Burns' Pediatric Primary Care 8th Edition Test Bank | 20
MCQs per Chapter
Pediatric Primary Care Test Bank & NCLEX-HESI
Review | Burns' 8th Edition
1. Reference: Ch. 1, Primary Care Versus Primary Prevention
Question: A pediatric primary care nurse practitioner is
planning a community outreach program to teach parents
about the importance of using car seats correctly for their
infants and young children. This initiative is best classified as
which level of healthcare intervention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Health restoration
Correct Answer: A
• Rationale for A: Primary prevention aims to prevent a
disease or injury from occurring before it happens. Correct
use of car seats is a classic example of preventing injuries.
• Rationale for B: Secondary prevention involves early
detection and intervention for existing health problems,
such as screening tests.
, • Rationale for C: Tertiary prevention focuses on managing
and rehabilitating after a disease or injury is established to
minimize complications.
• Rationale for D: Health restoration is not a standard level
of prevention and does not accurately describe this
preventive action.
• Teaching Point: Primary prevention stops harm before it
starts.
2. Reference: Ch. 1, Unique Issues in Pediatrics
Question: During a health supervision visit for a 4-year-old, the
pediatric primary care nurse engages the child in conversation
about their favorite cartoon while preparing to perform an
otoscopic examination. This action best demonstrates the
nurse's understanding of which unique aspect of pediatric care?
A. The need for precise technical skill
B. The importance of family-centered care
C. The concept of a child as a developing organism
D. The reliance on parental reporting for history
Correct Answer: C
• Rationale for C: A core principle is that children are not
small adults; their cognitive and emotional abilities are
constantly developing. Tailoring the approach by using
distraction is specific to the child's developmental stage.
, • Rationale for A: While technical skill is important, this
action specifically addresses the child's developmental
needs.
• Rationale for B: Family-centered care is crucial, but this
scenario directly involves adapting the approach to the
child.
• Rationale for D: Reliance on parental history is a separate
challenge and is not the focus of this interaction.
• Teaching Point: Always tailor your clinical approach to the
child's developmental stage.
3. Reference: Ch. 1, Caring for Children and Youth With Special
Healthcare Needs (CYSHCN)
Question: The nurse is coordinating a care conference for a 10-
year-old with cerebral palsy who is followed by multiple
specialists. The goal is to create a unified, comprehensive plan
of care. This interdisciplinary approach is a key component of
which model?
A. The Medical Home model
B. The Acute Care model
C. The Community Health model
D. The Telehealth model
Correct Answer: A
• Rationale for A: The Medical Home model is defined by
care that is accessible, family-centered, coordinated, and
, comprehensive. Care coordination is a fundamental
element for children with special healthcare needs.
• Rationale for B: The acute care model focuses on short-
term, episodic illness management, not long-term
coordination.
• Rationale for C: The community health model has a
broader public health focus, not individual care
coordination.
• Rationale for D: Telehealth is a tool for delivering care, not
a comprehensive care model itself.
• Teaching Point: The Medical Home ensures coordinated,
continuous care for complex patients.
4. Reference: Ch. 1, The Two-Generation or Dual Patient
Question: During a well-child visit for a 2-month-old, the
mother appears tearful and expresses feeling overwhelmed and
"sad all the time." The pediatric primary care provider's best
initial action is to:
A. Focus solely on the infant's health, as that is the primary
patient.
B. Assess the mother for postpartum depression and provide
appropriate resources.
C. Refer the infant to a developmental specialist for monitoring.
D. Schedule the next well-child visit sooner to re-evaluate the
infant.
Correct Answer: B
MCQs per Chapter
Pediatric Primary Care Test Bank & NCLEX-HESI
Review | Burns' 8th Edition
1. Reference: Ch. 1, Primary Care Versus Primary Prevention
Question: A pediatric primary care nurse practitioner is
planning a community outreach program to teach parents
about the importance of using car seats correctly for their
infants and young children. This initiative is best classified as
which level of healthcare intervention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Health restoration
Correct Answer: A
• Rationale for A: Primary prevention aims to prevent a
disease or injury from occurring before it happens. Correct
use of car seats is a classic example of preventing injuries.
• Rationale for B: Secondary prevention involves early
detection and intervention for existing health problems,
such as screening tests.
, • Rationale for C: Tertiary prevention focuses on managing
and rehabilitating after a disease or injury is established to
minimize complications.
• Rationale for D: Health restoration is not a standard level
of prevention and does not accurately describe this
preventive action.
• Teaching Point: Primary prevention stops harm before it
starts.
2. Reference: Ch. 1, Unique Issues in Pediatrics
Question: During a health supervision visit for a 4-year-old, the
pediatric primary care nurse engages the child in conversation
about their favorite cartoon while preparing to perform an
otoscopic examination. This action best demonstrates the
nurse's understanding of which unique aspect of pediatric care?
A. The need for precise technical skill
B. The importance of family-centered care
C. The concept of a child as a developing organism
D. The reliance on parental reporting for history
Correct Answer: C
• Rationale for C: A core principle is that children are not
small adults; their cognitive and emotional abilities are
constantly developing. Tailoring the approach by using
distraction is specific to the child's developmental stage.
, • Rationale for A: While technical skill is important, this
action specifically addresses the child's developmental
needs.
• Rationale for B: Family-centered care is crucial, but this
scenario directly involves adapting the approach to the
child.
• Rationale for D: Reliance on parental history is a separate
challenge and is not the focus of this interaction.
• Teaching Point: Always tailor your clinical approach to the
child's developmental stage.
3. Reference: Ch. 1, Caring for Children and Youth With Special
Healthcare Needs (CYSHCN)
Question: The nurse is coordinating a care conference for a 10-
year-old with cerebral palsy who is followed by multiple
specialists. The goal is to create a unified, comprehensive plan
of care. This interdisciplinary approach is a key component of
which model?
A. The Medical Home model
B. The Acute Care model
C. The Community Health model
D. The Telehealth model
Correct Answer: A
• Rationale for A: The Medical Home model is defined by
care that is accessible, family-centered, coordinated, and
, comprehensive. Care coordination is a fundamental
element for children with special healthcare needs.
• Rationale for B: The acute care model focuses on short-
term, episodic illness management, not long-term
coordination.
• Rationale for C: The community health model has a
broader public health focus, not individual care
coordination.
• Rationale for D: Telehealth is a tool for delivering care, not
a comprehensive care model itself.
• Teaching Point: The Medical Home ensures coordinated,
continuous care for complex patients.
4. Reference: Ch. 1, The Two-Generation or Dual Patient
Question: During a well-child visit for a 2-month-old, the
mother appears tearful and expresses feeling overwhelmed and
"sad all the time." The pediatric primary care provider's best
initial action is to:
A. Focus solely on the infant's health, as that is the primary
patient.
B. Assess the mother for postpartum depression and provide
appropriate resources.
C. Refer the infant to a developmental specialist for monitoring.
D. Schedule the next well-child visit sooner to re-evaluate the
infant.
Correct Answer: B
