Burns' Pediatric Primary Care Test Bank – 2026
Latest Exam Edition | Complete Questions &
Verified Answers | Instant Download PDF |
Nursing Study Guide with Rationales | Practice
Tests for Exam Success | Comprehensive
Overview | Pass Guaranteed | Updated for
2026 | Essential Review Resource for Pediatric
Primary Care Certification
Which region globally has the highest infant mortality rate? - Answer-Sub-Saharan Africa
What intervention is most effective for reducing child mortality from pneumonia and diarrhea? -
Answer-Vaccinations
What recent trend has been observed in obesity rates among 2 to 5-year-olds in the U.S.? -
Answer-A significant decrease.
What major child health outcome is associated with worldwide climate change? - Answer-
Nutrition.
What is the focus of the American Academy of Pediatrics Recommendations for Preventive
Pediatric Health Care for infants? - Answer-Scheduling well-baby visits to coincide with key
developmental milestones.
What does the term 'therapeutic milieu' refer to in pediatric care? - Answer-The place where
the child is receiving care, including personal interactions and group therapy.
What should be the placement for a 16-year-old expressing suicidal thoughts? - Answer-In an
area where he can be watched one-on-one.
What has been scientifically linked to learning disabilities in children? - Answer-Genetics.
,How should behavioral challenges in a child be described to a teacher? - Answer-The child may
be defiant or have tantrums.
What could cause a child to revert to enuresis after four years without issues? - Answer-Stress.
What intervention needs may not be necessary for a caller to a crisis line? - Answer-Discussing
the individual's everyday activities.
When should a nurse take a child out of a seclusion room? - Answer-When he starts
headbutting the window.
What behaviors are included in the MacDonald Triad? - Answer-Enuresis, pushing others, and
pyromania.
What is the correct response for a child exhibiting the MacDonald Triad? - Answer-Swinging a
cat by the tail, bed-wetting, and lighting paper on fire in the trash can.
What discharge planning instruction is important for a teenager with borderline personality
disorder? - Answer-Obtaining support from family and friends.
What intervention should a mother use to help a child with executive functioning issues? -
Answer-Placing visual aids on the bathroom mirror so that the child will follow the morning
routine.
What should the nurse realize about Ellie, a 9-year-old girl with a history of severe neglect? -
Answer-She may have attachment issues related to her previous history and will need to
encourage the family to be active in her care.
How does an infant display depression? - Answer-Looks away when an adult attempts to play
with the infant.
What should a mental health nurse do when an adolescent shows signs of withdrawal and poor
grades? - Answer-Perform a mental health screening to check for depression.
How often should a teen be checked for depression at physician visits? - Answer-Every visit.
What should be assessed when using the SAD FACES depression screen? - Answer-All of the
above (anhedonia, suicidal ideations, sleep patterns).
What is the main reason for teachers to be educated about bullycide? - Answer-Teachers can be
aware of the fact that suicides can happen due to bullying by others.
What does it indicate if an adolescent with bipolar disorder is talking fast and acting like she is
God? - Answer-She is probably in a manic phase and needs to be treated professionally.
What is true about haploid cells? - Answer-Each one contains 23 chromosomes.
,What does the genetic notation symbol 47,XX,6q indicate? - Answer-Female with deletion on
the long arm of chromosome 6.
What is most likely about the parents of a child who is homozygous for a recessive genetic
disorder? - Answer-Each parent has one copy of that gene mutation.
Which type of mutation is responsible for many single-gene genetic disorders? - Answer-Point
mutations.
What type of genetic disorder is cystic fibrosis, which requires the presence of a gene mutation
on both alleles? - Answer-Monogenetic.
What is the risk of having a child with neurofibromatosis if one parent has the disorder and the
other does not? - Answer-Each child born to this couple will have a 50% risk of having the
disease.
What is the risk of hemophilia A in the children of a couple where the mother has a family
history of the disease? - Answer-Daughters have a 50% chance of being carriers of the disease.
What is an important responsibility of the primary care pediatric nurse practitioner in
determining genetic risk factors? - Answer-Obtaining a three-generation pedigree for each
family.
Which diagnostic study may be ordered to detect the presence of additional genetic material on
a chromosome? - Answer-FISH.
What type of testing is recommended for a couple concerned about having children with cystic
fibrosis? - Answer-Carrier testing.
What was a result of the passage of the Toxic Substances Control Act (TSCA) of 1976? - Answer-
Authorization of the EPA to require testing and reporting of some chemicals.
What does the 'precautionary principle' mean in the context of regulating potentially toxic
chemicals? - Answer-Chemicals must be proven to be safe before being introduced into the
environment.
