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-month-old comes for a well visit. The family
asks whether the visit’s main goal is to prevent disease or to
maintain a continuous relationship with health services. As the
PNP, which explanation best captures the role of pediatric
primary care?
A. Primary care focuses only on disease prevention through
immunizations and screening.
B. Primary care provides continuous, comprehensive, and
relationship-based care over time.
C. Primary care is synonymous with urgent or episodic
outpatient care.
D. Primary care primarily manages only common acute illnesses
and refers chronic conditions.
Correct Answer: B
Rationale (correct): Primary care is defined by continuity,
comprehensiveness, and a relationship-oriented approach that
includes prevention but extends beyond it. This underpins well-
child care and longitudinal management.
Rationale (A): Incorrect — prevention is a component (primary
prevention) but not the whole scope of primary care.
,Rationale (C): Incorrect — urgent or episodic care lacks the
continuity central to primary care.
Rationale (D): Incorrect — primary care manages many chronic
conditions with coordination, not merely referral.
Teaching Point: Primary care = continuous, comprehensive,
relationship-centered care.
Citation: Burns et al., 2024, Ch. 1, Section: Pediatric Primary
Care. Elsevier Health
2)
Reference: Ch. 1, Section: Primary Care Versus Primary
Prevention
Question Stem: During a 15-month well visit you discuss
choking hazards and give guidance about safe foods. Which
best classifies that action?
A. Primary care assessment.
B. Secondary prevention.
C. Primary prevention (anticipatory guidance).
D. Tertiary prevention.
Correct Answer: C
Rationale (correct): Anticipatory guidance aimed at preventing
injury is a primary prevention activity delivered within primary
care.
Rationale (A): Incorrect — although delivered in primary care,
the activity is specifically prevention.
,Rationale (B): Incorrect — secondary prevention refers to
screening to detect disease early.
Rationale (D): Incorrect — tertiary prevention reduces harm
after disease/injury has occurred.
Teaching Point: Anticipatory guidance is a core primary-
prevention strategy in well-child care.
Citation: Burns et al., 2024, Ch. 1, Section: Primary Care Versus
Primary Prevention. Evolve
3)
Reference: Ch. 1, Section: Pediatric Primary Care Providers
Question Stem: A family asks whether a pediatric nurse
practitioner (PNP) or pediatrician would be better as their
child’s medical home clinician for a medically complex child.
Your best reply as a PNP focuses on which advantage?
A. Only pediatricians can coordinate specialty services.
B. PNPs cannot lead a patient-centered medical home.
C. PNPs provide comprehensive, family-centered care and can
coordinate specialty services.
D. PNPs should only provide well visits and refer all complex
care.
Correct Answer: C
Rationale (correct): PNPs are trained to deliver comprehensive,
family-centered primary care and to coordinate specialty
services within a medical home model.
, Rationale (A): Incorrect — pediatricians and PNPs both
coordinate care; specialty coordination is not exclusive to
physicians.
Rationale (B): Incorrect — PNPs can and often do serve as
primary clinicians in a medical home.
Rationale (D): Incorrect — PNP scope includes management of
many complex conditions, with referral when necessary.
Teaching Point: PNPs can lead medical-home coordination for
complex children.
Citation: Burns et al., 2024, Ch. 1, Section: Pediatric Primary
Care Providers. Google Books
4)
Reference: Ch. 1, Section: Unique Issues in Pediatrics
Question Stem: A 10-year-old’s guardian asks why medication
dosing differs from adults. Which PNP explanation is most
accurate for dosing differences in children?
A. Children always require the same adult doses regardless of
weight.
B. Dosing is adjusted for age, weight, maturation of organs, and
pharmacokinetics.
C. Only neonates need dosing adjustments; older children do
not.
D. Pediatric dosing is based on body surface area for every drug.
Correct Answer: B
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-month-old comes for a well visit. The family
asks whether the visit’s main goal is to prevent disease or to
maintain a continuous relationship with health services. As the
PNP, which explanation best captures the role of pediatric
primary care?
A. Primary care focuses only on disease prevention through
immunizations and screening.
B. Primary care provides continuous, comprehensive, and
relationship-based care over time.
C. Primary care is synonymous with urgent or episodic
outpatient care.
D. Primary care primarily manages only common acute illnesses
and refers chronic conditions.
Correct Answer: B
Rationale (correct): Primary care is defined by continuity,
comprehensiveness, and a relationship-oriented approach that
includes prevention but extends beyond it. This underpins well-
child care and longitudinal management.
Rationale (A): Incorrect — prevention is a component (primary
prevention) but not the whole scope of primary care.
,Rationale (C): Incorrect — urgent or episodic care lacks the
continuity central to primary care.
Rationale (D): Incorrect — primary care manages many chronic
conditions with coordination, not merely referral.
Teaching Point: Primary care = continuous, comprehensive,
relationship-centered care.
Citation: Burns et al., 2024, Ch. 1, Section: Pediatric Primary
Care. Elsevier Health
2)
Reference: Ch. 1, Section: Primary Care Versus Primary
Prevention
Question Stem: During a 15-month well visit you discuss
choking hazards and give guidance about safe foods. Which
best classifies that action?
A. Primary care assessment.
B. Secondary prevention.
C. Primary prevention (anticipatory guidance).
D. Tertiary prevention.
Correct Answer: C
Rationale (correct): Anticipatory guidance aimed at preventing
injury is a primary prevention activity delivered within primary
care.
Rationale (A): Incorrect — although delivered in primary care,
the activity is specifically prevention.
,Rationale (B): Incorrect — secondary prevention refers to
screening to detect disease early.
Rationale (D): Incorrect — tertiary prevention reduces harm
after disease/injury has occurred.
Teaching Point: Anticipatory guidance is a core primary-
prevention strategy in well-child care.
Citation: Burns et al., 2024, Ch. 1, Section: Primary Care Versus
Primary Prevention. Evolve
3)
Reference: Ch. 1, Section: Pediatric Primary Care Providers
Question Stem: A family asks whether a pediatric nurse
practitioner (PNP) or pediatrician would be better as their
child’s medical home clinician for a medically complex child.
Your best reply as a PNP focuses on which advantage?
A. Only pediatricians can coordinate specialty services.
B. PNPs cannot lead a patient-centered medical home.
C. PNPs provide comprehensive, family-centered care and can
coordinate specialty services.
D. PNPs should only provide well visits and refer all complex
care.
Correct Answer: C
Rationale (correct): PNPs are trained to deliver comprehensive,
family-centered primary care and to coordinate specialty
services within a medical home model.
, Rationale (A): Incorrect — pediatricians and PNPs both
coordinate care; specialty coordination is not exclusive to
physicians.
Rationale (B): Incorrect — PNPs can and often do serve as
primary clinicians in a medical home.
Rationale (D): Incorrect — PNP scope includes management of
many complex conditions, with referral when necessary.
Teaching Point: PNPs can lead medical-home coordination for
complex children.
Citation: Burns et al., 2024, Ch. 1, Section: Pediatric Primary
Care Providers. Google Books
4)
Reference: Ch. 1, Section: Unique Issues in Pediatrics
Question Stem: A 10-year-old’s guardian asks why medication
dosing differs from adults. Which PNP explanation is most
accurate for dosing differences in children?
A. Children always require the same adult doses regardless of
weight.
B. Dosing is adjusted for age, weight, maturation of organs, and
pharmacokinetics.
C. Only neonates need dosing adjustments; older children do
not.
D. Pediatric dosing is based on body surface area for every drug.
Correct Answer: B
