BURNS PEDIATRIC PRIMARY CARE 7TH
EDITION ACTUAL EXAM PAPER 2026
COMPLETE QUESTIONS WITH SOLUTIONS
GRADED A+
◉ When formulating developmental diagnoses for pediatric
patients, the primary care pediatric nurse practitioner may use
which resource?
a. DC: 03R
b. ICD10CM
c. ICSD3
d. NANDA International
Answer: A. DC: 03R
◉ 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
Answer: C. Encopresis
◉ The primary care pediatric nurse practitioner is assessing a
toddler whose weight and body mass index (BMI) are below the 3rd
percentile for age. The nurse practitioner learns that the child does
not have regular mealtimes and is allowed to carry a bottle of juice
around at all times. The nurse practitioner plans to work with this
family to develop improved meal patterns. Which diagnosis will the
nurse practitioner use for this problem?
a. Failure to thrive
b. Home care resources inadequate
c. Nutrition alteration-less than required
d. Parenting alteration
Answer: D. Parenting alteration
◉ The primary care pediatric nurse practitioner is performing a well
child checkup on a 20 month old child. The child was 4 weeks
premature and according to a parent completed developmental
questionnaire, has achieved milestones for a 15 month old infant.
Which action is correct?
a. Perform an in-depth developmental assessment screen at this visit
to evaluate this child
b. Reassure the parent that the child will catch up to normal
development by age 2 years
EDITION ACTUAL EXAM PAPER 2026
COMPLETE QUESTIONS WITH SOLUTIONS
GRADED A+
◉ When formulating developmental diagnoses for pediatric
patients, the primary care pediatric nurse practitioner may use
which resource?
a. DC: 03R
b. ICD10CM
c. ICSD3
d. NANDA International
Answer: A. DC: 03R
◉ 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
Answer: C. Encopresis
◉ The primary care pediatric nurse practitioner is assessing a
toddler whose weight and body mass index (BMI) are below the 3rd
percentile for age. The nurse practitioner learns that the child does
not have regular mealtimes and is allowed to carry a bottle of juice
around at all times. The nurse practitioner plans to work with this
family to develop improved meal patterns. Which diagnosis will the
nurse practitioner use for this problem?
a. Failure to thrive
b. Home care resources inadequate
c. Nutrition alteration-less than required
d. Parenting alteration
Answer: D. Parenting alteration
◉ The primary care pediatric nurse practitioner is performing a well
child checkup on a 20 month old child. The child was 4 weeks
premature and according to a parent completed developmental
questionnaire, has achieved milestones for a 15 month old infant.
Which action is correct?
a. Perform an in-depth developmental assessment screen at this visit
to evaluate this child
b. Reassure the parent that the child will catch up to normal
development by age 2 years
