarrhea, which intervention is
most effective? A.
Antibiotics
B.
Optimal nutrition
C.
Vaccinations
D.
Water purification
Correct
3. Which is true about the health status of children in the United States? A.
Globalism has relatively little impact on child health measures in the U.S.
B.
Obesity rates among 2- to 5-year-olds have shown a recent significant
ID: 13348413856
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
ID: 13348413850
health outcome associated with worldwide climate change is A.
cost of living.
B.
education.
C.
nutrition. Correct
D.
pollution.
ID: 13348413854 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 well-baby visits to coincide with key developmental milestones. Correct
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seeing the infant at ages 2, 4, 6, and 12 months when immunizations are due.
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Questions ID: 13348411198 1. The primary care pediatric nurse practitioner is obtaining a medical history about a child. To integrate both nursing and medical aspects of primary care, which will be
included in the medical history? A.
Complementary medications, alternative health practices, and chief complaint
B.
Developmental delays, nutritional status, and linear growth patterns
C.
Medication currently taking, allergy information, and family medical history
D.
Speech and language development, beliefs about health, and previous illnesses Correct
2. When formulating developmental diagnoses for pediatric patients, the primary
ID: 13348411178
care pediatric nurse practitioner may use which resource? A.
DC: 0-3R
B.
ICD-10-CM
C.
ICSD-3
D.
NANDA International
Correct
ID: 13348411184 3. The primary care pediatric nurse practitioner sees a 3-year-old child who chronically withholds stools, in spite of the parents’ attempts to stop the behavior, requiring frequent treatments with laxative medications. Which diagnosis will the nurse practitioner use to facilitate third-party reimbursement?
A.
Altered elimination pattern
B.
Elimination disorder
C.
Encopresis
D.
Parenting alteration
Correct
ID: 13348411196 4. The primary care pediatric nurse practitioner is assessing a toddler whose weight and body mass index (BMI) are below the 3rd percentile for age. The nurse practitioner
learns that the child does not have regular mealtimes and is allowed to carry a bottle of juice around at all times. The nurse practitioner plans to work with this family to develop improved meal patterns. Which diagnosis will the nurse practitioner use for this problem? A.
Failure to thrive
B.
Home care resources inadequate
C.
Nutrition alteration – less than required
D.
Parenting alteration
Correct
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ID: 13348411176 5. The primary care pediatric nurse practitioner is performing a well child checkup on a 20-month-old child. The child was 4 weeks premature and, according to a parent-
completed developmental questionnaire, has achieved milestones for a 15-month-old infant. Which action is correct? A.
Perform an in-depth developmental assessment screen at this visit to evaluate this child. Correct
B.
Reassure the parent that the child will catch up to normal development by age 2 years.
C.
Re-evaluate this child’s development and milestone achievements at the 2year visit.
D.
Refer the child to a specialty clinic for evaluation and treatment of developmental delay.
ID: 13348411192 6. The primary care pediatric nurse practitioner performs a developmental assessment on a 3-year-old child and notes normal cognitive, fine-motor, and gross-motor 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 A.
ask the parent to consider a possible speech delay and report any concerns.
B.
continue to evaluate the child’s speech at subsequent visits. Correct
C.
refer the child for a speech and hearing evaluation.
D.
tell the parent to spend more time in interactive conversations with the child.
ID: 13348411172 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
(M-CHAT) tool, which indicates several areas of concern. What will the nurse practitioner do? A.
Administer a Childhood Autism Rating Scale (CARS) in the clinic.
B.
Consult a specialist to determine appropriate early intervention strategies.
C.
Refer the child to a behavioral specialist for further evaluation. Correct
D.
Tell the parent that this result indicates that the child has autism.
ID: 13348411182 8. The primary care pediatric nurse practitioner learns that the mother of a 3year-old 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? A.
Fine motor
B.
Gross motor
C.
Social/emotional
D.
Speech and language
Correct
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ID: 13348411188 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?
A.
CRAFFT
B.
Ecomap
C.
Genogram
D.
Pedigree
Correct
ID: 13348411186 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 pre-kindergarten
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 preschool-age child. How will the nurse practitioner assess A.
Ask the child how many books he has at home. Correct
B.
Ask the mother about her highest grade in school.
C.
Ask the mother to determine the correct dose of a drug from a label.
D.
Ask the mother to read a health information handout aloud.
ID: 13348411180
this?
ID: 13348411174 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.
Three-generation pedigree
B.
Review of systems
C.
Genogram
D.
Ecomap
Correct
ID: 13348411194 13. 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? https://nursylab.com/products/pediatric-primary-care-6th-edition-burns-test-bank/ www.nursylab.com
Download Full Test bank from link Below A. CRAFFT Correct
B.
HEEADSSS
C.
PHQ-2
D.
