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

BURNS PEDIATRIC FINAL EXAM STUDY GUIDE
QUESTIONS AND 100% CORRECT
ANSWERS|LATEST 2025/2026|GUARANTEED
A+|VERIFIED
9. The primary care pediatric nurse practitioner performs a vision screen on a 4-month-
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old infant and
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notes the presence of convergence and accommodation with mild esotropia of the left eye. W
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hat will B




the nurse practitioner do?
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a. Patch the right eye to improve coordination of the left eye.
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b. Reassure the parents that the infant will outgrow this.
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c. Recheck the infant's eyes in 2 to 4 weeks.
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d. Refer the infant to a pediatric ophthalmologist. - ANSWER-
B B B B B B B B B ANS: D B




Esotropia that continues or occurs at 3 to 4 months of age is abnormal, so the infant should be
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referred to B




a pediatric ophthalmologist. The PNP does not determine whether an eye patch should be use
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d. Because it
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is abnormal at this age, the PNP will not reassure the parents that the infant will outgrow this.
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Esotropia

after 3 to 4 months of age must be evaluated by a specialist and not reevaluated in 2 to 4 week
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s.



4. During a well-baby assessment on a 1-week-
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old infant who had a normal exam when discharged from
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the newborn nursery 2 days prior, the primary care pediatric nurse practitioner notes moderat
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e eyelid
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swelling, bulbar conjunctival injections, and moderate amounts of thick, purulent discharge.
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What is B




the likely diagnosis?
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a. Chemical-induced conjunctivitis
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,b. Chlamydia trachomatis conjunctivitis
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c. Herpes simplex virus (HSV) conjunctivitis
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d. Neisseria gonorrhea conjunctivitis - ANSWER-
B B B B B ANS: B B




C. trachomatis conjunctivitis usually begins between 5 to 14 days of life and causes moderate
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eyelid

swelling, palpebral or bulbar conjunctivitis, and moderate, thick, purulent discharge. Chemical
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-induced

conjunctivitis manifests as nonpurulent discharge. HSV is characterized by serosanguinous dis
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charge. N. B




gonorrhea causes acute conjunctival inflammation and excessive purulent discharge.
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1. The primary care pediatric nurse practitioner understands that a major child health outcom
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e associated
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with worldwide climate change is :
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a. cost of living.
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b. education.
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c. nutrition.
B




d. pollution. - ANSWER-
B B B ANS: C B




There is growing evidence that climate change is having a dramatic effect on food crops that le
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ads to food
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distribution issues and food insecurity among families.
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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
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b. Optimal nutrition
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c. Vaccinations
B




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




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,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.



3. When providing well child care for an infant in the first year of life, the primary care pediatri
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c nurse
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practitioner is adhering to the most recent American Academy of Pediatrics Recommendation
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s for
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Preventive Pediatric Health Care guidelines by :
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a. focusing less on development and more on illness prevention and nutrition.
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b. following guidelines established by the Bright Futures publication.
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c. scheduling well-baby visits to coincide with key developmental milestones.
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d. seeing the infant at ages 2, 4, 6, and 12 months when immunizations are due. - ANSWER-
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ANS: C B




In the most recent AAP Recommendations for Preventive Pediatric Health Care, there is a grea
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ter

emphasis on behavioral and developmental issues and a recommendation that well child care
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be based on
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child and family development rather than the periodicity of immunization schedules. This will
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require a B




revision of the current recommendations in Bright Futures.
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4. Which is true about the health status of children in the United States?
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a. Globalism has relatively little impact on child health measures in the U.S.
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b. Obesity rates among 2- to 5-year-olds have shown a recent significant decrease.
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, c. The rate of household poverty is lower than in other economically developed nations.
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d. Young children who attend preschool or day care have higher food insecurity. - ANSWER-
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ANS: B B




Obesity rates are a major concern for child health in the U.S. but recently have stabilized in the
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rate of
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increase and have declined among 2- to 5-year-
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olds between 2004 and 2013. Globalism has an increasing
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effect on child health in the U.S. The rate of household poverty in the U.S. is higher than in oth
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er

economically developed nations. Young children who attend preschool or day care have lower
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food
B




insecurity.



5. Which region globally has the highest infant mortality rate?
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a. Indonesia
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b. Southern Asia
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c. Sub-Saharan Africa
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d. Syria - ANSWER-
B B B ANS: C B




Although Sub- B



Saharan Africa and Southern Asia together account for 81% of the infant mortality rate
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globally, Sub-Saharan Africa has the highest infant mortality rate in the world.
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1. The parent of a toddler is concerned that the child may have autism. The primary care pedia
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tric nurse
B




practitioner completes a Modified Checklist for Autism in Toddlers (M-
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CHAT) tool, which indicates
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several areas of concern. What will the nurse practitioner do?
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a. Administer a Childhood Autism Rating Scale (CARS) in the clinic.
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b. Consult a specialist to determine appropriate early intervention strategies.
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c. Refer the child to a behavioral specialist for further evaluation.
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