,Table of Contents :
Unit 1. Pediatric Primary Care
Chapter Title Subtopics
Pediatric Primary CarePrimary Care Versus Primary
1 Pediatric Primary Care PreventionUnique Issues in PediatricsCaring for Children and
Youth With Special Healthcare NeedsAdditional Resources
Global and National
COVID-19 and Global Child HealthClimate Change and
2 Influences on Child
InequalityHealth Status in the U.S.Advocacy for Child Health
Health Status
Environmental
Principles of Environmental HealthEpidemiologic Risk
3 Influences on Pediatric
AssessmentAdditional Resources
Health
History of Racism in HealthcareAdverse Childhood
Justice, Equity, Inclusion,
4 ExperiencesHealth EquityCurrent StateFuture
and Diversity
DirectionsAdditional Resources
Unit 2. Pediatric Health Supervision
Section 2A. Growth and Development
Chapter Title Subtopics
Pediatric and Family Pediatric AssessmentFamily AssessmentShared Decision
5
Assessment MakingAdditional Resources
Behavioral and Mental Health FoundationsAssessmentManagement
6 Mental Health StrategiesBehavioral IssuesCaregiving ChallengesAdditional
Promotion Resources
,Chapter Title Subtopics
Sexuality and Gender Patterns of SexualityAssessmentFostering Healthy
7
Identity SexualityAltering FactorsAdditional Resources
Lifelong ProcessAspects of DevelopmentOrganized
Developmental
ProgressionIndividual PacingCritical/Sensitive PeriodsNature and
8 Principles and
NurtureTheoriesMilestonesAnticipatory GuidanceBehavioral
Theories
EconomicsAdditional Resources
Developmental
Transition to ParenthoodNeonatal
Management of
9 TransitionAssessmentCommon IssuesDischarge/Follow-
Newborns and
upHealth Supervision
Neonates
Developmental
Development OverviewCommon IssuesHealth
10 Management of
SupervisionAdditional Resources
Infants
Developmental
Developmental OverviewCommon IssuesHealth SupervisionRed
11 Management of
FlagsAdditional Resources
Early Childhood
Developmental
Developmental OverviewCommon ConcernsHealth
12 Management of
PromotionSupervision VisitsDevelopmental Red Flags
Middle Childhood
Developmental
Developmental OverviewCommon IssuesHealth
13 Management of
SupervisionAdditional Resources
Adolescents
Section 2B. Health Promotion
Chapter Title Subtopics
Dietary GuidelinesNutrient
14 Nutrition RecommendationsAssessmentManagementAltered PatternsWeight
FocusAcknowledgmentAdditional Resources
15 Breastfeeding RecommendationsHospital SupportBenefitsContraindicationsMilk
ProductionHuman Milk CharacteristicsPhysiologyLactating Dyad
,Chapter Title Subtopics
AssessmentPositions and DynamicsSuccess IndicatorsMaternal
NeedsMedicationsReturn to WorkCommon ProblemsAdditional
Resources
Sleep ScienceSleep CyclePatternsAssessmentDisordersAdditional
16 Sleep
Resources
Healthy PatternsAssessmentManagementAltered
17 Elimination
EliminationAdditional Resources
Activity OverviewPromotion GuidelinesBenefitsChildren with Special
Physical
NeedsSupport StrategiesClimate ConsiderationsRecreational
18 Activity and
ActivitiesPerformance SupplementsPPE for SportsChronic Condition
Sports
ManagementHigh-Risk ConditionsAdditional Resources
Section 2C. Health Protection
Chapter Title Subtopics
PrinciplesVaccine TypesBest PracticesAntibody
ProductsDosesAdverse ReactionsContraindicationsSafety
19 Immunizations ProgramsRisk CommunicationStorage and
HandlingAdministrationInactivated & Live VaccinesmRNA
VaccinesAdditional Resources
Standards & GuidelinesGrowth and DevelopmentOral
Dental and Oral ExamTooth/Gum AberrationsDental CareEducationBacterial/Viral
20
Health ConditionsIdiopathic/Trauma ConditionsLifestyle FactorsSpecial
Needs Care
Pediatric Injury
21 Unintentional Injuries
Prevention
Child AssessmentIntervention GuidelinesPhysical, Sexual, Medical, and
22
Maltreatment Emotional AbuseNeglect
Unit 3. Disease Management
Section 3A. General Management Principles
