BURNS PEDIATRIC PRIMARY CARE, 7TH EDITION
2026 ACTUAL EXAM PAPER QUESTIONS WITH
SOLUTIONS GRADED A+
◉ A 16-YEAR-OLD MALE HAS RECEIVED A PINK-SLIP FROM THE
POLICE FOR INPATIENT PSYCHIATRIC TREATMENT. THE TEEN HAS
BEEN EXPRESSING THOUGHTS OF HANGING HIMSELF BECAUSE
"LIFE SUCKS." THE NURSING STAFF SHOULD CONSIDER PLACING
THE CHILD:
Answer: B. ONE-ON-ONE OBSERVATION IS CRITICAL FOR SAFETY
IN CASES OF SUICIDAL IDEATION.
◉ 3. LEARNING DISABILITIES IN CHILDREN HAVE SCIENTIFICALLY
BEEN LINKED TO:
Answer: C. GENETIC
FACTORS HAVE BEEN ESTABLISHED AS A SIGNIFICANT INFLUENCE
ON LEARNING DISABILITIES.
◉ A MENTAL HEALTH NURSE HAS ASSESSED A CHILD AND
DETERMINED THAT THE CHILD EXHIBITS BEHAVIORAL
CHALLENGES. WHEN THE SCHOOL NURSE EXPLAINS THIS TO A
TEACHER, THE BEST DESCRIPTION WOULD BE:
Answer: C. THE CHILD MAY BE DEFIANT OR HAVE TANTRUMS.
,DEFIANCE AND TANTRUMS ARE COMMON INDICATORS OF
BEHAVIOURAL CHALLENGES IN CHILDREN.
◉ A CHILD THAT HAS NOT EXHIBITED ENURESIS IN FOUR YEARS
HAS EXHIBITED THIS BEHAVIOUR PATTERN FOR THE LAST WEEK.
THE REASON A CHILD MAY REVERT BACK TO THIS BEHAVIOUR
PATTERN IS BECAUSE OF:
Answer: D. STRESS.
D. STRESSFUL EVENTS OR CHANGES IN A CHILD'S LIFE CAN
TRIGGER A REVERSION TO PREVIOUS BEHAVIORS LIKE ENURESIS.
◉ THE PRIMARY CARE PEDIATRIC ARNP IS DISCUSSING NEWBORN
CARE WITH PARENTS PRIOR TO THE DELIVERY OF THEIR FIRST
CHILD. WHAT WILL THE ARNP TELL THEM ABOUT CIRCUMCISION?
Answer: B. THE BENEFITS OF THE PROCEDURE OUTWEIGH THE
RISKS OF THE PROCEDURE:
THE BENEFITS OF CIRCUMCISION, SUCH AS REDUCING THE RISK
OF URINARY TRACT INFECTIONS, PENILE CANCER, AND SEXUALLY
TRANSMITTED
INFECTIONS, GENERALLY OUTWEIGH THE RISKS. HOWEVER, IT IS
IMPORTANT TO INFORM PARENTS THAT THE DECISION IS A
PERSONAL ONE, AND SOME RISKS, SUCH AS COMPLICATIONS
FROM THE PROCEDURE, EXIST.
,◉ THE PRIMARY CARE PEDIATRIC ARNP PERFORMS A WELL-BABY
EXAM ON A 2-DAY-OLD INFANT AND NOTES CLUSTERS OF FIRM,
YELLOW-WHITE PAPULES WITH A SURROUNDING
ERYTHEMATOUS FLARE. WHAT WILL THE ARNP DO?
Answer: D. REASSURE THE PARENTS THAT NO TREATMENT IS
NECESSARY:
THIS DESCRIPTION OF YELLOW-WHITE PAPULES WITH AN
ERYTHEMATOUS FLARE MOST LIKELY REPRESENTS MILIA, A
COMMON AND HARMLESS SKIN CONDITION IN NEWBORNS. IT
DOES NOT REQUIRE TREATMENT AND TYPICALLY RESOLVES ON
ITS OWN WITHIN A FEW WEEKS.
◉ A WELL-BABY EXAMINATION OF A 3-DAY-OLD INFANT BORN TO
A PRIMIGRAVIDA MOTHER REVEALS SWELLING ON THE RIGHT
PARIETAL AREA OF THE SCALP THAT STOPS AT THE SUTURE LINE.
WHAT ACTION WILL THE PRIMARY CARE PEDIATRIC ARNP TAKE
BASED ON THIS FINDING?
Answer: B. OBSERVE THE INFANT FOR HYPERBILIRUBINEMIA: THE
DESCRIPTION OF SWELLING THAT STOPS AT THE SUTURE LINE
SUGGESTS A CEPHALOHEMATOMA, A COMMON CONDITION
RESULTING FROM PRESSURE DURING DELIVERY. ALTHOUGH
CEPHALOHEMATOMAS ARE NOT DIRECTLY ASSOCIATED WITH
HYPERBILIRUBINEMIA, THESE INFANTS ARE AT INCREASED RISK
FOR JAUNDICE DUE TO THE BREAKDOWN OF RED BLOOD CELLS IN
THE HEMATOMA, AND MONITORING FOR JAUNDICE IS IMPORTANT.
