Download Burns Exam 1 Test Bank 8th Edition By Dawn Lee Garzon Phd 2025/2026 Questions With 100% C and more Exams Nursing in PDF only on Docsity!
Burns Exam 1 Test Bank 8th^ Edition By
Dawn Lee Garzon Phd 2025/
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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?
Speech and language development, beliefs about health and previous illness.
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?
Genogram
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 pre-kindergarten physical and observes that the child is extremely anxious. what will the nurse practitioner do initially?
review the purpose of the visit and anticipated procedures
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 PNP use to promote optimum health in the children?
ask about the types of practices and when they were applied.
the PNP works with families from a variety of cultures and socioeconomic classes. which is an example of cultural humility in practice?
receptivity to learning about the perspectives of other cultures
the PNP 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 PNP notices that the sponsor answers for the family without giving them time to speak. The PNP will implement what intervention to help with communication
use the telephone interpreter service to communicate with the family
The PNP 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
asking the child to describe usual daily routines and schedules
a primary care PNP 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 PNP employ to ensure the success of such a program?
asking community members to assist in researching and implementing a program
newborns screened for PKU before being 24 hours old should be rescreened by 2 weeks old
screening for hip dysplasia
when providing post delivery information regarding her infant the nurse will confirm to the mother that which fetal cardiac structures have no function after her child is born?
foramen ovale
ductus arteriosus
the nurse will contribute which neonate characteristics noted in the first period of reactivity to sympathetic system changes?
transient rales
tachycardia
alertness
which assessment factors are included in a 5 minute apgar scoring?
heart rate
respiratory rate
skin color
muscle tone
which assessment findings suggest that the neonate is demonstrating stabilization of physiological functions?
temperature 97.
the parent of a newborn infant asks the primary care PNP when to intervene to help the infants future intellectual growth. what will the PNP tell the patient?
language and literacy skills begin at birth
the primary care PNP performs a well baby exam on a 7 day old infant who is nursing well according to the mother. the PNP notes the infant weighed 3250 grams at birth adn 2990 grams when discharged on the second day of life. the infant weighs 3080 grams at this visit. which action is correct?
schedule a weight check in 1 week
during an assessment of a 4 week old infant the primary care pediatric nurse practitioner learns that a breastfed infant nurses every every 2 hours during the day in the interval since last seen in the clinic. What will the nurse practitioner recommend?
continuing to nurse the infant using the current pattern
the PNP is evaluating a 2 year old with a documented speech delay. screenings to asssess motor skills and cognition are normal and the child passed a recent hearing test. what will the PNP do next
ask the childs parents whether they read to the child.
the PPNP performs a developmental assessment on a 32 month old child. the childs parents report that about 70% of the childs speech is intelligible. the PNP observes that the child has difficulty pronouncing "t, d, k, g" which action is correct?
reassure the parent that this is normal
during a well child assessment of an 18 month old the nurse practitioner observes the child point to a picture of a dog and say "want puppy". the NP recognizes this as an example of what type of speech
telegraphic
the PNP is offering anticipatory guidance to the parents of a 12 month old child. the parents are bilingual in spanish and English and have many spanish speaking relatives nearby. they are resisting exposing their child to spanish out of concern that the child will not learn english well. what will the PNP tell the parents
most bilingual children are able to shift from one language to another when appropriate
the PNP is counseling the parents of a toddler about appropriate discipline. the parents report that the child is very active and curious, and they are worried about the potential for injury. what will the PNP recommend?
allow the child to explore and experiment while providing appropriate limits
the mother of a 3 year old child takes the child to a play group once a week. she expresses concern that the child plays with toys but does not interact with other toddlers? what will the primary care pediatric nurse practitioner counsel the mother?
toddlers may be interested in other children but usually do not engage in interactive play.
the parent of a 24 month old child asks the PNP when toilet training should begin. How will the PNP respond?
tell me about your childs daily habits
the PNP performs a physical exam on a 9 month old infant and notes two central incisors on the lower gums. the parent states that the infant nurses, takes solid food three times a day and occasionally takes water from a cup. what will the PNP counsel the parent to promote optimum dental health?
to make an appointment for an initial dental examination
the parents of a three year old child are concerned that the child has been refusing usual foods and want to eat mashed potatoes and chicken strips at every meal and snack. the childs rate of weight has slowed but the child remains the same percentile for weight on a growth chart. what will the PNP tell the parents to do?
place a variety of healthy foods on the childs plate at every meal
the PNP is evaluating health literacy in the mother of a new preschool age child. how will the nurse practitioner assess this?
ask the child how many books he has at home
the mother of a nursing infant expresses concern about whether high-cholesterol foods will increase her infants risk of hyperlipidemia. what will the primary care PNP tell her?
maternal dietary cholesterol intake does not affect the infants serum cholesterol values
the PNP is counseling the mother of a newborn about breastfeeding the infant. which supplements will the nurse practitioner recommend?
vitamin D
The PNP is examining a newborn who is breastfeeding and note the presence of ankyloglossia. what will the nurse practitioner do next?
ask the mother if the infant has any feeding difficulties.
the PNP performs an initial well baby exam on a 1-week-old who is breastfeeding and who is at birth weight. the mother tells the NP that her baby is already sleeping 5 0r 6 hours at night. what will the nurse practitioner recommend?
waking the infant up at least every 3 hours.
the mother of a newborn infant asks the PNP about pumping her breasts when she returns to work in 2 months. what will the NP include in teaching this mother
frozen breastmilk may be stored up to 3 months in a 0 degree freezer
the mother of a 2 month old infant tells the PNP that she is afraid her breast milk is drying up because her baby never seems satisfied and want to nurse all the time.
weigh the infant to assess for a growth spurt
the mother of a 15 month old infant tells the PNP that she wishes to continue nursing her child for another year if possible. what will the NP recommend
clean the toddlers teach after each breastfeeding
the PNP is performing an assessment on a 1 week old newborn with a slightly elevated bilirubin who is breastfeeding well and who has gained 30 grams in the past 24 hours. the infant is stooling and voiding well. the NP suspects breastmilk jaundice which action is correct?
recheck the serum bili and weight in 24 hours
what new vaccine delivery systems are being investigated
skin patch
edible
nasal
what reasons are commonly given by parents and caregivers for failing to have their children vaccinated
religious beliefs
