BURNS PEDIATRIC PRIMARY CARE 7TH
EDITION COMPREHENSIVE EXAM SCRIPT
SOLVED QUESTIONS GRADED A+
◉ The primary care pediatric nurse practitioner performs a
developmental assessment on a 3-year-old child and notes normal
cognitive, fine-motor, and gross-motor abilities. The child responds
appropriately to verbal commands during the assessment but
refuses to speak when asked questions. The parent tells the nurse
practitioner that the child talks at home and that most other adults
can understand what the child says. The nurse practitioner will:
a. Ask the parent to consider a possible speech delay and report any
concerns
b. Continue to evaluate the child's speech at subsequent visits
c. Refer the child for a speech and hearing evaluation
d. Tell the parent to spend more time in interactive conversations
with the child
Answer: B. Continue to evaluate the child's speech at subsequent
visits
◉ The parent of a toddler is concerned that the child may have
autism. The primary care pediatric nurse practitioner completes a
Modified Checklist for Autism in Toddlers (MCHAT) tool, which
, indicates several areas of concern. What will the nurse practitioner
do?
a. Administer a Childhood Autism Rating Scale (CARS) in the clinic
b. Consult a specialist to determine appropriate early intervention
strategies
c. Refer the child to a behavioral specialist for further evaluation
d. Tell the parent that this result indicates that the child has autism
Answer: C. Refer the child to a behavioral specialist for further
evaluation
◉ The primary care pediatric nurse practitioner learns that the
mother of a 3-year-old child has been treated for depression for over
5 years. Which aspect of this child's development will be of the most
concern to the nurse practitioner?
a. Fine motor
b. Gross motor
c. Social/emotional
d. Speech and language
Answer: C or D
◉ When meeting with a new family, the primary care pediatric nurse
practitioner develops a database that identifies family members and
others living in the household, relationships with others outside the
household, and significant behavioral and emotional problems.
EDITION COMPREHENSIVE EXAM SCRIPT
SOLVED QUESTIONS GRADED A+
◉ The primary care pediatric nurse practitioner performs a
developmental assessment on a 3-year-old child and notes normal
cognitive, fine-motor, and gross-motor abilities. The child responds
appropriately to verbal commands during the assessment but
refuses to speak when asked questions. The parent tells the nurse
practitioner that the child talks at home and that most other adults
can understand what the child says. The nurse practitioner will:
a. Ask the parent to consider a possible speech delay and report any
concerns
b. Continue to evaluate the child's speech at subsequent visits
c. Refer the child for a speech and hearing evaluation
d. Tell the parent to spend more time in interactive conversations
with the child
Answer: B. Continue to evaluate the child's speech at subsequent
visits
◉ The parent of a toddler is concerned that the child may have
autism. The primary care pediatric nurse practitioner completes a
Modified Checklist for Autism in Toddlers (MCHAT) tool, which
, indicates several areas of concern. What will the nurse practitioner
do?
a. Administer a Childhood Autism Rating Scale (CARS) in the clinic
b. Consult a specialist to determine appropriate early intervention
strategies
c. Refer the child to a behavioral specialist for further evaluation
d. Tell the parent that this result indicates that the child has autism
Answer: C. Refer the child to a behavioral specialist for further
evaluation
◉ The primary care pediatric nurse practitioner learns that the
mother of a 3-year-old child has been treated for depression for over
5 years. Which aspect of this child's development will be of the most
concern to the nurse practitioner?
a. Fine motor
b. Gross motor
c. Social/emotional
d. Speech and language
Answer: C or D
◉ When meeting with a new family, the primary care pediatric nurse
practitioner develops a database that identifies family members and
others living in the household, relationships with others outside the
household, and significant behavioral and emotional problems.
