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 2-week-old infant presents for a routine well
visit. The parent asks whether primary care should focus only
on illness or include anticipatory guidance and prevention. As
the PNP, which statement best reflects the role of pediatric
primary care?
A. Primary care is limited to diagnosing and treating acute
illnesses; prevention is handled elsewhere.
B. Primary care integrates prevention, health promotion,
surveillance, and treatment across the lifespan.
C. Primary care should primarily focus on vaccinations;
developmental issues are specialty care.
D. Primary care is chiefly administrative—managing referrals
and paperwork for specialists.
Correct Answer: B
Rationale — Correct: Primary pediatric primary care is
comprehensive: it integrates health promotion, disease
prevention (including anticipatory guidance), surveillance, and
management across childhood. This breadth is central to
primary care in pediatrics.
Rationale — Incorrect A: Incorrect — primary care is not
,limited to acute care; prevention and ongoing health promotion
are core elements.
Rationale — Incorrect C: Incorrect — while immunizations are
essential, developmental monitoring and anticipatory guidance
are primary care responsibilities.
Rationale — Incorrect D: Incorrect — administrative tasks occur
but do not define the clinical scope of primary care.
Teaching Point: Pediatric primary care combines prevention,
surveillance, and treatment.
Citation: Burns et al., 2024, Ch. 1, Section: Pediatric Primary
Care
2
Reference: Ch. 1, Section: Primary Care Versus Primary
Prevention
Question Stem: A parent asks why you screen for lead exposure
and counsel about home safety during a well-child visit. Which
rationale best differentiates primary prevention from primary
care services?
A. Primary prevention is only provided by public health
agencies, not primary care clinicians.
B. Primary prevention refers to interventions that prevent
disease before it occurs; primary care delivers these
interventions as part of comprehensive care.
C. Primary care and primary prevention are interchangeable
terms for the same services.
,D. Primary prevention focuses on tertiary outcomes like
rehabilitation after injury.
Correct Answer: B
Rationale — Correct: Primary prevention includes actions to
prevent disease or injury before it occurs (e.g., lead screening,
safety counseling), and primary care clinicians deliver these
interventions as part of comprehensive care.
Rationale — Incorrect A: Incorrect — primary prevention is
provided by multiple settings, including primary care.
Rationale — Incorrect C: Incorrect — they are related but
distinct concepts; prevention is one element of primary care.
Rationale — Incorrect D: Incorrect — tertiary prevention
relates to minimizing disability after disease, not primary
prevention.
Teaching Point: Primary prevention prevents disease before
onset and is integral to primary care.
Citation: Burns et al., 2024, Ch. 1, Section: Primary Care Versus
Primary Prevention
3
Reference: Ch. 1, Section: Pediatric Primary Care Providers
Question Stem: A rural clinic employs a PNP, a family NP, and a
pediatrician. A 9-year-old with complex asthma needs routine
primary care. Which provider-team approach best reflects
recommended primary care workforce roles?
, A. Only pediatricians should manage pediatric chronic
conditions; NPs should refer out.
B. Interprofessional teams (PNPs, FNPs, pediatricians) provide
primary care collaboratively using scope-appropriate roles.
C. Family NPs should manage adults only; pediatric care must
be in pediatric specialty clinics.
D. Solo practitioners are preferable; teams create inconsistent
care.
Correct Answer: B
Rationale — Correct: Contemporary pediatric primary care
emphasizes interprofessional teams where PNPs, FNPs, and
pediatricians collaboratively provide care within their scopes to
improve access and continuity.
Rationale — Incorrect A: Incorrect — NPs with pediatric
training provide high-quality management of pediatric chronic
conditions.
Rationale — Incorrect C: Incorrect — FNPs commonly provide
pediatric care when within their training and scope.
Rationale — Incorrect D: Incorrect — team-based care often
enhances access, coordination, and outcomes.
Teaching Point: Team-based care with role-appropriate
clinicians improves pediatric access and quality.
