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: Social determinants & population health
Stem: A 6-year-old child from a low-income neighborhood
presents for a well visit. The parent reports missed school due
to recurrent asthma exacerbations and difficulty accessing
medications. As the pediatric nurse, which plan is the most
appropriate first action to address this child’s health needs?
A. Provide a written asthma action plan and discharge the
family with prescriptions.
B. Screen for social determinants of health and connect family
to community resources and medication assistance.
C. Schedule specialist pulmonary referral without making
community referrals.
D. Advise the parent to avoid triggers and return in 6 months for
follow-up.
Correct answer: B
,Rationale (correct): Screening for social determinants and
linking to community/medication support addresses root
causes of poor control and improves access—an essential
population-health approach emphasized in Burns’ chapter on
health status and disparities. Barnes & Noble
Distractors:
A. Written plans are useful but insufficient if families cannot
access meds; access must be addressed first.
C. Specialist referral may be needed but does not remove
barriers to medications or school support.
D. “Avoid triggers” alone is inadequate and delaying follow-up
risks worsening control.
Teaching point: Identify and address social barriers to care
before relying solely on clinical prescriptions.
2) Chapter 2 – Unique Issues in Pediatrics
Key concept: Family-centered care & developmental differences
Stem: A 4-year-old with new chronic illness is anxious and
refuses exam. The parent asks you to “deal with” the child.
Which nursing approach best supports family-centered,
developmentally appropriate care?
A. Restrain the child briefly to complete the exam.
B. Ask the parent to leave so the child calms alone.
C. Use play-based preparation and enlist the parent to comfort
and assist.
D. Tell the child they must cooperate or they will not get a treat.
,Correct answer: C
Rationale (correct): Burns emphasizes developmentally
appropriate, family-centered strategies—using play, parental
presence, and preparation reduces anxiety and improves
cooperation. Barnes & Noble
Distractors:
A. Restraint undermines trust and should be avoided unless
emergent and ethically justified.
B. Removing the parent may increase distress in a preschooler
who needs parental support.
D. Threats/coercion are developmentally inappropriate and
harm therapeutic relationship.
Teaching point: Use play and parental support to perform
exams in young children.
3) Chapter 14 – Introduction to Health Promotion and Health
Protection for Children and Families
Key concept: Primary prevention vs primary care (health
supervision)
Stem: Which statement best differentiates primary prevention
from primary care in pediatric practice?
A. Primary prevention treats acute illnesses; primary care
prevents disease.
B. Primary prevention reduces disease risk before it occurs;
primary care provides ongoing comprehensive care including
, prevention and illness management.
C. Primary prevention occurs only in public health clinics;
primary care occurs only in physician offices.
D. Primary prevention focuses on specialty referrals; primary
care focuses on immunizations only.
Correct answer: B
Rationale (correct): Primary prevention (e.g., immunizations,
injury prevention) aims to reduce risk before disease onset;
primary care encompasses longitudinal, comprehensive
services including prevention, assessment, and management.
This distinction aligns with Burns’ health promotion chapter and
Bright Futures framework. Barnes & Noble+1
Distractors:
A. Incorrect directionality—prevention prevents, primary care
does both prevention and treatment.
C. Setting-based distinction is false—both occur across settings.
D. Overly narrow and incorrect descriptions.
Teaching point: Primary prevention reduces risk before disease;
primary care is longitudinal, comprehensive care.
4) Chapter 14 – Introduction to Health Promotion and Health
Protection for Children and Families
Key concept: Anticipatory guidance (Bright Futures)
Stem: At a 9-month well visit, which anticipatory guidance topic
is most appropriate to prioritize for injury prevention?
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Chapter 1: Pediatric Primary Care
Chapter 1 – Primary Care versus Primary Prevention
Key concept: Social determinants & population health
Stem: A 6-year-old child from a low-income neighborhood
presents for a well visit. The parent reports missed school due
to recurrent asthma exacerbations and difficulty accessing
medications. As the pediatric nurse, which plan is the most
appropriate first action to address this child’s health needs?
A. Provide a written asthma action plan and discharge the
family with prescriptions.
B. Screen for social determinants of health and connect family
to community resources and medication assistance.
C. Schedule specialist pulmonary referral without making
community referrals.
D. Advise the parent to avoid triggers and return in 6 months for
follow-up.
Correct answer: B
,Rationale (correct): Screening for social determinants and
linking to community/medication support addresses root
causes of poor control and improves access—an essential
population-health approach emphasized in Burns’ chapter on
health status and disparities. Barnes & Noble
Distractors:
A. Written plans are useful but insufficient if families cannot
access meds; access must be addressed first.
C. Specialist referral may be needed but does not remove
barriers to medications or school support.
D. “Avoid triggers” alone is inadequate and delaying follow-up
risks worsening control.
Teaching point: Identify and address social barriers to care
before relying solely on clinical prescriptions.
2) Chapter 2 – Unique Issues in Pediatrics
Key concept: Family-centered care & developmental differences
Stem: A 4-year-old with new chronic illness is anxious and
refuses exam. The parent asks you to “deal with” the child.
Which nursing approach best supports family-centered,
developmentally appropriate care?
A. Restrain the child briefly to complete the exam.
B. Ask the parent to leave so the child calms alone.
C. Use play-based preparation and enlist the parent to comfort
and assist.
D. Tell the child they must cooperate or they will not get a treat.
,Correct answer: C
Rationale (correct): Burns emphasizes developmentally
appropriate, family-centered strategies—using play, parental
presence, and preparation reduces anxiety and improves
cooperation. Barnes & Noble
Distractors:
A. Restraint undermines trust and should be avoided unless
emergent and ethically justified.
B. Removing the parent may increase distress in a preschooler
who needs parental support.
D. Threats/coercion are developmentally inappropriate and
harm therapeutic relationship.
Teaching point: Use play and parental support to perform
exams in young children.
3) Chapter 14 – Introduction to Health Promotion and Health
Protection for Children and Families
Key concept: Primary prevention vs primary care (health
supervision)
Stem: Which statement best differentiates primary prevention
from primary care in pediatric practice?
A. Primary prevention treats acute illnesses; primary care
prevents disease.
B. Primary prevention reduces disease risk before it occurs;
primary care provides ongoing comprehensive care including
, prevention and illness management.
C. Primary prevention occurs only in public health clinics;
primary care occurs only in physician offices.
D. Primary prevention focuses on specialty referrals; primary
care focuses on immunizations only.
Correct answer: B
Rationale (correct): Primary prevention (e.g., immunizations,
injury prevention) aims to reduce risk before disease onset;
primary care encompasses longitudinal, comprehensive
services including prevention, assessment, and management.
This distinction aligns with Burns’ health promotion chapter and
Bright Futures framework. Barnes & Noble+1
Distractors:
A. Incorrect directionality—prevention prevents, primary care
does both prevention and treatment.
C. Setting-based distinction is false—both occur across settings.
D. Overly narrow and incorrect descriptions.
Teaching point: Primary prevention reduces risk before disease;
primary care is longitudinal, comprehensive care.
4) Chapter 14 – Introduction to Health Promotion and Health
Protection for Children and Families
Key concept: Anticipatory guidance (Bright Futures)
Stem: At a 9-month well visit, which anticipatory guidance topic
is most appropriate to prioritize for injury prevention?
