WGU D119 PEDIATRIC PRIMARY CARE
OBJECTIVE ASSESSMENT
Comprehensive Resource To Help You Ace 2026-2027
Includes Frequently Tested Questions With
ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!!
Current Update!!
1. A 5-year-old child is hit in the face with a baseball bat and is brought to the
clinic by a parent. An exam reveals three avulsed front teeth. Radiologic studies
are negative for facial fractures. What is the recommended treatment?
A. Prescribe tetracycline 4.4 mg/kg twice daily for 7 to 10 days.
B. Refer the child to a dentist for reimplantation of the avulsed teeth.
C Refer the child to a dentist immediately for further examination.
D Remove the teeth, place them in saline, and refer the child to a dentist
Correct Answer: C Refer the child to a dentist immediately for further
examination.
2. A 9-month-old infant has developed two teeth since the 6month
checkup. The local water supply contains fluoride. What will the primary care
pediatric nurse practitioner do to promote healthy dentition at this visit?
A. Apply sodium fluoride varnish to the infant's teeth.
B. Encourage the parents to make an initial dental appointment.
C. Prescribe oral fluoride supplementation.
D. Teach the parents how to brush the infant's teeth with fluoride
toothpaste.
, Correct Answer: A. Apply sodium fluoride varnish to the infant's teeth
3. What will the primary care pediatric nurse practitioner recommend to the
parent of an infant who is teething who asks about comfort measures?
A. Administer oral ibuprofen or apply topical salicylates.
B. Apply a topical anesthetic such a benzocaine to the gums.
C. Give the infant a cold teething ring or wet washcloth to chew.
D. Try Baby Orajel on the infant's gums several times daily.
Correct Answer: C. Give the infant a cold teething ring or wet washcloth to
chew
4. An 18-month-old child has horizontal, bright white lines along the upper gum
line of the teeth. What is the most important question the primary care pediatric
nurse practitioner will ask the child's parents?
A. If the child is still drinking milk from a bottle
B. If the child or the parents are brushing the teeth
C. If they are brushing the child's teeth twice daily
D. If they have taken the child to a dentist
Correct Answer: A. If the child is still drinking milk from a bottle
5. A 4-year-old child who has had extensive dental surgery to treat dental caries
has white spot lesions on the primary teeth. How often should this child receive
fluoride varnish applications?
A. Annually
B. Twice yearly
C. Every 3 to 6 months
D. Every month
Correct Answer: C. Every 3 to 6 months
,6. The parents of a formula-fed newborn report that they get their drinking water
from a well. What will the primary care pediatric nurse practitioner recommend to
provide adequate fluoride for this infant?
A. Giving the infant a fluoride supplement
B. Testing the fluoride level of their water source
C. Using bottled water to prepare the infant's formula
D. Using powdered formula with added fluoride
Correct Answer: B. Testing the fluoride level of their water source
7. What will the primary care pediatric nurse practitioner teach the parent of an
infant about cleaning the child's teeth?
A. To allow the child to control the amount of toothpaste used
B. To choose a toothpaste with a mint flavor
C. To use a smear of toothpaste and not to rinse the mouth
D. To use a toothpaste containing whitening agents
Correct Answer: C. To use a smear of toothpaste and not to rinse the mouth
8. A parent asks about ways to promote dental health in school age children while
on a family vacation that are convenient while camping and picnicking. What will
the pediatric nurse practitioner recommend?
A. Getting fluoride varnish treatments prior to vacations
B. Giving the children fluoridated water after meals
C. Having the children use a chlorhexidine gluconate oral rinse
D. Offering gum containing xylitol after meals
Correct Answer: D. Offering gum containing xylitol after meals
9. An adolescent has localized bleeding of the gums when brushing the teeth. An
exam of the mouth reveals the presence of plaque and calculus on the teeth,
which are not loose. What will the primary care pediatric nurse practitioner
recommend?
, A. Consistently brushing and flossing the teeth twice daily
B. Referral to an oral surgeon for treatment
C. Rinsing the mouth daily with chlorhexidine gluconate
D. Using a xylitol-containing gum after meals
Correct Answer: A. Consistently brushing and flossing the teeth twice daily
10. A school age child has had herpes stomatitis for a week and continues to
complain of pain. What will the primary care pediatric nurse practitioner
recommend?
A. Administration of a topical antiviral medication
B. Taking oral acyclovir for 5 to 7 days
C. Topical application of diphenhydramine and Maalox
D. Using a chlorhexidine gluconate rinse
Correct Answer: C. Topical application of diphenhydramine and Maalox
11. A child has several shallow mucosal lesions on the buccal mucosa and tongue
that are surrounded with an erythematous halo and covered by yellow plaques.
What will the primary care pediatric nurse practitioner recommend?
A. Chlorhexidine gluconate
B. Diphenhydramine and Maalox
C. Oral acyclovir
D. Topical antiviral medication
Correct Answer: A. Chlorhexidine gluconate
12. During a well child exam, the primary care pediatric nurse practitioner notes
yellowish white serpentine-bordered lesions on the anterior portion of a child's
tongue. What will the nurse practitioner do?
