Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Pediatric Primary Care NCLEX/HESI Style Test Bank
Question 1
• Chapter & Subtopic: Chapter 1 – Pediatric Primary Care,
Primary Care vs. Primary Prevention
• Stem: A nurse is orienting a new graduate to a pediatric
primary care clinic. Which statement by the new graduate
best demonstrates an understanding of a core function of
primary care?
• Options:
A. "Our main goal is to prevent diseases from occurring
through vaccinations and nutrition counseling."
B. "We are responsible for coordinating all aspects of a
child's health, from acute illness management to chronic
condition follow-up."
C. "The focus here is on providing highly specialized
treatments for complex conditions like cancer or cystic
fibrosis."
D. "We implement community-wide programs like fluoride
in the water supply to improve population health."
• Correct Answer: B
, • Rationale:
o Correct: B is correct because primary care is
characterized by first-contact, continuous,
comprehensive, and coordinated care. Managing
acute illnesses and following up on chronic conditions
are central to this role (Burns, Ch. 1, "Primary Care
Versus Primary Prevention").
o Incorrect:
▪ A describes primary prevention, which is a
component of primary care but not its defining
function.
▪ C describes tertiary care, which is specialized and
disease-specific.
▪ D describes a public health strategy for primary
prevention, which occurs at a community level,
not an individual patient level in a clinic.
• Teaching Point: Primary care provides first-contact,
continuous, and coordinated management of health
needs.
Question 2
• Chapter & Subtopic: Chapter 1 – Pediatric Primary Care,
Unique Issues in Pediatrics
• Stem: During a well-child visit for a 6-month-old, the
pediatric primary care nurse emphasizes the importance of
, "parental concern" as a highly reliable indicator of a child's
health status. This principle best addresses which unique
aspect of pediatric care?
• Options:
A. The anatomical and physiological differences between
children and adults.
B. The child's dependence on caregivers for history and
advocacy.
C. The rapid and dynamic process of growth and
development.
D. The ethical considerations of consent and assent.
• Correct Answer: B
• Rationale:
o Correct: B is correct. Infants and young children
cannot verbalize their symptoms. Therefore, the
caregiver's observations and concerns are critical
assessment data, highlighting the child's dependency
(Burns, Ch. 1, "Unique Issues in Pediatrics").
o Incorrect:
▪ A, C, and D are all unique issues in pediatrics, but
they are not directly illustrated by the scenario of
relying on parental concern for assessment.
• Teaching Point: Children are dependent on caregivers,
making the parent's perspective a vital component of the
nursing assessment.
, Question 3
• Chapter & Subtopic: Chapter 1 – Pediatric Primary Care,
Caring for Children and Youth with Special Healthcare
Needs (CYSHCN)
• Stem: The nurse is using the "Medical Home" model to
coordinate care for a 7-year-old with cerebral palsy. Which
action by the nurse best exemplifies this model?
• Options:
A. Referring the family to a neurologist and discharging the
child from the primary care clinic.
B. Scheduling all specialist appointments and sending the
summaries to the family.
C. Partnering with the family to ensure they understand
and can execute the complex care plan.
D. Focusing solely on routine well-child care and ignoring
the cerebral palsy during visits.
• Correct Answer: C
• Rationale:
o Correct: C is correct. The Medical Home model is
defined by care that is accessible, family-centered,
continuous, comprehensive, coordinated,
compassionate, and culturally effective. Partnering
with the family is central to family-centered care
(Burns, Ch. 1, "Caring for Children and Youth With
Special Healthcare Needs").
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Pediatric Primary Care NCLEX/HESI Style Test Bank
Question 1
• Chapter & Subtopic: Chapter 1 – Pediatric Primary Care,
Primary Care vs. Primary Prevention
• Stem: A nurse is orienting a new graduate to a pediatric
primary care clinic. Which statement by the new graduate
best demonstrates an understanding of a core function of
primary care?
• Options:
A. "Our main goal is to prevent diseases from occurring
through vaccinations and nutrition counseling."
B. "We are responsible for coordinating all aspects of a
child's health, from acute illness management to chronic
condition follow-up."
C. "The focus here is on providing highly specialized
treatments for complex conditions like cancer or cystic
fibrosis."
D. "We implement community-wide programs like fluoride
in the water supply to improve population health."
• Correct Answer: B
, • Rationale:
o Correct: B is correct because primary care is
characterized by first-contact, continuous,
comprehensive, and coordinated care. Managing
acute illnesses and following up on chronic conditions
are central to this role (Burns, Ch. 1, "Primary Care
Versus Primary Prevention").
o Incorrect:
▪ A describes primary prevention, which is a
component of primary care but not its defining
function.
▪ C describes tertiary care, which is specialized and
disease-specific.
▪ D describes a public health strategy for primary
prevention, which occurs at a community level,
not an individual patient level in a clinic.
• Teaching Point: Primary care provides first-contact,
continuous, and coordinated management of health
needs.
Question 2
• Chapter & Subtopic: Chapter 1 – Pediatric Primary Care,
Unique Issues in Pediatrics
• Stem: During a well-child visit for a 6-month-old, the
pediatric primary care nurse emphasizes the importance of
, "parental concern" as a highly reliable indicator of a child's
health status. This principle best addresses which unique
aspect of pediatric care?
• Options:
A. The anatomical and physiological differences between
children and adults.
B. The child's dependence on caregivers for history and
advocacy.
C. The rapid and dynamic process of growth and
development.
D. The ethical considerations of consent and assent.
• Correct Answer: B
• Rationale:
o Correct: B is correct. Infants and young children
cannot verbalize their symptoms. Therefore, the
caregiver's observations and concerns are critical
assessment data, highlighting the child's dependency
(Burns, Ch. 1, "Unique Issues in Pediatrics").
o Incorrect:
▪ A, C, and D are all unique issues in pediatrics, but
they are not directly illustrated by the scenario of
relying on parental concern for assessment.
• Teaching Point: Children are dependent on caregivers,
making the parent's perspective a vital component of the
nursing assessment.
, Question 3
• Chapter & Subtopic: Chapter 1 – Pediatric Primary Care,
Caring for Children and Youth with Special Healthcare
Needs (CYSHCN)
• Stem: The nurse is using the "Medical Home" model to
coordinate care for a 7-year-old with cerebral palsy. Which
action by the nurse best exemplifies this model?
• Options:
A. Referring the family to a neurologist and discharging the
child from the primary care clinic.
B. Scheduling all specialist appointments and sending the
summaries to the family.
C. Partnering with the family to ensure they understand
and can execute the complex care plan.
D. Focusing solely on routine well-child care and ignoring
the cerebral palsy during visits.
• Correct Answer: C
• Rationale:
o Correct: C is correct. The Medical Home model is
defined by care that is accessible, family-centered,
continuous, comprehensive, coordinated,
compassionate, and culturally effective. Partnering
with the family is central to family-centered care
(Burns, Ch. 1, "Caring for Children and Youth With
Special Healthcare Needs").
