Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Chapter 1: Pediatric Primary Care
Chapter 1 – Primary Care versus Primary Prevention
Key concept: Distinguish primary care activities from primary
prevention.
Stem: At a 2-week well-newborn visit the nurse performs a
hearing screen, reviews safe-sleep guidance with parents,
administers the first hepatitis-B vaccine, and orders newborn
metabolic screening results to be confirmed. Which action best
exemplifies primary prevention?
A. Ordering newborn metabolic screening.
B. Administering the first dose of hepatitis-B vaccine.
C. Conducting the newborn hearing screen.
D. Confirming the newborn metabolic screening laboratory
results.
Correct answer: B
,Rationale (correct): Administering a vaccine to prevent future
disease is a classic example of primary prevention —
intervening before disease occurs. Burns emphasizes
immunization and anticipatory guidance as central primary-
prevention tasks in pediatric primary care. Google Books
Distractor explanations:
A. Newborn metabolic screening is secondary prevention (early
detection) rather than primary prevention.
C. Hearing screening is an early detection/screening activity —
secondary prevention.
D. Confirming screening results is part of diagnostic follow-up,
not primary prevention.
Teaching point: Vaccination is a primary-prevention
intervention to stop disease before it starts.
2)
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care, Scope
& Alignment.
Key concept: The medical home model and care coordination
role of primary care.
Stem: A family of a 7-year-old with asthma asks the nurse how
their primary care clinic will help coordinate specialist care,
school action plans, and community resources. Which nurse
action best reflects the medical-home role?
A. Give a list of local pulmonologists and let the family call for
,appointments.
B. Schedule the specialist referral, create a written care plan,
and contact the school nurse to arrange an action plan.
C. Advise the family to take the child to the emergency
department if symptoms worsen.
D. Recommend online forums for families with pediatric
asthma.
Correct answer: B
Rationale (correct): The medical home provides accessible,
continuous, comprehensive, family-centered care—including
care coordination, written plans, and school communication to
support the child. Burns describes scope and alignment of
primary care to include care coordination for chronic
conditions. AAP medical-home guidance supports proactive
coordination. Google Books+1
Distractor explanations:
A. Providing names alone lacks the proactive coordination
expected in a medical home.
C. ED care is appropriate for acute deterioration but not a
substitute for medical-home coordination.
D. Online forums may be supportive but do not fulfill clinical
coordination responsibilities.
Teaching point: The medical home coordinates care, provides
written plans, and links families to school and community
supports.
, 3)
Chapter & Subtopic: Chapter 2 – Unique Issues in Pediatrics,
Growth & Development Measurement.
Key concept: Use age-appropriate growth measures (weight-
for-length vs BMI-for-age).
Stem: A 6-month-old infant is brought for a well visit. Which
anthropometric measure is most appropriate to evaluate
growth and compare to standards at this age?
A. Body mass index (BMI) for age.
B. Weight-for-length percentile.
C. Height-for-age Z-score.
D. Waist circumference percentile.
Correct answer: B
Rationale (correct): For infants under 2 years, weight-for-length
is the recommended measure to assess growth and nutrition;
BMI is used beginning at 2 years. Burns highlights the correct
use of growth charts by age. Google Books
Distractor explanations:
A. BMI is not valid for children under 2 years.
C. Height (length)-for-age is important but weight-for-length
better detects wasting/overweight in infants.
D. Waist circumference is not routinely used in infants.
Teaching point: Use weight-for-length for growth assessment in
children under 2 years.
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Chapter 1: Pediatric Primary Care
Chapter 1 – Primary Care versus Primary Prevention
Key concept: Distinguish primary care activities from primary
prevention.
Stem: At a 2-week well-newborn visit the nurse performs a
hearing screen, reviews safe-sleep guidance with parents,
administers the first hepatitis-B vaccine, and orders newborn
metabolic screening results to be confirmed. Which action best
exemplifies primary prevention?
A. Ordering newborn metabolic screening.
B. Administering the first dose of hepatitis-B vaccine.
C. Conducting the newborn hearing screen.
D. Confirming the newborn metabolic screening laboratory
results.
Correct answer: B
,Rationale (correct): Administering a vaccine to prevent future
disease is a classic example of primary prevention —
intervening before disease occurs. Burns emphasizes
immunization and anticipatory guidance as central primary-
prevention tasks in pediatric primary care. Google Books
Distractor explanations:
A. Newborn metabolic screening is secondary prevention (early
detection) rather than primary prevention.
C. Hearing screening is an early detection/screening activity —
secondary prevention.
D. Confirming screening results is part of diagnostic follow-up,
not primary prevention.
Teaching point: Vaccination is a primary-prevention
intervention to stop disease before it starts.
2)
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care, Scope
& Alignment.
Key concept: The medical home model and care coordination
role of primary care.
Stem: A family of a 7-year-old with asthma asks the nurse how
their primary care clinic will help coordinate specialist care,
school action plans, and community resources. Which nurse
action best reflects the medical-home role?
A. Give a list of local pulmonologists and let the family call for
,appointments.
B. Schedule the specialist referral, create a written care plan,
and contact the school nurse to arrange an action plan.
C. Advise the family to take the child to the emergency
department if symptoms worsen.
D. Recommend online forums for families with pediatric
asthma.
Correct answer: B
Rationale (correct): The medical home provides accessible,
continuous, comprehensive, family-centered care—including
care coordination, written plans, and school communication to
support the child. Burns describes scope and alignment of
primary care to include care coordination for chronic
conditions. AAP medical-home guidance supports proactive
coordination. Google Books+1
Distractor explanations:
A. Providing names alone lacks the proactive coordination
expected in a medical home.
C. ED care is appropriate for acute deterioration but not a
substitute for medical-home coordination.
D. Online forums may be supportive but do not fulfill clinical
coordination responsibilities.
Teaching point: The medical home coordinates care, provides
written plans, and links families to school and community
supports.
, 3)
Chapter & Subtopic: Chapter 2 – Unique Issues in Pediatrics,
Growth & Development Measurement.
Key concept: Use age-appropriate growth measures (weight-
for-length vs BMI-for-age).
Stem: A 6-month-old infant is brought for a well visit. Which
anthropometric measure is most appropriate to evaluate
growth and compare to standards at this age?
A. Body mass index (BMI) for age.
B. Weight-for-length percentile.
C. Height-for-age Z-score.
D. Waist circumference percentile.
Correct answer: B
Rationale (correct): For infants under 2 years, weight-for-length
is the recommended measure to assess growth and nutrition;
BMI is used beginning at 2 years. Burns highlights the correct
use of growth charts by age. Google Books
Distractor explanations:
A. BMI is not valid for children under 2 years.
C. Height (length)-for-age is important but weight-for-length
better detects wasting/overweight in infants.
D. Waist circumference is not routinely used in infants.
Teaching point: Use weight-for-length for growth assessment in
children under 2 years.