, ◉ THE PARENT OF A 2-WEEK-OLD INFANT REPORTS THAT THE
INFANT WAS DIAGNOSED WITH TRANSIENT TACHYPNEA OF THE
NEWBORN SHORTLY AFTER BIRTH. THE PRIMARY CARE
PEDIATRIC ARNP UNDERSTANDS THAT, IN THIS CONDITION:
Answer: C. RECOVERY IS USUALLY COMPLETE WITH MINIMAL
INTERVENTION AND TREATMENTS:
TRANSIENT TACHYPNEA OF THE NEWBORN (TTN) IS A SELF-
LIMITING CONDITION TYPICALLY CAUSED BY DELAYED
CLEARANCE OF LUNG FLUID. IT OFTEN RESOLVES WITHIN 72
HOURS WITH MINIMAL TREATMENT, SUCH AS OXYGEN IF NEEDED.
NO LONG-TERM INTERVENTIONS ARE TYPICALLY REQUIRED.
◉ THE PARENT OF A 4-WEEK-OLD INFANT REPORTS THAT THE
INFANT BEGAN HAVING FORCEFUL VOMITING 1 WEEK PRIOR,
WHICH HAS WORSENED OVER TIME. THE INFANT CONTINUES TO
NURSE WELL BUT IS LOSING WEIGHT. A PHYSICAL EXAMINATION
REVEALS A 90G WEIGHT LOSS OVER THE PAST 2 WEEKS, DRY
MUCOUS MEMBRANES, AND A SUNKEN FONTANEL. WHAT WILL
THE PRIMARY CARE PEDIATRIC ARNP DO?
Answer: B. OBTAIN SERUM ELECTROLYTES AND HOSPITALIZE FOR
SURGICAL INTERVENTION:
THE INFANT'S SYMPTOMS— FORCEFUL VOMITING, WEIGHT LOSS,
DEHYDRATION (DRY MUCOUS MEMBRANES, SUNKEN
FONTANEL)—ARE SUGGESTIVE OF PYLORIC STENOSIS, A
CONDITION THAT REQUIRES SURGICAL INTERVENTION. BLOOD
TESTS (INCLUDING ELECTROLYTES) AND SURGERY ARE OFTEN
2026 ACTUAL EXAM PAPER QUESTIONS WITH
SOLUTIONS GRADED A+
◉ A 16-YEAR-OLD MALE HAS RECEIVED A PINK-SLIP FROM THE
POLICE FOR INPATIENT PSYCHIATRIC TREATMENT. THE TEEN HAS
BEEN EXPRESSING THOUGHTS OF HANGING HIMSELF BECAUSE
"LIFE SUCKS." THE NURSING STAFF SHOULD CONSIDER PLACING
THE CHILD:
Answer: B. ONE-ON-ONE OBSERVATION IS CRITICAL FOR SAFETY
IN CASES OF SUICIDAL IDEATION.
◉ 3. LEARNING DISABILITIES IN CHILDREN HAVE SCIENTIFICALLY
BEEN LINKED TO:
Answer: C. GENETIC
FACTORS HAVE BEEN ESTABLISHED AS A SIGNIFICANT INFLUENCE
ON LEARNING DISABILITIES.
◉ A MENTAL HEALTH NURSE HAS ASSESSED A CHILD AND
DETERMINED THAT THE CHILD EXHIBITS BEHAVIORAL
CHALLENGES. WHEN THE SCHOOL NURSE EXPLAINS THIS TO A
TEACHER, THE BEST DESCRIPTION WOULD BE:
Answer: C. THE CHILD MAY BE DEFIANT OR HAVE TANTRUMS.
,DEFIANCE AND TANTRUMS ARE COMMON INDICATORS OF
BEHAVIOURAL CHALLENGES IN CHILDREN.
◉ A CHILD THAT HAS NOT EXHIBITED ENURESIS IN FOUR YEARS
HAS EXHIBITED THIS BEHAVIOUR PATTERN FOR THE LAST WEEK.
THE REASON A CHILD MAY REVERT BACK TO THIS BEHAVIOUR
PATTERN IS BECAUSE OF:
Answer: D. STRESS.
D. STRESSFUL EVENTS OR CHANGES IN A CHILD'S LIFE CAN
TRIGGER A REVERSION TO PREVIOUS BEHAVIORS LIKE ENURESIS.
◉ THE PRIMARY CARE PEDIATRIC ARNP IS DISCUSSING NEWBORN
CARE WITH PARENTS PRIOR TO THE DELIVERY OF THEIR FIRST
CHILD. WHAT WILL THE ARNP TELL THEM ABOUT CIRCUMCISION?
