MSN 629 Week 4 (Ch 20, 30, 31, 37) Quiz Bank | Burns Pediatric Primary Care
Questions & Answers | 2026 Update | 100% Correct – NKU.
Question 1
A 9-month-old infant has developed two teeth since the previous 6-month visit. The community
water supply is fluoridated. What should the pediatric primary care NP do at this visit to promote
healthy teeth?
Answer: Apply sodium fluoride varnish to the infant's teeth.
Question 2
The parent of a teething infant asks about safe measures to relieve discomfort. What should the
NP recommend?
Answer: Give the infant a cold teething ring or a wet washcloth to chew.
Question 3
An 18-month-old has bright white horizontal lines near the upper gum line. What is the most
important question to ask the parents?
Answer: Ask whether the child is still drinking milk from a bottle.
Question 4
A 4-year-old with a history of significant dental caries has white-spot lesions on the primary
teeth. How often should fluoride varnish be applied?
Answer: Every 3–6 months.
Question 5
The parents of a formula-fed newborn obtain their drinking water from a private well. What
should be done before determining whether the infant requires additional fluoride?
Answer: Test the fluoride level of the family's water source.
Question 6
What should parents be taught about brushing an infant's teeth?
Answer: Use only a smear of toothpaste and do not rinse the mouth afterward.
, Question 7
A family wants a convenient method of promoting dental health in school-aged children while
camping or picnicking. What does the source recommend?
Answer: Offer gum containing xylitol after meals.
Question 8
An adolescent has localized gum bleeding while brushing. Examination reveals plaque and
calculus, but the teeth are not loose. What should be recommended?
Answer: Consistently brush and floss the teeth twice daily.
Question 9
A school-aged child has had herpes stomatitis for approximately one week and continues to
experience significant oral pain. What treatment does the source recommend?
Answer: Topical application of diphenhydramine and Maalox.
Question 10
A child has several shallow oral lesions on the buccal mucosa and tongue. The lesions have
erythematous halos and yellowish plaques. What should be recommended?
Answer: Chlorhexidine gluconate.
Question 11
During a well-child examination, the NP observes yellow-white lesions with irregular or
serpentine borders on the anterior tongue. What should be done?
Answer: Reassure the parent that the lesions are benign.
Question 12
A 4-year-old with asthma has teeth that appear smooth and cupped out along the chewing
surfaces. What is the most likely explanation?
Answer: Gastroesophageal reflux.
Question 13
Questions & Answers | 2026 Update | 100% Correct – NKU.
Question 1
A 9-month-old infant has developed two teeth since the previous 6-month visit. The community
water supply is fluoridated. What should the pediatric primary care NP do at this visit to promote
healthy teeth?
Answer: Apply sodium fluoride varnish to the infant's teeth.
Question 2
The parent of a teething infant asks about safe measures to relieve discomfort. What should the
NP recommend?
Answer: Give the infant a cold teething ring or a wet washcloth to chew.
Question 3
An 18-month-old has bright white horizontal lines near the upper gum line. What is the most
important question to ask the parents?
Answer: Ask whether the child is still drinking milk from a bottle.
Question 4
A 4-year-old with a history of significant dental caries has white-spot lesions on the primary
teeth. How often should fluoride varnish be applied?
Answer: Every 3–6 months.
Question 5
The parents of a formula-fed newborn obtain their drinking water from a private well. What
should be done before determining whether the infant requires additional fluoride?
Answer: Test the fluoride level of the family's water source.
Question 6
What should parents be taught about brushing an infant's teeth?
Answer: Use only a smear of toothpaste and do not rinse the mouth afterward.
, Question 7
A family wants a convenient method of promoting dental health in school-aged children while
camping or picnicking. What does the source recommend?
Answer: Offer gum containing xylitol after meals.
Question 8
An adolescent has localized gum bleeding while brushing. Examination reveals plaque and
calculus, but the teeth are not loose. What should be recommended?
Answer: Consistently brush and floss the teeth twice daily.
Question 9
A school-aged child has had herpes stomatitis for approximately one week and continues to
experience significant oral pain. What treatment does the source recommend?
Answer: Topical application of diphenhydramine and Maalox.
Question 10
A child has several shallow oral lesions on the buccal mucosa and tongue. The lesions have
erythematous halos and yellowish plaques. What should be recommended?
Answer: Chlorhexidine gluconate.
Question 11
During a well-child examination, the NP observes yellow-white lesions with irregular or
serpentine borders on the anterior tongue. What should be done?
Answer: Reassure the parent that the lesions are benign.
Question 12
A 4-year-old with asthma has teeth that appear smooth and cupped out along the chewing
surfaces. What is the most likely explanation?
Answer: Gastroesophageal reflux.
Question 13
