Burns' Pediatric Primary Care 8th Edition Test Bank | 20
MCQs per Chapter
Pediatric Primary Care Test Bank & NCLEX-HESI
Review | Burns' 8th Edition
Reference: Ch. 1, Section: Pediatric Primary Care
Question Stem: A 9-month-old is brought for a well-child visit.
The caregiver asks whether primary care should include
anticipatory guidance about injury prevention. As a pediatric
NP, what is the most appropriate framing of the visit's purpose?
A. Focus mainly on diagnosing acute illness and vaccinating.
B. Provide both preventive screening and anticipatory guidance
tailored to development.
C. Limit visit to growth parameters unless the parent expresses
concerns.
D. Refer all preventive counseling to community health
educators.
Correct Answer: B
Rationale — Correct: Burns emphasizes that pediatric primary
care integrates preventive screening, surveillance, and
anticipatory guidance tailored to developmental stage. This is
core to well-child visits.
Rationale — Incorrect:
A. Incorrect — primary care is broader than acute care and
includes prevention.
,C. Incorrect — waiting for parental concerns misses clinician-led
anticipatory guidance.
D. Incorrect — community resources complement but do not
replace provider counseling.
Teaching Point: Well-child visits combine surveillance,
screening, and developmentally tailored guidance.
Citation: Burns et al., 2023, Ch. 1, Section: Pediatric Primary
Care
2
Reference: Ch. 1, Section: Primary Care Versus Primary
Prevention
Question Stem: A 14-year-old with no chronic conditions
presents for sports clearance. Which action best represents
primary prevention in this visit?
A. Prescribing inhaled corticosteroid for possible exercise-
induced asthma.
B. Administering routine HPV vaccine per schedule.
C. Ordering chest X-ray for cough lasting two weeks.
D. Referring to pulmonology for baseline spirometry.
Correct Answer: B
Rationale — Correct: Administering HPV vaccine is primary
prevention — preventing disease before exposure. Burns
differentiates primary prevention (immunization) from
,screening/treatment.
Rationale — Incorrect:
A. Incorrect — prescribing treats/controls disease
(secondary/tertiary prevention).
C. Incorrect — diagnostic evaluation is secondary/tertiary
activity, not primary prevention.
D. Incorrect — referral for evaluation is not primary prevention
unless vaccinating or modifying risk.
Teaching Point: Vaccination is a core primary prevention
strategy.
Citation: Burns et al., 2023, Ch. 1, Section: Primary Care Versus
Primary Prevention
3
Reference: Ch. 1, Section: Pediatric Primary Care Providers
Question Stem: A clinic is designing staffing for a pediatric
primary care model that emphasizes family-centered care and
developmental surveillance. Which provider mix best matches
Burns’ recommended model?
A. Solo pediatrician with no nursing support.
B. Interprofessional team: PNP/APRN, pediatrician, RN,
behavioral health specialist.
C. Rotating general practitioners with no pediatric
specialization.
, D. Administrative staff handling care coordination while
clinicians focus on procedures.
Correct Answer: B
Rationale — Correct: Burns highlights interprofessional teams
(PNP/APRN, RN, behavioral health) as ideal for comprehensive
primary care and developmental surveillance.
Rationale — Incorrect:
A. Incorrect — solo practice limits capacity for comprehensive,
team-based services.
C. Incorrect — lack of pediatric specialization can compromise
pediatric-specific care.
D. Incorrect — administrative staff support coordination but
cannot replace clinical team roles.
Teaching Point: Team-based care (clinical + behavioral health)
best supports pediatric primary care.
Citation: Burns et al., 2023, Ch. 1, Section: Pediatric Primary
Care Providers
4
Reference: Ch. 1, Section: Unique Issues in Pediatrics
Question Stem: A 16-year-old requests confidential
contraception. Which unique pediatric care principle should the
PNP prioritize?
MCQs per Chapter
Pediatric Primary Care Test Bank & NCLEX-HESI
Review | Burns' 8th Edition
Reference: Ch. 1, Section: Pediatric Primary Care
Question Stem: A 9-month-old is brought for a well-child visit.
The caregiver asks whether primary care should include
anticipatory guidance about injury prevention. As a pediatric
NP, what is the most appropriate framing of the visit's purpose?
A. Focus mainly on diagnosing acute illness and vaccinating.
B. Provide both preventive screening and anticipatory guidance
tailored to development.
C. Limit visit to growth parameters unless the parent expresses
concerns.
D. Refer all preventive counseling to community health
educators.
Correct Answer: B
Rationale — Correct: Burns emphasizes that pediatric primary
care integrates preventive screening, surveillance, and
anticipatory guidance tailored to developmental stage. This is
core to well-child visits.
Rationale — Incorrect:
A. Incorrect — primary care is broader than acute care and
includes prevention.
,C. Incorrect — waiting for parental concerns misses clinician-led
anticipatory guidance.
D. Incorrect — community resources complement but do not
replace provider counseling.
Teaching Point: Well-child visits combine surveillance,
screening, and developmentally tailored guidance.
Citation: Burns et al., 2023, Ch. 1, Section: Pediatric Primary
Care
2
Reference: Ch. 1, Section: Primary Care Versus Primary
Prevention
Question Stem: A 14-year-old with no chronic conditions
presents for sports clearance. Which action best represents
primary prevention in this visit?
A. Prescribing inhaled corticosteroid for possible exercise-
induced asthma.
B. Administering routine HPV vaccine per schedule.
C. Ordering chest X-ray for cough lasting two weeks.
D. Referring to pulmonology for baseline spirometry.
Correct Answer: B
Rationale — Correct: Administering HPV vaccine is primary
prevention — preventing disease before exposure. Burns
differentiates primary prevention (immunization) from
,screening/treatment.
Rationale — Incorrect:
A. Incorrect — prescribing treats/controls disease
(secondary/tertiary prevention).
C. Incorrect — diagnostic evaluation is secondary/tertiary
activity, not primary prevention.
D. Incorrect — referral for evaluation is not primary prevention
unless vaccinating or modifying risk.
Teaching Point: Vaccination is a core primary prevention
strategy.
Citation: Burns et al., 2023, Ch. 1, Section: Primary Care Versus
Primary Prevention
3
Reference: Ch. 1, Section: Pediatric Primary Care Providers
Question Stem: A clinic is designing staffing for a pediatric
primary care model that emphasizes family-centered care and
developmental surveillance. Which provider mix best matches
Burns’ recommended model?
A. Solo pediatrician with no nursing support.
B. Interprofessional team: PNP/APRN, pediatrician, RN,
behavioral health specialist.
C. Rotating general practitioners with no pediatric
specialization.
, D. Administrative staff handling care coordination while
clinicians focus on procedures.
Correct Answer: B
Rationale — Correct: Burns highlights interprofessional teams
(PNP/APRN, RN, behavioral health) as ideal for comprehensive
primary care and developmental surveillance.
Rationale — Incorrect:
A. Incorrect — solo practice limits capacity for comprehensive,
team-based services.
C. Incorrect — lack of pediatric specialization can compromise
pediatric-specific care.
D. Incorrect — administrative staff support coordination but
cannot replace clinical team roles.
Teaching Point: Team-based care (clinical + behavioral health)
best supports pediatric primary care.
Citation: Burns et al., 2023, Ch. 1, Section: Pediatric Primary
Care Providers
4
Reference: Ch. 1, Section: Unique Issues in Pediatrics
Question Stem: A 16-year-old requests confidential
contraception. Which unique pediatric care principle should the
PNP prioritize?