,Chapter Title Subtopics
Safety GoalsPharmaceutical RegulationPrescribing
Prescribing
23 GuidelinesMedication ManagementPrescription
Therapies
WritingComplementary TherapiesAdditional Resources
Pain and Fever Pain ConceptsInfluencing
24
Management FactorsBarriersAssessmentManagementCare PartnershipFever
Injuries and Skin/Soft Tissue TraumaBites and StingsHeat/Cold
25
Toxic Exposures InjuriesEnvironmental ToxinsAdditional Resources
Pediatric Care LevelsTeam RolesEpidemiologyHolistic CareCare
26
Palliative Care DeliveryBarriersPost-Death SupportAdditional Resources
Section 3B. Disease Management
Chapte
Title Subtopics
r
Congenital and
Genetics and InheritanceEpigeneticsCare ApproachesAdditional
27 Inherited
Resources
Disorders
Neonatal
28 PathophysiologyCommon ConditionsAdditional Resources
Disorders
Neurodivergenc
29 e and Mental AssessmentCommon Disorders
Health
Screening StandardsDevelopment &
Eye and Vision
30 PhysiologyAssessmentManagementInfections, Injuries,
Disorders
DeformitiesAdditional Resources
Ear and Hearing DevelopmentAnatomyAssessmentScreeningCommon
31
Disorders ConditionsAcute Otitis MediaTelehealthAdditional Resources
System OverviewPathophysiologyAssessmentUpper/Lower Airway
Respiratory
32 ConditionsChest Wall DisordersCongenital HerniaAdditional
Disorders
Resources
,Chapte
Title Subtopics
r
Cardiovascular Anatomy & AssessmentCHDAcquired ConditionsTransitioning to
33
Disorders Adult CareConduction IssuesSyncopeAdditional Resources
Gastrointestinal A&PAssessmentUpper and Lower GI
34
Disorders DisordersManagementAdditional Resources
Infectious PathogenesisManagementSpecific VirusesBioterrorism
35
Diseases AgentsAdditional Resources
General
Inflammatory
36 PrinciplesAtopyRheumatologyVasculitisImmunodeficienciesAddition
Disorders
al Resources
A&PAssessmentInfectious & Inflammatory Skin ConditionsReactive
Dermatologic
37 ErythemasVascular/Pigmented LesionsUnderlying Disease
Disorders
ManifestationsHair Loss & Body ModificationsAdditional Resources
Hematologic A&PRBC, Platelet, Leukocyte DisordersCancerPrimary Care RoleLate
38
Disorders Cancer EffectsAdditional Resources
Endocrine & A&PAssessmentManagementEDCsDisorders (Puberty, Adrenal,
39 Metabolic Thyroid, Diabetes, etc.)Metabolic EmergenciesInborn
Disorders ErrorsAdditional Resources
Musculoskeletal A&PAssessmentPediatric Orthopedic
40
Disorders ConditionsManagementAdditional Resources
Neurologic
41 A&PAssessmentSelected ConditionsManagement
Disorders
Genitourinary Standards of CareA&PAssessmentTract and Male
42
Disorders ConditionsAdditional Resources
Gynecology and
Anatomy and AssessmentVulvar, Vaginal, Menstrual, and Breast
43 Reproductive
ConcernsPain and PMSSpecial PopulationsSexual Health
Health
,NCLEX-STYLE MCQS: BURNS' PEDIATRIC
PRIMARY CARE, 8TH EDITION (2025)
Pediatric Primary Care Unit 1: NCLEX-
Style Multiple-Choice Questions (50 Items)
1. A clinic nurse is explaining the philosophy of pediatric
primary care to a group of new staff. Which statement
best reflects the scope and philosophy of pediatric
primary care?
A. Emphasizes only preventive screenings and immunizations.
B. Focuses on episodic care and acute illness management.
C. Integrates health promotion, disease prevention, and family-
centered care across childhood.
D. Limits care to well-child visits during the first year of life.
Answer: C
Rationale: Option C correctly captures the breadth of pediatric
primary care, including health promotion, prevention, and
family-centered approaches. A is too narrow, focusing only on
preventive measures; B emphasizes acute care without
prevention; D unduly restricts the age range.
, 2. The difference between primary care and primary
prevention is best illustrated by which example?
A. Administering antibiotics for otitis media vs. teaching hand
hygiene in daycare.
