BURNS PEDIATRIC FINAL EXAM STUDY GUIDE
QUESTIONS AND 100% CORRECT
ANSWERS|LATEST 2025/2026|GUARANTEED
A+|VERIFIED
9. The primary care pediatric nurse practitioner performs a vision screen on a 4-month-
B B B B B B B B B B B B B
old infant and
B B
notes the presence of convergence and accommodation with mild esotropia of the left eye. W
B B B B B B B B B B B B B B
hat will B
the nurse practitioner do?
B B B
a. Patch the right eye to improve coordination of the left eye.
B B B B B B B B B B B
b. Reassure the parents that the infant will outgrow this.
B B B B B B B B B
c. Recheck the infant's eyes in 2 to 4 weeks.
B B B B B B B B B
d. Refer the infant to a pediatric ophthalmologist. - ANSWER-
B B B B B B B B B ANS: D B
Esotropia that continues or occurs at 3 to 4 months of age is abnormal, so the infant should be
B B B B B B B B B B B B B B B B B B B
referred to B
a pediatric ophthalmologist. The PNP does not determine whether an eye patch should be use
B B B B B B B B B B B B B B
d. Because it
B B
is abnormal at this age, the PNP will not reassure the parents that the infant will outgrow this.
B B B B B B B B B B B B B B B B B B
Esotropia
after 3 to 4 months of age must be evaluated by a specialist and not reevaluated in 2 to 4 week
B B B B B B B B B B B B B B B B B B B B
s.
4. During a well-baby assessment on a 1-week-
B B B B B B B
old infant who had a normal exam when discharged from
B B B B B B B B B
the newborn nursery 2 days prior, the primary care pediatric nurse practitioner notes moderat
B B B B B B B B B B B B B
e eyelid
B
swelling, bulbar conjunctival injections, and moderate amounts of thick, purulent discharge.
B B B B B B B B B B B
What is B
the likely diagnosis?
B B
a. Chemical-induced conjunctivitis
B B
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,b. Chlamydia trachomatis conjunctivitis
B B B
c. Herpes simplex virus (HSV) conjunctivitis
B B B B B
d. Neisseria gonorrhea conjunctivitis - ANSWER-
B B B B B ANS: B B
C. trachomatis conjunctivitis usually begins between 5 to 14 days of life and causes moderate
B B B B B B B B B B B B B B B
eyelid
swelling, palpebral or bulbar conjunctivitis, and moderate, thick, purulent discharge. Chemical
B B B B B B B B B B
-induced
conjunctivitis manifests as nonpurulent discharge. HSV is characterized by serosanguinous dis
B B B B B B B B B B
charge. N. B
gonorrhea causes acute conjunctival inflammation and excessive purulent discharge.
B B B B B B B B
1. The primary care pediatric nurse practitioner understands that a major child health outcom
B B B B B B B B B B B B B
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
B B B B B B B B B B B B B
d-wide
reduction in child mortality from pneumonia and diarrhea, which intervention is most effectiv
B B B B B B B B B B B B
e?
a. Antibiotics
B
b. Optimal nutrition
B B
c. Vaccinations
B
d. Water purification - ANSWER-
B B B B ANS: C B
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,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
B B B B B B B B B B B B B
mortality
globally. Both are vaccine-
B B B
preventable diseases. Antibiotics to treat pneumonia, optimal nutrition, and
B B B B B B B B
clean water all help to reduce morbidity and mortality, but vaccination prevents the diseases f
B B B B B B B B B B B B B B
rom
occurring.
3. When providing well child care for an infant in the first year of life, the primary care pediatri
B B B B B B B B B B B B B B B B B B
c nurse
B
practitioner is adhering to the most recent American Academy of Pediatrics Recommendation
B B B B B B B B B B B
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
B B B B B B B B B B B B B B
ter
emphasis on behavioral and developmental issues and a recommendation that well child care
B B B B B B B B B B B B B
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?
