Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Question Stem
A 6-month-old is brought for a well-child visit. The parent asks
why most preventive care for infants is scheduled frequently in
the first year. Which explanation best reflects the rationale for
pediatric primary care scheduling?
Options
A. Frequent visits allow clinicians to administer all childhood
immunizations sooner.
B. Regular visits support monitoring rapid growth,
developmental screening, and early problem detection.
C. Early frequent visits reduce overall healthcare costs by
preventing any future illness.
D. Routine visits are primarily for building rapport between
parent and clinician.
Correct Answer
B
,Rationales
Correct: Regular visits allow close monitoring of rapid growth
and development in infancy, enable early screening and
detection of problems, and provide repeated opportunities for
anticipatory guidance.
A: Immunizations are important but scheduling is also driven by
growth and developmental needs, not solely vaccine timing.
C: Frequent visits can be cost-effective but reducing all future
illness is unrealistic and not the primary rationale.
D: Building rapport is a benefit but not the primary clinical
reason for the frequent infant schedule.
Teaching Point
Frequent infant visits enable timely growth monitoring,
developmental screening, and anticipatory guidance.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
2)
Reference
Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
Question Stem
A primary-care NP is designing a clinic program to lower lead
,exposure in a low-income neighborhood. Which activity best
represents primary prevention rather than primary care?
Options
A. Screening children for elevated blood lead levels during well
visits.
B. Educating landlords and families about lead paint removal
and safe housing policies.
C. Initiating chelation therapy for a child with a confirmed high
blood lead level.
D. Referring a child with neurodevelopmental delay to early
intervention.
Correct Answer
B
Rationales
Correct: Educating and changing environmental risks (lead paint
removal, housing policy) prevents exposure before harm — a
core primary prevention strategy.
A: Screening is primary care/public health surveillance, not
prevention of exposure itself.
C: Chelation is tertiary intervention for established poisoning,
not primary prevention.
D: Early intervention addresses consequences
(secondary/tertiary), not prevention of exposure.
Teaching Point
Primary prevention eliminates or reduces exposure risk before
disease occurs.
, 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
A 14-year-old with asthma needs routine follow-up but prefers
to see a clinician who can manage puberty-related questions.
Which primary-care provider is best suited to provide
comprehensive adolescent care including acute management,
chronic disease follow-up, and adolescent counseling?
Options
A. Family physician in a general adult clinic.
B. Pediatric nurse practitioner in primary-care pediatrics.
C. School counselor with mental health specialization.
D. Emergency department physician.
Correct Answer
B
Rationales
Correct: A pediatric NP in primary care is trained to manage
chronic conditions, adolescent development, preventive
counseling, and continuity of care across growth stages.
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Question Stem
A 6-month-old is brought for a well-child visit. The parent asks
why most preventive care for infants is scheduled frequently in
the first year. Which explanation best reflects the rationale for
pediatric primary care scheduling?
Options
A. Frequent visits allow clinicians to administer all childhood
immunizations sooner.
B. Regular visits support monitoring rapid growth,
developmental screening, and early problem detection.
C. Early frequent visits reduce overall healthcare costs by
preventing any future illness.
D. Routine visits are primarily for building rapport between
parent and clinician.
Correct Answer
B
,Rationales
Correct: Regular visits allow close monitoring of rapid growth
and development in infancy, enable early screening and
detection of problems, and provide repeated opportunities for
anticipatory guidance.
A: Immunizations are important but scheduling is also driven by
growth and developmental needs, not solely vaccine timing.
C: Frequent visits can be cost-effective but reducing all future
illness is unrealistic and not the primary rationale.
D: Building rapport is a benefit but not the primary clinical
reason for the frequent infant schedule.
Teaching Point
Frequent infant visits enable timely growth monitoring,
developmental screening, and anticipatory guidance.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
2)
Reference
Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
Question Stem
A primary-care NP is designing a clinic program to lower lead
,exposure in a low-income neighborhood. Which activity best
represents primary prevention rather than primary care?
Options
A. Screening children for elevated blood lead levels during well
visits.
B. Educating landlords and families about lead paint removal
and safe housing policies.
C. Initiating chelation therapy for a child with a confirmed high
blood lead level.
D. Referring a child with neurodevelopmental delay to early
intervention.
Correct Answer
B
Rationales
Correct: Educating and changing environmental risks (lead paint
removal, housing policy) prevents exposure before harm — a
core primary prevention strategy.
A: Screening is primary care/public health surveillance, not
prevention of exposure itself.
C: Chelation is tertiary intervention for established poisoning,
not primary prevention.
D: Early intervention addresses consequences
(secondary/tertiary), not prevention of exposure.
Teaching Point
Primary prevention eliminates or reduces exposure risk before
disease occurs.
, 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
A 14-year-old with asthma needs routine follow-up but prefers
to see a clinician who can manage puberty-related questions.
Which primary-care provider is best suited to provide
comprehensive adolescent care including acute management,
chronic disease follow-up, and adolescent counseling?
Options
A. Family physician in a general adult clinic.
B. Pediatric nurse practitioner in primary-care pediatrics.
C. School counselor with mental health specialization.
D. Emergency department physician.
Correct Answer
B
Rationales
Correct: A pediatric NP in primary care is trained to manage
chronic conditions, adolescent development, preventive
counseling, and continuity of care across growth stages.
