• 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. During a well child exam, the primary care pediatric nurse practitioner notes yellowish-white
serpentine-bordered lesions on the anterior portion of a child's tongue. What will the nurse
practitioner do?
a. Order chlorhexidine gluconate rinses to treat the lesions.
b. Prescribe oral acyclovir to shorten the course of the disease.
P 1
, • BURNS'
PEDIATRIC 09/13/2026
PRIMARY Exam
c. Reassure the parent that these are benign lesions.
d. Refer the child to a pediatric dentist for evaluation. –
Correct Answer :ANS: C
These lesions are characteristic of benign migratory glossitis or "geographic tongue" and are benign.
Chlorhexidine gluconate rinses, oral acyclovir, and referral to a dentist are not necessary.
2. A school-age child has had herpes stomatitis for a week and continues to complain of pain. What will
the primary care pediatric nurse practitioner recommend?
a. Administration of a topical antiviral medication
b. Taking oral acyclovir for 5 to 7 days
c. Topical application of diphenhydramine and Maalox
d. Using a chlorhexidine gluconate rinse –
Correct Answer :ANS: C
Topical treatment with diphenhydramine and Maalox is useful for symptomatic relief of herpes stomatitis.
Topical antiviral medications are not effective. Oral acyclovir is only effective if initiated within 3 days of
onset. Chlorhexidine gluconate is not indicated.
3. A child with cerebral palsy receives all nutrition via gastrostomy tube. What will the primary care
pediatric nurse practitioner recommend to promote dental health in this child?
a. Applying topical iodine every month
b. Daily chlorhexidine gluconate rinses
c. Ordering medications to prevent drooling
P 2
, • BURNS'
PEDIATRIC 09/13/2026
PRIMARY Exam
d. Prescribing prophylactic antibiotics –
Correct Answer :ANS: B
Daily chlorhexidine gluconate rinses are recommended for children with special health care needs to
promote adequate oral hygiene and prevent caries. Topical iodine may be useful but is applied every 4 to
6 months. Medications that dry up salivary secretions make the problem worse. Prophylactic antibiotics
are not indicated.
4. A 4-year-old child who has had extensive dental surgery to treat dental caries has white spot lesions
on the primary teeth. How often should this child receive fluoride varnish applications?
a. Annually
b. Twice yearly
c. Every 3 to 6 months
d. Every month
- Correct Answer :ANS: C
This child is high risk and should receive fluoride varnish treatments every 3 to 6 months. Annual or
twice yearly applications are for lower risk children. It is not necessary to apply fluoride varnish every
month.
5. What will the primary care pediatric nurse practitioner recommend to the parent of an infant who is
teething who asks about comfort measures?
a. Administer oral ibuprofen or apply topical salicylates.
b. Apply a topical anesthetic such a benzocaine to the gums.
P 3
, • BURNS'
PEDIATRIC 09/13/2026
PRIMARY Exam
c. Give the infant a cold teething ring or wet washcloth to chew.
d. Try Baby Orajel on the infant's gums several times daily. - Correct Answer :ANS: C
Parents may be counseled to give infants a cool teething ring or a cool, wet washcloth to chew on. Topical
medications are not recommended and may traumatize the gums or cause toxicity.
6. The parents of a formula-fed newborn report that they get their drinking water from a well. What will
the primary care pediatric nurse practitioner recommend to provide adequate fluoride for this infant?
a. Giving the infant a fluoride supplement
b. Testing the fluoride level of their water source
c. Using bottled water to prepare the infant's formula
d. Using powdered formula with added fluoride - Correct Answer :ANS: B
Before adding any supplemental fluoride to the infant's formula, the water source should be tested for
fluoride. Too much fluoride can cause fluorosis, and giving fluoride when the water supply of it is
adequate can cause this.
7. An adolescent female reports facial pain and frequent popping of her jaw. An exam reveals unilateral
tender facial muscles and a deviation of the mandible to the affected side with opening of the mouth.
What will the primary care pediatric nurse practitioner do?
a. Recommend ice packs, NSAIDs, and a soft diet.
b. Refer to a pediatric mental health specialist.
c. Refer to an orthodontist for a surgical intervention.
d. Suggest obtaining Botox injection treatments. - Correct Answer :ANS: A
TMJ is a biopsychosocial problem. Conservative treatment should always be the first course of treatment,
so ice, NSAIDs, and dietary changes should be recommended to minimize discomfort. If conservative
measures are not effective, children should be referred to a team of dentists and psychologists to manage
the problem. Surgical intervention is not recommended. Botox injections are being studied but currently
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. During a well child exam, the primary care pediatric nurse practitioner notes yellowish-white
serpentine-bordered lesions on the anterior portion of a child's tongue. What will the nurse
practitioner do?
a. Order chlorhexidine gluconate rinses to treat the lesions.
b. Prescribe oral acyclovir to shorten the course of the disease.