B. Treating asthma exacerbations vs. providing annual influenza
vaccines.
C. Performing vision screening vs. prescribing eyeglasses for
refractive errors.
D. Managing ADHD medications vs. referring to a child
psychiatrist.
Answer: B
Rationale: Primary prevention (annual influenza vaccines)
prevents disease occurrence; primary care includes treatment
and management (asthma exacerbations). A contrasts
treatment vs. prevention but is less direct; C is screening vs.
treatment; D is management vs. referral.
3. A 6-year-old with type 1 diabetes is new to the practice.
Which unique pediatric issue is most important to
address initially?
A. Ensuring daily insulin adherence without family involvement.
,B. Assessing developmental stage to tailor diabetes education.
C. Focusing exclusively on glycemic targets.
D. Scheduling quarterly visits regardless of blood sugar control.
Answer: B
Rationale: Understanding developmental level guides teaching
and self-care expectations. A ignores family-centered care; C
neglects holistic considerations; D is rigid and not tailored to the
child's needs.
4. When caring for children and youth with special
healthcare needs (CYSHCN), the nurse’s priority is to:
A. Encourage total independence from caregivers.
B. Coordinate interprofessional services and family-support
resources.
C. Focus solely on the child’s medical treatments.
D. Minimize involvement of community programs to avoid
confusion.
Answer: B
Rationale: Coordinating services and resources supports
comprehensive, family-centered care. A overemphasizes
, independence; C ignores psychosocial needs; D denies
beneficial support.
5. A family with limited English proficiency arrives for a
well-child visit. The nurse should:
A. Speak louder and slower in English.
B. Use a certified medical interpreter for communication.
C. Rely on the adolescent sibling to translate.
D. Use simplified English without interpreter services.
Answer: B
Rationale: Certified interpreters ensure accurate, culturally
competent communication. A and D risk misunderstanding; C is
unethical and violates privacy.
6. A 2-year-old with a chronic feeding disorder requires
community resources. The nurse should first:
A. Refer to inpatient feeding therapy.
B. Provide the family with an online support group list.
C. Collaborate with a home health nutritionist.
D. Advise parents to monitor intake at home.
Unit 1. Pediatric Primary Care
Chapter Title Subtopics
Pediatric Primary CarePrimary Care Versus Primary
1 Pediatric Primary Care PreventionUnique Issues in PediatricsCaring for Children and
Youth With Special Healthcare NeedsAdditional Resources
Global and National
COVID-19 and Global Child HealthClimate Change and
2 Influences on Child
InequalityHealth Status in the U.S.Advocacy for Child Health
Health Status
Environmental
Principles of Environmental HealthEpidemiologic Risk
3 Influences on Pediatric
AssessmentAdditional Resources
Health
History of Racism in HealthcareAdverse Childhood
Justice, Equity, Inclusion,
4 ExperiencesHealth EquityCurrent StateFuture
and Diversity
DirectionsAdditional Resources
Unit 2. Pediatric Health Supervision
Section 2A. Growth and Development
Chapter Title Subtopics
Pediatric and Family Pediatric AssessmentFamily AssessmentShared Decision
5
Assessment MakingAdditional Resources
Behavioral and Mental Health FoundationsAssessmentManagement
6 Mental Health StrategiesBehavioral IssuesCaregiving ChallengesAdditional
Promotion Resources
,Chapter Title Subtopics
Sexuality and Gender Patterns of SexualityAssessmentFostering Healthy
7
Identity SexualityAltering FactorsAdditional Resources
Lifelong ProcessAspects of DevelopmentOrganized
Developmental
ProgressionIndividual PacingCritical/Sensitive PeriodsNature and
8 Principles and
NurtureTheoriesMilestonesAnticipatory GuidanceBehavioral
Theories
EconomicsAdditional Resources
Developmental
Transition to ParenthoodNeonatal
Management of
9 TransitionAssessmentCommon IssuesDischarge/Follow-
Newborns and
upHealth Supervision
Neonates
Developmental
Development OverviewCommon IssuesHealth
10 Management of
SupervisionAdditional Resources
Infants
