,ULTIMATE NCLEX PREP FOR PEDIATRIC
PRIMARY CARE: 860 QUESTIONS FROM
BURNS’ 8TH EDITION
Unit 1 & 2: Pediatric Primary Care & Health Supervision
Unit / Section Content
1. Pediatric Primary Care - Primary Care vs Primary Prevention - Unique Issues in
Pediatrics - Caring for Children and Youth With Special Healthcare Needs - Additional
Resources 2. Global and National Influences on Child Health Status - COVID-19 and
Unit 1. Pediatric Global Health Status - Climate Change & Inequality - US Child Health Status -
Primary Care Advocacy 3. Environmental Influences on Pediatric Health - Principles of
Environmental Health - Epidemiologic Model & Risk - Additional Resources 4. Justice,
Equity, Inclusion, and Diversity - History of Racism in Healthcare - Adverse Childhood
Experiences - Health Equity: Current & Future - Additional Resources
5. Pediatric and Family Assessment - Pediatric & Family Assessment - Shared Decision
Unit 2. Pediatric Making - Additional Resources 6. Behavioral and Mental Health Promotion -
Health Foundations & Assessment - Management Strategies - Caregiving Challenges -
Supervision Additional Resources 7. Sexuality and Gender Identity - Patterns & Assessment -
Fostering Healthy Sexuality - Altering Factors - Additional Resources
Section 2A–2C: Growth, Development, Promotion & Protection
Section / Topic Content
8. Developmental Principles and Theories 9. Newborn & Neonate Development 10.
2A. Growth &
Infant Development 11. Early Childhood Development 12. Middle Childhood
Development
Development 13. Adolescent Development
2B. Health 14. Nutrition 15. Breastfeeding 16. Sleep 17. Elimination 18. Physical Activity and
Promotion Sports
2C. Health 19. Immunizations 20. Dental and Oral Health 21. Pediatric Injury Prevention 22.
Protection Child Maltreatment
Unit 3: Disease Management
,Section / Unit Content
3A. General 23. Prescribing Therapies 24. Pain and Fever Management 25. Injuries and Toxic
Management Exposure 26. Palliative Care
27. Congenital & Inherited Disorders 28. Neonatal Disorders 29. Neurodivergence &
Behavioral Health 30. Eye & Vision Disorders 31. Ear & Hearing Disorders 32.
Respiratory Disorders 33. Cardiovascular Disorders 34. Gastrointestinal Disorders 35.
3B. Disease
Infectious Diseases 36. Inflammatory Disorders 37. Dermatologic Disorders 38.
Management
Hematologic Disorders 39. Endocrine & Metabolic Disorders 40. Musculoskeletal
Disorders 41. Neurologic Disorders 42. Genitourinary Disorders 43. Gynecology and
Reproductive Health
,Unit 1 – Pediatric Primary Care
Based on Burns’ Pediatric Primary Care, 8th Edition (2025)
Definitions and Roles of Pediatric Primary Care (7 questions)
1. A 4-year-old comes for a well-child visit. The nurse
practitioner’s role includes all EXCEPT:
A. Providing anticipatory guidance on developmental
milestones
B. Diagnosing and managing acute otitis media
C. Performing complex orthopedic surgeries
D. Coordinating immunization schedules
Correct: C
Rationale: Primary care providers manage routine and
acute child health issues (A, B, D). Complex surgeries are
referred to specialists, not within primary care scope (C).
2. Which activity best exemplifies the population‐based role
of a pediatric primary care provider?
A. Counseling a teen about safe sex
B. Implementing a clinic-wide vaccination reminder system
C. Treating a toddler’s gastroenteritis
D. Adjusting insulin doses for a child with type 1 diabetes
Correct: B
Rationale: Population‐based care focuses on systems that
improve health across groups (B). A, C, and D are patient‐
level interventions.
,3. The cornerstone of the pediatric primary care medical
home is:
A. Episodic acute care
B. Family‐centered continuous relationships
C. Hospital‐based multidisciplinary teams
D. Solo provider practice without collaboration
Correct: B
Rationale: A medical home emphasizes continuous,
coordinated, family‐centered care (B). A, C, and D do not
capture that model.
4. When defining the role of pediatric primary care, the
phrase “first contact” refers to:
A. Referral initiation
B. First specialty evaluation
C. Initial point of entry into the healthcare system
D. Emergency department triage
Correct: C
Rationale: “First contact” means primary care is the entry
point for new health concerns (C), not referrals or ED
processes.
