Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Ch. 1 — Pediatric Primary Care. Elsevier Health Inspection
Copies
Question Stem
A 6-week-old infant arrives for a well-child visit. The parent asks
how primary care differs from primary prevention. Which
explanation best differentiates primary care from primary
prevention in pediatric practice?
A. Primary care focuses on diagnosing disease early; primary
prevention focuses on treating chronic disease.
B. Primary care provides continuous, comprehensive healthcare
for the child and family; primary prevention specifically aims to
prevent disease before it occurs.
C. Primary care occurs only in hospitals; primary prevention
happens only in community settings.
D. Primary care is limited to immunizations; primary prevention
involves only health education.
Correct Answer
B
,Rationales
Correct: Primary care is the continuous, comprehensive care of
the child and family across settings; primary prevention (e.g.,
immunizations, anticipatory guidance) specifically aims to
prevent disease.
A: Incorrect — diagnosing disease early is secondary
prevention, not the distinguishing feature.
C: Incorrect — both primary care and primary prevention occur
across settings (clinic, community, home).
D: Incorrect — primary care includes immunizations and
broader services; primary prevention includes but is not limited
to education.
Teaching Point
Primary care = continuous comprehensive care; primary
prevention = actions to prevent disease.
Citation (APA)
Burns, C. E. (2024). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
2
Reference
Ch. 1 — Primary Care Versus Primary Prevention. Elsevier
Health Inspection Copies
Question Stem
During a 15-month visit, a parent reports frequent falls and a
,sibling’s recent pertussis. The clinician plans both anticipatory
guidance and immunization review. Which action best
represents primary prevention in this visit?
A. Teach how to use a car seat correctly for toddler safety.
B. Begin pertussis antibiotic therapy immediately.
C. Evaluate for developmental delay because of frequent falls.
D. Order a pertussis culture for the sibling.
Correct Answer
A
Rationales
Correct: Teaching car seat safety prevents injury — a classic
primary prevention strategy.
B: Incorrect — starting antibiotics for a symptomatic illness or
exposure is treatment/secondary prevention, not primary
prevention.
C: Incorrect — evaluation for delay is
assessment/secondary/diagnostic activity.
D: Incorrect — testing the sibling is diagnostic/secondary
prevention, not primary prevention for the patient.
Teaching Point
Anticipatory guidance (e.g., car seat use) is a core primary
prevention strategy.
Citation (APA)
Burns, C. E. (2024). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
, 3
Reference
Ch. 1 — Pediatric Primary Care Providers. Elsevier Health
Inspection Copies
Question Stem
A clinic is redesigning care teams to improve access. Which
staffing strategy best reflects the multidisciplinary nature of
pediatric primary care?
A. Assigning only pediatricians to all well-child visits to ensure
expertise.
B. Using a team of nurse practitioners, physicians, behavioral
health specialists, and social workers working collaboratively.
C. Replacing nurse practitioners with administrative staff to
reduce cost.
D. Referring all psychosocial concerns to outside specialty clinics
without integrated support.
Correct Answer
B
Rationales
Correct: Pediatric primary care is multidisciplinary; collaborative
teams including NP/MD, behavioral health, and social work
improve comprehensive care.
A: Incorrect — exclusive physician-only care ignores roles of NPs
and allied professionals in access and scope.
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Ch. 1 — Pediatric Primary Care. Elsevier Health Inspection
Copies
Question Stem
A 6-week-old infant arrives for a well-child visit. The parent asks
how primary care differs from primary prevention. Which
explanation best differentiates primary care from primary
prevention in pediatric practice?
A. Primary care focuses on diagnosing disease early; primary
prevention focuses on treating chronic disease.
B. Primary care provides continuous, comprehensive healthcare
for the child and family; primary prevention specifically aims to
prevent disease before it occurs.
C. Primary care occurs only in hospitals; primary prevention
happens only in community settings.
D. Primary care is limited to immunizations; primary prevention
involves only health education.
Correct Answer
B
,Rationales
Correct: Primary care is the continuous, comprehensive care of
the child and family across settings; primary prevention (e.g.,
immunizations, anticipatory guidance) specifically aims to
prevent disease.
A: Incorrect — diagnosing disease early is secondary
prevention, not the distinguishing feature.
C: Incorrect — both primary care and primary prevention occur
across settings (clinic, community, home).
D: Incorrect — primary care includes immunizations and
broader services; primary prevention includes but is not limited
to education.
Teaching Point
Primary care = continuous comprehensive care; primary
prevention = actions to prevent disease.
Citation (APA)
Burns, C. E. (2024). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
2
Reference
Ch. 1 — Primary Care Versus Primary Prevention. Elsevier
Health Inspection Copies
Question Stem
During a 15-month visit, a parent reports frequent falls and a
,sibling’s recent pertussis. The clinician plans both anticipatory
guidance and immunization review. Which action best
represents primary prevention in this visit?
A. Teach how to use a car seat correctly for toddler safety.
B. Begin pertussis antibiotic therapy immediately.
C. Evaluate for developmental delay because of frequent falls.
D. Order a pertussis culture for the sibling.
Correct Answer
A
Rationales
Correct: Teaching car seat safety prevents injury — a classic
primary prevention strategy.
B: Incorrect — starting antibiotics for a symptomatic illness or
exposure is treatment/secondary prevention, not primary
prevention.
C: Incorrect — evaluation for delay is
assessment/secondary/diagnostic activity.
D: Incorrect — testing the sibling is diagnostic/secondary
prevention, not primary prevention for the patient.
Teaching Point
Anticipatory guidance (e.g., car seat use) is a core primary
prevention strategy.
Citation (APA)
Burns, C. E. (2024). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
, 3
Reference
Ch. 1 — Pediatric Primary Care Providers. Elsevier Health
Inspection Copies
Question Stem
A clinic is redesigning care teams to improve access. Which
staffing strategy best reflects the multidisciplinary nature of
pediatric primary care?
A. Assigning only pediatricians to all well-child visits to ensure
expertise.
B. Using a team of nurse practitioners, physicians, behavioral
health specialists, and social workers working collaboratively.
C. Replacing nurse practitioners with administrative staff to
reduce cost.
D. Referring all psychosocial concerns to outside specialty clinics
without integrated support.
Correct Answer
B
Rationales
Correct: Pediatric primary care is multidisciplinary; collaborative
teams including NP/MD, behavioral health, and social work
improve comprehensive care.
A: Incorrect — exclusive physician-only care ignores roles of NPs
and allied professionals in access and scope.
