Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Pediatric Primary Care NCLEX/HESI Test Bank
Chapter 1: Pediatric Primary Care
1. Chapter & Subtopic: Chapter 1 – Pediatric Primary Care,
Primary Care vs. Primary Prevention
Stem: A new graduate nurse is preparing a community
presentation on child health. Which statement accurately
describes the distinction between pediatric primary
care and primary prevention?
Options:
A) Primary care focuses on treating acute illness, while primary
prevention focuses on managing chronic conditions.
B) Primary care includes the continuous, comprehensive care of
a child, while primary prevention aims to avoid the onset of
disease before it occurs.
C) Primary prevention is delivered by pediatricians, while
primary care is delivered by public health nurses.
D) Primary care and primary prevention are interchangeable
terms for health promotion activities.
Correct Answer: B
Rationale:
, • Correct (B): Pediatric primary care is defined as
continuous, comprehensive care provided in the context of
a sustained partnership with the family. Primary
prevention are strategies, like immunizations and safety
education, implemented to prevent disease or injury
before it occurs. This distinction is foundational to the role.
• Incorrect (A): Treating acute illness is secondary care, and
managing chronic conditions is often tertiary prevention.
• Incorrect (C): Both primary care providers (PCPs) and
public health nurses deliver elements of primary
prevention and primary care; the roles are not mutually
exclusive.
• Incorrect (D): These are distinct concepts, though they
often overlap in practice.
Teaching Point: Primary care is the ongoing relationship;
primary prevention is the action taken to prevent disease.
2. Chapter & Subtopic: Chapter 1 – Pediatric Primary Care,
Unique Issues in Pediatrics
Stem: The pediatric primary care nurse understands that a
fundamental principle distinguishing pediatrics from adult care
is:
Options:
A) Children have a faster metabolic rate, requiring higher
medication doses per kilogram than adults.
,B) Children are not just small adults; their care must be
provided within the context of their family and developmental
stage.
C) Informed consent is obtained directly from the child if they
are over age 12.
D) The focus of care is almost exclusively on health promotion
and prevention, not disease management.
Correct Answer: B
Rationale:
• Correct (B): This is a core tenet of pediatric care. The
child's growth, development, and dependence on the
family unit are unique considerations that fundamentally
shape assessment, communication, and intervention.
• Incorrect (A): While pharmacokinetics differ, this is a
specific physiological detail, not the overarching
fundamental principle.
• Incorrect (C): Assent is sought from school-aged children
and adolescents, but legal consent is provided by the
parent/guardian, with specific exceptions.
• Incorrect (D): Pediatric primary care manages acute and
chronic illnesses in addition to its strong preventive focus.
Teaching Point: Pediatric care is family-centered and
developmentally tailored.
, 3. Chapter & Subtopic: Chapter 1 – Pediatric Primary Care,
Caring for Children and Youth with Special Healthcare Needs
(CYSHCN)
Stem: A nurse is coordinating care for a 6-year-old with cerebral
palsy and a gastrostomy tube. When developing a plan of care,
the nurse should prioritize which of the following actions to
adhere to the principles of caring for Children and Youth with
Special Healthcare Needs (CYSHCN)?
Options:
A) Create a detailed medical plan that the family must follow
precisely to ensure safety.
B) Encourage the family to assume all care responsibilities to
promote independence from the healthcare system.
C) Facilitate a meeting with the family, school nurse, physical
therapist, and primary care provider to create a shared,
coordinated plan.
D) Refer the family to a tertiary care center for all future
healthcare needs to ensure specialist oversight.
Correct Answer: C
Rationale:
• Correct (C): Care for CYSHCN is ideally provided through a
medical home model, which emphasizes care that is
accessible, family-centered, continuous, comprehensive,
coordinated, compassionate, and culturally effective.
• Incorrect (A): This is a paternalistic approach that does not
respect family-centered care or collaboration.