What should a primary care pediatric nurse practitioner do after a child's rapid capillary
screening test for lead reveals a level of 11 mcg/dL? - Answer-Order a venous sample to test for
lead levels.
What should be tested in a child with a lead level of 25 mcg/dL? - Answer-The child's siblings
and parents for lead.
What is an important intervention after instituting lead abatement measures for a child with
elevated lead levels? - Answer-Chelation therapy, dietary changes, and follow-up testing.
, What symptoms might indicate exposure to organophosphates in a child? - Answer-Swelling of
extremities, pain and weakness in the pelvis, and an erythematous maculopapular rash.
What advice should be given to a mother who smokes regarding her nursing newborn? -
Answer-Thirdhand smoke exposure risks may last for years even if the mother quits now.
What symptoms could suggest organophosphate exposure in a child? - Answer-Wheezing,
vomiting, diarrhea, drooling, low heart rate, and diaphoresis.
What is a recommended way to limit exposure to risks associated with plastics? - Answer-Avoid
heating foods and liquids in plastic containers.
Which foods are considered relatively safe from pesticide exposure, whether organic or not? -
Answer-Sweet corn, cantaloupe, and kiwi.
What should be included in the medical history of a child by a pediatric nurse practitioner? -
Answer-Complementary medications, alternative health practices, and chief complaint.
Which resource can be used for formulating developmental diagnoses for pediatric patients? -
Answer-DC: 03R.
What diagnosis might be used for a child who chronically withholds stools? - Answer-Encopresis.
What diagnosis will be used for a toddler with weight and BMI below the 3rd percentile due to
irregular mealtimes? - Answer-Parenting alteration.
What is the significance of follow-up testing after lead abatement measures? - Answer-It helps
to monitor the child's lead levels and ensure they are decreasing.
What is the primary concern for a child whose parent works in a factory and presents with
specific symptoms? - Answer-Suspected exposure to industrial toxins, particularly
organophosphates.
What are the potential long-term effects of prenatal smoke exposure on infants? - Answer-
Respiratory effects may occur after birth.
What should parents do to minimize risks associated with plastic use? - Answer-Avoid using
plastic containers when possible.
What dietary advice can help reduce lead exposure in children? - Answer-Incorporate dietary
changes that can help mitigate lead absorption.
What is the role of chelation therapy in treating lead poisoning? - Answer-It helps to remove
lead from the body.
Latest Exam Edition | Complete Questions &
Verified Answers | Instant Download PDF |
Nursing Study Guide with Rationales | Practice
Tests for Exam Success | Comprehensive
Overview | Pass Guaranteed | Updated for
2026 | Essential Review Resource for Pediatric
Primary Care Certification
Which region globally has the highest infant mortality rate? - Answer-Sub-Saharan Africa
What intervention is most effective for reducing child mortality from pneumonia and diarrhea? -
Answer-Vaccinations
What recent trend has been observed in obesity rates among 2 to 5-year-olds in the U.S.? -
Answer-A significant decrease.
What major child health outcome is associated with worldwide climate change? - Answer-
Nutrition.
What is the focus of the American Academy of Pediatrics Recommendations for Preventive
Pediatric Health Care for infants? - Answer-Scheduling well-baby visits to coincide with key
developmental milestones.
What does the term 'therapeutic milieu' refer to in pediatric care? - Answer-The place where
the child is receiving care, including personal interactions and group therapy.
What should be the placement for a 16-year-old expressing suicidal thoughts? - Answer-In an
area where he can be watched one-on-one.
What has been scientifically linked to learning disabilities in children? - Answer-Genetics.
,How should behavioral challenges in a child be described to a teacher? - Answer-The child may
be defiant or have tantrums.
What could cause a child to revert to enuresis after four years without issues? - Answer-Stress.
What intervention needs may not be necessary for a caller to a crisis line? - Answer-Discussing
the individual's everyday activities.
When should a nurse take a child out of a seclusion room? - Answer-When he starts
headbutting the window.
What behaviors are included in the MacDonald Triad? - Answer-Enuresis, pushing others, and
pyromania.
What is the correct response for a child exhibiting the MacDonald Triad? - Answer-Swinging a
cat by the tail, bed-wetting, and lighting paper on fire in the trash can.
What discharge planning instruction is important for a teenager with borderline personality
disorder? - Answer-Obtaining support from family and friends.
What intervention should a mother use to help a child with executive functioning issues? -
Answer-Placing visual aids on the bathroom mirror so that the child will follow the morning
routine.
What should the nurse realize about Ellie, a 9-year-old girl with a history of severe neglect? -
Answer-She may have attachment issues related to her previous history and will need to
encourage the family to be active in her care.
