Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Question 1:
A 6-month-old infant visits the primary care clinic for a well-
child visit. The nurse practitioner reviews immunizations and
counsels the parent on injury-proofing the home and
introducing age-appropriate solids. Which domain of primary
care is the clinician practicing?
A. Episodic illness care
B. Primary prevention
C. Tertiary prevention
D. Hospital-based specialty care
Correct Answer: B
Rationale: The visit focuses on preventive actions
(immunizations, injury prevention, nutrition) aimed at
preventing disease and injury — this is primary prevention. A is
,incorrect because episodic illness care addresses acute
problems, not routine prevention. C (tertiary prevention) is
aimed at reducing complications of established disease (e.g.,
rehab after disease), not prevention in a healthy infant. D is
incorrect because hospital-based specialty care is outside
primary care.
Question 2:
A 15-year-old with congenital heart disease is preparing to
move from pediatric cardiology and primary care to adult
services. Which action best exemplifies an effective transition
plan?
A. Discharging the adolescent when they turn 18 with a list of
adult clinics
B. Scheduling a single joint visit with both pediatric and adult
providers to review the care plan and self-management goals
C. Having the adolescent continue care with the pediatric team
indefinitely
D. Referring the adolescent to adult care only when a
complication occurs
Correct Answer: B
Rationale: Best practice for transition includes structured
planning and at least one coordinated handoff/joint visit to
review self-management, medications, and follow-up —
facilitating continuity. A is inadequate because simple discharge
without coordination often leads to gaps. C may be impractical
,and does not promote independence or preparedness. D is
reactive and risks poor outcomes due to delayed transfer.
Question 3:
A 3-year-old in a primary care clinic is identified as having
developmental delay and frequent ear infections. The family
also reports that the child’s mother has postpartum depression
and struggles to attend appointments. Which approach best
reflects a two-generation (dual patient) model?
A. Referring the child to ENT and scheduling developmental
testing only
B. Treating the child’s infections first, then reassessing
developmental needs in 6 months
C. Coordinating early intervention for the child while connecting
the mother to mental-health and social support resources
D. Advising the mother to prioritize her health after the child
finishes preschool
Correct Answer: C
Rationale: The two-generation model recognizes child and
caregiver health are interconnected; addressing both child’s
developmental needs and parent’s mental health supports the
child’s long-term outcomes. A ignores caregiver needs. B delays
comprehensive care. D defers caregiver treatment and ignores
immediate family needs.
, Question 4:
During a routine visit, a parent reports that a 10-year-old child
witnessed domestic violence at home. Which immediate action
by the pediatric primary care nurse is most appropriate?
A. Advise the parent to work it out privately and continue
routine care
B. Screen child for trauma symptoms, provide safety planning
resources, and make appropriate mandatory reports if the child
is at risk
C. Recommend that the family seek counseling only if the child’s
grades decline
D. Tell the parent that school personnel will handle the matter
and no action is needed in clinic
Correct Answer: B
Rationale: Witnessing domestic violence is an adverse
experience. The clinician should assess safety, screen for
trauma, provide resources/referrals, and fulfill mandatory
reporting when necessary. A minimizes harm and is
inappropriate. C delays needed intervention until decline; D
improperly delegates responsibility and may miss immediate
safety concerns.
Question 5:
A toddler with complex congenital anomalies requires
medications, frequent visits, and durable medical equipment.
The child is classified as a child and youth with special
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Question 1:
A 6-month-old infant visits the primary care clinic for a well-
child visit. The nurse practitioner reviews immunizations and
counsels the parent on injury-proofing the home and
introducing age-appropriate solids. Which domain of primary
care is the clinician practicing?
A. Episodic illness care
B. Primary prevention
C. Tertiary prevention
D. Hospital-based specialty care
Correct Answer: B
Rationale: The visit focuses on preventive actions
(immunizations, injury prevention, nutrition) aimed at
preventing disease and injury — this is primary prevention. A is
,incorrect because episodic illness care addresses acute
problems, not routine prevention. C (tertiary prevention) is
aimed at reducing complications of established disease (e.g.,
rehab after disease), not prevention in a healthy infant. D is
incorrect because hospital-based specialty care is outside
primary care.
Question 2:
A 15-year-old with congenital heart disease is preparing to
move from pediatric cardiology and primary care to adult
services. Which action best exemplifies an effective transition
plan?
A. Discharging the adolescent when they turn 18 with a list of
adult clinics
B. Scheduling a single joint visit with both pediatric and adult
providers to review the care plan and self-management goals
C. Having the adolescent continue care with the pediatric team
indefinitely
D. Referring the adolescent to adult care only when a
complication occurs
Correct Answer: B
Rationale: Best practice for transition includes structured
planning and at least one coordinated handoff/joint visit to
review self-management, medications, and follow-up —
facilitating continuity. A is inadequate because simple discharge
without coordination often leads to gaps. C may be impractical
,and does not promote independence or preparedness. D is
reactive and risks poor outcomes due to delayed transfer.
Question 3:
A 3-year-old in a primary care clinic is identified as having
developmental delay and frequent ear infections. The family
also reports that the child’s mother has postpartum depression
and struggles to attend appointments. Which approach best
reflects a two-generation (dual patient) model?
A. Referring the child to ENT and scheduling developmental
testing only
B. Treating the child’s infections first, then reassessing
developmental needs in 6 months
C. Coordinating early intervention for the child while connecting
the mother to mental-health and social support resources
D. Advising the mother to prioritize her health after the child
finishes preschool
Correct Answer: C
Rationale: The two-generation model recognizes child and
caregiver health are interconnected; addressing both child’s
developmental needs and parent’s mental health supports the
child’s long-term outcomes. A ignores caregiver needs. B delays
comprehensive care. D defers caregiver treatment and ignores
immediate family needs.
, Question 4:
During a routine visit, a parent reports that a 10-year-old child
witnessed domestic violence at home. Which immediate action
by the pediatric primary care nurse is most appropriate?
A. Advise the parent to work it out privately and continue
routine care
B. Screen child for trauma symptoms, provide safety planning
resources, and make appropriate mandatory reports if the child
is at risk
C. Recommend that the family seek counseling only if the child’s
grades decline
D. Tell the parent that school personnel will handle the matter
and no action is needed in clinic
Correct Answer: B
Rationale: Witnessing domestic violence is an adverse
experience. The clinician should assess safety, screen for
trauma, provide resources/referrals, and fulfill mandatory
reporting when necessary. A minimizes harm and is
inappropriate. C delays needed intervention until decline; D
improperly delegates responsibility and may miss immediate
safety concerns.
Question 5:
A toddler with complex congenital anomalies requires
medications, frequent visits, and durable medical equipment.
The child is classified as a child and youth with special
