Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Question 1:
A 2-week-old comes for a newborn follow-up. The parent
reports feeling exhausted, tearful, and worried about bonding.
The pediatric NP screens the parent for postpartum depression,
offers brief counseling resources, and arranges a home-visiting
nurse. Which pediatric primary care principle does this best
illustrate?
A. Exclusive focus on infant immunizations
B. Two-generation (dual patient) model addressing caregiver
and child health
C. Tertiary prevention only
D. Episodic acute care only
Correct Answer: B
Rationale: The two-generation model recognizes caregiver
wellbeing directly affects child health; screening the parent and
arranging supports addresses both generations. A is incorrect
because care extends beyond immunizations. C (tertiary) is
incorrect—this is preventive/supportive, not complication
management. D is wrong because this is comprehensive, not
just episodic acute care.
,Question 2:
A 4-year-old with recurrent lead exposure lives in older housing.
The clinic organizes a community outreach program to
remediate lead paint in homes. This action best represents
which prevention level?
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
D. Screening only
Correct Answer: B
Rationale: Removing environmental hazards prevents exposure
before harm—primary prevention. Secondary prevention would
be blood lead screening to detect exposure early. Tertiary
addresses established lead-related disease sequelae. Screening
only is limited and not equivalent to remediation.
Question 3:
A 16-year-old with congenital heart disease will transition to
adult cardiology. The pediatric NP uses a readiness tool, creates
a written transition plan, and schedules the first adult clinic
visit. Which guideline or principle is the NP applying?
A. Reactive discharge planning at age 18
B. Got Transition core elements: structured, measurable
transition planning
C. Transfer without documentation
D. Immediate transfer of responsibility without skill assessment
,Correct Answer: B
Rationale: Got Transition (Six Core Elements) promotes early
readiness assessment, written plans, and arranged adult
appointments. A is incorrect—reactive planning is discouraged.
C and D are incorrect because structured documentation and
skill assessment are essential for safe transition.
Question 4:
A 9-month-old with failure to thrive is followed by a pediatric
NP who coordinates nutrition counseling, early intervention
referral, and social work for food access. Which role of primary
care is being demonstrated?
A. Solely diagnosing and prescribing meds
B. Care coordination and linking families to community
resources (medical-home function)
C. Limiting care to well-child immunizations only
D. Referring to ED for all nonurgent needs
Correct Answer: B
Rationale: Coordinating multidisciplinary care and community
supports is a core medical-home role. A is too narrow; C
neglects broader needs; D is inappropriate for nonurgent
problems and fragments care.
Question 5:
A 3-year-old’s caregiver reports high exposure to adverse
experiences (domestic violence, parental substance use). The
, child has new-onset sleep problems and aggression. What is the
most appropriate first step in the primary care visit?
A. Immediate medication for behavior without assessment
B. Conduct trauma-informed assessment, assess safety, and
connect to mental health/support services
C. Reassure caregiver “kids are resilient” and discharge
D. Ignore psychosocial history and focus only on vitals
Correct Answer: B
Rationale: Trauma-informed care requires assessing safety,
validating concerns, and connecting to supports. A is
inappropriate without assessment. C minimizes risk and is
nontherapeutic. D misses key determinants influencing
symptoms.
Question 6:
A 7-year-old with complex congenital anomalies has multiple
specialists. The primary care team creates a single, accessible
care plan with current meds, goals, and contacts for all
providers. Which outcome is most likely improved by this
action?
A. Increased fragmentation of care
B. Reduced care coordination and worse outcomes
C. Improved continuity, reduced errors, and smoother
communication among teams
D. Less family involvement in decision making
Correct Answer: C
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Question 1:
A 2-week-old comes for a newborn follow-up. The parent
reports feeling exhausted, tearful, and worried about bonding.
The pediatric NP screens the parent for postpartum depression,
offers brief counseling resources, and arranges a home-visiting
nurse. Which pediatric primary care principle does this best
illustrate?
A. Exclusive focus on infant immunizations
B. Two-generation (dual patient) model addressing caregiver
and child health
C. Tertiary prevention only
D. Episodic acute care only
Correct Answer: B
Rationale: The two-generation model recognizes caregiver
wellbeing directly affects child health; screening the parent and
arranging supports addresses both generations. A is incorrect
because care extends beyond immunizations. C (tertiary) is
incorrect—this is preventive/supportive, not complication
management. D is wrong because this is comprehensive, not
just episodic acute care.
,Question 2:
A 4-year-old with recurrent lead exposure lives in older housing.
The clinic organizes a community outreach program to
remediate lead paint in homes. This action best represents
which prevention level?
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
D. Screening only
Correct Answer: B
Rationale: Removing environmental hazards prevents exposure
before harm—primary prevention. Secondary prevention would
be blood lead screening to detect exposure early. Tertiary
addresses established lead-related disease sequelae. Screening
only is limited and not equivalent to remediation.
Question 3:
A 16-year-old with congenital heart disease will transition to
adult cardiology. The pediatric NP uses a readiness tool, creates
a written transition plan, and schedules the first adult clinic
visit. Which guideline or principle is the NP applying?
A. Reactive discharge planning at age 18
B. Got Transition core elements: structured, measurable
transition planning
C. Transfer without documentation
D. Immediate transfer of responsibility without skill assessment
,Correct Answer: B
Rationale: Got Transition (Six Core Elements) promotes early
readiness assessment, written plans, and arranged adult
appointments. A is incorrect—reactive planning is discouraged.
C and D are incorrect because structured documentation and
skill assessment are essential for safe transition.
Question 4:
A 9-month-old with failure to thrive is followed by a pediatric
NP who coordinates nutrition counseling, early intervention
referral, and social work for food access. Which role of primary
care is being demonstrated?
A. Solely diagnosing and prescribing meds
B. Care coordination and linking families to community
resources (medical-home function)
C. Limiting care to well-child immunizations only
D. Referring to ED for all nonurgent needs
Correct Answer: B
Rationale: Coordinating multidisciplinary care and community
supports is a core medical-home role. A is too narrow; C
neglects broader needs; D is inappropriate for nonurgent
problems and fragments care.
Question 5:
A 3-year-old’s caregiver reports high exposure to adverse
experiences (domestic violence, parental substance use). The
, child has new-onset sleep problems and aggression. What is the
most appropriate first step in the primary care visit?
A. Immediate medication for behavior without assessment
B. Conduct trauma-informed assessment, assess safety, and
connect to mental health/support services
C. Reassure caregiver “kids are resilient” and discharge
D. Ignore psychosocial history and focus only on vitals
Correct Answer: B
Rationale: Trauma-informed care requires assessing safety,
validating concerns, and connecting to supports. A is
inappropriate without assessment. C minimizes risk and is
nontherapeutic. D misses key determinants influencing
symptoms.
Question 6:
A 7-year-old with complex congenital anomalies has multiple
specialists. The primary care team creates a single, accessible
care plan with current meds, goals, and contacts for all
providers. Which outcome is most likely improved by this
action?
A. Increased fragmentation of care
B. Reduced care coordination and worse outcomes
C. Improved continuity, reduced errors, and smoother
communication among teams
D. Less family involvement in decision making
Correct Answer: C
