• BURNS'
PEDIATRIC 09/13/2026
PRIMARY Exam
BURNS' PEDIATRIC PRIMARY CARE 8TH
EDITION TEST BANK 2 Questions and Answers|
2026/2027 Latest Update | Complete Chapter
Questions & Answers with Rationales | Verified
Questions & Answers | Graded A+
1. 1. A child has a 1-cm laceration on the forehead proximal to the hairline after
running into a pole while playing sports. To minimize the risk of infection, the primary care
pediatric nurse practitioner will irrigate the wound and
a. a. allow the wound to heal by secondary intention.
b. b. delay closure of the wound for several days.
P 1
, • BURNS'
PEDIATRIC 09/13/2026
PRIMARY Exam
c. c. refer the child to a plastic surgeon for wound closure.
d. d. suture the wound within 6 hours. –
Correct Answer :ANS: D
Children are less likely than adults to get wound infections, with an infection rate from sutured
lacerations at 2%. The PNP should clean and suture the wound. Wounds from animal bites are
often left to heal by secondary intention to prevent infection. Referral to a plastic surgeon is
necessary for cosmetic reasons. Delaying closure for several days is recommended for heavily
contaminated wounds and those caused by high-velocity missile injuries, crush injuries, and
explosion injuries.
1. 2. A school-age child steps on a nail while wearing tennis shoes and develops
cellulitis in that foot. The child's immunizations are up-to-date. What antibiotic will the
pediatric nurse practitioner empirically prescribe?
a. a. Amoxicillin-clavulanate
b. b. Ciprofloxacin
c. c. Clindamycin
d. d. Trimethoprim-sulfamethoxazole –
Correct Answer :ANS: B
Plantar puncture wounds, particularly those wounds that occur following puncture of
sneakers/shoes, require ciprofloxacin to cover potential Pseudomonas infection and to protect
against an osteomyelitis. Amoxicillin-clavulanate is used in other puncture wounds with signs of
infection. Clindamycin is used for similarly wounded children allergic to penicillins. TMP-SMX is
P 2
, • BURNS'
PEDIATRIC 09/13/2026
PRIMARY Exam
used if MRSA is cultured.
1. 3. A toddler is brought to the clinic after grabbing the hot end of his mother's curling
iron. An examination reveals a pale, yellow burned area to the palm of one hand. What is
true about this burn?
a. a. It may take up to 3 weeks to heal with scarring likely.
b. b. Scarring is unlikely, with healing expected in 3 to 7 days.
c. c. Surgical intervention and skin grafting are usually required.
d. d. This type of burn usually heals without scarring in 7 to 14 days. –
Correct Answer :ANS: A
A deep partial-thickness burn appears pale and yellow and scarring is more likely to occur, with
complete healing taking up to 3 weeks. A superficial burn is erythematous without blisters and
heals in 3 to 7 days without scarring. A full-thickness burn involves extensive destruction of
underlying tissues and requires surgical intervention and skin grafts. A superficial partial-
thickness burn is red, mottled, moist, and painful and may scar, with healing in 7 to 14 days.
1. 4. A child is brought to the clinic immediately after being stung by a wasp while
playing in the yard. The physical examination reveals localized redness and edema at the
site, along with abdominal tenderness, watery eyes, and generalized hives. What is the initial
treatment?
a. a. Administer intramuscular epinephrine.
b. b. Apply a topical glucocorticoid cream.
c. c. Give oral diphenhydramine.
d. d. Order a bronchodilator treatment. –
P 3
, • BURNS'
PEDIATRIC 09/13/2026
PRIMARY Exam
Correct Answer :ANS: A
This child has signs of a severe reaction to the sting and should receive epinephrine first,
followed by oral diphenhydramine and bronchodilators if wheezing. Topical glucocorticoids are
used for mild, localized reactions.
1. 5. A school-age child sustained a contusion on the front of one thigh while playing
football and reports some difficulty flexing his foot on the affected side. What will the primary
care pediatric nurse practitioner do to treat this injury?
a. a. Place the child on crutches and limit weight-bearing until symptoms subside.
b. b. Prescribe acetaminophen with hydrocodone along with NSAIDs.
c. c. Recommend rest, ice packs, compression, and elevation of the extremity.
d. d. Refer the child to an orthopedic specialist for immediate evaluation and
treatment. –
Correct Answer :ANS: D
Children with contusions that restrict movement or sensation and those affecting the quadriceps
muscle may include compartment syndrome. These children should be referred to orthopedic
specialists immediately so that the compartment pressure does not result in irreplaceable
damage. The other options may be performed in consultation with a specialist.
1. 6. The primary care pediatric nurse practitioner is preparing to close a laceration on
a child's forehead using topical skin adhesive. What is the correct way to apply this product?
a. a. Apply the adhesive between the wound margins and then hold the edges
together.
b. b. Apply the adhesive to the wound and then secure the edges with surgical
tape.
