Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Pediatric Primary Care NCLEX/HESI Test Bank
Question 1
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care,
Primary Care vs. Primary Prevention
Stem: A community health nurse is planning a health fair for a
local elementary school. Which of the following activities best
represents the concept of primary prevention in pediatric care?
Options:
A) Conducting vision and hearing screenings for all kindergarten
students.
B) Administering the seasonal influenza vaccine to students and
staff.
C) Providing nutritional counseling for a child identified as
overweight.
D) Fitting a child with a brace for scoliosis management.
Correct Answer: B
Rationale:
• Correct (B): Primary prevention aims to prevent disease or
injury before it occurs. Immunizations, like the flu vaccine,
, are a classic example of primary prevention as they
prevent the target illness.
• Incorrect (A): Screening is a form of secondary prevention,
which focuses on early detection and treatment of existing
disease.
• Incorrect (C): Counseling for an identified problem
(overweight) is tertiary prevention, aiming to manage and
prevent complications of an established condition.
• Incorrect (D): Managing an existing condition (scoliosis) is
tertiary prevention.
Teaching Point: Primary prevention prevents disease;
secondary prevention detects it early; tertiary prevention
manages complications.
Question 2
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care, Unique
Issues in Pediatrics
Stem: The parent of a 2-week-old infant expresses concern that
their baby "seems to cry all the time." When applying the
principles of pediatric care, which nursing action is most
developmentally appropriate?
Options:
A) Advise the parent to let the infant "cry it out" to foster self-
soothing.
B) Educate the parent on normal infant crying patterns and
,soothing techniques.
C) Schedule an immediate referral to a pediatric
gastroenterologist for colic.
D) Instruct the parent to keep a strict log of crying duration for
the next month.
Correct Answer: B
Rationale:
• Correct (B): A core principle of pediatrics is providing
anticipatory guidance that is appropriate for the child's
developmental stage. Educating about normal crying
patterns (like the period of PURPLE crying) and soothing
methods supports the parent-infant bond and addresses
the concern without unnecessary alarm.
• Incorrect (A): "Crying it out" is not developmentally
appropriate or recommended for a 2-week-old.
• Incorrect (C): This is a premature referral before a primary
care assessment is completed.
• Incorrect (D): While tracking can be useful, a month-long
log is excessive and increases parental anxiety without
providing immediate support.
Teaching Point: Anticipatory guidance must be
developmentally appropriate and support the parent-child
relationship.
, Question 3
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care, Caring
for Children and Youth with Special Healthcare Needs (CYSHCN)
Stem: A nurse is coordinating care for a 7-year-old with cerebral
palsy and a seizure disorder. Which component is most critical
for an effective medical home for this child?
Correct Answer: D
Options:
A) The primary care provider (PCP) manages all aspects of the
child's care independently.
B) The family is solely responsible for communicating between
specialists.
C) All appointments are scheduled on the same day to minimize
travel.
D) The PCP facilitates coordinated, family-centered, and
comprehensive care.
Rationale:
• Correct (D): The medical home model, as defined by the
AAP, is not a physical place but an approach to care that is
accessible, continuous, comprehensive, family-centered,
coordinated, compassionate, and culturally effective. The
PCP acts as the coordinator.
• Incorrect (A): The PCP coordinates care but does not
manage all complex specialty needs independently.
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Pediatric Primary Care NCLEX/HESI Test Bank
Question 1
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care,
Primary Care vs. Primary Prevention
Stem: A community health nurse is planning a health fair for a
local elementary school. Which of the following activities best
represents the concept of primary prevention in pediatric care?
Options:
A) Conducting vision and hearing screenings for all kindergarten
students.
B) Administering the seasonal influenza vaccine to students and
staff.
C) Providing nutritional counseling for a child identified as
overweight.
D) Fitting a child with a brace for scoliosis management.
Correct Answer: B
Rationale:
• Correct (B): Primary prevention aims to prevent disease or
injury before it occurs. Immunizations, like the flu vaccine,
, are a classic example of primary prevention as they
prevent the target illness.
• Incorrect (A): Screening is a form of secondary prevention,
which focuses on early detection and treatment of existing
disease.
• Incorrect (C): Counseling for an identified problem
(overweight) is tertiary prevention, aiming to manage and
prevent complications of an established condition.
• Incorrect (D): Managing an existing condition (scoliosis) is
tertiary prevention.
Teaching Point: Primary prevention prevents disease;
secondary prevention detects it early; tertiary prevention
manages complications.
Question 2
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care, Unique
Issues in Pediatrics
Stem: The parent of a 2-week-old infant expresses concern that
their baby "seems to cry all the time." When applying the
principles of pediatric care, which nursing action is most
developmentally appropriate?
Options:
A) Advise the parent to let the infant "cry it out" to foster self-
soothing.
B) Educate the parent on normal infant crying patterns and
,soothing techniques.
C) Schedule an immediate referral to a pediatric
gastroenterologist for colic.
D) Instruct the parent to keep a strict log of crying duration for
the next month.
Correct Answer: B
Rationale:
• Correct (B): A core principle of pediatrics is providing
anticipatory guidance that is appropriate for the child's
developmental stage. Educating about normal crying
patterns (like the period of PURPLE crying) and soothing
methods supports the parent-infant bond and addresses
the concern without unnecessary alarm.
• Incorrect (A): "Crying it out" is not developmentally
appropriate or recommended for a 2-week-old.
• Incorrect (C): This is a premature referral before a primary
care assessment is completed.
• Incorrect (D): While tracking can be useful, a month-long
log is excessive and increases parental anxiety without
providing immediate support.
Teaching Point: Anticipatory guidance must be
developmentally appropriate and support the parent-child
relationship.
, Question 3
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care, Caring
for Children and Youth with Special Healthcare Needs (CYSHCN)
Stem: A nurse is coordinating care for a 7-year-old with cerebral
palsy and a seizure disorder. Which component is most critical
for an effective medical home for this child?
Correct Answer: D
Options:
A) The primary care provider (PCP) manages all aspects of the
child's care independently.
B) The family is solely responsible for communicating between
specialists.
C) All appointments are scheduled on the same day to minimize
travel.
D) The PCP facilitates coordinated, family-centered, and
comprehensive care.
Rationale:
• Correct (D): The medical home model, as defined by the
AAP, is not a physical place but an approach to care that is
accessible, continuous, comprehensive, family-centered,
coordinated, compassionate, and culturally effective. The
PCP acts as the coordinator.
• Incorrect (A): The PCP coordinates care but does not
manage all complex specialty needs independently.