RAAPS
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ID: 13348411190 14. The primary care pediatric nurse practitioner evaluates a school-age child whose body mass index (BMI) is greater than the 97th percentile. The nurse practitioner is
concerned about possible metabolic syndrome and orders laboratory tests to evaluate this. Which diagnosis will the nurse practitioner document for this visit? A.
Metabolic syndrome
B.
Nutritional alteration: more than required
C.
Obesity
D.
Rule out type 2 diabetes mellitus
Correct
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Questions ID: 13348437929 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
A.
collectivism.
B.
constructivism.
C.
essentialism. Correct
D.
individualism.
ID: 13348437923 2. The primary care pediatric nurse practitioner learns that an African-American 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
A.
cultural sensitivity.
B.
group bias.
C.
individual privilege. Correct
D.
racial awareness.
ID: 13348437931 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? A.
Ask about the types of practices used and when they are applied. Correct
B.
Provide a list of harmful herbs and ask the family to avoid those.
C.
Suggest that the family avoid using these remedies in their children.
D.
Tell the parents to use the herbs in conjunction with modern medications.
ID: 13348437935 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? A.
Giving health care advice that takes cultural differences into account
B.
Identification of other cultures that may be superior to one’s own culture
C.
Receptivity to learning about the perspectives of other cultures
D.
Respecting other cultures while maintaining the views of one’s own
5. A Somalian immigrant mother is concerned that her 8-year-old child is https://nursylab.com/products/pediatric-primary-care-6th-edition-burns-test-bank/ www.nursylab.com
Correct
ID: 13348437937
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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 American-born 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
C.
Intrapersonal
D.
Organizational
Correct
ID: 13348437927 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 A.
ask the sponsor to allow the family to respond.
B.
develop the plan of care and ask the sponsor to make sure it is followed.
C.
request that the sponsor translate written instructions for the family.
D.
use the telephone interpreter service to communicate with the family. Correct
ID: 13348437939 7. The primary care pediatric nurse practitioner prescribes a twice daily inhaled corticosteroid for a 12-year-old 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 client-centered care? A.
Asking the child to describe usual daily routines and schedules
B.
Referring the family to a social worker to help with medication compliance
C.
Reviewing the asthma action plan with the parent and the child
D.
Teaching the child how the medication will help to control asthma symptoms
Correct
ID: 13348437933 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? A.
Asking community members to assist in researching and implementing a program Correct
B.
Designing a community garden approach that involves children and their parents
C.
Gaining support from the corporate community to provide needed resources
D.
Providing evidence-based information about the importance of a healthy diet
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G. H. ID: 9. The parents of a special needs child tell the primary care pediatric nurse 13348437941 practitioner that they are planning a 3-month 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.
A.
global application. Correct
B.
global awareness.
C.
system application.
D.
system awareness.
F. ID: 10. The primary care pediatric nurse practitioner is examining a child whose 13348437925 parents recently emigrated from a war-torn country in the Middle East. Which is a priority
assessment when performing the patient history? A.
Asking about physical, psychological, and emotional trauma
B.
Determining the parents’ English language competency and literacy level
C.
Learning about cultural preferences and complementary medicine practices
D.
Reviewing the child’s previous health and illness records
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Questions ID: 13348411134 1. A single mother of an infant worries that living in a household with only one parent will cause her child to be maladjusted. To help address the mother’s concerns, the primary care pediatric nurse practitioner will suggest
A.
developing consistent daily routines for the child. Correct
B.
exposing her child to extended family members when possible.
C.
not working outside the home during the first few years.
D.
taking her child to regular play date activities with other children.
ID: 13348411116 2. During a well child exam, the primary care pediatric nurse practitioner learns that the parents of a young child fight frequently about finances. The parents state that they do not fight in front of the child and feel that the situation is temporary and related to the father’s job layoff. What will the nurse practitioner do?
A.
Reassure them that the child is too young to understand.
B.
Recommend that they continue to not argue in front of the child.
C.
Suggest counseling to learn ways to handle stress. Correct
D.
Tell them that the conflict will resolve when the situation changes.
ID: 13348411128 3. During a well child assessment of an 18-month-old child, the primary care pediatric nurse practitioner observes the child becoming irritable and uncooperative. The parent tells the child to stop fussing. What will the nurse practitioner do?
A.
Allow the parent to put the child in a “timeout.”
B.
Ask the parent about usual discipline practices.
C.
Offer the child a book or a toy to look at. Correct
D.
Stop the exam since the child has reached a “meltdown.”
ID: 13348411124 4. Which recommendation will a primary care pediatric nurse practitioner make when parents ask about ways to discipline their 3-year-old child who draws on the walls with
crayons? A.
Give the child washable markers so the drawings can be removed easily.
B.
Provide a roll of paper for drawing and teach the child to use this. Correct
C.