How does an infant display depression? - Answer-Looks away when an adult attempts to play
with the infant.
What should a mental health nurse do when an adolescent shows signs of withdrawal and poor
grades? - Answer-Perform a mental health screening to check for depression.
How often should a teen be checked for depression at physician visits? - Answer-Every visit.
What should be assessed when using the SAD FACES depression screen? - Answer-All of the
above (anhedonia, suicidal ideations, sleep patterns).
What is the main reason for teachers to be educated about bullycide? - Answer-Teachers can be
aware of the fact that suicides can happen due to bullying by others.
What does it indicate if an adolescent with bipolar disorder is talking fast and acting like she is
God? - Answer-She is probably in a manic phase and needs to be treated professionally.
What is true about haploid cells? - Answer-Each one contains 23 chromosomes.
,What does the genetic notation symbol 47,XX,6q indicate? - Answer-Female with deletion on
the long arm of chromosome 6.
What is most likely about the parents of a child who is homozygous for a recessive genetic
disorder? - Answer-Each parent has one copy of that gene mutation.
Which type of mutation is responsible for many single-gene genetic disorders? - Answer-Point
mutations.
What type of genetic disorder is cystic fibrosis, which requires the presence of a gene mutation
on both alleles? - Answer-Monogenetic.
What is the risk of having a child with neurofibromatosis if one parent has the disorder and the
other does not? - Answer-Each child born to this couple will have a 50% risk of having the
disease.
What is the risk of hemophilia A in the children of a couple where the mother has a family
history of the disease? - Answer-Daughters have a 50% chance of being carriers of the disease.
What is an important responsibility of the primary care pediatric nurse practitioner in
determining genetic risk factors? - Answer-Obtaining a three-generation pedigree for each
family.
Which diagnostic study may be ordered to detect the presence of additional genetic material on
a chromosome? - Answer-FISH.
What type of testing is recommended for a couple concerned about having children with cystic
fibrosis? - Answer-Carrier testing.
What was a result of the passage of the Toxic Substances Control Act (TSCA) of 1976? - Answer-
Authorization of the EPA to require testing and reporting of some chemicals.
What does the 'precautionary principle' mean in the context of regulating potentially toxic
chemicals? - Answer-Chemicals must be proven to be safe before being introduced into the
environment.
What should a primary care pediatric nurse practitioner do after a child's rapid capillary
screening test for lead reveals a level of 11 mcg/dL? - Answer-Order a venous sample to test for
lead levels.
What should be tested in a child with a lead level of 25 mcg/dL? - Answer-The child's siblings
and parents for lead.
What is an important intervention after instituting lead abatement measures for a child with
elevated lead levels? - Answer-Chelation therapy, dietary changes, and follow-up testing.
, What symptoms might indicate exposure to organophosphates in a child? - Answer-Swelling of
extremities, pain and weakness in the pelvis, and an erythematous maculopapular rash.
What advice should be given to a mother who smokes regarding her nursing newborn? -
Answer-Thirdhand smoke exposure risks may last for years even if the mother quits now.
What symptoms could suggest organophosphate exposure in a child? - Answer-Wheezing,
vomiting, diarrhea, drooling, low heart rate, and diaphoresis.
What is a recommended way to limit exposure to risks associated with plastics? - Answer-Avoid
heating foods and liquids in plastic containers.
Which foods are considered relatively safe from pesticide exposure, whether organic or not? -
Answer-Sweet corn, cantaloupe, and kiwi.
What should be included in the medical history of a child by a pediatric nurse practitioner? -
Answer-Complementary medications, alternative health practices, and chief complaint.
Which resource can be used for formulating developmental diagnoses for pediatric patients? -
Answer-DC: 03R.
What diagnosis might be used for a child who chronically withholds stools? - Answer-Encopresis.
What diagnosis will be used for a toddler with weight and BMI below the 3rd percentile due to
irregular mealtimes? - Answer-Parenting alteration.
What is the significance of follow-up testing after lead abatement measures? - Answer-It helps
to monitor the child's lead levels and ensure they are decreasing.
What is the primary concern for a child whose parent works in a factory and presents with
specific symptoms? - Answer-Suspected exposure to industrial toxins, particularly
organophosphates.
What are the potential long-term effects of prenatal smoke exposure on infants? - Answer-
Respiratory effects may occur after birth.
What should parents do to minimize risks associated with plastic use? - Answer-Avoid using
plastic containers when possible.
What dietary advice can help reduce lead exposure in children? - Answer-Incorporate dietary
changes that can help mitigate lead absorption.
What is the role of chelation therapy in treating lead poisoning? - Answer-It helps to remove
lead from the body.
