MSN 629 Week 2 (Ch 5–13) Quiz Bank | Burns Pediatric Primary Care
Questions & Answers | 2026 Update | 100% Correct – NKU.
Question 1
A pediatric primary care NP is collecting a child's medical history and wants to integrate both
nursing and medical components of primary care. Which information belongs in the medical
history?
Answer: Current medications, allergy information, and family medical history.
Question 2
Which diagnostic resource may a pediatric primary care NP use when formulating
developmental diagnoses in pediatric patients?
Answer: DC: 0–3R.
Question 3
A 3-year-old chronically withholds stool despite parental attempts to change the behavior and
frequently requires laxatives. Which diagnosis should be documented to facilitate third-party
reimbursement?
Answer: Encopresis.
Question 4
A toddler has weight and BMI values below the 3rd percentile. The child has no regular
mealtimes and carries a bottle of juice throughout the day. The NP plans to help the family
establish healthier meal patterns. Which diagnosis is appropriate?
Answer: Nutrition alteration—less than required.
Question 5
A 20-month-old child was born four weeks prematurely. A parent-completed developmental
questionnaire indicates milestones equivalent to those expected at approximately 15 months.
What should the NP do?
Answer: Perform an in-depth developmental assessment screen at the current visit.
Question 6
,A 3-year-old demonstrates normal cognitive, fine-motor, and gross-motor abilities. The child
follows verbal commands but refuses to speak during the examination. The parent reports that
the child speaks normally at home and is generally understood by adults. What should the NP
do?
Answer: Continue evaluating the child's speech at subsequent visits.
Question 7
A toddler's M-CHAT screening indicates several areas of concern for autism spectrum disorder.
What is the appropriate next action?
Answer: Refer the child to a behavioral specialist for further evaluation.
Question 8
The mother of a 3-year-old has been treated for depression for more than five years. According
to this portion of the source bank, which area of the child's development is of greatest concern?
Answer: Speech and language development.
Question 9
A pediatric NP wants to document household members, family relationships, relationships with
people outside the household, and significant behavioral or emotional concerns. Which
assessment tool should be used?
Answer: Genogram.
Question 10
A child presents for review of an asthma action plan and appears extremely anxious. The child's
previous encounter was a prekindergarten physical. What should the NP do first?
Answer: Review the purpose of the visit and explain any anticipated procedures.
Question 11
The pediatric NP wants to evaluate health literacy in the family of a preschool-aged child.
According to the supplied answer key, which assessment is used?
Answer: Ask the child how many books are available at home.
Question 12
, A mother worries that her newborn may eventually develop allergies and asthma. Which
assessment tool can help evaluate inherited risk?
Answer: A three-generation pedigree.
Question 13
During an adolescent well-child visit, the NP is concerned about alcohol and tobacco use. Which
screening instrument should be used?
Answer: CRAFFT.
Question 14
A school-aged child's BMI is above the 97th percentile. The NP orders laboratory testing
because of concern for metabolic syndrome. Which diagnosis should be documented for the
current visit?
Answer: Obesity.
CHAPTER 6 – BEHAVIORAL AND
MENTAL HEALTH PROMOTION
Question 15
A child with ADHD has difficulty stopping one classroom activity and transitioning to another.
Which self-regulation component is impaired?
Answer: Flexibility.
Question 16
A preschooler with prenatal drug exposure bites other children and has tantrums when asked to
stop activities, although the child can later explain why the behavior was inappropriate. Which
function is most likely impaired?
Answer: Executive function.
Question 17
When using a neurodevelopmental learning framework to evaluate an adolescent's social
cognition, what type of information should the NP obtain?
Questions & Answers | 2026 Update | 100% Correct – NKU.
Question 1
A pediatric primary care NP is collecting a child's medical history and wants to integrate both
nursing and medical components of primary care. Which information belongs in the medical
history?
Answer: Current medications, allergy information, and family medical history.
Question 2
Which diagnostic resource may a pediatric primary care NP use when formulating
developmental diagnoses in pediatric patients?
Answer: DC: 0–3R.
Question 3
A 3-year-old chronically withholds stool despite parental attempts to change the behavior and
frequently requires laxatives. Which diagnosis should be documented to facilitate third-party
reimbursement?
Answer: Encopresis.
Question 4
A toddler has weight and BMI values below the 3rd percentile. The child has no regular
mealtimes and carries a bottle of juice throughout the day. The NP plans to help the family
establish healthier meal patterns. Which diagnosis is appropriate?
Answer: Nutrition alteration—less than required.
Question 5
A 20-month-old child was born four weeks prematurely. A parent-completed developmental
questionnaire indicates milestones equivalent to those expected at approximately 15 months.
What should the NP do?
Answer: Perform an in-depth developmental assessment screen at the current visit.
Question 6
,A 3-year-old demonstrates normal cognitive, fine-motor, and gross-motor abilities. The child
follows verbal commands but refuses to speak during the examination. The parent reports that
the child speaks normally at home and is generally understood by adults. What should the NP
do?
Answer: Continue evaluating the child's speech at subsequent visits.
Question 7
A toddler's M-CHAT screening indicates several areas of concern for autism spectrum disorder.
What is the appropriate next action?
Answer: Refer the child to a behavioral specialist for further evaluation.
Question 8
The mother of a 3-year-old has been treated for depression for more than five years. According
to this portion of the source bank, which area of the child's development is of greatest concern?
Answer: Speech and language development.
Question 9
A pediatric NP wants to document household members, family relationships, relationships with
people outside the household, and significant behavioral or emotional concerns. Which
assessment tool should be used?
Answer: Genogram.
Question 10
A child presents for review of an asthma action plan and appears extremely anxious. The child's
previous encounter was a prekindergarten physical. What should the NP do first?
Answer: Review the purpose of the visit and explain any anticipated procedures.
Question 11
The pediatric NP wants to evaluate health literacy in the family of a preschool-aged child.
According to the supplied answer key, which assessment is used?
Answer: Ask the child how many books are available at home.
Question 12
, A mother worries that her newborn may eventually develop allergies and asthma. Which
assessment tool can help evaluate inherited risk?
Answer: A three-generation pedigree.
Question 13
During an adolescent well-child visit, the NP is concerned about alcohol and tobacco use. Which
screening instrument should be used?
Answer: CRAFFT.
Question 14
A school-aged child's BMI is above the 97th percentile. The NP orders laboratory testing
because of concern for metabolic syndrome. Which diagnosis should be documented for the
current visit?
Answer: Obesity.
CHAPTER 6 – BEHAVIORAL AND
MENTAL HEALTH PROMOTION
Question 15
A child with ADHD has difficulty stopping one classroom activity and transitioning to another.
Which self-regulation component is impaired?
Answer: Flexibility.
Question 16
A preschooler with prenatal drug exposure bites other children and has tantrums when asked to
stop activities, although the child can later explain why the behavior was inappropriate. Which
function is most likely impaired?
Answer: Executive function.
Question 17
When using a neurodevelopmental learning framework to evaluate an adolescent's social
cognition, what type of information should the NP obtain?
