1|Page
BURNS PEDIATRIC FINAL EXAM AND STUDY GUIDE
NEWEST 2026 TEST BANK| COMPLETE 550 REAL
EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS WITH WELL ELABORATED RATIONALES/
ALREADY GRADED A+ (MOST RECENT!!)
When formulating developmental diagnoses for pediatric patients, the
primary care pediatric nurse practitioner may use which resource?
a. DC: 0-3R
b. ICD-10-CM
c. ICSD-3
d. NANDA International - Correct Answer - A
The DC: 0-3R refers to the Diagnostic Classification of Mental Health and
Developmental Disorders of Infancy and Early Childhood and is useful for
developmental problem diagnosis. The ICD-10-CM is the International
Classification of Diseases-Tenth Revision, Clinical Modification and is useful for
identifying physiologic diseases. The ICSD-3 is the International Classification of
Sleep Disorders - 3rd edition. NANDA International is used to label problems in
the functional health domain.
The primary care pediatric nurse practitioner learns that the mother of a
3-year-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
pg. 1
,2|Page
b. Gross motor
c. Social/emotional
d. Speech and language - Correct Answer - D
Maternal depression in the first year of life has been associated with poorer
language development at 3 years of age.
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 Answer - C
Encopresis is a medical diagnosis, classified in the ICD-10-CM, and is
recognized for reimbursement purposes. "Altered elimination pattern" and
"Parenting alteration" are NANDA International diagnoses and are not
recognized for reimbursement. "Elimination disorder" is a developmental
diagnosis.
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?
pg. 2
,3|Page
a. CRAFFT
b. Ecomap
c. Genogram
d. Pedigree - Correct Answer - C
The genogram is an approach to developing a family database to provide a
graphic representation of family structure, roles, and problems of recurring
significance in a family. The CRAFFT tool is used to assess substance abuse in
adolescents. The ecomap is used to identify relationships in the family and
community that are supportive or harmful. The pedigree is used to identify
potential genetic disorders.
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
b. HEEADSSS
c. PHQ-2
d. RAAPS - Correct Answer - A
The CRAFFT tool is a six-question tool used to screen for adolescent substance
abuse. The HEEADSSS is used as a psychosocial screening tool. The PHQ-2 is
a rapid screen for depression. The RAAPS is used to assess risk behaviors that
contribute to most morbidity, mortality, and social problems in teens.
The primary care pediatric nurse practitioner provides well child care for
a community of immigrant children from Central America. The pediatric
pg. 3
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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.
d. individualism. - Correct Answer - C
An essentialist view of culture, which dominates the health care literature,
portrays an ethnic minority group as having a static set of traits and
oversimplifies cultural information, applying traits to all members of the group.
Assuming that all people from Central America are Catholic is an example of this
oversimplification. Collectivism refers to a member of an ethnic group who
perceives himself or herself to be intrinsically part of that group. A constructive
view recognizes culture as complex and dynamic and sees people as individuals
who may belong to multiple cultures simultaneously. Individualism recognizes
the individual, and not the group, as the basic unit of survival.
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 Answer - C
pg. 4
BURNS PEDIATRIC FINAL EXAM AND STUDY GUIDE
NEWEST 2026 TEST BANK| COMPLETE 550 REAL
EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS WITH WELL ELABORATED RATIONALES/
ALREADY GRADED A+ (MOST RECENT!!)
When formulating developmental diagnoses for pediatric patients, the
primary care pediatric nurse practitioner may use which resource?
a. DC: 0-3R
b. ICD-10-CM
c. ICSD-3
d. NANDA International - Correct Answer - A
The DC: 0-3R refers to the Diagnostic Classification of Mental Health and
Developmental Disorders of Infancy and Early Childhood and is useful for
developmental problem diagnosis. The ICD-10-CM is the International
Classification of Diseases-Tenth Revision, Clinical Modification and is useful for
identifying physiologic diseases. The ICSD-3 is the International Classification of
Sleep Disorders - 3rd edition. NANDA International is used to label problems in
the functional health domain.
The primary care pediatric nurse practitioner learns that the mother of a
3-year-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
pg. 1
,2|Page
b. Gross motor
c. Social/emotional
d. Speech and language - Correct Answer - D
Maternal depression in the first year of life has been associated with poorer
language development at 3 years of age.
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 Answer - C
Encopresis is a medical diagnosis, classified in the ICD-10-CM, and is
recognized for reimbursement purposes. "Altered elimination pattern" and
"Parenting alteration" are NANDA International diagnoses and are not
recognized for reimbursement. "Elimination disorder" is a developmental
diagnosis.
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?
pg. 2
,3|Page
a. CRAFFT
b. Ecomap
c. Genogram
d. Pedigree - Correct Answer - C
The genogram is an approach to developing a family database to provide a
graphic representation of family structure, roles, and problems of recurring
significance in a family. The CRAFFT tool is used to assess substance abuse in
adolescents. The ecomap is used to identify relationships in the family and
community that are supportive or harmful. The pedigree is used to identify
potential genetic disorders.
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
b. HEEADSSS
c. PHQ-2
d. RAAPS - Correct Answer - A
The CRAFFT tool is a six-question tool used to screen for adolescent substance
abuse. The HEEADSSS is used as a psychosocial screening tool. The PHQ-2 is
a rapid screen for depression. The RAAPS is used to assess risk behaviors that
contribute to most morbidity, mortality, and social problems in teens.
The primary care pediatric nurse practitioner provides well child care for
a community of immigrant children from Central America. The pediatric
pg. 3
, 4|Page
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.
d. individualism. - Correct Answer - C
An essentialist view of culture, which dominates the health care literature,
portrays an ethnic minority group as having a static set of traits and
oversimplifies cultural information, applying traits to all members of the group.
Assuming that all people from Central America are Catholic is an example of this
oversimplification. Collectivism refers to a member of an ethnic group who
perceives himself or herself to be intrinsically part of that group. A constructive
view recognizes culture as complex and dynamic and sees people as individuals
who may belong to multiple cultures simultaneously. Individualism recognizes
the individual, and not the group, as the basic unit of survival.
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 Answer - C
pg. 4
