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 arrives for a well-child visit. The family
reports no acute concerns but asks how pediatric primary care
differs from simply treating illnesses as they occur. Which
statement best captures the defining role of pediatric primary
care?
A. Primary care focuses only on treating acute illnesses as they
arise.
B. Primary care provides longitudinal, comprehensive care
including prevention, surveillance, and care coordination.
C. Primary care is limited to immunizations and growth
monitoring.
D. Primary care is a short-term service provided by specialists
for complex conditions.
Correct Answer: B
Rationale:
B is correct because pediatric primary care is longitudinal and
comprehensive — it includes health promotion, disease
,prevention, developmental surveillance, anticipatory guidance,
and coordination of care across settings (the core functions of
primary care).
A is incorrect because primary care is not restricted to episodic
acute care; it emphasizes continuity.
C is incorrect because while immunizations and growth
monitoring are important components, primary care is broader
(developmental screening, family support, chronic condition
management).
D is incorrect because primary care is not a short-term specialist
service; that describes specialty or consultative care, not
primary care.
Question 2:
A parent asks whether “primary prevention” is the same as
primary care. Which example best represents primary
prevention in pediatrics?
A. Antibiotic therapy for strep throat.
B. Counseling caregivers on age-appropriate car seat use before
the infant is discharged.
C. Initiating inhaled corticosteroids for a child with chronic
asthma.
D. Referral to early intervention after identifying a
developmental delay.
Correct Answer: B
Rationale:
,B is correct because primary prevention aims to prevent disease
or injury before it occurs (e.g., anticipatory guidance on car
seats, immunizations, safety counseling).
A is incorrect — treating strep throat is secondary/tertiary care
(treatment of an established condition).
C is incorrect — treating chronic asthma is disease management
(secondary/tertiary prevention).
D is incorrect — referral to early intervention addresses an
existing developmental concern (secondary/tertiary prevention
and early remediation), not primary prevention.
Question 3:
A 4-year-old with complex, multisystem congenital anomalies
needs routine primary care. Which member of the pediatric
primary care team is most appropriate to lead and coordinate
the child’s ongoing care in the medical home model?
A. Hospital-based pediatric subspecialist.
B. Pediatric primary care provider (PCP) such as a pediatrician
or family nurse practitioner in the community.
C. Emergency department physician.
D. School nurse.
Correct Answer: B
Rationale:
B is correct because the medical home model designates the
community-based PCP as the central coordinator of
comprehensive, continuous care, ensuring access to
, subspecialists, therapies, and community resources.
A is incorrect — subspecialists provide important consultative
care but typically do not serve as the longitudinal care
coordinator for all primary care needs.
C is incorrect — the ED provides episodic acute care but not
ongoing coordination.
D is incorrect — school nurses play a valuable role in school-
based care but do not typically coordinate the child’s full
medical home.
Question 4:
A 15-year-old adolescent with a chronic health condition
expresses embarrassment about discussing sexual health in
front of her mother at the clinic visit. According to family-
centered pediatric primary care principles, which action is most
appropriate?
A. Require the mother to stay for the entire visit to ensure
parental involvement.
B. Ask the parent to step out for private time with the
adolescent, then offer confidential counseling and document
appropriately.
C. Refuse to discuss sexual health until the parent gives explicit
permission.
D. Ignore the adolescent’s request and proceed with general
counseling in front of the parent.
Correct Answer: B
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Question 1:
A 6-month-old infant arrives for a well-child visit. The family
reports no acute concerns but asks how pediatric primary care
differs from simply treating illnesses as they occur. Which
statement best captures the defining role of pediatric primary
care?
A. Primary care focuses only on treating acute illnesses as they
arise.
B. Primary care provides longitudinal, comprehensive care
including prevention, surveillance, and care coordination.
C. Primary care is limited to immunizations and growth
monitoring.
D. Primary care is a short-term service provided by specialists
for complex conditions.
Correct Answer: B
Rationale:
B is correct because pediatric primary care is longitudinal and
comprehensive — it includes health promotion, disease
,prevention, developmental surveillance, anticipatory guidance,
and coordination of care across settings (the core functions of
primary care).
A is incorrect because primary care is not restricted to episodic
acute care; it emphasizes continuity.
C is incorrect because while immunizations and growth
monitoring are important components, primary care is broader
(developmental screening, family support, chronic condition
management).
D is incorrect because primary care is not a short-term specialist
service; that describes specialty or consultative care, not
primary care.
Question 2:
A parent asks whether “primary prevention” is the same as
primary care. Which example best represents primary
prevention in pediatrics?
A. Antibiotic therapy for strep throat.
B. Counseling caregivers on age-appropriate car seat use before
the infant is discharged.
C. Initiating inhaled corticosteroids for a child with chronic
asthma.
D. Referral to early intervention after identifying a
developmental delay.
Correct Answer: B
Rationale:
,B is correct because primary prevention aims to prevent disease
or injury before it occurs (e.g., anticipatory guidance on car
seats, immunizations, safety counseling).
A is incorrect — treating strep throat is secondary/tertiary care
(treatment of an established condition).
C is incorrect — treating chronic asthma is disease management
(secondary/tertiary prevention).
D is incorrect — referral to early intervention addresses an
existing developmental concern (secondary/tertiary prevention
and early remediation), not primary prevention.
Question 3:
A 4-year-old with complex, multisystem congenital anomalies
needs routine primary care. Which member of the pediatric
primary care team is most appropriate to lead and coordinate
the child’s ongoing care in the medical home model?
A. Hospital-based pediatric subspecialist.
B. Pediatric primary care provider (PCP) such as a pediatrician
or family nurse practitioner in the community.
C. Emergency department physician.
D. School nurse.
Correct Answer: B
Rationale:
B is correct because the medical home model designates the
community-based PCP as the central coordinator of
comprehensive, continuous care, ensuring access to
, subspecialists, therapies, and community resources.
A is incorrect — subspecialists provide important consultative
care but typically do not serve as the longitudinal care
coordinator for all primary care needs.
C is incorrect — the ED provides episodic acute care but not
ongoing coordination.
D is incorrect — school nurses play a valuable role in school-
based care but do not typically coordinate the child’s full
medical home.
Question 4:
A 15-year-old adolescent with a chronic health condition
expresses embarrassment about discussing sexual health in
front of her mother at the clinic visit. According to family-
centered pediatric primary care principles, which action is most
appropriate?
A. Require the mother to stay for the entire visit to ensure
parental involvement.
B. Ask the parent to step out for private time with the
adolescent, then offer confidential counseling and document
appropriately.
C. Refuse to discuss sexual health until the parent gives explicit
permission.
D. Ignore the adolescent’s request and proceed with general
counseling in front of the parent.
Correct Answer: B
