BURNS PEDIATRIC FINAL EXAM STUDY GUIDE|ACTUAL EXAM QUESTIONS AND 100% CORRECT ANSWERS|LATEST 2025/2026|GRADED A+|VERIFIED

BURNS PEDIATRIC FINAL EXAM STUDY

CORRECT ANSWERS|LATEST 2025/2026|GRADED


2. The primary care pediatric nurse practitioner understands that, to achieve the greatest worl
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d-wide

reduction in child mortality from pneumonia and diarrhea, which intervention is most effectiv
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e?

a. Antibiotics
B




b. Optimal nutrition
B B




c. Vaccinations
B




d. Water purification - ANSWER-
B B B B ANS: C B




Rotavirus is the most common cause of diarrhea globally and Strep pneumonia is the leading c
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ause of
B




pneumonia, and together these are the leading infectious causes of childhood morbidity and
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mortality

globally. Both are vaccine-
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preventable diseases. Antibiotics to treat pneumonia, optimal nutrition, and
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clean water all help to reduce morbidity and mortality, but vaccination prevents the diseases f
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rom

occurring.



5. The primary care pediatric nurse practitioner is evaluating health literacy in the mother of a
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new

preschool-age child. How will the nurse practitioner assess this?
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a. Ask the child how many books he has at home.
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b. Ask the mother about her highest grade in school.
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c. Ask the mother to determine the correct dose of a drug from a label.
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d. Ask the mother to read a health information handout aloud. - ANSWER-
B B B B B B B B B B B B ANS: A B




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,The "newest vital sign," or health literacy, can be determined quickly by asking the parent how
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many
B




children's books are in the home. Greater than 10 books in the home is an independent positi
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ve predictorB




of adequate parent health literacy. The other questions may determine a specific level of litera
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cy in B




general but are not as efficient. B B B B B




12. The primary care pediatric nurse practitioner is performing a well child assessment on an a
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dolescent

and is concerned about possible alcohol and tobacco use. Which assessment tool will the nurs
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e

practitioner use? B




a. CRAFFT
B




b. HEEADSSS
B




c. PHQ-2
B




d. RAAPS - ANSWER-
B B B ANS: A B




The CRAFFT tool is a six-
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question tool used to screen for adolescent substance abuse. The HEEADSSS
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is used as a psychosocial screening tool. The PHQ-
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2 is a rapid screen for depression. The RAAPS is used
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to assess risk behaviors that contribute to most morbidity, mortality, and social problems in te
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ens.



9. The primary care pediatric nurse practitioner prescribes a twice daily inhaled corticosteroid
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for a 12- B B




year-
old child. At a well child visit, the child reports not using the medication on a regular basis.
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Which response by the pediatric nurse practitioner demonstrates an understanding of client-
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centered

care?


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,a. Asking the child to describe usual daily routines and schedules
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b. Referring the family to a social worker to help with medication compliance
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c. Reviewing the asthma action plan with the parent and the child
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d. Teaching the child how the medication will help to control asthma symptoms - ANSWER-
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ANS: A B




In a client-
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centered relationship, there is reciprocal communication and understanding. The PNP should
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be able to understand the client's perspective and unique situation. The first step is to evaluat
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e possible
B




reasons for nonadherence and not to make referrals or re-
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educate until potential barriers have been
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identified and negotiation with the client has occurred.
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8. The primary care pediatric nurse practitioner performs a physical examination on a 9-
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month-old infant B




and notes two central incisors on the lower gums. The parent states that the infant nurses, tak
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es solid
B




foods three times daily, and occasionally takes water from a cup. What will the pediatric nurse
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practitioner counsel the parent to promote optimum dental health?
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a. To begin brushing the infant's teeth with toothpaste
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b. To consider weaning the infant from breastfeeding
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c. To discontinue giving fluoride supplements
B B B B B




d. To make an appointment for an initial dental examination - ANSWER-
B B B B B B B B B B B ANS: D B




The American Academy of Pediatric Dentistry recommends a first dental examination at the ti
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me of B




eruption of the first tooth and no later than 12 months old. Parents should be counseled to cle
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an the B




infant's teeth but with water only. Weaning from breastfeeding is not indicated, although mot
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hers should B




not let the infant nurse while sleeping to prevent milk from bathing the teeth. Fluoride supple
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ments

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, should not be discontinued.
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2. The parent of a newborn infant asks the primary care pediatric nurse practitioner when to i
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ntervene to B




help the infant's future intellectual growth. What will the nurse practitioner tell the parent?
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a. Cognitive learning begins during the toddler years.
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b. Intellectual growth begin when speech develops.
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c. Language and literacy skills begin at birth.
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d. Preschool is an optimal time to begin general learning. - ANSWER-
B B B B B B B B B B B ANS: C B




General learning and acquisition of skills for later reading and writing begin at birth, not in kin
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dergarten

or first grade, and these skills grow with everyday loving interactions between infants and care
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givers.

Cognitive learning changes during toddler years but begins at birth. Intellectual growth is not t
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ied to B




speech alone. B




3. During an assessment of a 4-week-
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old infant, the primary care pediatric nurse practitioner learns that a
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breastfed infant nurses every 2 hours during the day but is able to sleep for a 4-
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hour period during the
B B B




night. The infant has gained 20 grams per day in the interval since last seen in the clinic. What
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will the B




nurse practitioner recommend?
B B




a. Continuing to nurse the infant using the current pattern
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b. Nursing the infant for longer periods every 4 hours
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c. Supplementing with formula at the last nighttime feeding
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d. Waking the infant every 2 hours to nurse during the night - ANSWER-
B B B B B B B B B B B B B ANS: A B




Infants who are encouraged to breastfeed every 2 to 3 hours may have one longer stretch of 4
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hours at B




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