P 4
PEDIATRIC 09/13/2026
PRIMARY Exam
BURNS' PEDIATRIC PRIMARY CARE 8TH
EDITION TEST BANK 2 Questions and Answers|
2026/2027 Latest Update | Complete Chapter
Questions & Answers with Rationales | Verified
Questions & Answers | Graded A+
1. 1. A child has a 1-cm laceration on the forehead proximal to the hairline after
running into a pole while playing sports. To minimize the risk of infection, the primary care
pediatric nurse practitioner will irrigate the wound and
a. a. allow the wound to heal by secondary intention.
b. b. delay closure of the wound for several days.
P 1
, • BURNS'
PEDIATRIC 09/13/2026
PRIMARY Exam
c. c. refer the child to a plastic surgeon for wound closure.
d. d. suture the wound within 6 hours. –
Correct Answer :ANS: D
Children are less likely than adults to get wound infections, with an infection rate from sutured
lacerations at 2%. The PNP should clean and suture the wound. Wounds from animal bites are
often left to heal by secondary intention to prevent infection. Referral to a plastic surgeon is
necessary for cosmetic reasons. Delaying closure for several days is recommended for heavily
contaminated wounds and those caused by high-velocity missile injuries, crush injuries, and
explosion injuries.
1. 2. A school-age child steps on a nail while wearing tennis shoes and develops
cellulitis in that foot. The child's immunizations are up-to-date. What antibiotic will the
pediatric nurse practitioner empirically prescribe?
a. a. Amoxicillin-clavulanate
b. b. Ciprofloxacin
c. c. Clindamycin
d. d. Trimethoprim-sulfamethoxazole –
Correct Answer :ANS: B
Plantar puncture wounds, particularly those wounds that occur following puncture of
sneakers/shoes, require ciprofloxacin to cover potential Pseudomonas infection and to protect
against an osteomyelitis. Amoxicillin-clavulanate is used in other puncture wounds with signs of
infection. Clindamycin is used for similarly wounded children allergic to penicillins. TMP-SMX is
P 2
, • BURNS'
PEDIATRIC 09/13/2026
PRIMARY Exam
used if MRSA is cultured.
1. 3. A toddler is brought to the clinic after grabbing the hot end of his mother's curling
iron. An examination reveals a pale, yellow burned area to the palm of one hand. What is
true about this burn?
a. a. It may take up to 3 weeks to heal with scarring likely.
b. b. Scarring is unlikely, with healing expected in 3 to 7 days.
c. c. Surgical intervention and skin grafting are usually required.
d. d. This type of burn usually heals without scarring in 7 to 14 days. –
Correct Answer :ANS: A
A deep partial-thickness burn appears pale and yellow and scarring is more likely to occur, with
complete healing taking up to 3 weeks. A superficial burn is erythematous without blisters and
heals in 3 to 7 days without scarring. A full-thickness burn involves extensive destruction of
underlying tissues and requires surgical intervention and skin grafts. A superficial partial-
thickness burn is red, mottled, moist, and painful and may scar, with healing in 7 to 14 days.
1. 4. A child is brought to the clinic immediately after being stung by a wasp while
playing in the yard. The physical examination reveals localized redness and edema at the
site, along with abdominal tenderness, watery eyes, and generalized hives. What is the initial
treatment?
a. a. Administer intramuscular epinephrine.
b. b. Apply a topical glucocorticoid cream.
c. c. Give oral diphenhydramine.
d. d. Order a bronchodilator treatment. –
P 3
, • BURNS'
PEDIATRIC 09/13/2026
PRIMARY Exam
Correct Answer :ANS: A
This child has signs of a severe reaction to the sting and should receive epinephrine first,
followed by oral diphenhydramine and bronchodilators if wheezing. Topical glucocorticoids are
used for mild, localized reactions.
1. 5. A school-age child sustained a contusion on the front of one thigh while playing
football and reports some difficulty flexing his foot on the affected side. What will the primary
care pediatric nurse practitioner do to treat this injury?
a. a. Place the child on crutches and limit weight-bearing until symptoms subside.
b. b. Prescribe acetaminophen with hydrocodone along with NSAIDs.
c. c. Recommend rest, ice packs, compression, and elevation of the extremity.
d. d. Refer the child to an orthopedic specialist for immediate evaluation and
treatment. –
Correct Answer :ANS: D
Children with contusions that restrict movement or sensation and those affecting the quadriceps
muscle may include compartment syndrome. These children should be referred to orthopedic
specialists immediately so that the compartment pressure does not result in irreplaceable
damage. The other options may be performed in consultation with a specialist.
1. 6. The primary care pediatric nurse practitioner is preparing to close a laceration on
a child's forehead using topical skin adhesive. What is the correct way to apply this product?
a. a. Apply the adhesive between the wound margins and then hold the edges
together.
b. b. Apply the adhesive to the wound and then secure the edges with surgical
tape.
P 4
