Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Reference
Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
Question Stem
A 4-month-old infant attends a well-child visit. The parent asks
whether immunizations and anticipatory guidance are part of
“primary care” or “primary prevention.” As the pediatric
primary care clinician, which response best differentiates these
concepts to guide care planning?
Options
A. "Primary care is only routine visits; primary prevention refers
solely to vaccines."
B. "Primary prevention focuses on preventing disease before it
occurs; primary care combines prevention, illness management,
and longitudinal care."
,C. "Primary care is the same as primary prevention; both mean
doing well-child checks."
D. "Primary prevention happens only in public health settings
and is not part of clinical primary care."
Correct Answer
B
Rationales
Correct: Primary prevention aims to stop disease before onset
(e.g., immunizations, counseling); primary care integrates
prevention with ongoing assessment, treatment, and care
coordination. This distinction helps prioritize anticipatory
guidance within routine primary care.
A: Incorrect — primary care includes more than routine visits;
primary prevention is broader than vaccines.
C: Incorrect — they are related but not identical; primary care
includes management beyond prevention.
D: Incorrect — primary prevention occurs in clinical settings as
well as public health; it is part of primary care practice.
Teaching Point
Primary prevention (e.g., vaccines, counseling) is a core
component within longitudinal primary care.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
,2
Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
Question Stem
A clinic manager is designing a pediatric primary care team for a
community clinic. Which staffing mix best reflects evidence-
based roles that enhance access and continuity for children and
families?
Options
A. Pediatrician, licensed practical nurse (LPN), and front-desk
clerk only.
B. Pediatrician, family nurse practitioner (or pediatric NP/PA),
medical assistant, and care coordinator.
C. Pediatrician and rotating specialists (cardiology, neurology)
but no nursing staff.
D. Licensed social worker only, with referral to distant
pediatricians for clinical issues.
Correct Answer
B
Rationales
Correct: A team including pediatricians, advanced practice
providers (NP/PA), clinical support (MA/LPN), and a care
coordinator supports access, continuity, preventive services,
and care for complex needs.
, A: Incorrect — missing advanced practice providers and care
coordination reduces capacity and continuity.
C: Incorrect — specialists augment care but cannot replace
primary care team roles; nursing staff are essential for
preventive services.
D: Incorrect — social work is important but cannot substitute
for clinical primary care and on-site providers.
Teaching Point
Multidisciplinary teams (including APNs/PAs and care
coordinators) improve pediatric primary care access and
continuity.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
3
Reference
Ch. 1 — Pediatric Primary Care — Unique Issues in Pediatrics
Question Stem
During a 15-month visit, a toddler’s parent expresses concern
about feeding—frequent choking episodes with solids and poor
weight gain. Which unique pediatric issue should the primary
care clinician prioritize in the initial assessment?
Options
A. Adult dietary preferences of the household.
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Reference
Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
Question Stem
A 4-month-old infant attends a well-child visit. The parent asks
whether immunizations and anticipatory guidance are part of
“primary care” or “primary prevention.” As the pediatric
primary care clinician, which response best differentiates these
concepts to guide care planning?
Options
A. "Primary care is only routine visits; primary prevention refers
solely to vaccines."
B. "Primary prevention focuses on preventing disease before it
occurs; primary care combines prevention, illness management,
and longitudinal care."
,C. "Primary care is the same as primary prevention; both mean
doing well-child checks."
D. "Primary prevention happens only in public health settings
and is not part of clinical primary care."
Correct Answer
B
Rationales
Correct: Primary prevention aims to stop disease before onset
(e.g., immunizations, counseling); primary care integrates
prevention with ongoing assessment, treatment, and care
coordination. This distinction helps prioritize anticipatory
guidance within routine primary care.
A: Incorrect — primary care includes more than routine visits;
primary prevention is broader than vaccines.
C: Incorrect — they are related but not identical; primary care
includes management beyond prevention.
D: Incorrect — primary prevention occurs in clinical settings as
well as public health; it is part of primary care practice.
Teaching Point
Primary prevention (e.g., vaccines, counseling) is a core
component within longitudinal primary care.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
,2
Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
Question Stem
A clinic manager is designing a pediatric primary care team for a
community clinic. Which staffing mix best reflects evidence-
based roles that enhance access and continuity for children and
families?
Options
A. Pediatrician, licensed practical nurse (LPN), and front-desk
clerk only.
B. Pediatrician, family nurse practitioner (or pediatric NP/PA),
medical assistant, and care coordinator.
C. Pediatrician and rotating specialists (cardiology, neurology)
but no nursing staff.
D. Licensed social worker only, with referral to distant
pediatricians for clinical issues.
Correct Answer
B
Rationales
Correct: A team including pediatricians, advanced practice
providers (NP/PA), clinical support (MA/LPN), and a care
coordinator supports access, continuity, preventive services,
and care for complex needs.
, A: Incorrect — missing advanced practice providers and care
coordination reduces capacity and continuity.
C: Incorrect — specialists augment care but cannot replace
primary care team roles; nursing staff are essential for
preventive services.
D: Incorrect — social work is important but cannot substitute
for clinical primary care and on-site providers.
Teaching Point
Multidisciplinary teams (including APNs/PAs and care
coordinators) improve pediatric primary care access and
continuity.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
3
Reference
Ch. 1 — Pediatric Primary Care — Unique Issues in Pediatrics
Question Stem
During a 15-month visit, a toddler’s parent expresses concern
about feeding—frequent choking episodes with solids and poor
weight gain. Which unique pediatric issue should the primary
care clinician prioritize in the initial assessment?
Options
A. Adult dietary preferences of the household.
