Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Chapter 1: Pediatric Primary Care & Influences on Child Health
Question 1
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care,
Primary Care vs. Primary Prevention
Stem: A nurse in a pediatric primary care clinic is reviewing the
clinic's services. Which of the following services best
exemplifies the core function of primary care as defined by the
AAP?
Options:
A. Distributing bicycle helmets at a community health fair.
B. Administering the seasonal influenza vaccine to a 4-year-old.
C. Performing a comprehensive developmental screening during
a well-child visit.
D. Providing inpatient rehabilitation for an adolescent following
a traumatic brain injury.
Correct Answer: C
Rationale:
, • Correct Answer (C): Primary care is characterized by first-
contact, continuous, comprehensive, and coordinated
care. A comprehensive developmental screening during a
well-child visit is a direct, hands-on clinical service
provided by the primary care provider, representing
comprehensive and continuous care. (Burns, Chapter 1:
Pediatric Primary Care).
• Incorrect Answers:
o A: Distributing helmets is an example of
primary prevention, which aims to prevent injury or
illness before it occurs, but it is not a clinical
primary care service.
o B: Administering a vaccine is primary prevention, a
critical component delivered within primary care, but
the core function of primary care is broader,
encompassing assessment, diagnosis, and
management.
o D: Inpatient rehabilitation is a tertiary level of care,
involving specialized services after a significant illness
or injury has occurred.
Teaching Point: Primary care is first-contact,
continuous, and comprehensive clinical management.
Question 2
Chapter & Subtopic: Chapter 1 – Unique Issues in Pediatrics,
,Family-Centered Care
Stem: The parents of a 6-month-old infant express anxiety
about their ability to care for their child, who was recently
diagnosed with cystic fibrosis. Using a family-centered care
approach, what is the nurse's most appropriate initial action?
Options:
A. Provide detailed, written instructions on chest physiotherapy
techniques.
B. Assess the parents' understanding and concerns about the
diagnosis and its management.
C. Schedule appointments with a pulmonologist and a dietitian
without parent input.
D. Reassure the parents that the healthcare team will manage
all aspects of the child's care.
Correct Answer: B
Rationale:
• Correct Answer (B): Family-centered care is a partnership
between the family and healthcare team. The first step is
to actively listen to and assess the family's concerns,
priorities, and current knowledge to build a collaborative
plan of care. (Burns, Chapter 1: Unique Issues in
Pediatrics).
• Incorrect Answers:
o A: While education is essential, providing instructions
before understanding the parents' specific fears and
learning styles is less effective.
, o C: Making decisions without family collaboration
violates the principle of partnership in family-
centered care.
o D: This approach is paternalistic and disempowers the
family, who are the constant in the child's life.
Teaching Point: Family-centered care begins with
listening to and partnering with the family.
Question 3
Chapter & Subtopic: Chapter 1 – Caring for Children and Youth
with Special Healthcare Needs (CYSHCN)
Stem: A school-aged child with spina bifida uses a wheelchair
and has a neurogenic bladder. The pediatric primary care nurse
is developing a care plan. According to the AAP, which concept
is central to providing effective care for this Children and Youth
with Special Healthcare Needs (CYSHCN)?
Options:
A. Ensuring all care is provided by a tertiary care pediatric
specialist.
B. Creating a comprehensive, integrated Medical Home.
C. Focusing exclusively on the child's physical disabilities.
D. Limiting family involvement to reduce caregiver burden.
Correct Answer: B
Rationale:
• Correct Answer (B): The Medical Home model is defined
by the AAP as a central, community-based source of
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Chapter 1: Pediatric Primary Care & Influences on Child Health
Question 1
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care,
Primary Care vs. Primary Prevention
Stem: A nurse in a pediatric primary care clinic is reviewing the
clinic's services. Which of the following services best
exemplifies the core function of primary care as defined by the
AAP?
Options:
A. Distributing bicycle helmets at a community health fair.
B. Administering the seasonal influenza vaccine to a 4-year-old.
C. Performing a comprehensive developmental screening during
a well-child visit.
D. Providing inpatient rehabilitation for an adolescent following
a traumatic brain injury.
Correct Answer: C
Rationale:
, • Correct Answer (C): Primary care is characterized by first-
contact, continuous, comprehensive, and coordinated
care. A comprehensive developmental screening during a
well-child visit is a direct, hands-on clinical service
provided by the primary care provider, representing
comprehensive and continuous care. (Burns, Chapter 1:
Pediatric Primary Care).
• Incorrect Answers:
o A: Distributing helmets is an example of
primary prevention, which aims to prevent injury or
illness before it occurs, but it is not a clinical
primary care service.
o B: Administering a vaccine is primary prevention, a
critical component delivered within primary care, but
the core function of primary care is broader,
encompassing assessment, diagnosis, and
management.
o D: Inpatient rehabilitation is a tertiary level of care,
involving specialized services after a significant illness
or injury has occurred.
Teaching Point: Primary care is first-contact,
continuous, and comprehensive clinical management.
Question 2
Chapter & Subtopic: Chapter 1 – Unique Issues in Pediatrics,
,Family-Centered Care
Stem: The parents of a 6-month-old infant express anxiety
about their ability to care for their child, who was recently
diagnosed with cystic fibrosis. Using a family-centered care
approach, what is the nurse's most appropriate initial action?
Options:
A. Provide detailed, written instructions on chest physiotherapy
techniques.
B. Assess the parents' understanding and concerns about the
diagnosis and its management.
C. Schedule appointments with a pulmonologist and a dietitian
without parent input.
D. Reassure the parents that the healthcare team will manage
all aspects of the child's care.
Correct Answer: B
Rationale:
• Correct Answer (B): Family-centered care is a partnership
between the family and healthcare team. The first step is
to actively listen to and assess the family's concerns,
priorities, and current knowledge to build a collaborative
plan of care. (Burns, Chapter 1: Unique Issues in
Pediatrics).
• Incorrect Answers:
o A: While education is essential, providing instructions
before understanding the parents' specific fears and
learning styles is less effective.
, o C: Making decisions without family collaboration
violates the principle of partnership in family-
centered care.
o D: This approach is paternalistic and disempowers the
family, who are the constant in the child's life.
Teaching Point: Family-centered care begins with
listening to and partnering with the family.
Question 3
Chapter & Subtopic: Chapter 1 – Caring for Children and Youth
with Special Healthcare Needs (CYSHCN)
Stem: A school-aged child with spina bifida uses a wheelchair
and has a neurogenic bladder. The pediatric primary care nurse
is developing a care plan. According to the AAP, which concept
is central to providing effective care for this Children and Youth
with Special Healthcare Needs (CYSHCN)?
Options:
A. Ensuring all care is provided by a tertiary care pediatric
specialist.
B. Creating a comprehensive, integrated Medical Home.
C. Focusing exclusively on the child's physical disabilities.
D. Limiting family involvement to reduce caregiver burden.
Correct Answer: B
Rationale:
• Correct Answer (B): The Medical Home model is defined
by the AAP as a central, community-based source of
