BURNS PEDIATRIC FINAL EXAM 2026/2027 |
550 HIGH-YIELD QUESTIONS & VERIFIED
ANSWERS | LATEST TESTBANK | RECENT &
MOST TESTED TOPICS | A+ PREPARATION
1. The primary care pediatric nurse practitioner understands that a major child health
outcome associated with worldwide climate change is :
a. cost of living.
b. education.
c. nutrition.
d. pollution. - correct answer-ANS: C
There is growing evidence that climate change is having a dramatic effect on food crops that leads to
fooddistribution issues and food insecurity among families.
2. The primary care pediatric nurse practitioner understands that, to achieve the greatest
world-wide
reduction in child mortality from pneumonia and diarrhea, which intervention is most
effective?
a. Antibiotics
b. Optimal nutrition
c. Vaccinations
d. Water purification - correct answer-ANS: C
Rotavirus is the most common cause of diarrhea globally and Strep pneumonia is the leading cause
of pneumonia, and together these are the leading infectious causes of childhood morbidity and
mortalityglobally. Both are vaccine-preventable diseases. Antibiotics to treat pneumonia, optimal
nutrition, and clean water all help to reduce morbidity and mortality, but vaccination prevents the
diseases from occurring.
3. When providing well child care for an infant in the first year of life, the primary care
pediatric nurse practitioner is adhering to the most recent American Academy of
Pediatrics Recommendations for Preventive Pediatric Health Care guidelines by :
a. focusing less on development and more on illness prevention and nutrition.
,b. following guidelines established by the Bright Futures publication.
c. scheduling well-baby visits to coincide with key developmental milestones.
d. seeing the infant at ages 2, 4, 6, and 12 months when immunizations are due. - correct answer-
ANS: C
In the most recent AAP Recommendations for Preventive Pediatric Health Care, there is a greater
emphasis on behavioral and developmental issues and a recommendation that well child care be
based on child and family development rather than the periodicity of immunization schedules. This
will require a revision of the current recommendations in Bright Futures.
4. Which is true about the health status of children in the United States?
a. Globalism has relatively little impact on child health measures in the U.S.
b. Obesity rates among 2- to 5-year-olds have shown a recent significant decrease.
c. The rate of household poverty is lower than in other economically developed nations.
d. Young children who attend preschool or day care have higher food insecurity. - correct
answerANS: B
Obesity rates are a major concern for child health in the U.S. but recently have stabilized in the rate
of increase and have declined among 2- to 5-year-olds between 2004 and 2013. Globalism has an
increasing effect on child health in the U.S. The rate of household poverty in the U.S. is higher than in
other economically developed nations. Young children who attend preschool or day care have lower
food insecurity.
5. Which region globally has the highest infant mortality rate? a.
Indonesia
b. Southern Asia
c. Sub-Saharan Africa
d. Syria - correct answer-ANS: C
Although Sub-Saharan Africa and Southern Asia together account for 81% of the infant mortality rate
globally, Sub-Saharan Africa has the highest infant mortality rate in the world.
1. The parent of a toddler is concerned that the child may have autism. The primary care
pediatric nurse practitioner completes a Modified Checklist for Autism in Toddlers (M-
CHAT) tool, which indicates several areas of concern. What will the nurse practitioner do?
,a. Administer a Childhood Autism Rating Scale (CARS) in the clinic.
b. Consult a specialist to determine appropriate early intervention strategies.
c. Refer the child to a behavioral specialist for further evaluation.
d. Tell the parent that this result indicates that the child has autism. - correct answer-ANS: C
The M-CHAT is a screening tool and is useful for detecting behaviors that may indicate autism. This
instrument has been found to have acceptable sensitivity, specificity, and significant positive
predictive value. If these behaviors are detected, the PNP should refer the child to a specialist for
further assessment, using more diagnostic tools. The CARS may be used but requires specialty
training and proper credentials. Until the diagnosis is determined, strategies for intervention are not
discussed. The M-CHAT is a screening tool and is not diagnostic.
2. The mother of a newborn tells the primary care pediatric nurse practitioner that she is
worried that her child will develop allergies and asthma. Which tool will the nurse
practitioner use to evaluate this risk?
a. Three-generation pedigree
b. Review of systems
c. Genogram
d. Ecomap - correct answer-ANS: A
The three-generation pedigree is used to map out risks for genetic diseases in families, as well as
conditions with modifiable risk factors. The review of systems is used to evaluate the history of the
child's body systems. The genogram is an approach to developing a family database to provide a
graphic representation of family structure, roles, and problems of recurring significance in a family.