Put the child in “timeout” each time the child draws on the walls.
D.
Take the crayons away from the child to prevent the behavior.
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an infant and notes mild gross motor delays but no delays in other areas. Which initial course of action will the nurse practitioner recommend? A.
Consult a developmental specialist for a more complete evaluation.
B.
Prepare the parents for a potentially serious developmental disorder.
C.
Refer the infant to an early intervention program for physical therapy.
D.
Teach the parents to provide exercises to encourage motor development. Correct
ID: 13348411122 6. The primary care pediatric nurse practitioner is examining a newborn infant recently discharged from the neonatal intensive care unit after a premature birth. The parent is
upset and expresses worry about whether the infant will be normal. What will the nurse practitioner do in this situation? A.
Explain to the parent that developmental delays often do not manifest at first.
B.
Perform a developmental assessment and tell the parent which delays are evident.
C.
Point out the tasks that the infant can perform while conducting the assessment. Correct
D.
Refer the infant to a developmental specialist for a complete evaluation.
ID: 13348411120 7. The primary care pediatric nurse practitioner sees a developmentally delayed toddler for an initial visit. The family has just moved to the area and asks the nurse practitioner
about community services and resources for their child. What should the nurse practitioner do initially? A.
Ask the parents if they have an individualized family service plan (IFSP). Correct
B.
Consult with a physician to ensure the child gets appropriate care.
C.
Inform the family that services are provided when the child begins school.
D.
Refer the family to a social worker for assistance with referrals and services.
ID: 13348411132 8. The primary care pediatric nurse practitioner has a cohort of patients who have special health care needs. Which is an important role of the nurse practitioner when caring for these children?
A.
Care coordination and collaboration
B.
Developing protocols for parents to follow
C.
Monitoring individual education plans (IEPs)
D.
Providing lists of resources for families
Correct
ID: 13348411130 9. The primary care pediatric nurse practitioner performs a physical examination on a 9-month-old infant and notes two central incisors on the lower gums. The parent states that
the infant nurses, takes solid foods three times daily, and occasionally takes water from a cup. What will the pediatric nurse practitioner counsel the parent to promote optimum dental https://nursylab.com/products/pediatric-primary-care-6th-edition-burns-test-bank/ www.nursylab.com
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A.
To begin brushing the infant’s teeth with toothpaste
B.
To consider weaning the infant from breastfeeding
C.
To discontinue giving fluoride supplements
D.
To make an appointment for an initial dental examination
Correct
ID: 13348411126 10. The primary care pediatric nurse practitioner enters an exam room and finds a 2-month-old infant in a car seat on the exam table. The infant’s mother is playing a game on her
smart phone. The nurse practitioner interprets this behavior as A.
a sign that the mother has postpartum depression.
B.
extremely concerning for potential parental neglect.
C.
of moderate concern for parenting problems. Correct
D.
within the normal range of behavior in early parenthood.
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Questions ID: 13348413804 1. The parent of a newborn infant asks the primary care pediatric nurse practitioner when to intervene to help the infant’s future intellectual growth. What will the nurse practitioner tell the parent?
A.
Cognitive learning begins during the toddler years.
B.
Intellectual growth begin when speech develops.
C.
Language and literacy skills begin at birth. Correct
D.
Preschool is an optimal time to begin general learning.
ID: 13348413802 2. The primary care pediatric nurse practitioner performs a well baby examination on a 7-day-old infant who is nursing well, according to the mother. The nurse practitioner notes that the infant weighed 3250 grams at birth and 2990 grams when discharged on the second day of life. The infant weighs 3080 grams at this visit. Which action is correct?
A.
Follow up at the 2-month checkup.
B.
Refer to a lactation consultant.
C.
Schedule a weight check in 1 week. Correct
D.
Suggest supplementing with formula.
ID: 13348413806 3. During an assessment of a 4-week-old infant, the primary care pediatric nurse practitioner learns that a breastfed infant nurses every 2 hours during the day but is able to sleep for a 4-hour period during the night. The infant has gained 20 grams per day in the interval since last seen in the clinic. What will the nurse practitioner recommend?
A.
Continuing to nurse the infant using the current pattern
B.
Nursing the infant for longer periods every 4 hours
C.
Supplementing with formula at the last nighttime feeding
D.
Waking the infant every 2 hours to nurse during the night
Correct
ID: 13348413814 4. The primary care pediatric nurse practitioner is performing a well baby examination on a 2-month-old infant who has gained 25 grams per day in the last interval. The
mother is nursing and tells the nurse practitioner that her infant seems fussy and wants to nurse more often. What will the nurse practitioner tell her? A.
She may not be making as much breastmilk as before.
B.
She should keep a log of the frequency and duration of each feeding.
C.
The infant may be going through an expected growth spurt. Correct
D.
The infant should stay on the previously established nursing schedule.
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