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 6-month-old is brought for a well visit. The
PNP must prioritize services that promote healthy development
and prevent disease. Which primary care activity best
demonstrates primary prevention?
A. Screening for developmental delays using a validated tool
B. Teaching caregivers about safe sleep practices and
immunizations
C. Referring to early intervention after observing concerns
D. Treating acute otitis media with an antibiotic
Correct Answer: B
Rationale (Correct): Teaching caregivers about safe sleep and
administering immunizations prevents disease and injury before
they occur — core primary prevention activities in pediatric
primary care. These interventions reduce morbidity and
mortality at a population and individual level.
Rationale (A): Screening is secondary prevention—identifying
existing problems early, not preventing their occurrence.
Rationale (C): Referral after identifying concerns is
tertiary/secondary care coordination rather than primary
prevention.
,Rationale (D): Treating an existing infection is
tertiary/secondary care, not primary prevention.
Teaching Point: Primary prevention stops illness before it starts.
Citation: Burns et al., 2023, Ch. 1, Section: Primary Care Versus
Primary Prevention
2
Reference: Ch. 1, Section: Pediatric Primary Care Providers
Question Stem: A family asks whether a pediatric nurse
practitioner (PNP) or a pediatrician is better to manage their
toddler’s recurrent constipation. For evidence-based scope of
practice and continuity, which statement best describes PNP
care in primary pediatrics?
A. PNPs can only perform well visits and must refer chronic
problems to pediatricians
B. PNPs provide full primary care including diagnosis,
management, and health promotion within scope
C. PNPs primarily provide triage and are not trained in chronic
disease management
D. PNPs can prescribe only over-the-counter medications
Correct Answer: B
Rationale (Correct): PNPs are prepared to provide
comprehensive primary care — assessment, diagnosis,
treatment, prescribing within regulatory scope, and health
promotion — offering continuity similar to pediatricians. Their
,role commonly includes management of common chronic
conditions in primary care.
Rationale (A): Incorrect; PNPs manage both well visits and
many acute and chronic problems without mandatory referral.
Rationale (C): Incorrect; PNP training includes chronic disease
management and clinical decision-making.
Rationale (D): Incorrect; PNPs prescribe medications according
to licensure and formulary privileges, not limited to OTC meds.
Teaching Point: PNPs deliver comprehensive primary care
within their scope.
Citation: Burns et al., 2023, Ch. 1, Section: Pediatric Primary
Care Providers
3
Reference: Ch. 1, Section: Primary Care Versus Primary
Prevention
Question Stem: During a community clinic planning meeting,
the PNP is asked to prioritize interventions that reduce
population risk across childhood. Which program is an example
of population-level primary prevention?
A. Developmental screening program that identifies delays early
B. Nutrition counseling for families with a child at risk for
obesity
C. A universal vaccination campaign for school-age children
D. Provision of inhalers to children with diagnosed asthma
, Correct Answer: C
Rationale (Correct): A universal vaccination campaign is a
population-level primary prevention strategy that reduces
disease incidence across the community.
Rationale (A): Screening identifies existing problems (secondary
prevention), not primary prevention.
Rationale (B): Targeted counseling for at-risk families can be
primary prevention at an individual level but is not necessarily
population-level universal prevention.
Rationale (D): Providing inhalers treats an established condition
(tertiary care/management).
Teaching Point: Population primary prevention reduces disease
incidence community-wide.
Citation: Burns et al., 2023, Ch. 1, Section: Primary Care Versus
Primary Prevention
4
Reference: Ch. 1, Section: Unique Issues in Pediatrics
Question Stem: A 2-year-old with fever presents to a primary
care clinic. Which practice reflects a unique pediatric issue that
the PNP must consider when assessing this child?