The ecomap is used to identify relationships in the family and community that are supportive or
harmful.
3. The primary care pediatric nurse practitioner is performing a well child check-up on a 20-
monthold child. The child was 4 weeks premature and, according to a parent-completed
developmental questionnaire, has achieved milestones for a 15-month-old infant. Which action is
correct?
a. Perform an in-depth developmental assessment screen at this visit to evaluate this child.
b. Reassure the parent that the child will catch up to normal development by age 2 years.
c. Re-evaluate this child's development and milestone achievements at the 2-year visit.
, d. Refer the child to a specialty clinic for evaluation and treatment of developmental delay. - correct
answer-ANS: A
This child should be at a 19-month adjusted age for prematurity so, according to the parent screen,
is 4
months behind. The PNP should perform a more in-depth screen to evaluate this delay. Waiting to
see if
the child will "catch up" or assuring the parent that this will happen will cause the delays to become
more
severe. A referral to a specialty clinic should not be made solely on the basis of the
parentcompleted questionnaire but only after further evaluation of possible delays.
4. When formulating developmental diagnoses for pediatric patients, the primary care pediatric
nurse practitioner may use which resource?
a. DC: 0-3R
b. ICD-10-CM
c. ICSD-3
d. NANDA International - correct answer-ANS: A
The DC: 0-3R refers to the Diagnostic Classification of Mental Health and Developmental Disorders of
Infancy and Early Childhood and is useful for developmental problem diagnosis. The ICD-10-CM is
the
International Classification of Diseases-Tenth Revision, Clinical Modification and is useful for
identifying physiologic diseases. The ICSD-3 is the International Classification of Sleep Disorders - 3rd
edition. NANDA International is used to label problems in the functional health domain.
5. The primary care pediatric nurse practitioner is evaluating health literacy in the mother of a new
preschool-age child. How will the nurse practitioner assess this?
a. Ask the child how many books he has at home.
b. Ask the mother about her highest grade in school.
c. Ask the mother to determine the correct dose of a drug from a label.
d. Ask the mother to read a health information handout aloud. - correct answer-ANS: A
The "newest vital sign," or health literacy, can be determined quickly by asking the parent how many
550 HIGH-YIELD QUESTIONS & VERIFIED
ANSWERS | LATEST TESTBANK | RECENT &
MOST TESTED TOPICS | A+ PREPARATION
1. The primary care pediatric nurse practitioner understands that a major child health
outcome associated with worldwide climate change is :
a. cost of living.
b. education.
c. nutrition.
d. pollution. - correct answer-ANS: C
There is growing evidence that climate change is having a dramatic effect on food crops that leads to
fooddistribution issues and food insecurity among families.
2. The primary care pediatric nurse practitioner understands that, to achieve the greatest
world-wide
reduction in child mortality from pneumonia and diarrhea, which intervention is most
effective?
a. Antibiotics
b. Optimal nutrition
c. Vaccinations
d. Water purification - correct answer-ANS: C
Rotavirus is the most common cause of diarrhea globally and Strep pneumonia is the leading cause
of pneumonia, and together these are the leading infectious causes of childhood morbidity and
mortalityglobally. Both are vaccine-preventable diseases. Antibiotics to treat pneumonia, optimal
nutrition, and clean water all help to reduce morbidity and mortality, but vaccination prevents the
diseases from occurring.
3. When providing well child care for an infant in the first year of life, the primary care
pediatric nurse practitioner is adhering to the most recent American Academy of
Pediatrics Recommendations for Preventive Pediatric Health Care guidelines by :
a. focusing less on development and more on illness prevention and nutrition.
,b. following guidelines established by the Bright Futures publication.
c. scheduling well-baby visits to coincide with key developmental milestones.
d. seeing the infant at ages 2, 4, 6, and 12 months when immunizations are due. - correct answer-
ANS: C
In the most recent AAP Recommendations for Preventive Pediatric Health Care, there is a greater
emphasis on behavioral and developmental issues and a recommendation that well child care be
based on child and family development rather than the periodicity of immunization schedules. This
will require a revision of the current recommendations in Bright Futures.
