by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
1
Reference
Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
Question Stem
A 6-week-old infant presents for the first well-child visit. The
parent asks whether the visit’s purpose is to prevent disease or
to treat problems if they occur. Which statement best describes
the distinction between primary care and primary prevention in
pediatric practice?
Options
A. Primary prevention focuses on diagnosing and treating acute
illnesses; primary care emphasizes community-level policies.
B. Primary care provides continuous, comprehensive family-
centered services; primary prevention specifically targets
actions to prevent disease occurrence.
,C. Primary prevention is the ongoing management of chronic
disease; primary care delivers only immunizations and
screenings.
D. Primary care exclusively treats illness, whereas primary
prevention only provides anticipatory guidance.
Correct Answer
B
Rationales
• Correct (B): Pediatric primary care is continuous and
family-centered, providing assessment, diagnosis,
management, and coordination; primary prevention refers
to actions (e.g., immunizations, counseling) that directly
reduce risk of disease.
• Incorrect (A): Reverses roles—primary prevention does not
focus on diagnosing/treating acute illness.
• Incorrect (C): Primary prevention is not chronic disease
management; primary care includes but is not limited to
immunizations and screenings.
• Incorrect (D): Primary care includes both treatment and
prevention; it is not limited to treating illness.
Teaching Point
Primary care is continuous and family-centered; prevention is
specific actions to reduce risk.
,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 2-week-old with complex feeding difficulties requires a home
visit and ongoing lactation support plus coordination with
specialty care. Which primary care provider arrangement best
meets this infant’s needs in a medical-home model?
Options
A. Solo pediatrician practicing without formal care coordination.
B. Family nurse practitioner (FNP) with established referral
network and care coordination resources.
C. Episodic urgent-care provider with no scheduled follow-up.
D. School nurse assigned after school entry.
Correct Answer
B
Rationales
• Correct (B): A primary care provider within a medical
home (e.g., FNP) who provides ongoing care, coordinates
, referrals, and arranges home support best fits the infant’s
needs.
• Incorrect (A): A solo practitioner without care coordination
may miss needed multidisciplinary follow-up.
• Incorrect (C): Urgent-care is episodic and not suited for
ongoing lactation and specialty coordination.
• Incorrect (D): School nurses provide school-based care and
are not appropriate for a 2-week-old.
Teaching Point
Medical-home primary care emphasizes continuity,
coordination, and family-centered services.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
3
Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
Question Stem
During a busy clinic, a parent asks whether a pediatric nurse
practitioner (PNP) can prescribe medications and manage
chronic conditions for their toddler. What is the best evidence-