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Pediatric Primary Care NCLEX/HESI Test Bank
Chapter 1: Pediatric Primary Care
1. Chapter & Subtopic: Chapter 1 – Pediatric Primary Care,
Primary Care vs. Primary Prevention
Stem: A new graduate nurse is preparing a community
presentation on child health. Which statement accurately
describes the distinction between pediatric primary
care and primary prevention?
Options:
A) Primary care focuses on treating acute illness, while primary
prevention focuses on managing chronic conditions.
B) Primary care includes the continuous, comprehensive care of
a child, while primary prevention aims to avoid the onset of
disease before it occurs.
C) Primary prevention is delivered by pediatricians, while
primary care is delivered by public health nurses.
D) Primary care and primary prevention are interchangeable
terms for health promotion activities.
Correct Answer: B
Rationale:
, • Correct (B): Pediatric primary care is defined as
continuous, comprehensive care provided in the context of
a sustained partnership with the family. Primary
prevention are strategies, like immunizations and safety
education, implemented to prevent disease or injury
before it occurs. This distinction is foundational to the role.
• Incorrect (A): Treating acute illness is secondary care, and
managing chronic conditions is often tertiary prevention.
• Incorrect (C): Both primary care providers (PCPs) and
public health nurses deliver elements of primary
prevention and primary care; the roles are not mutually
exclusive.
• Incorrect (D): These are distinct concepts, though they
often overlap in practice.
Teaching Point: Primary care is the ongoing relationship;
primary prevention is the action taken to prevent disease.
2. Chapter & Subtopic: Chapter 1 – Pediatric Primary Care,
Unique Issues in Pediatrics
Stem: The pediatric primary care nurse understands that a
fundamental principle distinguishing pediatrics from adult care
is:
Options:
A) Children have a faster metabolic rate, requiring higher
medication doses per kilogram than adults.
,B) Children are not just small adults; their care must be
provided within the context of their family and developmental
stage.
C) Informed consent is obtained directly from the child if they
are over age 12.
D) The focus of care is almost exclusively on health promotion
and prevention, not disease management.
Correct Answer: B
Rationale:
• Correct (B): This is a core tenet of pediatric care. The
child's growth, development, and dependence on the
family unit are unique considerations that fundamentally
shape assessment, communication, and intervention.
• Incorrect (A): While pharmacokinetics differ, this is a
specific physiological detail, not the overarching
fundamental principle.
• Incorrect (C): Assent is sought from school-aged children
and adolescents, but legal consent is provided by the
parent/guardian, with specific exceptions.
• Incorrect (D): Pediatric primary care manages acute and
chronic illnesses in addition to its strong preventive focus.
Teaching Point: Pediatric care is family-centered and
developmentally tailored.
, 3. Chapter & Subtopic: Chapter 1 – Pediatric Primary Care,
Caring for Children and Youth with Special Healthcare Needs
(CYSHCN)
Stem: A nurse is coordinating care for a 6-year-old with cerebral
palsy and a gastrostomy tube. When developing a plan of care,
the nurse should prioritize which of the following actions to
adhere to the principles of caring for Children and Youth with
Special Healthcare Needs (CYSHCN)?
Options:
A) Create a detailed medical plan that the family must follow
precisely to ensure safety.
B) Encourage the family to assume all care responsibilities to
promote independence from the healthcare system.
C) Facilitate a meeting with the family, school nurse, physical
therapist, and primary care provider to create a shared,
coordinated plan.
D) Refer the family to a tertiary care center for all future
healthcare needs to ensure specialist oversight.
Correct Answer: C
Rationale:
• Correct (C): Care for CYSHCN is ideally provided through a
medical home model, which emphasizes care that is
accessible, family-centered, continuous, comprehensive,
coordinated, compassionate, and culturally effective.
• Incorrect (A): This is a paternalistic approach that does not
respect family-centered care or collaboration.