5. A primary care NP’s most important contribution to child
health is:
A. Laboratory interpretation
B. Preventive health and anticipatory guidance
C. Surgical intervention
D. Radiology ordering
, Correct: B
Rationale: Preventive care and guidance are foundational
to pediatric primary care (B); others are ancillary tasks.
6. In the context of pediatric primary care, “comprehensive
care” means:
A. Focusing solely on physical ailments
B. Integrating preventive, acute, and chronic needs
C. Alternating care between multiple specialists
D. Referring all psychosocial issues externally
Correct: B
Rationale: Comprehensive care addresses all health
domains (physical, psychosocial, preventive) in one setting
(B).
7. Which statement best describes the advocacy role of the
pediatric primary care provider?
A. Dispensing medications per protocol
B. Lobbying for extended school lunch programs to
improve child nutrition
C. Reading the latest journal articles
D. Scheduling routine well-child visits
Correct: B
Rationale: Advocacy involves promoting policies and
resources to improve child health (B). Others are routine
clinical tasks.
Primary Care vs. Primary Prevention (7 questions)
,8. Which scenario illustrates primary prevention in a
pediatric setting?
A. Administering MMR vaccine to an infant
B. Treating pneumonia with antibiotics
C. Prescribing inhaled steroids for asthma maintenance
D. Counseling on wound care after laceration
Correct: A
Rationale: Primary prevention prevents disease before it
occurs (vaccination) (A). B and C are tertiary/chronic
management; D is tertiary.
9. During a school screening, identifying elevated blood
pressure in a 15-year-old exemplifies:
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct: B
Rationale: Secondary prevention detects disease early
(screening) to intervene promptly (B).
10. A well-child visit that includes teaching parents how
to babyproof their home is an example of:
A. Primary care only
B. Primary prevention
C. Secondary prevention
D. Tertiary prevention
Correct: B
, Rationale: Babyproofing aims to prevent injuries before
they occur (B). Primary care is the setting, but the measure
is primary prevention.
11. Which activity is a tertiary prevention strategy in
pediatric care?
A. Fluoride varnish application
B. Newborn hearing screening
C. Rehabilitation therapies post-cerebral palsy diagnosis
D. Safety seat installation teaching
Correct: C
Rationale: Tertiary prevention minimizes disability after
disease occurrence (rehab) (C). A and D are primary; B is
secondary.
12. An NP implements a program to administer tetanus
boosters to all children entering a disaster zone. This is:
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
D. Health promotion unrelated to prevention
Correct: B
Rationale: Booster immunization prevents disease before
exposure (B).
13. Screening for developmental delays at 9 months is
an example of:
A. Primary prevention
B. Secondary prevention
, C. Tertiary prevention
D. Quaternary prevention
Correct: B
Rationale: Early detection of a condition to initiate
interventions is secondary prevention (B).
14. Comparing primary care and primary prevention,
which statement is TRUE?
A. All primary prevention occurs outside primary care
settings
B. Primary care focuses solely on sick visits
C. Primary prevention is a component of primary care
D. They are synonymous concepts
Correct: C
Rationale: Primary prevention (e.g., vaccines) is delivered
within primary care (C). Others are false.
Unique Developmental and Healthcare Needs of Pediatric
Patients (7 questions)
15. A 2-week-old infant presents with feeding
difficulties and weight loss. The most developmentally
appropriate first step is:
A. Prescribe a high-calorie formula
B. Refer to gastroenterology
C. Observe feeding technique and latch
D. Order a barium swallow
Correct: C
, Rationale: Evaluate breastfeeding mechanics first; infants
rely on proper latch for feeding (C). Other steps may
follow if technique is adequate.
16. When administering oral medication to a 4-year-old,
the NP should:
A. Mix with any beverage without parent consent
B. Use weight-based dosing and a calibrated syringe
C. Round dose to nearest adult tablet size
D. Assume prescribed adult dose is safe
Correct: B
Rationale: Pediatric dosing requires weight calculation and
precise delivery device (B). Others risk inaccuracy or harm.
17. In tailoring anticipatory guidance for toddlers, the
NP should emphasize:
A. Teen driver safety
B. Safe exploration and supervision
C. College preparation
D. Smoking cessation
Correct: B
Rationale: Toddlers need guidance on safe mobility and
supervision (B); others are developmentally premature.
