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Burns Pediatric Final Exam Study Guide Questions Newest
2026 Exam Latest Version Solved Questions & Answers
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Get all Pediatric test banks for Exam preparation for 2026. The test banks
include comprehensive preparation are designed to significantly enhance your
likelihood of passing all exams on the first attempt, with a success rate of up
to 97%. start preparing for your upcoming exams email
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attempt
Burns Pediatric Final Exam Study Guide
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.
ANS: C
There is growing evidence that climate change is having a dramatic effect on food
crops that leads to food
distribution 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
ANS: C
Rotavirus is the most common cause of diarrhea globally and Strep pneumonia is
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the leading cause of
pneumonia, and together these are the leading infectious causes of childhood
morbidity and mortality
globally. 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.
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.
ANS: 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
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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.
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
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-month-old
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
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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.
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
parent-completed
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
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.
ANS: A
The "newest vital sign," or health literacy, can be determined quickly by asking the
parent how many
children's books are in the home. Greater than 10 books in the home is an
independent positive predictor
of adequate parent health literacy. The other questions may determine a specific
Burns Pediatric Final Exam Study Guide Questions Newest
2026 Exam Latest Version Solved Questions & Answers
Verified 100 %
Get all Pediatric test banks for Exam preparation for 2026. The test banks
include comprehensive preparation are designed to significantly enhance your
likelihood of passing all exams on the first attempt, with a success rate of up
to 97%. start preparing for your upcoming exams email
Get all NCLEX Tutorial Class test banks for Exam preparation for 2026. The test
banks include comprehensive preparation for both Exam I and Exam II, and are
designed to significantly enhance your likelihood of passing all exams on the first
attempt
Burns Pediatric Final Exam Study Guide
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.
ANS: C
There is growing evidence that climate change is having a dramatic effect on food
crops that leads to food
distribution 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
ANS: C
Rotavirus is the most common cause of diarrhea globally and Strep pneumonia is
, Page 2 of 201
the leading cause of
pneumonia, and together these are the leading infectious causes of childhood
morbidity and mortality
globally. 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.
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.
ANS: 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
, Page 3 of 201
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.
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
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-month-old
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
, Page 4 of 201
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.
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
parent-completed
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
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.
ANS: A
The "newest vital sign," or health literacy, can be determined quickly by asking the
parent how many
children's books are in the home. Greater than 10 books in the home is an
independent positive predictor
of adequate parent health literacy. The other questions may determine a specific