A. Order chlorhexidine gluconate rinses to treat the lesions.
B. Prescribe oral acyclovir to shorten the course of the disease.
OBJECTIVE ASSESSMENT
Comprehensive Resource To Help You Ace 2026-2027
Includes Frequently Tested Questions With
ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!!
Current Update!!
1. A 5-year-old child is hit in the face with a baseball bat and is brought to the
clinic by a parent. An exam reveals three avulsed front teeth. Radiologic studies
are negative for facial fractures. What is the recommended treatment?
A. Prescribe tetracycline 4.4 mg/kg twice daily for 7 to 10 days.
B. Refer the child to a dentist for reimplantation of the avulsed teeth.
C Refer the child to a dentist immediately for further examination.
D Remove the teeth, place them in saline, and refer the child to a dentist
Correct Answer: C Refer the child to a dentist immediately for further
examination.
2. A 9-month-old infant has developed two teeth since the 6month
checkup. The local water supply contains fluoride. What will the primary care
pediatric nurse practitioner do to promote healthy dentition at this visit?
A. Apply sodium fluoride varnish to the infant's teeth.
B. Encourage the parents to make an initial dental appointment.
C. Prescribe oral fluoride supplementation.
D. Teach the parents how to brush the infant's teeth with fluoride
toothpaste.
, Correct Answer: A. Apply sodium fluoride varnish to the infant's teeth
3. What will the primary care pediatric nurse practitioner recommend to the
parent of an infant who is teething who asks about comfort measures?
A. Administer oral ibuprofen or apply topical salicylates.
B. Apply a topical anesthetic such a benzocaine to the gums.
C. Give the infant a cold teething ring or wet washcloth to chew.
D. Try Baby Orajel on the infant's gums several times daily.
Correct Answer: C. Give the infant a cold teething ring or wet washcloth to
chew
4. An 18-month-old child has horizontal, bright white lines along the upper gum
line of the teeth. What is the most important question the primary care pediatric
nurse practitioner will ask the child's parents?
A. If the child is still drinking milk from a bottle
B. If the child or the parents are brushing the teeth
C. If they are brushing the child's teeth twice daily
D. If they have taken the child to a dentist
Correct Answer: A. If the child is still drinking milk from a bottle
5. A 4-year-old child who has had extensive dental surgery to treat dental caries
has white spot lesions on the primary teeth. How often should this child receive
fluoride varnish applications?
A. Annually
B. Twice yearly
C. Every 3 to 6 months
D. Every month
Correct Answer: C. Every 3 to 6 months
,6. The parents of a formula-fed newborn report that they get their drinking water
from a well. What will the primary care pediatric nurse practitioner recommend to
provide adequate fluoride for this infant?
A. Giving the infant a fluoride supplement
B. Testing the fluoride level of their water source
C. Using bottled water to prepare the infant's formula
D. Using powdered formula with added fluoride
Correct Answer: B. Testing the fluoride level of their water source
7. What will the primary care pediatric nurse practitioner teach the parent of an
infant about cleaning the child's teeth?
A. To allow the child to control the amount of toothpaste used
B. To choose a toothpaste with a mint flavor
C. To use a smear of toothpaste and not to rinse the mouth
D. To use a toothpaste containing whitening agents
Correct Answer: C. To use a smear of toothpaste and not to rinse the mouth
8. A parent asks about ways to promote dental health in school age children while
on a family vacation that are convenient while camping and picnicking. What will
the pediatric nurse practitioner recommend?
A. Getting fluoride varnish treatments prior to vacations
B. Giving the children fluoridated water after meals
C. Having the children use a chlorhexidine gluconate oral rinse
D. Offering gum containing xylitol after meals
Correct Answer: D. Offering gum containing xylitol after meals
9. An adolescent has localized bleeding of the gums when brushing the teeth. An
exam of the mouth reveals the presence of plaque and calculus on the teeth,
which are not loose. What will the primary care pediatric nurse practitioner
recommend?
, A. Consistently brushing and flossing the teeth twice daily
B. Referral to an oral surgeon for treatment
C. Rinsing the mouth daily with chlorhexidine gluconate
D. Using a xylitol-containing gum after meals
Correct Answer: A. Consistently brushing and flossing the teeth twice daily
10. A school age child has had herpes stomatitis for a week and continues to
complain of pain. What will the primary care pediatric nurse practitioner
recommend?
A. Administration of a topical antiviral medication
B. Taking oral acyclovir for 5 to 7 days
C. Topical application of diphenhydramine and Maalox
D. Using a chlorhexidine gluconate rinse
Correct Answer: C. Topical application of diphenhydramine and Maalox
11. A child has several shallow mucosal lesions on the buccal mucosa and tongue
that are surrounded with an erythematous halo and covered by yellow plaques.
What will the primary care pediatric nurse practitioner recommend?
A. Chlorhexidine gluconate
B. Diphenhydramine and Maalox
C. Oral acyclovir
D. Topical antiviral medication
Correct Answer: A. Chlorhexidine gluconate
12. During a well child exam, the primary care pediatric nurse practitioner notes
yellowish white serpentine-bordered lesions on the anterior portion of a child's
tongue. What will the nurse practitioner do?
A. Order chlorhexidine gluconate rinses to treat the lesions.
B. Prescribe oral acyclovir to shorten the course of the disease.