18. A 6-year-old with recurrent otitis media is fearful of
ear drops. Using developmental principles, the NP
should:
A. Administer drops without explanation
B. Use medical play to demonstrate on a doll
PRIMARY CARE: 860 QUESTIONS FROM
BURNS’ 8TH EDITION
Unit 1 & 2: Pediatric Primary Care & Health Supervision
Unit / Section Content
1. Pediatric Primary Care - Primary Care vs Primary Prevention - Unique Issues in
Pediatrics - Caring for Children and Youth With Special Healthcare Needs - Additional
Resources 2. Global and National Influences on Child Health Status - COVID-19 and
Unit 1. Pediatric Global Health Status - Climate Change & Inequality - US Child Health Status -
Primary Care Advocacy 3. Environmental Influences on Pediatric Health - Principles of
Environmental Health - Epidemiologic Model & Risk - Additional Resources 4. Justice,
Equity, Inclusion, and Diversity - History of Racism in Healthcare - Adverse Childhood
Experiences - Health Equity: Current & Future - Additional Resources
5. Pediatric and Family Assessment - Pediatric & Family Assessment - Shared Decision
Unit 2. Pediatric Making - Additional Resources 6. Behavioral and Mental Health Promotion -
Health Foundations & Assessment - Management Strategies - Caregiving Challenges -
Supervision Additional Resources 7. Sexuality and Gender Identity - Patterns & Assessment -
Fostering Healthy Sexuality - Altering Factors - Additional Resources
Section 2A–2C: Growth, Development, Promotion & Protection
Section / Topic Content
8. Developmental Principles and Theories 9. Newborn & Neonate Development 10.
2A. Growth &
Infant Development 11. Early Childhood Development 12. Middle Childhood
Development
Development 13. Adolescent Development
2B. Health 14. Nutrition 15. Breastfeeding 16. Sleep 17. Elimination 18. Physical Activity and
Promotion Sports
2C. Health 19. Immunizations 20. Dental and Oral Health 21. Pediatric Injury Prevention 22.
Protection Child Maltreatment
Unit 3: Disease Management
,Section / Unit Content
3A. General 23. Prescribing Therapies 24. Pain and Fever Management 25. Injuries and Toxic
Management Exposure 26. Palliative Care
27. Congenital & Inherited Disorders 28. Neonatal Disorders 29. Neurodivergence &
Behavioral Health 30. Eye & Vision Disorders 31. Ear & Hearing Disorders 32.
Respiratory Disorders 33. Cardiovascular Disorders 34. Gastrointestinal Disorders 35.
3B. Disease
Infectious Diseases 36. Inflammatory Disorders 37. Dermatologic Disorders 38.
Management
Hematologic Disorders 39. Endocrine & Metabolic Disorders 40. Musculoskeletal
Disorders 41. Neurologic Disorders 42. Genitourinary Disorders 43. Gynecology and
Reproductive Health
,Unit 1 – Pediatric Primary Care
Based on Burns’ Pediatric Primary Care, 8th Edition (2025)
Definitions and Roles of Pediatric Primary Care (7 questions)
1. A 4-year-old comes for a well-child visit. The nurse
practitioner’s role includes all EXCEPT:
A. Providing anticipatory guidance on developmental
milestones
B. Diagnosing and managing acute otitis media
C. Performing complex orthopedic surgeries
D. Coordinating immunization schedules
Correct: C
Rationale: Primary care providers manage routine and
acute child health issues (A, B, D). Complex surgeries are
referred to specialists, not within primary care scope (C).
2. Which activity best exemplifies the population‐based role
of a pediatric primary care provider?
A. Counseling a teen about safe sex
B. Implementing a clinic-wide vaccination reminder system
C. Treating a toddler’s gastroenteritis
D. Adjusting insulin doses for a child with type 1 diabetes
Correct: B
Rationale: Population‐based care focuses on systems that
improve health across groups (B). A, C, and D are patient‐
level interventions.
,3. The cornerstone of the pediatric primary care medical
home is:
A. Episodic acute care
B. Family‐centered continuous relationships
C. Hospital‐based multidisciplinary teams
D. Solo provider practice without collaboration
Correct: B
Rationale: A medical home emphasizes continuous,
coordinated, family‐centered care (B). A, C, and D do not
capture that model.
4. When defining the role of pediatric primary care, the
phrase “first contact” refers to:
A. Referral initiation
B. First specialty evaluation
C. Initial point of entry into the healthcare system
D. Emergency department triage
Correct: C
Rationale: “First contact” means primary care is the entry
point for new health concerns (C), not referrals or ED
processes.
