Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Chapter 1: Pediatric Primary Care
1) Chapter 1 – Primary Care versus Primary Prevention (Key
concept: Primary prevention)
Stem: A 2-month-old infant comes for a well-child visit. The
nurse-practitioner provides immunizations, instructs parents on
safe-sleep positioning, and discusses car-seat placement. Which
action best represents primary prevention?
A. Identifying a feeding problem and referring to a feeding
specialist.
B. Administering recommended immunizations at the visit.
C. Scheduling laboratory testing for suspected metabolic
disorder.
D. Counseling a parent about strategies to improve a child’s
school performance.
Correct answer: B
,Rationale (correct): Administering age-appropriate
immunizations prevents disease before it occurs, which is the
definition of primary prevention. This aligns with Burns’
emphasis on anticipatory guidance and immunization as core
primary care interventions. Google Books
Why the distractors are wrong:
A. Referral addresses an existing problem (secondary/tertiary
intervention), not primary prevention.
C. Diagnostic testing is for evaluation of suspected disease —
not prevention.
D. School performance counseling is important but addresses
existing or emerging concerns (not the classic primary
prevention immunization example).
Teaching Point: Primary prevention prevents disease before
onset (e.g., immunizations, safety counseling).
2) Chapter 1 – Primary Care versus Primary Prevention (Key
concept: Anticipatory guidance)
Stem: During a 15-month well visit the nurse teaches parents
about choking hazards and poison prevention. Which nursing
action best demonstrates effective anticipatory guidance?
A. Providing a standard printed handout without discussion.
B. Demonstrating safe toy selection and having parents return-
demonstrate.
,C. Telling parents to call 911 if anything happens.
D. Scheduling an additional visit in 6 months to reassess.
Correct answer: B
Rationale (correct): Anticipatory guidance is most effective
when individualized, interactive, and includes teach-back or
return demonstration to confirm parental understanding, as
described in Burns’ section on anticipatory guidance in primary
care. Google Books
Why the distractors are wrong:
A. A handout alone is passive and less effective than interactive
teaching.
C. Telling parents to call emergency services is incomplete
without prevention instruction and skill confirmation.
D. Delaying reassessment misses the immediate opportunity to
prevent harm now.
Teaching Point: Use interactive, developmentally appropriate
teach-back for anticipatory guidance.
3) Chapter 1 – Primary Care versus Primary Prevention (Key
concept: Immunization counseling & shared decision-making)
Stem: A parent expresses concern about vaccine safety and asks
the nurse for guidance. Which approach best supports
evidence-based counseling in primary care?
A. Dismiss concerns and insist vaccines are mandatory.
B. Provide empathetic listening, correct misinformation, and
, offer CDC/AAP resources.
C. Recommend delaying all vaccines until age 2.
D. Refer the family immediately to infectious disease.
Correct answer: B
Rationale (correct): Effective vaccine counseling uses
empathetic communication, addresses misinformation, and
provides authoritative resources (CDC/AAP); Burns highlights
the nurse’s role in education and shared decision-making in
preventive care. Google Books+1
Why the distractors are wrong:
A. Dismissing concerns undermines trust and is ineffective.
C. Delaying vaccines increases risk of preventable disease and is
not evidence-based.
D. Referral to subspecialty is unnecessary for routine vaccine
counseling and may delay care.
Teaching Point: Address vaccine concerns with empathy +
evidence; provide authoritative resources.
4) Chapter 1 – Primary Care versus Primary Prevention (Key
concept: Screening in primary care)
Stem: A school-age child presents for a well visit. Which
screening activity is primary care and primarily preventive
rather than diagnostic?
A. Performing a vision screening to detect refractive errors.
B. Ordering a CT scan for headaches.
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Chapter 1: Pediatric Primary Care
1) Chapter 1 – Primary Care versus Primary Prevention (Key
concept: Primary prevention)
Stem: A 2-month-old infant comes for a well-child visit. The
nurse-practitioner provides immunizations, instructs parents on
safe-sleep positioning, and discusses car-seat placement. Which
action best represents primary prevention?
A. Identifying a feeding problem and referring to a feeding
specialist.
B. Administering recommended immunizations at the visit.
C. Scheduling laboratory testing for suspected metabolic
disorder.
D. Counseling a parent about strategies to improve a child’s
school performance.
Correct answer: B
,Rationale (correct): Administering age-appropriate
immunizations prevents disease before it occurs, which is the
definition of primary prevention. This aligns with Burns’
emphasis on anticipatory guidance and immunization as core
primary care interventions. Google Books
Why the distractors are wrong:
A. Referral addresses an existing problem (secondary/tertiary
intervention), not primary prevention.
C. Diagnostic testing is for evaluation of suspected disease —
not prevention.
D. School performance counseling is important but addresses
existing or emerging concerns (not the classic primary
prevention immunization example).
Teaching Point: Primary prevention prevents disease before
onset (e.g., immunizations, safety counseling).
2) Chapter 1 – Primary Care versus Primary Prevention (Key
concept: Anticipatory guidance)
Stem: During a 15-month well visit the nurse teaches parents
about choking hazards and poison prevention. Which nursing
action best demonstrates effective anticipatory guidance?
A. Providing a standard printed handout without discussion.
B. Demonstrating safe toy selection and having parents return-
demonstrate.
,C. Telling parents to call 911 if anything happens.
D. Scheduling an additional visit in 6 months to reassess.
Correct answer: B
Rationale (correct): Anticipatory guidance is most effective
when individualized, interactive, and includes teach-back or
return demonstration to confirm parental understanding, as
described in Burns’ section on anticipatory guidance in primary
care. Google Books
Why the distractors are wrong:
A. A handout alone is passive and less effective than interactive
teaching.
C. Telling parents to call emergency services is incomplete
without prevention instruction and skill confirmation.
D. Delaying reassessment misses the immediate opportunity to
prevent harm now.
Teaching Point: Use interactive, developmentally appropriate
teach-back for anticipatory guidance.
3) Chapter 1 – Primary Care versus Primary Prevention (Key
concept: Immunization counseling & shared decision-making)
Stem: A parent expresses concern about vaccine safety and asks
the nurse for guidance. Which approach best supports
evidence-based counseling in primary care?
A. Dismiss concerns and insist vaccines are mandatory.
B. Provide empathetic listening, correct misinformation, and
, offer CDC/AAP resources.
C. Recommend delaying all vaccines until age 2.
D. Refer the family immediately to infectious disease.
Correct answer: B
Rationale (correct): Effective vaccine counseling uses
empathetic communication, addresses misinformation, and
provides authoritative resources (CDC/AAP); Burns highlights
the nurse’s role in education and shared decision-making in
preventive care. Google Books+1
Why the distractors are wrong:
A. Dismissing concerns undermines trust and is ineffective.
C. Delaying vaccines increases risk of preventable disease and is
not evidence-based.
D. Referral to subspecialty is unnecessary for routine vaccine
counseling and may delay care.
Teaching Point: Address vaccine concerns with empathy +
evidence; provide authoritative resources.
4) Chapter 1 – Primary Care versus Primary Prevention (Key
concept: Screening in primary care)
Stem: A school-age child presents for a well visit. Which
screening activity is primary care and primarily preventive
rather than diagnostic?
A. Performing a vision screening to detect refractive errors.
B. Ordering a CT scan for headaches.
