Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Question 1
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care,
Primary Care vs. Primary Prevention
Stem: A community health nurse is planning a health fair for a
local elementary school. Which of the following activities best
represents the concept of primary prevention in pediatric
primary care?
Options:
A. Conducting vision and hearing screenings for all kindergarten
students.
B. Administering the influenza vaccine to children and staff who
are present.
C. Providing nutritional counseling for a child identified with
obesity during a BMI screening.
D. Placing fluoride varnish on the teeth of children with a
history of dental caries.
Correct Answer: B
Rationale:
, • Correct (B): Administering a vaccine is a classic example of
primary prevention, which aims to prevent a disease
before it occurs. This aligns with the goal of protecting the
entire school community from influenza.
• Incorrect (A): Screening is a form of secondary prevention,
aimed at early identification of existing disease.
• Incorrect (C): Counseling for an identified condition
(obesity) is tertiary prevention, focused on managing and
preventing complications.
• Incorrect (D): Fluoride varnish for high-risk children is a
targeted intervention, falling under secondary or tertiary
prevention depending on the context, not universal
primary prevention.
Teaching Point: Primary prevention aims to prevent disease
before it occurs, such as through immunizations.
Question 2
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care, Unique
Issues in Pediatrics
Stem: The pediatric primary care provider understands that a
fundamental principle distinguishing pediatric care from adult
care is:
Options:
A. Children have a more rapid metabolism, requiring higher
,doses of medications per kilogram.
B. The child's health is deeply intertwined with and dependent
on the family unit.
C. Children are more resilient and recover from illness faster
than adults.
D. Informed consent is provided directly by the child upon
reaching school age.
Correct Answer: B
Rationale:
• Correct (B): A core tenet of pediatric primary care is the
"child-in-family-context." Assessment, intervention, and
education must always consider the family system, as it is
the primary influence on the child's health and
development.
• Incorrect (A): This is a pharmacokinetic fact but not the
fundamental philosophical distinction of pediatric care.
• Incorrect (C): This is a generalization and not always true;
it is not a core principle of the care model.
• Incorrect (D): Informed consent is provided by a
parent/guardian; assent may be sought from the child, but
this statement is incorrect.
Teaching Point: Pediatric care requires a family-centered
approach, recognizing the family as the primary influence on
the child's health.
, Question 3
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care, Caring
for Children and Youth With Special Healthcare Needs (CYSHCN)
Stem: A school-aged child with spina bifida uses a wheelchair
and is followed by a multidisciplinary team. The pediatric
primary care provider's (PCP's) most critical role for this child is:
Options:
A. Performing all specialized procedures related to the child's
neurogenic bladder.
B. Acting as the primary coordinator of care between all
specialists and community services.
C. Deferring all health maintenance decisions to the pediatric
neurologist and urologist.
D. Focusing solely on acute illnesses unrelated to the child's
underlying condition.
Correct Answer: B
Rationale:
• Correct (B): For CYSHCN, the primary care PCP's essential
role is that of a "medical home," providing continuous,
comprehensive, and coordinated care across all settings
and specialists.
• Incorrect (A): The PCP may manage some aspects, but
specialized procedures are often handled by the relevant
specialist (e.g., urologist).
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Question 1
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care,
Primary Care vs. Primary Prevention
Stem: A community health nurse is planning a health fair for a
local elementary school. Which of the following activities best
represents the concept of primary prevention in pediatric
primary care?
Options:
A. Conducting vision and hearing screenings for all kindergarten
students.
B. Administering the influenza vaccine to children and staff who
are present.
C. Providing nutritional counseling for a child identified with
obesity during a BMI screening.
D. Placing fluoride varnish on the teeth of children with a
history of dental caries.
Correct Answer: B
Rationale:
, • Correct (B): Administering a vaccine is a classic example of
primary prevention, which aims to prevent a disease
before it occurs. This aligns with the goal of protecting the
entire school community from influenza.
• Incorrect (A): Screening is a form of secondary prevention,
aimed at early identification of existing disease.
• Incorrect (C): Counseling for an identified condition
(obesity) is tertiary prevention, focused on managing and
preventing complications.
• Incorrect (D): Fluoride varnish for high-risk children is a
targeted intervention, falling under secondary or tertiary
prevention depending on the context, not universal
primary prevention.
Teaching Point: Primary prevention aims to prevent disease
before it occurs, such as through immunizations.
Question 2
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care, Unique
Issues in Pediatrics
Stem: The pediatric primary care provider understands that a
fundamental principle distinguishing pediatric care from adult
care is:
Options:
A. Children have a more rapid metabolism, requiring higher
,doses of medications per kilogram.
B. The child's health is deeply intertwined with and dependent
on the family unit.
C. Children are more resilient and recover from illness faster
than adults.
D. Informed consent is provided directly by the child upon
reaching school age.
Correct Answer: B
Rationale:
• Correct (B): A core tenet of pediatric primary care is the
"child-in-family-context." Assessment, intervention, and
education must always consider the family system, as it is
the primary influence on the child's health and
development.
• Incorrect (A): This is a pharmacokinetic fact but not the
fundamental philosophical distinction of pediatric care.
• Incorrect (C): This is a generalization and not always true;
it is not a core principle of the care model.
• Incorrect (D): Informed consent is provided by a
parent/guardian; assent may be sought from the child, but
this statement is incorrect.
Teaching Point: Pediatric care requires a family-centered
approach, recognizing the family as the primary influence on
the child's health.
, Question 3
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care, Caring
for Children and Youth With Special Healthcare Needs (CYSHCN)
Stem: A school-aged child with spina bifida uses a wheelchair
and is followed by a multidisciplinary team. The pediatric
primary care provider's (PCP's) most critical role for this child is:
Options:
A. Performing all specialized procedures related to the child's
neurogenic bladder.
B. Acting as the primary coordinator of care between all
specialists and community services.
C. Deferring all health maintenance decisions to the pediatric
neurologist and urologist.
D. Focusing solely on acute illnesses unrelated to the child's
underlying condition.
Correct Answer: B
Rationale:
• Correct (B): For CYSHCN, the primary care PCP's essential
role is that of a "medical home," providing continuous,
comprehensive, and coordinated care across all settings
and specialists.
• Incorrect (A): The PCP may manage some aspects, but
specialized procedures are often handled by the relevant
specialist (e.g., urologist).