Citation: Burns et al., 2024, Ch. 1, Section: Pediatric Primary
Care Providers
MCQs per Chapter
Pediatric Primary Care Test Bank & NCLEX-HESI
Review | Burns' 8th Edition
Reference: Ch. 1, Section: Pediatric Primary Care
Question Stem: A 2-week-old infant presents for a routine well
visit. The parent asks whether primary care should focus only
on illness or include anticipatory guidance and prevention. As
the PNP, which statement best reflects the role of pediatric
primary care?
A. Primary care is limited to diagnosing and treating acute
illnesses; prevention is handled elsewhere.
B. Primary care integrates prevention, health promotion,
surveillance, and treatment across the lifespan.
C. Primary care should primarily focus on vaccinations;
developmental issues are specialty care.
D. Primary care is chiefly administrative—managing referrals
and paperwork for specialists.
Correct Answer: B
Rationale — Correct: Primary pediatric primary care is
comprehensive: it integrates health promotion, disease
prevention (including anticipatory guidance), surveillance, and
management across childhood. This breadth is central to
primary care in pediatrics.
Rationale — Incorrect A: Incorrect — primary care is not
,limited to acute care; prevention and ongoing health promotion
are core elements.
Rationale — Incorrect C: Incorrect — while immunizations are
essential, developmental monitoring and anticipatory guidance
are primary care responsibilities.
Rationale — Incorrect D: Incorrect — administrative tasks occur
but do not define the clinical scope of primary care.
Teaching Point: Pediatric primary care combines prevention,
surveillance, and treatment.
Citation: Burns et al., 2024, Ch. 1, Section: Pediatric Primary
Care
2
Reference: Ch. 1, Section: Primary Care Versus Primary
Prevention
Question Stem: A parent asks why you screen for lead exposure
and counsel about home safety during a well-child visit. Which
rationale best differentiates primary prevention from primary
care services?
A. Primary prevention is only provided by public health
agencies, not primary care clinicians.
B. Primary prevention refers to interventions that prevent
disease before it occurs; primary care delivers these
interventions as part of comprehensive care.
C. Primary care and primary prevention are interchangeable
terms for the same services.
,D. Primary prevention focuses on tertiary outcomes like
rehabilitation after injury.
Correct Answer: B
Rationale — Correct: Primary prevention includes actions to
prevent disease or injury before it occurs (e.g., lead screening,
safety counseling), and primary care clinicians deliver these
interventions as part of comprehensive care.
Rationale — Incorrect A: Incorrect — primary prevention is
provided by multiple settings, including primary care.
Rationale — Incorrect C: Incorrect — they are related but
distinct concepts; prevention is one element of primary care.
Rationale — Incorrect D: Incorrect — tertiary prevention
relates to minimizing disability after disease, not primary
prevention.
Teaching Point: Primary prevention prevents disease before
onset and is integral to primary care.
Citation: Burns et al., 2024, Ch. 1, Section: Primary Care Versus
Primary Prevention
3
Reference: Ch. 1, Section: Pediatric Primary Care Providers
Question Stem: A rural clinic employs a PNP, a family NP, and a
pediatrician. A 9-year-old with complex asthma needs routine
primary care. Which provider-team approach best reflects
recommended primary care workforce roles?
, A. Only pediatricians should manage pediatric chronic
conditions; NPs should refer out.
B. Interprofessional teams (PNPs, FNPs, pediatricians) provide
primary care collaboratively using scope-appropriate roles.
C. Family NPs should manage adults only; pediatric care must
be in pediatric specialty clinics.
D. Solo practitioners are preferable; teams create inconsistent
care.
Correct Answer: B
Rationale — Correct: Contemporary pediatric primary care
emphasizes interprofessional teams where PNPs, FNPs, and
pediatricians collaboratively provide care within their scopes to
improve access and continuity.
Rationale — Incorrect A: Incorrect — NPs with pediatric
training provide high-quality management of pediatric chronic
conditions.
Rationale — Incorrect C: Incorrect — FNPs commonly provide
pediatric care when within their training and scope.
Rationale — Incorrect D: Incorrect — team-based care often
enhances access, coordination, and outcomes.
Teaching Point: Team-based care with role-appropriate
clinicians improves pediatric access and quality.
Citation: Burns et al., 2024, Ch. 1, Section: Pediatric Primary
Care Providers