Developmental
Developmental OverviewCommon IssuesHealth SupervisionRed
11 Management of
FlagsAdditional Resources
Early Childhood
Developmental
Developmental OverviewCommon ConcernsHealth
12 Management of
PromotionSupervision VisitsDevelopmental Red Flags
Middle Childhood
Developmental
Developmental OverviewCommon IssuesHealth
13 Management of
SupervisionAdditional Resources
Adolescents
Section 2B. Health Promotion
Chapter Title Subtopics
Dietary GuidelinesNutrient
14 Nutrition RecommendationsAssessmentManagementAltered PatternsWeight
FocusAcknowledgmentAdditional Resources
15 Breastfeeding RecommendationsHospital SupportBenefitsContraindicationsMilk
ProductionHuman Milk CharacteristicsPhysiologyLactating Dyad
,Chapter Title Subtopics
AssessmentPositions and DynamicsSuccess IndicatorsMaternal
NeedsMedicationsReturn to WorkCommon ProblemsAdditional
Resources
Sleep ScienceSleep CyclePatternsAssessmentDisordersAdditional
16 Sleep
Resources
Healthy PatternsAssessmentManagementAltered
17 Elimination
EliminationAdditional Resources
Activity OverviewPromotion GuidelinesBenefitsChildren with Special
Physical
NeedsSupport StrategiesClimate ConsiderationsRecreational
18 Activity and
ActivitiesPerformance SupplementsPPE for SportsChronic Condition
Sports
ManagementHigh-Risk ConditionsAdditional Resources
Section 2C. Health Protection
Chapter Title Subtopics
PrinciplesVaccine TypesBest PracticesAntibody
ProductsDosesAdverse ReactionsContraindicationsSafety
19 Immunizations ProgramsRisk CommunicationStorage and
HandlingAdministrationInactivated & Live VaccinesmRNA
VaccinesAdditional Resources
Standards & GuidelinesGrowth and DevelopmentOral
Dental and Oral ExamTooth/Gum AberrationsDental CareEducationBacterial/Viral
20
Health ConditionsIdiopathic/Trauma ConditionsLifestyle FactorsSpecial
Needs Care
Pediatric Injury
21 Unintentional Injuries
Prevention
Child AssessmentIntervention GuidelinesPhysical, Sexual, Medical, and
22
Maltreatment Emotional AbuseNeglect
Unit 3. Disease Management
Section 3A. General Management Principles
,Chapter Title Subtopics
Safety GoalsPharmaceutical RegulationPrescribing
Prescribing
23 GuidelinesMedication ManagementPrescription
Therapies
WritingComplementary TherapiesAdditional Resources
Pain and Fever Pain ConceptsInfluencing
24
Management FactorsBarriersAssessmentManagementCare PartnershipFever
Injuries and Skin/Soft Tissue TraumaBites and StingsHeat/Cold
25
Toxic Exposures InjuriesEnvironmental ToxinsAdditional Resources
Pediatric Care LevelsTeam RolesEpidemiologyHolistic CareCare
26
Palliative Care DeliveryBarriersPost-Death SupportAdditional Resources
Section 3B. Disease Management
Chapte
Title Subtopics
r
Congenital and
Genetics and InheritanceEpigeneticsCare ApproachesAdditional
27 Inherited
Resources
Disorders
Neonatal
28 PathophysiologyCommon ConditionsAdditional Resources
Disorders
Neurodivergenc
29 e and Mental AssessmentCommon Disorders
Health
Screening StandardsDevelopment &
Eye and Vision
30 PhysiologyAssessmentManagementInfections, Injuries,
Disorders
DeformitiesAdditional Resources
Ear and Hearing DevelopmentAnatomyAssessmentScreeningCommon
31
Disorders ConditionsAcute Otitis MediaTelehealthAdditional Resources
System OverviewPathophysiologyAssessmentUpper/Lower Airway
Respiratory
32 ConditionsChest Wall DisordersCongenital HerniaAdditional
Disorders
Resources
,Chapte
Title Subtopics
r
Cardiovascular Anatomy & AssessmentCHDAcquired ConditionsTransitioning to
33
Disorders Adult CareConduction IssuesSyncopeAdditional Resources
Gastrointestinal A&PAssessmentUpper and Lower GI
34
Disorders DisordersManagementAdditional Resources
Infectious PathogenesisManagementSpecific VirusesBioterrorism
35
Diseases AgentsAdditional Resources
General
Inflammatory
36 PrinciplesAtopyRheumatologyVasculitisImmunodeficienciesAddition
Disorders
al Resources
A&PAssessmentInfectious & Inflammatory Skin ConditionsReactive
Dermatologic
37 ErythemasVascular/Pigmented LesionsUnderlying Disease
Disorders
ManifestationsHair Loss & Body ModificationsAdditional Resources
Hematologic A&PRBC, Platelet, Leukocyte DisordersCancerPrimary Care RoleLate
