Test Bank Pediatric Primary Care 6th Edition Burns,
Dunn, Brady
Complete Solution Guide,
All chapters, Question and answers
A+ Rated
Questions
1.
... [Show More] A child who has attention-deficit/hyperactivity disorder (ADHD) has difficulty stopping activities to
begin other activities at school. The primary care pediatric nurse practitioner understands that
this is due to difficulty with the self-regulation component of A. emotional control.
B. flexibility. Correct
C. inhibition.
D. problem-solving.
2. The primary care pediatric nurse practitioner cares for a preschool-age child who was exposed
to drugs prenatally. The child bites other children and has tantrums when asked to stop but is
able to state later why this behavior is wrong. This child most likely has a disorder of
A. executive function. Correct
B. information processing.
C. sensory processing.
D. social cognition.
3. The primary care pediatric nurse practitioner uses the Neurodevelopmental Learning Framework
to assess cognition and learning in an adolescent. When evaluating social cognition, the nurse
practitioner will ask the adolescent A. about friends and activities at school. Correct
B. if balancing sports and homework is difficult.
C. to interpret material from a pie chart.
D. to restate the content of something just read.
4. The primary care pediatric nurse practitioner is evaluating a school-age child who has been
diagnosed with ADHD. Which plan will the nurse practitioner recommend asking the child’s
school about to help with academic performance?
A. 504 Correct
B. FAPE
C. IDEA
D. IEP
5. The parent of a child diagnosed with ADHD tells the primary care pediatric nurse practitioner that
the child gets overwhelmed by homework assignments, doesn’t seem to know which ones to do
first, and then doesn’t do any assignments. The nurse practitioner tells the parent that this
represents impairment in which executive function? A.
Activation Correct
Effort
Emotion
Focus
6. The primary care pediatric nurse practitioner is considering medication options for a school-age
child recently diagnosed with ADHD who has a primarily hyperactive presentation. Which
medication will the nurse practitioner select initially?
A. Low-dose stimulant
B. Moderate-dose stimulant Correct
C. Low-dose non-stimulant
D. Moderate-dose non-stimulant
7. The parent of a 4-year-old child reports that the child gets upset when the hall light is left on at
night and won’t leave the house unless both shoes are tied equally tight. The primary care
pediatric nurse practitioner recognizes that this child likely has which type of sensory processing
disorder?
A. Dyspraxia
B. Over-responder Correct
C. Sensory seeker
D. Under-responder
8. The parent of a preschool-age child who is diagnosed with a sensory processing disorder (SPD)
asks the primary care pediatric nurse practitioner how to help the child manage the symptoms.
What will the nurse practitioner recommend?
A. Establishing a reward system for acceptable behaviors
B. Introducing the child to a variety of new experiences
C. Maintaining predictable routines as much as possible Correct D.
Providing frequent contact, such as hugs and cuddling
9. The primary care pediatric nurse practitioner is performing an examination on a 5-year-old child
who exhibits ritualistic behaviors, avoids contact with other children, and has limited speech. The
parent reports having had concerns more than 2 years ago about autism, but was told that it was
too early to diagnose. What will the nurse practitioner do first?
B.
C.
D.
A. Administer an M-CHAT screen to screen the child for communication and
socialization delays.
B. Ask the parent to describe the child’s earlier behaviors from infancy through preschool.
Correct
C. Reassure the parent that if symptoms weren’t present earlier, the likelihood of autism is
low.
D. Refer the child to a pediatric behavioral specialist to develop a plan of treatment and
management.
10. The primary care pediatric nurse practitioner is examining a 3-year-old childID: who speaks
loudly, in a monotone, does not make eye contact, and prefers to sit on the exam room floor
moving a toy truck back and forth in a repetitive manner. Which disorder does the nurse
practitioner suspect?
A. Attention-deficit/hyperactivity disorder
B. Autism spectrum disorder Correct
C. Executive function disorder
D. Sensory processing disorder
11. The primary care pediatric nurse practitioner is selecting a medication for a 12-year-old child who
is newly diagnosed with ADHD. The child is overweight, has a history of an atrial septal defect at
birth, and reports mild shortness of breath during exercise. What will the nurse practitioner
prescribe?
A. A low-dose stimulant medication
B. A non-stimulant medication
C. Behavioral therapy only
D. Cardiovascular pre-screening Correct
12. The primary care pediatric nurse practitioner is conducting a follow-up examination on a child
who has recently begun taking a lowdose stimulant medication to treat ADHD. The child’s
school performance and home behaviors have improved. The child’s parent reports noticing a
few tics, such a twitching of the eyelids, but the child is unaware of them and isn’t bothered by
them. What will the nurse practitioner recommend?
A. Adding an alpha-agonist medication
B. Changing to a non-stimulant medication
C. Continuing the medication as prescribed Correct
D. Stopping the medication immediately
Questions
1. The primary care pediatric nurse practitioner uses a shared decision-making (SDM) model when
working with families of children with chronic health conditions. When using this model, the nurse
practitioner can expect
A. considerably more time in each encounter.
B. improved patient health outcomes. Correct C. less PNP involvement in health care
decisions.
D. lower provider and higher patient satisfaction.
2. The primary care pediatric nurse practitioner diagnoses a 5-year-old child with asthma and
prescribes an oral steroid and a short-acting beta-adrenergic medication via a metered-dose 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?
A. An asthma action plan
B. Effects and side effects of current medications Correct
C. Information about spirometry testing
D. 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?
A. Admit the child to the hospital for close observation and monitoring of respiratory status.
B. Encourage the parent to call when concerned and schedule a follow-up appointment the
next day. Correct
C. Perform a complete blood count, blood cultures, and a chest radiograph to evaluate
symptoms.
D. 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 needs?
A. Cognitive function
B. Emotional health
C. Health service requirements Correct
D. Medical diagnosis
5. The primary care pediatric nurse practitioner is performing a well baby examination on a 2-week-old
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 long-term management for this
infant?
A. Careful monitoring of attainment of developmental milestones Correct
B. Familiarizing the parent with laws that mandate educational support
C. Providing genetic counseling to the infant’s parents
D. Referral to social services for assistance with resourc [Show Less]