BURNS PEDIATRIC FINAL ACTUAL EXAM QUESTIONS AND 100% CORRECT ANSWERS|LATEST 2025/2026|GUARANTEED A+|VERIFIED

QUESTIONS AND 100% CORRECT
ANSWERS|LATEST 2025/2026|GUARANTEED


1. The primary care pediatric nurse practitioner understands that a major child health outcom
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e associated
B




with worldwide climate change is :
B B B B B




a. cost of living.
B B B




b. education.
B




c. nutrition.
B




d. pollution. - ANSWER-
B B B ANS: C B




There is growing evidence that climate change is having a dramatic effect on food crops that le
B B B B B B B B B B B B B B B B



ads to food
B B




distribution issues and food insecurity among families.
B B B B B B




2. The primary care pediatric nurse practitioner understands that, to achieve the greatest worl
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d-wide

reduction in child mortality from pneumonia and diarrhea, which intervention is most effectiv
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e?

a. Antibiotics
B




b. Optimal nutrition
B B




c. Vaccinations
B




d. Water purification - ANSWER-
B B B B ANS: C B




Rotavirus is the most common cause of diarrhea globally and Strep pneumonia is the leading c
B B B B B B B B B B B B B B B



ause of B




pneumonia, and together these are the leading infectious causes of childhood morbidity and
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mortality

globally. Both are vaccine- B B B



preventable diseases. Antibiotics to treat pneumonia, optimal nutrition, and
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,clean water all help to reduce morbidity and mortality, but vaccination prevents the diseases f
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rom

occurring.



3. When providing well child care for an infant in the first year of life, the primary care pediatri
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c nurse
B




practitioner is adhering to the most recent American Academy of Pediatrics Recommendation
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s for
B




Preventive Pediatric Health Care guidelines by : B B B B B B




a. focusing less on development and more on illness prevention and nutrition.
B B B B B B B B B B B




b. following guidelines established by the Bright Futures publication.
B B B B B B B B




c. scheduling well-baby visits to coincide with key developmental milestones.
B B B B B B B B B




d. seeing the infant at ages 2, 4, 6, and 12 months when immunizations are due. - ANSWER-
B B B B B B B B B B B B B B B B B



ANS: C B




In the most recent AAP Recommendations for Preventive Pediatric Health Care, there is a grea
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ter

emphasis on behavioral and developmental issues and a recommendation that well child care
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be based on B B




child and family development rather than the periodicity of immunization schedules. This will
B B B B B B B B B B B B B



require a B




revision of the current recommendations in Bright Futures.
B B B B B B B




4. Which is true about the health status of children in the United States?
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a. Globalism has relatively little impact on child health measures in the U.S.
B B B B B B B B B B B B




b. Obesity rates among 2- to 5-year-olds have shown a recent significant decrease.
B B B B B B B B B B B B




c. The rate of household poverty is lower than in other economically developed nations.
B B B B B B B B B B B B B




d. Young children who attend preschool or day care have higher food insecurity. - ANSWER-
B B B B B B B B B B B B B B



ANS: B B




Obesity rates are a major concern for child health in the U.S. but recently have stabilized in the
B B B B B B B B B B B B B B B B B



rate of
B B




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,increase and have declined among 2- to 5-year-
B B B B B B B



olds between 2004 and 2013. Globalism has an increasing
B B B B B B B B




effect on child health in the U.S. The rate of household poverty in the U.S. is higher than in oth
B B B B B B B B B B B B B B B B B B B



er

economically developed nations. Young children who attend preschool or day care have lower
B B B B B B B B B B B B



food
B




insecurity.



5. Which region globally has the highest infant mortality rate?
B B B B B B B B B




a. Indonesia
B




b. Southern Asia
B B




c. Sub-Saharan Africa
B B




d. Syria - ANSWER-
B B B ANS: C B




Although Sub- B



Saharan Africa and Southern Asia together account for 81% of the infant mortality rate
B B B B B B B B B B B B B




globally, Sub-Saharan Africa has the highest infant mortality rate in the world.
B B B B B B B B B B B




1. The parent of a toddler is concerned that the child may have autism. The primary care pedia
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tric nurse
B




practitioner completes a Modified Checklist for Autism in Toddlers (M-
B B B B B B B B B



CHAT) tool, which indicates
B B B




several areas of concern. What will the nurse practitioner do?
B B B B B B B B B




a. Administer a Childhood Autism Rating Scale (CARS) in the clinic.
B B B B B B B B B B




b. Consult a specialist to determine appropriate early intervention strategies.
B B B B B B B B B




c. Refer the child to a behavioral specialist for further evaluation.
B B B B B B B B B B




d. Tell the parent that this result indicates that the child has autism. - ANSWER-
B B B B B B B B B B B B B B ANS: C B




The M- B



CHAT is a screening tool and is useful for detecting behaviors that may indicate autism. This
B B B B B B B B B B B B B B B




instrument has been found to have acceptable sensitivity, specificity, and significant positive p
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redictive


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, value. If these behaviors are detected, the PNP should refer the child to a specialist for further
B B B B B B B B B B B B B B B B B



assessment,

using more diagnostic tools. The CARS may be used but requires specialty training and proper
B B B B B B B B B B B B B B




credentials. Until the diagnosis is determined, strategies for intervention are not discussed. Th
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e M-CHATB




is a screening tool and is not diagnostic.
B B B B B B B




2. The mother of a newborn tells the primary care pediatric nurse practitioner that she is worri
B B B B B B B B B B B B B B B B



ed that her B B




child will develop allergies and asthma. Which tool will the nurse practitioner use to evaluate t
B B B B B B B B B B B B B B B



his

risk?

a. Three-generation pedigree
B B




b. Review of systems
B B B




c. Genogram
B




d. Ecomap - ANSWER-
B B B ANS: A B




The three- B



generation pedigree is used to map out risks for genetic diseases in families, as well as
B B B B B B B B B B B B B B B




conditions with modifiable risk factors. The review of systems is used to evaluate the history o
B B B B B B B B B B B B B B B



f the
B




child's body systems. The genogram is an approach to developing a family database to provide
B B B B B B B B B B B B B B



a graphic
B B




representation of family structure, roles, and problems of recurring significance in a family. Th
B B B B B B B B B B B B B



e ecomapB




is used to identify relationships in the family and community that are supportive or harmful.
B B B B B B B B B B B B B B




3. The primary care pediatric nurse practitioner is performing a well child check-up on a 20-
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month-old

child. The child was 4 weeks premature and, according to a parent-completed developmental
B B B B B B B B B B B B




questionnaire, has achieved milestones for a 15-month-old infant. Which action is correct?
B B B B B B B B B B B




a. Perform an in-depth developmental assessment screen at this visit to evaluate this child.
B B B B B B B B B B B B B




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