Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
NCLEX/HESI Style Test Bank: Foundations of Pediatric Primary
Care
Chapter 1: Pediatric Primary Care & Chapter 2: Global and
National Influences on Child Health Status
1. Chapter & Subtopic: Chapter 1 – Primary Care Versus
Primary Prevention
Stem: The pediatric primary care nurse is planning a community
health fair for families. Which activity represents the concept
of primary prevention as a core function of primary care?
Options:
A) Conducting developmental screenings for toddlers.
B) Providing asthma action plans for children with a known
diagnosis.
C) Administering the seasonal influenza vaccine to school-aged
children.
D) Checking hemoglobin A1c levels for an adolescent with type
1 diabetes.
Correct Answer: C
Rationale:
, • Correct Answer (C): Administering a vaccine is a classic
example of primary prevention, which aims to prevent a
disease or injury before it occurs. This aligns with the core
function of health promotion and disease prevention
within pediatric primary care (Burns, Ch. 1, Primary Care
Versus Primary Prevention).
• Incorrect Answers:
o A) A developmental screening is a form of secondary
prevention (screening for early detection).
o B) An asthma action plan is tertiary prevention
(managing an established illness to prevent
complications).
o D) Monitoring A1c is tertiary prevention (managing a
chronic disease).
Teaching Point: Primary prevention aims to prevent
disease before it starts, such as through
immunizations.
2. Chapter & Subtopic: Chapter 1 – Unique Issues in Pediatrics
Stem: A 4-year-old child is in the clinic for a well-child visit. The
nurse incorporates the concept of family-centered care by:
Options:
A) Asking the child directly to describe their eating habits.
B) Providing all instructions and education to the parent while
the child plays.
,C) Encouraging the parent to hold the child during the physical
examination if the child is fearful.
D) Telling the parent that the child's tantrum is a normal part of
development.
Correct Answer: C
Rationale:
• Correct Answer (C): Family-centered care recognizes the
family as the constant in the child's life. Supporting the
parent's role in providing comfort during a stressful
procedure respects the partnership between the family
and the healthcare team (Burns, Ch. 1, Unique Issues in
Pediatrics).
• Incorrect Answers:
o A) While engaging the child is important, a 4-year-old
may not reliably report habits; this does not best
exemplify the partnership with the family.
o B) This excludes the child and ignores the importance
of age-appropriate communication.
o D) While true, this is simple anticipatory guidance, not
a specific action demonstrating partnership with the
family.
Teaching Point: Family-centered care partners with
families to respect their central role in a child's well-
being.
, 3. Chapter & Subtopic: Chapter 1 – Caring for Children and
Youth With Special Healthcare Needs (CYSCHN)
Stem: The nurse is coordinating care for a 10-year-old with
cerebral palsy who sees multiple specialists. The nurse knows
that a key component of the medical home model for this child
is:
Options:
A) Ensuring all specialty care is provided at the academic
medical center.
B) Having the pediatric primary care provider act as the central
coordinator of care.
C) Transferring care management entirely to the neurologist.
D) Scheduling each specialist appointment independently to
avoid overlap.
Correct Answer: B
Rationale:
• Correct Answer (B): A core tenet of the medical home
model is that care is continuous, comprehensive,
and coordinated. The primary care provider ensures all
aspects of care (preventive, acute, chronic) are integrated
(Burns, Ch. 1, Caring for Children and Youth With Special
Healthcare Needs).
• Incorrect Answers:
o A) Care should be community-based and accessible,
not necessarily centralized in one location.
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
NCLEX/HESI Style Test Bank: Foundations of Pediatric Primary
Care
Chapter 1: Pediatric Primary Care & Chapter 2: Global and
National Influences on Child Health Status
1. Chapter & Subtopic: Chapter 1 – Primary Care Versus
Primary Prevention
Stem: The pediatric primary care nurse is planning a community
health fair for families. Which activity represents the concept
of primary prevention as a core function of primary care?
Options:
A) Conducting developmental screenings for toddlers.
B) Providing asthma action plans for children with a known
diagnosis.
C) Administering the seasonal influenza vaccine to school-aged
children.
D) Checking hemoglobin A1c levels for an adolescent with type
1 diabetes.
Correct Answer: C
Rationale:
, • Correct Answer (C): Administering a vaccine is a classic
example of primary prevention, which aims to prevent a
disease or injury before it occurs. This aligns with the core
function of health promotion and disease prevention
within pediatric primary care (Burns, Ch. 1, Primary Care
Versus Primary Prevention).
• Incorrect Answers:
o A) A developmental screening is a form of secondary
prevention (screening for early detection).
o B) An asthma action plan is tertiary prevention
(managing an established illness to prevent
complications).
o D) Monitoring A1c is tertiary prevention (managing a
chronic disease).
Teaching Point: Primary prevention aims to prevent
disease before it starts, such as through
immunizations.
2. Chapter & Subtopic: Chapter 1 – Unique Issues in Pediatrics
Stem: A 4-year-old child is in the clinic for a well-child visit. The
nurse incorporates the concept of family-centered care by:
Options:
A) Asking the child directly to describe their eating habits.
B) Providing all instructions and education to the parent while
the child plays.
,C) Encouraging the parent to hold the child during the physical
examination if the child is fearful.
D) Telling the parent that the child's tantrum is a normal part of
development.
Correct Answer: C
Rationale:
• Correct Answer (C): Family-centered care recognizes the
family as the constant in the child's life. Supporting the
parent's role in providing comfort during a stressful
procedure respects the partnership between the family
and the healthcare team (Burns, Ch. 1, Unique Issues in
Pediatrics).
• Incorrect Answers:
o A) While engaging the child is important, a 4-year-old
may not reliably report habits; this does not best
exemplify the partnership with the family.
o B) This excludes the child and ignores the importance
of age-appropriate communication.
o D) While true, this is simple anticipatory guidance, not
a specific action demonstrating partnership with the
family.
Teaching Point: Family-centered care partners with
families to respect their central role in a child's well-
being.
, 3. Chapter & Subtopic: Chapter 1 – Caring for Children and
Youth With Special Healthcare Needs (CYSCHN)
Stem: The nurse is coordinating care for a 10-year-old with
cerebral palsy who sees multiple specialists. The nurse knows
that a key component of the medical home model for this child
is:
Options:
A) Ensuring all specialty care is provided at the academic
medical center.
B) Having the pediatric primary care provider act as the central
coordinator of care.
C) Transferring care management entirely to the neurologist.
D) Scheduling each specialist appointment independently to
avoid overlap.
Correct Answer: B
Rationale:
• Correct Answer (B): A core tenet of the medical home
model is that care is continuous, comprehensive,
and coordinated. The primary care provider ensures all
aspects of care (preventive, acute, chronic) are integrated
(Burns, Ch. 1, Caring for Children and Youth With Special
Healthcare Needs).
• Incorrect Answers:
o A) Care should be community-based and accessible,
not necessarily centralized in one location.
