Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
Question Stem
A 2-month well-child visit reveals that the caregiver has limited
knowledge about safe sleep and immunization timing. Which
primary-care action best represents primary prevention in this
visit?
Options
A. Arrange a referral to pediatric neurology for future
development concerns.
B. Teach the caregiver safe-sleep practices and provide the
recommended immunization plan.
C. Document current developmental screening scores for later
comparison.
D. Order diagnostic testing to rule out occult infection.
Correct Answer
B
Rationales
, • Correct (B): Teaching safe-sleep practices and providing
the immunization plan are proactive actions that reduce
risk and prevent disease—core primary-prevention
activities in pediatric primary care.
• A: Referral to neurology is a specialty referral and not a
primary-prevention measure unless there is a specific
concern.
• C: Documentation is important but passive; it supports
surveillance rather than actively preventing illness or
injury.
• D: Ordering diagnostic tests addresses an existing clinical
concern rather than preventing future disease.
Teaching Point
Primary prevention in primary care emphasizes anticipatory
guidance and risk-reducing interventions.
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 9-year-old with asthma needs ongoing management. Which
statement best reflects an evidence-based role of pediatric
primary care providers (PCPs) for this child?
Options
A. PCPs primarily diagnose and then transfer all ongoing asthma
management to specialists.
B. PCPs coordinate long-term care, provide education, and
manage routine adjustments in therapy.
C. PCPs only provide episodic acute care and do not manage
chronic conditions.
D. PCPs should defer all medication decisions to school nurses.
Correct Answer
B
Rationales
• Correct (B): PCPs establish longitudinal relationships,
coordinate care, educate families, and manage chronic
conditions such as asthma, including routine therapy
adjustments.
• A: Transferring all management to specialists ignores the
PCP’s central role in longitudinal chronic disease care.
• C: PCPs provide both episodic and longitudinal care,
including chronic disease management.
• D: School nurses support care but do not replace PCP
responsibility for medication management decisions.
, Teaching Point
Primary care providers coordinate and manage common
chronic pediatric conditions longitudinally.
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
A 15-year-old requests confidential counseling about
contraception at a primary-care visit while a parent waits
outside. What is the most appropriate primary-care response?
Options
A. Insist the parent join the visit for any discussion about
reproductive health.
B. Provide confidential counseling consistent with adolescent
confidentiality policies.
C. Refuse services and request the adolescent make an
appointment with a specialist.
D. Only provide information after written parental consent is
obtained.
Correct Answer
B
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
Question Stem
A 2-month well-child visit reveals that the caregiver has limited
knowledge about safe sleep and immunization timing. Which
primary-care action best represents primary prevention in this
visit?
Options
A. Arrange a referral to pediatric neurology for future
development concerns.
B. Teach the caregiver safe-sleep practices and provide the
recommended immunization plan.
C. Document current developmental screening scores for later
comparison.
D. Order diagnostic testing to rule out occult infection.
Correct Answer
B
Rationales
, • Correct (B): Teaching safe-sleep practices and providing
the immunization plan are proactive actions that reduce
risk and prevent disease—core primary-prevention
activities in pediatric primary care.
• A: Referral to neurology is a specialty referral and not a
primary-prevention measure unless there is a specific
concern.
• C: Documentation is important but passive; it supports
surveillance rather than actively preventing illness or
injury.
• D: Ordering diagnostic tests addresses an existing clinical
concern rather than preventing future disease.
Teaching Point
Primary prevention in primary care emphasizes anticipatory
guidance and risk-reducing interventions.
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 9-year-old with asthma needs ongoing management. Which
statement best reflects an evidence-based role of pediatric
primary care providers (PCPs) for this child?
Options
A. PCPs primarily diagnose and then transfer all ongoing asthma
management to specialists.
B. PCPs coordinate long-term care, provide education, and
manage routine adjustments in therapy.
C. PCPs only provide episodic acute care and do not manage
chronic conditions.
D. PCPs should defer all medication decisions to school nurses.
Correct Answer
B
Rationales
• Correct (B): PCPs establish longitudinal relationships,
coordinate care, educate families, and manage chronic
conditions such as asthma, including routine therapy
adjustments.
• A: Transferring all management to specialists ignores the
PCP’s central role in longitudinal chronic disease care.
• C: PCPs provide both episodic and longitudinal care,
including chronic disease management.
• D: School nurses support care but do not replace PCP
responsibility for medication management decisions.
, Teaching Point
Primary care providers coordinate and manage common
chronic pediatric conditions longitudinally.
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
A 15-year-old requests confidential counseling about
contraception at a primary-care visit while a parent waits
outside. What is the most appropriate primary-care response?
Options
A. Insist the parent join the visit for any discussion about
reproductive health.
B. Provide confidential counseling consistent with adolescent
confidentiality policies.
C. Refuse services and request the adolescent make an
appointment with a specialist.
D. Only provide information after written parental consent is
obtained.
Correct Answer
B