38
Disorders Cancer EffectsAdditional Resources
Endocrine & A&PAssessmentManagementEDCsDisorders (Puberty, Adrenal,
39 Metabolic Thyroid, Diabetes, etc.)Metabolic EmergenciesInborn
Disorders ErrorsAdditional Resources
Musculoskeletal A&PAssessmentPediatric Orthopedic
40
Disorders ConditionsManagementAdditional Resources
Neurologic
41 A&PAssessmentSelected ConditionsManagement
Disorders
Genitourinary Standards of CareA&PAssessmentTract and Male
42
Disorders ConditionsAdditional Resources
Gynecology and
Anatomy and AssessmentVulvar, Vaginal, Menstrual, and Breast
43 Reproductive
ConcernsPain and PMSSpecial PopulationsSexual Health
Health
,NCLEX-STYLE MCQS: BURNS' PEDIATRIC
PRIMARY CARE, 8TH EDITION (2025)
Pediatric Primary Care Unit 1: NCLEX-
Style Multiple-Choice Questions (50 Items)
1. A clinic nurse is explaining the philosophy of pediatric
primary care to a group of new staff. Which statement
best reflects the scope and philosophy of pediatric
primary care?
A. Emphasizes only preventive screenings and immunizations.
B. Focuses on episodic care and acute illness management.
C. Integrates health promotion, disease prevention, and family-
centered care across childhood.
D. Limits care to well-child visits during the first year of life.
Answer: C
Rationale: Option C correctly captures the breadth of pediatric
primary care, including health promotion, prevention, and
family-centered approaches. A is too narrow, focusing only on
preventive measures; B emphasizes acute care without
prevention; D unduly restricts the age range.
, 2. The difference between primary care and primary
prevention is best illustrated by which example?
A. Administering antibiotics for otitis media vs. teaching hand
hygiene in daycare.
B. Treating asthma exacerbations vs. providing annual influenza
vaccines.
C. Performing vision screening vs. prescribing eyeglasses for
refractive errors.
D. Managing ADHD medications vs. referring to a child
psychiatrist.
Answer: B
Rationale: Primary prevention (annual influenza vaccines)
prevents disease occurrence; primary care includes treatment
and management (asthma exacerbations). A contrasts
treatment vs. prevention but is less direct; C is screening vs.
treatment; D is management vs. referral.
3. A 6-year-old with type 1 diabetes is new to the practice.
Which unique pediatric issue is most important to
address initially?
A. Ensuring daily insulin adherence without family involvement.
,B. Assessing developmental stage to tailor diabetes education.
C. Focusing exclusively on glycemic targets.
D. Scheduling quarterly visits regardless of blood sugar control.
Answer: B
Rationale: Understanding developmental level guides teaching
and self-care expectations. A ignores family-centered care; C
neglects holistic considerations; D is rigid and not tailored to the
child's needs.
4. When caring for children and youth with special
healthcare needs (CYSHCN), the nurse’s priority is to:
A. Encourage total independence from caregivers.
B. Coordinate interprofessional services and family-support
resources.
C. Focus solely on the child’s medical treatments.
D. Minimize involvement of community programs to avoid
confusion.
Answer: B
Rationale: Coordinating services and resources supports
comprehensive, family-centered care. A overemphasizes
, independence; C ignores psychosocial needs; D denies
beneficial support.
5. A family with limited English proficiency arrives for a
well-child visit. The nurse should:
A. Speak louder and slower in English.
B. Use a certified medical interpreter for communication.
C. Rely on the adolescent sibling to translate.
D. Use simplified English without interpreter services.
Answer: B
Rationale: Certified interpreters ensure accurate, culturally
competent communication. A and D risk misunderstanding; C is
unethical and violates privacy.
6. A 2-year-old with a chronic feeding disorder requires
community resources. The nurse should first:
A. Refer to inpatient feeding therapy.
B. Provide the family with an online support group list.
C. Collaborate with a home health nutritionist.
D. Advise parents to monitor intake at home.
