• BURNS'
PEDIATRIC 09/13/2026
PRIMARY Exam
BURNS' PEDIATRIC PRIMARY CARE 8TH
EDITION TEST BANK Questions and Answers|
2026/2027 Latest Update | Complete Chapter
Questions & Answers with Rationales | Verified
Questions & Answers | Graded A+
1. The primary care pediatric nurse practitioner sees a 17-year-old client who quit smoking almost a year
prior but who reports having renewed cravings when around friends who smoke. Using knowledge of
the maintenance stage of change, the primary care pediatric nurse practitioner will
a. go over with the adolescent about the health risks associated with smoking.
b. recommend avoiding friends who smoke and making new friends.
P 1
, • BURNS'
PEDIATRIC 09/13/2026
PRIMARY Exam
c. remind the adolescent about the struggles associated with quitting smoking.
d. suggest that the teen consider taking up a sport or other physical activity. –
Correct Answer :ANS: D
During the maintenance stage, the PNP should help the client with plans to prevent relapse, including
establishing new behaviors as long-term changes. Adding a sport can help the client enjoy the benefits of
not smoking, while substituting one activity for another. The adolescent already knows about the health
risks and the difficulties of quitting. Suggesting giving up friends may be seen as another hardship and is
not part of the maintenance stage.
2. The pediatric nurse practitioner provides primary care for a special needs infant whose parent takes an
active role in the infant's care. The parent has a high school diploma and asks many questions about
her infant's treatments. Which approach will the nurse practitioner take to ensure health literacy for
this parent?
a. Ask the parent to read back all information given.
b. Encourage the parent to ask questions when confused.
c. Provide written materials presented at an 8th grade level.
d. Reinforce written information with verbal instructions.
- Correct Answer :ANS: A
The PNP should take a precautionary approach and assume that all clients will have health literacy
limitations. Assessment of health literacy can be done by asking clients to "read back" the information the
provider gives. While encouraging questions is important, parents may not want to admit that they are
confused and may not ask questions. Written materials should be given at a 5th grade level. Parents who
do not understand medical terms will not understand written or verbal information.
P 2
, • BURNS'
PEDIATRIC 09/13/2026
PRIMARY Exam
3. The primary care pediatric nurse practitioner is counseling an obese adolescent whose parents both
have type 2 diabetes mellitus. Which health behavior prediction model is useful when the nurse
practitioner discusses lifestyle changes with this client?
a. Behavioral change model
b. Health belief model
c. Health promotion model
d. Transtheoretical model
- Correct Answer :ANS: B
The health belief model explains behavior used to prevent disease rather than to promote health. Clients
need to believe that they are vulnerable to the disease, will have negative consequences if they are
affected, and that taking action will reduce the risk. The adolescent who believes that there is a risk of
diabetes may be willing to undertake lifestyle changes if taught that these can reduce the risk. The
behavioral change model is useful for changing behaviors to promote health. The health promotion model
has a focus on health promotion and not disease promotion. The transtheoretical model identifies the
stages of change.
4. The primary care pediatric nurse practitioner is assessing the health literacy of the parent of a toddler.
Which tool will the nurse practitioner use to estimate reading level?
a. Flesch-Kincaid Readability Test
b. Gunning Fog Index
c. Number of children's books in the home
d. SMOG –
P 3
, • BURNS'
PEDIATRIC 09/13/2026
PRIMARY Exam
Correct Answer :ANS: D
The best tool to estimate reading level is the SMOG. The Gunning Fog Index and the Flesch-Kincaid
Readability Test are used as well but are not considered the best indices. The number of children's books
in the home can be asked as a screen but is not a reliable estimate of true literacy.
5. The primary care pediatric nurse practitioner examines an infant whose weight is below the 3rd
percentile and whose mother does not comply with the feeding regimen. When attempting to enlist the
help of the infant's grandmother, the grandmother says, "My daughter was like this when she was a
baby and she turned out all right." Which approach will the nurse practitioner take to improve the
outcome for this infant?
a. Ask the grandmother about her daughter's health during childhood.
b. Explain that the condition is potentially serious if not treated.
c. Give the grandmother and mother information about normal growth.
d. Refer the family to a social worker to investigate possible neglect. –
Correct Answer :ANS: A
This family has an altered perception of health and health behaviors based on their own experience with
the condition. The grandmother considers this infant's weight similar to her own daughter's and assumes
that things will resolve. The PNP should evaluate the mother's health to see if any problems occurred.
Giving more information or trying to alarm the family will not be effective if their perception is that
everything is normal. It is not necessary to refer to a social worker unless the condition persists.