4. Which is true about the health status of children in the United States?
a. Globalism has relatively little impact on child health measures in the U.S.
b. Obesity rates among 2- to 5-year-olds have shown a recent significant decrease.
c. The rate of household poverty is lower than in other economically developed nations.
d. Young children who attend preschool or day care have higher food insecurity. - correct
answerANS: B
Obesity rates are a major concern for child health in the U.S. but recently have stabilized in the rate
of increase and have declined among 2- to 5-year-olds between 2004 and 2013. Globalism has an
increasing effect on child health in the U.S. The rate of household poverty in the U.S. is higher than in
other economically developed nations. Young children who attend preschool or day care have lower
food insecurity.
5. Which region globally has the highest infant mortality rate? a.
Indonesia
b. Southern Asia
c. Sub-Saharan Africa
d. Syria - correct answer-ANS: C
Although Sub-Saharan Africa and Southern Asia together account for 81% of the infant mortality rate
globally, Sub-Saharan Africa has the highest infant mortality rate in the world.
1. The parent of a toddler is concerned that the child may have autism. The primary care
pediatric nurse practitioner completes a Modified Checklist for Autism in Toddlers (M-
CHAT) tool, which indicates several areas of concern. What will the nurse practitioner do?
,a. Administer a Childhood Autism Rating Scale (CARS) in the clinic.
b. Consult a specialist to determine appropriate early intervention strategies.
c. Refer the child to a behavioral specialist for further evaluation.
d. Tell the parent that this result indicates that the child has autism. - correct answer-ANS: C
The M-CHAT is a screening tool and is useful for detecting behaviors that may indicate autism. This
instrument has been found to have acceptable sensitivity, specificity, and significant positive
predictive value. If these behaviors are detected, the PNP should refer the child to a specialist for
further assessment, using more diagnostic tools. The CARS may be used but requires specialty
training and proper credentials. Until the diagnosis is determined, strategies for intervention are not
discussed. The M-CHAT is a screening tool and is not diagnostic.
2. The mother of a newborn tells the primary care pediatric nurse practitioner that she is
worried that her child will develop allergies and asthma. Which tool will the nurse
practitioner use to evaluate this risk?
a. Three-generation pedigree
b. Review of systems
c. Genogram
d. Ecomap - correct answer-ANS: A
The three-generation pedigree is used to map out risks for genetic diseases in families, as well as
conditions with modifiable risk factors. The review of systems is used to evaluate the history of the
child's body systems. The genogram is an approach to developing a family database to provide a
graphic representation of family structure, roles, and problems of recurring significance in a family.
The ecomap is used to identify relationships in the family and community that are supportive or
harmful.
3. The primary care pediatric nurse practitioner is performing a well child check-up on a 20-
monthold child. The child was 4 weeks premature and, according to a parent-completed
developmental questionnaire, has achieved milestones for a 15-month-old infant. Which action is
correct?
a. Perform an in-depth developmental assessment screen at this visit to evaluate this child.
b. Reassure the parent that the child will catch up to normal development by age 2 years.
c. Re-evaluate this child's development and milestone achievements at the 2-year visit.
, d. Refer the child to a specialty clinic for evaluation and treatment of developmental delay. - correct
answer-ANS: A
This child should be at a 19-month adjusted age for prematurity so, according to the parent screen,
is 4
months behind. The PNP should perform a more in-depth screen to evaluate this delay. Waiting to
see if
the child will "catch up" or assuring the parent that this will happen will cause the delays to become
more
severe. A referral to a specialty clinic should not be made solely on the basis of the
parentcompleted questionnaire but only after further evaluation of possible delays.
4. When formulating developmental diagnoses for pediatric patients, the primary care pediatric
nurse practitioner may use which resource?
a. DC: 0-3R
b. ICD-10-CM
c. ICSD-3
d. NANDA International - correct answer-ANS: A
The DC: 0-3R refers to the Diagnostic Classification of Mental Health and Developmental Disorders of
Infancy and Early Childhood and is useful for developmental problem diagnosis. The ICD-10-CM is
the
International Classification of Diseases-Tenth Revision, Clinical Modification and is useful for
identifying physiologic diseases. The ICSD-3 is the International Classification of Sleep Disorders - 3rd
edition. NANDA International is used to label problems in the functional health domain.
5. The primary care pediatric nurse practitioner is evaluating health literacy in the mother of a new
preschool-age child. How will the nurse practitioner assess this?
a. Ask the child how many books he has at home.
b. Ask the mother about her highest grade in school.
c. Ask the mother to determine the correct dose of a drug from a label.
d. Ask the mother to read a health information handout aloud. - correct answer-ANS: A
The "newest vital sign," or health literacy, can be determined quickly by asking the parent how many