5. A primary care NP’s most important contribution to child
health is:
A. Laboratory interpretation
B. Preventive health and anticipatory guidance
C. Surgical intervention
D. Radiology ordering
, Correct: B
Rationale: Preventive care and guidance are foundational
to pediatric primary care (B); others are ancillary tasks.
6. In the context of pediatric primary care, “comprehensive
care” means:
A. Focusing solely on physical ailments
B. Integrating preventive, acute, and chronic needs
C. Alternating care between multiple specialists
D. Referring all psychosocial issues externally
Correct: B
Rationale: Comprehensive care addresses all health
domains (physical, psychosocial, preventive) in one setting
(B).
7. Which statement best describes the advocacy role of the
pediatric primary care provider?
A. Dispensing medications per protocol
B. Lobbying for extended school lunch programs to
improve child nutrition
C. Reading the latest journal articles
D. Scheduling routine well-child visits
Correct: B
Rationale: Advocacy involves promoting policies and
resources to improve child health (B). Others are routine
clinical tasks.
Primary Care vs. Primary Prevention (7 questions)
,8. Which scenario illustrates primary prevention in a
pediatric setting?
A. Administering MMR vaccine to an infant
B. Treating pneumonia with antibiotics
C. Prescribing inhaled steroids for asthma maintenance
D. Counseling on wound care after laceration
Correct: A
Rationale: Primary prevention prevents disease before it
occurs (vaccination) (A). B and C are tertiary/chronic
management; D is tertiary.
9. During a school screening, identifying elevated blood
pressure in a 15-year-old exemplifies:
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct: B
Rationale: Secondary prevention detects disease early
(screening) to intervene promptly (B).
10. A well-child visit that includes teaching parents how
to babyproof their home is an example of:
A. Primary care only
B. Primary prevention
C. Secondary prevention
D. Tertiary prevention
Correct: B
, Rationale: Babyproofing aims to prevent injuries before
they occur (B). Primary care is the setting, but the measure
is primary prevention.
11. Which activity is a tertiary prevention strategy in
pediatric care?
A. Fluoride varnish application
B. Newborn hearing screening
C. Rehabilitation therapies post-cerebral palsy diagnosis
D. Safety seat installation teaching
Correct: C
Rationale: Tertiary prevention minimizes disability after
disease occurrence (rehab) (C). A and D are primary; B is
secondary.
12. An NP implements a program to administer tetanus
boosters to all children entering a disaster zone. This is:
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
D. Health promotion unrelated to prevention
Correct: B
Rationale: Booster immunization prevents disease before
exposure (B).
13. Screening for developmental delays at 9 months is
an example of:
A. Primary prevention
B. Secondary prevention
, C. Tertiary prevention
D. Quaternary prevention
Correct: B
Rationale: Early detection of a condition to initiate
interventions is secondary prevention (B).
14. Comparing primary care and primary prevention,
which statement is TRUE?
A. All primary prevention occurs outside primary care
settings
B. Primary care focuses solely on sick visits
C. Primary prevention is a component of primary care
D. They are synonymous concepts
Correct: C
Rationale: Primary prevention (e.g., vaccines) is delivered
within primary care (C). Others are false.
Unique Developmental and Healthcare Needs of Pediatric
Patients (7 questions)
15. A 2-week-old infant presents with feeding
difficulties and weight loss. The most developmentally
appropriate first step is:
A. Prescribe a high-calorie formula
B. Refer to gastroenterology
C. Observe feeding technique and latch
D. Order a barium swallow
Correct: C
, Rationale: Evaluate breastfeeding mechanics first; infants
rely on proper latch for feeding (C). Other steps may
follow if technique is adequate.
16. When administering oral medication to a 4-year-old,
the NP should:
A. Mix with any beverage without parent consent
B. Use weight-based dosing and a calibrated syringe
C. Round dose to nearest adult tablet size
D. Assume prescribed adult dose is safe
Correct: B
Rationale: Pediatric dosing requires weight calculation and
precise delivery device (B). Others risk inaccuracy or harm.
17. In tailoring anticipatory guidance for toddlers, the
NP should emphasize:
A. Teen driver safety
B. Safe exploration and supervision
C. College preparation
D. Smoking cessation
Correct: B
Rationale: Toddlers need guidance on safe mobility and
supervision (B); others are developmentally premature.
18. A 6-year-old with recurrent otitis media is fearful of
ear drops. Using developmental principles, the NP
should:
A. Administer drops without explanation
B. Use medical play to demonstrate on a doll
