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
Question 1:
A 6-month-old infant presents for a well-child visit. The nurse
practitioner emphasizes routine immunizations, anticipatory
guidance for feeding and safety, and growth/development
surveillance. Which of the following best describes this
component of pediatric care?
A. Primary prevention only
B. Primary care that includes primary prevention strategies
C. Tertiary prevention focused on chronic disease management
D. Episodic acute-care intervention
Correct Answer: B
Rationale:
Why B is correct: Pediatric primary care is comprehensive and
includes health supervision (well visits), health promotion, and
primary prevention (e.g., immunizations, safety counseling).
This integrates longitudinal care, anticipatory guidance, and
preventive services.
Why A is incorrect: Primary prevention (e.g., vaccines) is a
,component, but primary care is broader—covering surveillance,
acute care, and care coordination as well.
Why C is incorrect: Tertiary prevention targets reducing
disability from established disease—this visit is preventive
rather than tertiary.
Why D is incorrect: Episodic acute-care addresses immediate
illness/injury; a well-child visit is proactive, longitudinal care.
Question 2:
A clinic is designing services to better reach families at risk for
social determinants of health (housing instability, food
insecurity). They plan to screen families and provide referrals
and on-site resource navigation during well visits. Which
primary-care model does this best exemplify?
A. Episodic care model
B. Medical home with care coordination and community linkage
C. Hospital-based specialty clinic
D. Single-visit preventive outreach
Correct Answer: B
Rationale:
Why B is correct: The medical home model emphasizes
accessible, continuous, family-centered care with care
coordination and connections to community resources—
particularly important for addressing social determinants and
providing two-generation supports.
Why A is incorrect: Episodic care does not include sustained
,coordination or community linkage.
Why C is incorrect: Hospital-based specialty clinics may provide
focused services but do not inherently provide the continuous,
coordinated primary-care functions described.
Why D is incorrect: A single visit for outreach lacks continuity
and ongoing coordination central to the medical home.
Question 3:
A 2-week-old infant is seen for a newborn visit. The NP
documents parental education about bonding, infant cues,
breastfeeding support, and maternal postpartum mood. This
approach is most consistent with which pediatric primary care
principle?
A. Disease-centered care
B. Two-generation (dual patient) approach
C. Provider-focused counseling
D. Crisis-only intervention
Correct Answer: B
Rationale:
Why B is correct: The two-generation or dual-patient approach
recognizes that infant health is inseparable from
parental/caregiver health (e.g., maternal mood, breastfeeding
support), so primary care addresses both child and caregiver
needs.
Why A is incorrect: Disease-centered care focuses on pathology;
this visit is health promotion and family support.
, Why C is incorrect: Provider-focused counseling would prioritize
clinician agenda rather than family-centered supports.
Why D is incorrect: The visit is preventive and anticipatory, not
crisis-driven.
Question 4:
During a well visit, a parent discloses past intimate partner
violence and unstable housing. The clinician recognizes this as
an adverse childhood experience (ACE) in the child’s household.
Which is the most appropriate immediate action consistent
with trauma-informed primary care?
A. Ignore it—ACEs are outside primary care scope
B. Document, validate the caregiver’s concerns, assess
immediate safety, and link to resources
C. Immediately remove the child from the home without
further assessment
D. Prescribe anxiolytics to the caregiver and discharge without
follow-up
Correct Answer: B
Rationale:
Why B is correct: Trauma-informed primary care involves
identifying adversity, validating, assessing current safety/risk,
and connecting families to supports and resources—balancing
screening with safety planning and referrals.
Why A is incorrect: ACEs affect lifelong health; primary care has
an important role in recognition and linkage to services.
MCQs per Chapter
Pediatric Primary Care Test Bank & NCLEX-HESI
Review | Burns' 8th Edition
Question 1
Question 1:
A 6-month-old infant presents for a well-child visit. The nurse
practitioner emphasizes routine immunizations, anticipatory
guidance for feeding and safety, and growth/development
surveillance. Which of the following best describes this
component of pediatric care?
A. Primary prevention only
B. Primary care that includes primary prevention strategies
C. Tertiary prevention focused on chronic disease management
D. Episodic acute-care intervention
Correct Answer: B
Rationale:
Why B is correct: Pediatric primary care is comprehensive and
includes health supervision (well visits), health promotion, and
primary prevention (e.g., immunizations, safety counseling).
This integrates longitudinal care, anticipatory guidance, and
preventive services.
Why A is incorrect: Primary prevention (e.g., vaccines) is a
,component, but primary care is broader—covering surveillance,
acute care, and care coordination as well.
Why C is incorrect: Tertiary prevention targets reducing
disability from established disease—this visit is preventive
rather than tertiary.
Why D is incorrect: Episodic acute-care addresses immediate
illness/injury; a well-child visit is proactive, longitudinal care.
Question 2:
A clinic is designing services to better reach families at risk for
social determinants of health (housing instability, food
insecurity). They plan to screen families and provide referrals
and on-site resource navigation during well visits. Which
primary-care model does this best exemplify?
A. Episodic care model
B. Medical home with care coordination and community linkage
C. Hospital-based specialty clinic
D. Single-visit preventive outreach
Correct Answer: B
Rationale:
Why B is correct: The medical home model emphasizes
accessible, continuous, family-centered care with care
coordination and connections to community resources—
particularly important for addressing social determinants and
providing two-generation supports.
Why A is incorrect: Episodic care does not include sustained
,coordination or community linkage.
Why C is incorrect: Hospital-based specialty clinics may provide
focused services but do not inherently provide the continuous,
coordinated primary-care functions described.
Why D is incorrect: A single visit for outreach lacks continuity
and ongoing coordination central to the medical home.
Question 3:
A 2-week-old infant is seen for a newborn visit. The NP
documents parental education about bonding, infant cues,
breastfeeding support, and maternal postpartum mood. This
approach is most consistent with which pediatric primary care
principle?
A. Disease-centered care
B. Two-generation (dual patient) approach
C. Provider-focused counseling
D. Crisis-only intervention
Correct Answer: B
Rationale:
Why B is correct: The two-generation or dual-patient approach
recognizes that infant health is inseparable from
parental/caregiver health (e.g., maternal mood, breastfeeding
support), so primary care addresses both child and caregiver
needs.
Why A is incorrect: Disease-centered care focuses on pathology;
this visit is health promotion and family support.
, Why C is incorrect: Provider-focused counseling would prioritize
clinician agenda rather than family-centered supports.
Why D is incorrect: The visit is preventive and anticipatory, not
crisis-driven.
Question 4:
During a well visit, a parent discloses past intimate partner
violence and unstable housing. The clinician recognizes this as
an adverse childhood experience (ACE) in the child’s household.
Which is the most appropriate immediate action consistent
with trauma-informed primary care?
A. Ignore it—ACEs are outside primary care scope
B. Document, validate the caregiver’s concerns, assess
immediate safety, and link to resources
C. Immediately remove the child from the home without
further assessment
D. Prescribe anxiolytics to the caregiver and discharge without
follow-up
Correct Answer: B
Rationale:
Why B is correct: Trauma-informed primary care involves
identifying adversity, validating, assessing current safety/risk,
and connecting families to supports and resources—balancing
screening with safety planning and referrals.
Why A is incorrect: ACEs affect lifelong health; primary care has
an important role in recognition and linkage to services.