B B B B B B B B B B B B B
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
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, 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
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
B B B B B B B B B B B B B B B B B
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
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QUESTIONS AND 100% CORRECT
ANSWERS|LATEST 2025/2026|GUARANTEED
A+|VERIFIED
9. The primary care pediatric nurse practitioner performs a vision screen on a 4-month-
B B B B B B B B B B B B B
old infant and
B B
notes the presence of convergence and accommodation with mild esotropia of the left eye. W
B B B B B B B B B B B B B B
hat will B
the nurse practitioner do?
B B B
a. Patch the right eye to improve coordination of the left eye.
B B B B B B B B B B B
b. Reassure the parents that the infant will outgrow this.
B B B B B B B B B
c. Recheck the infant's eyes in 2 to 4 weeks.
B B B B B B B B B
d. Refer the infant to a pediatric ophthalmologist. - ANSWER-
B B B B B B B B B ANS: D B
Esotropia that continues or occurs at 3 to 4 months of age is abnormal, so the infant should be
B B B B B B B B B B B B B B B B B B B
referred to B
a pediatric ophthalmologist. The PNP does not determine whether an eye patch should be use
B B B B B B B B B B B B B B
d. Because it
B B
is abnormal at this age, the PNP will not reassure the parents that the infant will outgrow this.
B B B B B B B B B B B B B B B B B B
Esotropia
after 3 to 4 months of age must be evaluated by a specialist and not reevaluated in 2 to 4 week
B B B B B B B B B B B B B B B B B B B B
s.
4. During a well-baby assessment on a 1-week-
B B B B B B B
old infant who had a normal exam when discharged from
B B B B B B B B B
the newborn nursery 2 days prior, the primary care pediatric nurse practitioner notes moderat
B B B B B B B B B B B B B
e eyelid
B
swelling, bulbar conjunctival injections, and moderate amounts of thick, purulent discharge.
B B B B B B B B B B B
What is B
the likely diagnosis?
B B
a. Chemical-induced conjunctivitis
B B
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,b. Chlamydia trachomatis conjunctivitis
B B B
c. Herpes simplex virus (HSV) conjunctivitis
B B B B B
d. Neisseria gonorrhea conjunctivitis - ANSWER-
B B B B B ANS: B B
C. trachomatis conjunctivitis usually begins between 5 to 14 days of life and causes moderate
B B B B B B B B B B B B B B B
eyelid
swelling, palpebral or bulbar conjunctivitis, and moderate, thick, purulent discharge. Chemical
B B B B B B B B B B
-induced
conjunctivitis manifests as nonpurulent discharge. HSV is characterized by serosanguinous dis
B B B B B B B B B B
charge. N. B
gonorrhea causes acute conjunctival inflammation and excessive purulent discharge.
B B B B B B B B
1. The primary care pediatric nurse practitioner understands that a major child health outcom
B B B B B B B B B B B B B
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
B B B B B B B B B B B B B
d-wide
reduction in child mortality from pneumonia and diarrhea, which intervention is most effectiv
B B B B B B B B B B B B
e?
a. Antibiotics
B
b. Optimal nutrition
B B
c. Vaccinations
B
d. Water purification - ANSWER-
B B B B ANS: C B
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,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
B B B B B B B B B B B B B
mortality
globally. Both are vaccine-
B B B
preventable diseases. Antibiotics to treat pneumonia, optimal nutrition, and
B B B B B B B B
clean water all help to reduce morbidity and mortality, but vaccination prevents the diseases f
B B B B B B B B B B B B B B
rom
occurring.
3. When providing well child care for an infant in the first year of life, the primary care pediatri
B B B B B B B B B B B B B B B B B B
c nurse
B
practitioner is adhering to the most recent American Academy of Pediatrics Recommendation
B B B B B B B B B B B
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
B B B B B B B B B B B B B B
ter
emphasis on behavioral and developmental issues and a recommendation that well child care
B B B B B B B B B B B B B
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?
B B B B B B B B B B B B B
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
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, 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
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
B B B B B B B B B B B B B B B B B
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
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