A. Using adult medication dosing schedules for fever control
B. Relying primarily on self-reported symptoms for history
C. Adjusting assessment and communication for developmental
MCQs per Chapter
Pediatric Primary Care Test Bank & NCLEX-HESI
Review | Burns' 8th Edition
Reference: Ch. 1, Section: Pediatric Primary Care
Question Stem: A 6-month-old is brought for a well visit. The
PNP must prioritize services that promote healthy development
and prevent disease. Which primary care activity best
demonstrates primary prevention?
A. Screening for developmental delays using a validated tool
B. Teaching caregivers about safe sleep practices and
immunizations
C. Referring to early intervention after observing concerns
D. Treating acute otitis media with an antibiotic
Correct Answer: B
Rationale (Correct): Teaching caregivers about safe sleep and
administering immunizations prevents disease and injury before
they occur — core primary prevention activities in pediatric
primary care. These interventions reduce morbidity and
mortality at a population and individual level.
Rationale (A): Screening is secondary prevention—identifying
existing problems early, not preventing their occurrence.
Rationale (C): Referral after identifying concerns is
tertiary/secondary care coordination rather than primary
prevention.
,Rationale (D): Treating an existing infection is
tertiary/secondary care, not primary prevention.
Teaching Point: Primary prevention stops illness before it starts.
Citation: Burns et al., 2023, Ch. 1, Section: Primary Care Versus
Primary Prevention
2
Reference: Ch. 1, Section: Pediatric Primary Care Providers
Question Stem: A family asks whether a pediatric nurse
practitioner (PNP) or a pediatrician is better to manage their
toddler’s recurrent constipation. For evidence-based scope of
practice and continuity, which statement best describes PNP
care in primary pediatrics?
A. PNPs can only perform well visits and must refer chronic
problems to pediatricians
B. PNPs provide full primary care including diagnosis,
management, and health promotion within scope
C. PNPs primarily provide triage and are not trained in chronic
disease management
D. PNPs can prescribe only over-the-counter medications
Correct Answer: B
Rationale (Correct): PNPs are prepared to provide
comprehensive primary care — assessment, diagnosis,
treatment, prescribing within regulatory scope, and health
promotion — offering continuity similar to pediatricians. Their
,role commonly includes management of common chronic
conditions in primary care.
Rationale (A): Incorrect; PNPs manage both well visits and
many acute and chronic problems without mandatory referral.
Rationale (C): Incorrect; PNP training includes chronic disease
management and clinical decision-making.
Rationale (D): Incorrect; PNPs prescribe medications according
to licensure and formulary privileges, not limited to OTC meds.
Teaching Point: PNPs deliver comprehensive primary care
within their scope.
Citation: Burns et al., 2023, Ch. 1, Section: Pediatric Primary
Care Providers
3
Reference: Ch. 1, Section: Primary Care Versus Primary
Prevention
Question Stem: During a community clinic planning meeting,
the PNP is asked to prioritize interventions that reduce
population risk across childhood. Which program is an example
of population-level primary prevention?
A. Developmental screening program that identifies delays early
B. Nutrition counseling for families with a child at risk for
obesity
C. A universal vaccination campaign for school-age children
D. Provision of inhalers to children with diagnosed asthma
, Correct Answer: C
Rationale (Correct): A universal vaccination campaign is a
population-level primary prevention strategy that reduces
disease incidence across the community.
Rationale (A): Screening identifies existing problems (secondary
prevention), not primary prevention.
Rationale (B): Targeted counseling for at-risk families can be
primary prevention at an individual level but is not necessarily
population-level universal prevention.
Rationale (D): Providing inhalers treats an established condition
(tertiary care/management).
Teaching Point: Population primary prevention reduces disease
incidence community-wide.
Citation: Burns et al., 2023, Ch. 1, Section: Primary Care Versus
Primary Prevention
4
Reference: Ch. 1, Section: Unique Issues in Pediatrics
Question Stem: A 2-year-old with fever presents to a primary
care clinic. Which practice reflects a unique pediatric issue that
the PNP must consider when assessing this child?
A. Using adult medication dosing schedules for fever control
B. Relying primarily on self-reported symptoms for history
C. Adjusting assessment and communication for developmental
