Burns' Pediatric Primary Care 8th Edition Test Bank | 20
MCQs per Chapter
Pediatric Primary Care Test Bank & NCLEX-HESI
Review | Burns' 8th Edition
Question 1:
A 6-month-old infant comes for a well-child visit. The
nurse practitioner reviews immunizations and
discusses safe sleep and car seat safety with the
parents. Which prevention level best describes these
actions?
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct Answer: B
Rationale: Primary prevention seeks to prevent
disease or injury before it occurs (immunizations,
safety counseling). Secondary prevention involves
early detection/screening (e.g., developmental
screening, lead screening). Tertiary prevention
mitigates disability or complications after disease
,onset. Quaternary prevention relates to avoiding
unnecessary medical interventions — not applicable
here.
Question 2:
A 14-year-old with well-controlled asthma is
preparing to leave pediatric care for adult providers.
The pediatric nurse creates a portable medical
summary, reviews self-management skills, and
schedules the first adult pulmonology appointment.
Which transition principle is the clinician following?
A. Transfer without preparation
B. Discharge planning only for hospitalized patients
C. Structured transition planning that promotes
continuity of care
D. Mandatory cessation of pediatric services at 18
years
Correct Answer: C
Rationale: Structured transition planning (e.g.,
portable summary, readiness assessment, scheduled
adult appointments) promotes continuity and
reduces gaps in care. Transfer without preparation or
mandatory cessation increases risk of lost follow-up.
,Discharge planning limited to hospitalized patients
misses the proactive outpatient transition approach.
Question 3:
A 10-year-old with special healthcare needs lives in a
rural area. The family reports difficulty navigating
multiple specialty appointments. Which primary care
approach will most effectively reduce
fragmentation?
A. Encourage the family to manage appointments
independently.
B. Establish a medical-home approach: coordinate
specialists, create a care plan, and offer centralized
communication.
C. Refer all care to subspecialists and close the
primary care chart.
D. Only schedule urgent visits and let subspecialists
manage routine care.
Correct Answer: B
Rationale: The medical-home model provides
accessible, continuous, coordinated care and
centralizes communication—especially important for
CYSHCN. Expecting families to manage alone,
relinquishing primary care coordination, or offering
, only urgent care fragments services and worsens
outcomes.
Question 4:
During a 2-week postpartum visit, a mother reports
difficulty bonding and feeling overwhelmed. The
clinician screens for maternal depression and offers
community support resources. This practice reflects
which pediatric primary care concept?
A. Sole focus on the infant’s immediate physical
exam
B. Two-generation (dual patient) approach
recognizing caregiver and child as interconnected
C. Exclusive focus on immunization status only
D. Avoidance of psychosocial topics in pediatric visits
Correct Answer: B
Rationale: The two-generation model treats
caregiver and child needs together because caregiver
mental health affects child development and care.
Sole infant focus, exclusive immunization emphasis,
or avoiding psychosocial topics would miss key
determinants of child health.
MCQs per Chapter
Pediatric Primary Care Test Bank & NCLEX-HESI
Review | Burns' 8th Edition
Question 1:
A 6-month-old infant comes for a well-child visit. The
nurse practitioner reviews immunizations and
discusses safe sleep and car seat safety with the
parents. Which prevention level best describes these
actions?
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct Answer: B
Rationale: Primary prevention seeks to prevent
disease or injury before it occurs (immunizations,
safety counseling). Secondary prevention involves
early detection/screening (e.g., developmental
screening, lead screening). Tertiary prevention
mitigates disability or complications after disease
,onset. Quaternary prevention relates to avoiding
unnecessary medical interventions — not applicable
here.
Question 2:
A 14-year-old with well-controlled asthma is
preparing to leave pediatric care for adult providers.
The pediatric nurse creates a portable medical
summary, reviews self-management skills, and
schedules the first adult pulmonology appointment.
Which transition principle is the clinician following?
A. Transfer without preparation
B. Discharge planning only for hospitalized patients
C. Structured transition planning that promotes
continuity of care
D. Mandatory cessation of pediatric services at 18
years
Correct Answer: C
Rationale: Structured transition planning (e.g.,
portable summary, readiness assessment, scheduled
adult appointments) promotes continuity and
reduces gaps in care. Transfer without preparation or
mandatory cessation increases risk of lost follow-up.
,Discharge planning limited to hospitalized patients
misses the proactive outpatient transition approach.
Question 3:
A 10-year-old with special healthcare needs lives in a
rural area. The family reports difficulty navigating
multiple specialty appointments. Which primary care
approach will most effectively reduce
fragmentation?
A. Encourage the family to manage appointments
independently.
B. Establish a medical-home approach: coordinate
specialists, create a care plan, and offer centralized
communication.
C. Refer all care to subspecialists and close the
primary care chart.
D. Only schedule urgent visits and let subspecialists
manage routine care.
Correct Answer: B
Rationale: The medical-home model provides
accessible, continuous, coordinated care and
centralizes communication—especially important for
CYSHCN. Expecting families to manage alone,
relinquishing primary care coordination, or offering
, only urgent care fragments services and worsens
outcomes.
Question 4:
During a 2-week postpartum visit, a mother reports
difficulty bonding and feeling overwhelmed. The
clinician screens for maternal depression and offers
community support resources. This practice reflects
which pediatric primary care concept?
A. Sole focus on the infant’s immediate physical
exam
B. Two-generation (dual patient) approach
recognizing caregiver and child as interconnected
C. Exclusive focus on immunization status only
D. Avoidance of psychosocial topics in pediatric visits
Correct Answer: B
Rationale: The two-generation model treats
caregiver and child needs together because caregiver
mental health affects child development and care.
Sole infant focus, exclusive immunization emphasis,
or avoiding psychosocial topics would miss key
determinants of child health.