6. An adolescent who is overweight expresses a desire to lose weight in order to participate in sports but
tells the primary care pediatric nurse practitioner that he doesn't want to give up sweets and soft
P 4
PEDIATRIC 09/13/2026
PRIMARY Exam
BURNS' PEDIATRIC PRIMARY CARE 8TH
EDITION TEST BANK Questions and Answers|
2026/2027 Latest Update | Complete Chapter
Questions & Answers with Rationales | Verified
Questions & Answers | Graded A+
1. The primary care pediatric nurse practitioner sees a 17-year-old client who quit smoking almost a year
prior but who reports having renewed cravings when around friends who smoke. Using knowledge of
the maintenance stage of change, the primary care pediatric nurse practitioner will
a. go over with the adolescent about the health risks associated with smoking.
b. recommend avoiding friends who smoke and making new friends.
P 1
, • BURNS'
PEDIATRIC 09/13/2026
PRIMARY Exam
c. remind the adolescent about the struggles associated with quitting smoking.
d. suggest that the teen consider taking up a sport or other physical activity. –
Correct Answer :ANS: D
During the maintenance stage, the PNP should help the client with plans to prevent relapse, including
establishing new behaviors as long-term changes. Adding a sport can help the client enjoy the benefits of
not smoking, while substituting one activity for another. The adolescent already knows about the health
risks and the difficulties of quitting. Suggesting giving up friends may be seen as another hardship and is
not part of the maintenance stage.
2. The pediatric nurse practitioner provides primary care for a special needs infant whose parent takes an
active role in the infant's care. The parent has a high school diploma and asks many questions about
her infant's treatments. Which approach will the nurse practitioner take to ensure health literacy for
this parent?
a. Ask the parent to read back all information given.
b. Encourage the parent to ask questions when confused.
c. Provide written materials presented at an 8th grade level.
d. Reinforce written information with verbal instructions.
- Correct Answer :ANS: A
The PNP should take a precautionary approach and assume that all clients will have health literacy
limitations. Assessment of health literacy can be done by asking clients to "read back" the information the
provider gives. While encouraging questions is important, parents may not want to admit that they are
confused and may not ask questions. Written materials should be given at a 5th grade level. Parents who
do not understand medical terms will not understand written or verbal information.
P 2
, • BURNS'
PEDIATRIC 09/13/2026
PRIMARY Exam
3. The primary care pediatric nurse practitioner is counseling an obese adolescent whose parents both
have type 2 diabetes mellitus. Which health behavior prediction model is useful when the nurse
practitioner discusses lifestyle changes with this client?
a. Behavioral change model
b. Health belief model
c. Health promotion model
d. Transtheoretical model
- Correct Answer :ANS: B
The health belief model explains behavior used to prevent disease rather than to promote health. Clients
need to believe that they are vulnerable to the disease, will have negative consequences if they are
affected, and that taking action will reduce the risk. The adolescent who believes that there is a risk of
diabetes may be willing to undertake lifestyle changes if taught that these can reduce the risk. The
behavioral change model is useful for changing behaviors to promote health. The health promotion model
has a focus on health promotion and not disease promotion. The transtheoretical model identifies the
stages of change.
4. The primary care pediatric nurse practitioner is assessing the health literacy of the parent of a toddler.
Which tool will the nurse practitioner use to estimate reading level?
a. Flesch-Kincaid Readability Test
b. Gunning Fog Index
c. Number of children's books in the home
d. SMOG –
P 3
, • BURNS'
PEDIATRIC 09/13/2026
PRIMARY Exam
Correct Answer :ANS: D
The best tool to estimate reading level is the SMOG. The Gunning Fog Index and the Flesch-Kincaid
Readability Test are used as well but are not considered the best indices. The number of children's books
in the home can be asked as a screen but is not a reliable estimate of true literacy.
5. The primary care pediatric nurse practitioner examines an infant whose weight is below the 3rd
percentile and whose mother does not comply with the feeding regimen. When attempting to enlist the
help of the infant's grandmother, the grandmother says, "My daughter was like this when she was a
baby and she turned out all right." Which approach will the nurse practitioner take to improve the
outcome for this infant?
a. Ask the grandmother about her daughter's health during childhood.
b. Explain that the condition is potentially serious if not treated.
c. Give the grandmother and mother information about normal growth.
d. Refer the family to a social worker to investigate possible neglect. –
Correct Answer :ANS: A
This family has an altered perception of health and health behaviors based on their own experience with
the condition. The grandmother considers this infant's weight similar to her own daughter's and assumes
that things will resolve. The PNP should evaluate the mother's health to see if any problems occurred.
Giving more information or trying to alarm the family will not be effective if their perception is that
everything is normal. It is not necessary to refer to a social worker unless the condition persists.
6. An adolescent who is overweight expresses a desire to lose weight in order to participate in sports but
tells the primary care pediatric nurse practitioner that he doesn't want to give up sweets and soft
P 4
