Burns' Pediatric Primary Care 8th Edition Test Bank | 20
MCQs per Chapter
Pediatric Primary Care Test Bank & NCLEX-HESI
Review | Burns' 8th Edition
A 9-month-old infant presents for a well-child visit.
The parent asks whether the visit is “really
necessary” if the baby seems well. Which response
best reflects the role of primary care and primary
prevention?
A. “Routine well visits are optional once the infant
appears healthy.”
B. “Well visits let us provide primary prevention—
immunizations, developmental screening, and
anticipatory guidance—to reduce future illness and
injury.”
C. “We only see infants for problems; if they are well,
wait until preschool.”
D. “Well visits are primarily for billing and
paperwork.”
Correct Answer: B
Rationale: Primary care includes preventive services
,(primary prevention) delivered at well visits—
vaccination, developmental surveillance, safety
counseling—that reduce future morbidity. A and C
minimize prevention and are incorrect. D is
dismissive and not accurate.
Question 2:
A 14-year-old with congenital renal disease will move
to adult nephrology in 6 months. Which action by
the pediatric primary care provider best supports a
successful transition?
A. Stop all transition planning until the last pediatric
visit.
B. Develop an individualized transition plan with
disease-specific education, self-management goals,
and scheduled joint visits with adult providers.
C. Provide a single discharge summary on the day of
transfer without prior coordination.
D. Tell the adolescent to find an adult provider
independently after turning 18.
Correct Answer: B
Rationale: Effective transition requires early,
individualized planning, education, self-management
skills, and coordination with adult providers. A delays
,readiness. C and D are uncoordinated and risk care
gaps.
Question 3:
A 2-year-old with recurrent otitis media and poor
weight gain has a mother reporting depressive
symptoms and difficulty managing appointments.
Using a two-generation approach, which plan is most
appropriate?
A. Focus solely on treating the child’s ear infections.
B. Treat the child clinically and simultaneously
connect the mother to mental-health and
community support services.
C. Advise the mother to prioritize the child and seek
help later.
D. Refer the child to ENT and ignore family context.
Correct Answer: B
Rationale: The two-generation model treats child
and caregiver health together; addressing caregiver
depression improves child outcomes. A and D ignore
caregiver needs. C delays necessary support.
, Question 4:
During a routine visit, a parent discloses that the
family frequently experiences food insecurity. What
is the primary care clinician’s best immediate action?
A. Note it in the chart and continue without
intervention.
B. Screen for related health risks, provide resources
(food assistance referrals), and incorporate supports
into the care plan.
C. Assure the parent it will resolve without action.
D. Tell the parent financial issues are outside
healthcare scope.
Correct Answer: B
Rationale: Primary care should screen for social
determinants, connect families to resources, and
integrate supports into care. A, C, D ignore the
clinician’s role in addressing social determinants that
affect child health.
Question 5:
A 7-year-old with cerebral palsy (a CYSHCN) requires
coordinated services. Which statement best
describes the role of the primary care provider?
A. Provide only basic vaccinations and let specialists
MCQs per Chapter
Pediatric Primary Care Test Bank & NCLEX-HESI
Review | Burns' 8th Edition
A 9-month-old infant presents for a well-child visit.
The parent asks whether the visit is “really
necessary” if the baby seems well. Which response
best reflects the role of primary care and primary
prevention?
A. “Routine well visits are optional once the infant
appears healthy.”
B. “Well visits let us provide primary prevention—
immunizations, developmental screening, and
anticipatory guidance—to reduce future illness and
injury.”
C. “We only see infants for problems; if they are well,
wait until preschool.”
D. “Well visits are primarily for billing and
paperwork.”
Correct Answer: B
Rationale: Primary care includes preventive services
,(primary prevention) delivered at well visits—
vaccination, developmental surveillance, safety
counseling—that reduce future morbidity. A and C
minimize prevention and are incorrect. D is
dismissive and not accurate.
Question 2:
A 14-year-old with congenital renal disease will move
to adult nephrology in 6 months. Which action by
the pediatric primary care provider best supports a
successful transition?
A. Stop all transition planning until the last pediatric
visit.
B. Develop an individualized transition plan with
disease-specific education, self-management goals,
and scheduled joint visits with adult providers.
C. Provide a single discharge summary on the day of
transfer without prior coordination.
D. Tell the adolescent to find an adult provider
independently after turning 18.
Correct Answer: B
Rationale: Effective transition requires early,
individualized planning, education, self-management
skills, and coordination with adult providers. A delays
,readiness. C and D are uncoordinated and risk care
gaps.
Question 3:
A 2-year-old with recurrent otitis media and poor
weight gain has a mother reporting depressive
symptoms and difficulty managing appointments.
Using a two-generation approach, which plan is most
appropriate?
A. Focus solely on treating the child’s ear infections.
B. Treat the child clinically and simultaneously
connect the mother to mental-health and
community support services.
C. Advise the mother to prioritize the child and seek
help later.
D. Refer the child to ENT and ignore family context.
Correct Answer: B
Rationale: The two-generation model treats child
and caregiver health together; addressing caregiver
depression improves child outcomes. A and D ignore
caregiver needs. C delays necessary support.
, Question 4:
During a routine visit, a parent discloses that the
family frequently experiences food insecurity. What
is the primary care clinician’s best immediate action?
A. Note it in the chart and continue without
intervention.
B. Screen for related health risks, provide resources
(food assistance referrals), and incorporate supports
into the care plan.
C. Assure the parent it will resolve without action.
D. Tell the parent financial issues are outside
healthcare scope.
Correct Answer: B
Rationale: Primary care should screen for social
determinants, connect families to resources, and
integrate supports into care. A, C, D ignore the
clinician’s role in addressing social determinants that
affect child health.
Question 5:
A 7-year-old with cerebral palsy (a CYSHCN) requires
coordinated services. Which statement best
describes the role of the primary care provider?
A. Provide only basic vaccinations and let specialists