Answer: B. THE BENEFITS OF THE PROCEDURE OUTWEIGH THE
RISKS OF THE PROCEDURE:
THE BENEFITS OF CIRCUMCISION, SUCH AS REDUCING THE RISK
OF URINARY TRACT INFECTIONS, PENILE CANCER, AND SEXUALLY
TRANSMITTED
INFECTIONS, GENERALLY OUTWEIGH THE RISKS. HOWEVER, IT IS
IMPORTANT TO INFORM PARENTS THAT THE DECISION IS A
PERSONAL ONE, AND SOME RISKS, SUCH AS COMPLICATIONS
FROM THE PROCEDURE, EXIST.
,◉ THE PRIMARY CARE PEDIATRIC ARNP PERFORMS A WELL-BABY
EXAM ON A 2-DAY-OLD INFANT AND NOTES CLUSTERS OF FIRM,
YELLOW-WHITE PAPULES WITH A SURROUNDING
ERYTHEMATOUS FLARE. WHAT WILL THE ARNP DO?
Answer: D. REASSURE THE PARENTS THAT NO TREATMENT IS
NECESSARY:
THIS DESCRIPTION OF YELLOW-WHITE PAPULES WITH AN
ERYTHEMATOUS FLARE MOST LIKELY REPRESENTS MILIA, A
COMMON AND HARMLESS SKIN CONDITION IN NEWBORNS. IT
DOES NOT REQUIRE TREATMENT AND TYPICALLY RESOLVES ON
ITS OWN WITHIN A FEW WEEKS.
◉ A WELL-BABY EXAMINATION OF A 3-DAY-OLD INFANT BORN TO
A PRIMIGRAVIDA MOTHER REVEALS SWELLING ON THE RIGHT
PARIETAL AREA OF THE SCALP THAT STOPS AT THE SUTURE LINE.
WHAT ACTION WILL THE PRIMARY CARE PEDIATRIC ARNP TAKE
BASED ON THIS FINDING?
Answer: B. OBSERVE THE INFANT FOR HYPERBILIRUBINEMIA: THE
DESCRIPTION OF SWELLING THAT STOPS AT THE SUTURE LINE
SUGGESTS A CEPHALOHEMATOMA, A COMMON CONDITION
RESULTING FROM PRESSURE DURING DELIVERY. ALTHOUGH
CEPHALOHEMATOMAS ARE NOT DIRECTLY ASSOCIATED WITH
HYPERBILIRUBINEMIA, THESE INFANTS ARE AT INCREASED RISK
FOR JAUNDICE DUE TO THE BREAKDOWN OF RED BLOOD CELLS IN
THE HEMATOMA, AND MONITORING FOR JAUNDICE IS IMPORTANT.
, ◉ THE PARENT OF A 2-WEEK-OLD INFANT REPORTS THAT THE
INFANT WAS DIAGNOSED WITH TRANSIENT TACHYPNEA OF THE
NEWBORN SHORTLY AFTER BIRTH. THE PRIMARY CARE
PEDIATRIC ARNP UNDERSTANDS THAT, IN THIS CONDITION:
Answer: C. RECOVERY IS USUALLY COMPLETE WITH MINIMAL
INTERVENTION AND TREATMENTS:
TRANSIENT TACHYPNEA OF THE NEWBORN (TTN) IS A SELF-
LIMITING CONDITION TYPICALLY CAUSED BY DELAYED
CLEARANCE OF LUNG FLUID. IT OFTEN RESOLVES WITHIN 72
HOURS WITH MINIMAL TREATMENT, SUCH AS OXYGEN IF NEEDED.
NO LONG-TERM INTERVENTIONS ARE TYPICALLY REQUIRED.
◉ THE PARENT OF A 4-WEEK-OLD INFANT REPORTS THAT THE
INFANT BEGAN HAVING FORCEFUL VOMITING 1 WEEK PRIOR,
WHICH HAS WORSENED OVER TIME. THE INFANT CONTINUES TO
NURSE WELL BUT IS LOSING WEIGHT. A PHYSICAL EXAMINATION
REVEALS A 90G WEIGHT LOSS OVER THE PAST 2 WEEKS, DRY
MUCOUS MEMBRANES, AND A SUNKEN FONTANEL. WHAT WILL
THE PRIMARY CARE PEDIATRIC ARNP DO?
Answer: B. OBTAIN SERUM ELECTROLYTES AND HOSPITALIZE FOR
SURGICAL INTERVENTION:
THE INFANT'S SYMPTOMS— FORCEFUL VOMITING, WEIGHT LOSS,
DEHYDRATION (DRY MUCOUS MEMBRANES, SUNKEN
FONTANEL)—ARE SUGGESTIVE OF PYLORIC STENOSIS, A
CONDITION THAT REQUIRES SURGICAL INTERVENTION. BLOOD
TESTS (INCLUDING ELECTROLYTES) AND SURGERY ARE OFTEN