P 1
, • BURNS'
PEDIATRIC 09/13/2026
PRIMARY Exam
c. Reassure the parent that these are benign lesions.
d. Refer the child to a pediatric dentist for evaluation. –
Correct Answer :ANS: C
These lesions are characteristic of benign migratory glossitis or "geographic tongue" and are benign.
Chlorhexidine gluconate rinses, oral acyclovir, and referral to a dentist are not necessary.
2. A school-age child has had herpes stomatitis for a week and continues to complain of pain. What will
the primary care pediatric nurse practitioner recommend?
a. Administration of a topical antiviral medication
b. Taking oral acyclovir for 5 to 7 days
c. Topical application of diphenhydramine and Maalox
d. Using a chlorhexidine gluconate rinse –
Correct Answer :ANS: C
Topical treatment with diphenhydramine and Maalox is useful for symptomatic relief of herpes stomatitis.
Topical antiviral medications are not effective. Oral acyclovir is only effective if initiated within 3 days of
onset. Chlorhexidine gluconate is not indicated.
3. A child with cerebral palsy receives all nutrition via gastrostomy tube. What will the primary care
pediatric nurse practitioner recommend to promote dental health in this child?
a. Applying topical iodine every month
b. Daily chlorhexidine gluconate rinses
c. Ordering medications to prevent drooling
P 2
, • BURNS'
PEDIATRIC 09/13/2026
PRIMARY Exam
d. Prescribing prophylactic antibiotics –
Correct Answer :ANS: B
Daily chlorhexidine gluconate rinses are recommended for children with special health care needs to
promote adequate oral hygiene and prevent caries. Topical iodine may be useful but is applied every 4 to
6 months. Medications that dry up salivary secretions make the problem worse. Prophylactic antibiotics
are not indicated.
4. A 4-year-old child who has had extensive dental surgery to treat dental caries has white spot lesions
on the primary teeth. How often should this child receive fluoride varnish applications?
a. Annually
b. Twice yearly
c. Every 3 to 6 months
d. Every month
- Correct Answer :ANS: C
This child is high risk and should receive fluoride varnish treatments every 3 to 6 months. Annual or
twice yearly applications are for lower risk children. It is not necessary to apply fluoride varnish every
month.
5. What will the primary care pediatric nurse practitioner recommend to the parent of an infant who is
teething who asks about comfort measures?
a. Administer oral ibuprofen or apply topical salicylates.
b. Apply a topical anesthetic such a benzocaine to the gums.
P 3
, • BURNS'
PEDIATRIC 09/13/2026
PRIMARY Exam
c. Give the infant a cold teething ring or wet washcloth to chew.
d. Try Baby Orajel on the infant's gums several times daily. - Correct Answer :ANS: C
Parents may be counseled to give infants a cool teething ring or a cool, wet washcloth to chew on. Topical
medications are not recommended and may traumatize the gums or cause toxicity.
6. The parents of a formula-fed newborn report that they get their drinking water from a well. What will
the primary care pediatric nurse practitioner recommend to provide adequate fluoride for this infant?
a. Giving the infant a fluoride supplement
b. Testing the fluoride level of their water source
c. Using bottled water to prepare the infant's formula
d. Using powdered formula with added fluoride - Correct Answer :ANS: B
Before adding any supplemental fluoride to the infant's formula, the water source should be tested for
fluoride. Too much fluoride can cause fluorosis, and giving fluoride when the water supply of it is
adequate can cause this.
7. An adolescent female reports facial pain and frequent popping of her jaw. An exam reveals unilateral
tender facial muscles and a deviation of the mandible to the affected side with opening of the mouth.
What will the primary care pediatric nurse practitioner do?
a. Recommend ice packs, NSAIDs, and a soft diet.
b. Refer to a pediatric mental health specialist.
c. Refer to an orthodontist for a surgical intervention.
d. Suggest obtaining Botox injection treatments. - Correct Answer :ANS: A
TMJ is a biopsychosocial problem. Conservative treatment should always be the first course of treatment,
so ice, NSAIDs, and dietary changes should be recommended to minimize discomfort. If conservative
measures are not effective, children should be referred to a team of dentists and psychologists to manage
the problem. Surgical intervention is not recommended. Botox injections are being studied but currently
P 4
