Burns' Pediatric Primary Care 8th Edition Test Bank | 20
MCQs per Chapter
Pediatric Primary Care Test Bank & NCLEX-HESI
Review | Burns' 8th Edition
Reference: Ch. 1, Section: Pediatric Primary Care
Question Stem: A 6-month-old infant presents for a routine
well visit. The PNP's role includes surveillance, anticipatory
guidance, and coordination of care. Which action best
exemplifies primary pediatric primary care during this visit?
A. Initiating a new specialty referral without discussing the
family’s concerns
B. Administering age-appropriate immunizations, assessing
growth/development, and providing feeding guidance
C. Scheduling a genetics workup for subtle developmental
asymmetry immediately
D. Deferring all preventive counseling until the child is older to
reduce parental anxiety
Correct Answer: B
Rationale — Correct: Option B reflects the comprehensive
scope of pediatric primary care: preventive services
(immunizations), developmental surveillance, and anticipatory
guidance tailored to family needs.
Rationale — A: Initiating specialty referral without family
engagement bypasses the primary care partnership and
,continuity functions.
Rationale — C: Immediate genetics workup may be premature
without targeted assessment or red flags; primary care would
first monitor and coordinate as needed.
Rationale — D: Deferring preventive counseling neglects
anticipatory guidance, a core primary care responsibility.
Teaching Point: Primary pediatric care combines prevention,
surveillance, and family-centered guidance.
Citation: Burns et al., 2023, Ch. 1, Section: Pediatric Primary
Care
2
Reference: Ch. 1, Section: Primary Care Versus Primary
Prevention
Question Stem: During a clinic meeting, a PNP distinguishes
primary care from primary prevention. Which intervention is
best classified as primary prevention?
A. Developing a chronic care plan for a child with asthma
B. Providing influenza vaccination to an 8-year-old
C. Coordinating transition planning for an adolescent with cystic
fibrosis
D. Managing acute otitis media with appropriate antibiotics
Correct Answer: B
Rationale — Correct: Vaccination prevents disease onset and is
a classic primary prevention strategy.
,Rationale — A: Chronic care planning is primary care and
secondary/tertiary prevention (disease management), not
primary prevention.
Rationale — C: Transition planning is part of longitudinal
primary care and tertiary prevention for continuity, not primary
prevention.
Rationale — D: Treating acute illness is therapeutic care, not
primary prevention.
Teaching Point: Primary prevention prevents disease before it
starts (e.g., immunizations).
Citation: Burns et al., 2023, Ch. 1, Section: Primary Care Versus
Primary Prevention
3
Reference: Ch. 1, Section: Primary Care Versus Primary
Prevention
Question Stem: A parent asks why the PNP spends time on
anticipatory guidance at well visits rather than only treating
illness. How should the PNP explain the value of anticipatory
guidance?
A. “It’s optional; most preventive topics don’t affect outcomes.”
B. “It’s primary prevention—anticipatory guidance reduces
injury and promotes healthy development.”
C. “We do it only to meet insurance requirements.”
D. “We focus on it only when children reach school age.”
, Correct Answer: B
Rationale — Correct: Anticipatory guidance is a primary
prevention activity shown to reduce injury risk and promote
developmental and behavioral health.
Rationale — A: Incorrect; anticipatory guidance is evidence-
based and affects outcomes.
Rationale — C: Incorrect and cynical; the primary rationale is
child and family health, not billing.
Rationale — D: Anticipatory guidance is age-specific and begins
in infancy, not only at school age.
Teaching Point: Anticipatory guidance is a foundational primary
prevention strategy.
Citation: Burns et al., 2023, Ch. 1, Section: Primary Care Versus
Primary Prevention
4
Reference: Ch. 1, Section: Pediatric Primary Care Providers
Question Stem: A family asks whether to see a pediatric nurse
practitioner (PNP) or a family nurse practitioner (FNP) for their
3-year-old’s well visit. Which statement best reflects the
difference most relevant to this family’s choice?
A. Only physicians can provide immunizations; NPs cannot.
B. Both PNPs and FNPs can deliver primary pediatric care; PNPs
typically have specialized pediatric training and focused
developmental expertise.
MCQs per Chapter
Pediatric Primary Care Test Bank & NCLEX-HESI
Review | Burns' 8th Edition
Reference: Ch. 1, Section: Pediatric Primary Care
Question Stem: A 6-month-old infant presents for a routine
well visit. The PNP's role includes surveillance, anticipatory
guidance, and coordination of care. Which action best
exemplifies primary pediatric primary care during this visit?
A. Initiating a new specialty referral without discussing the
family’s concerns
B. Administering age-appropriate immunizations, assessing
growth/development, and providing feeding guidance
C. Scheduling a genetics workup for subtle developmental
asymmetry immediately
D. Deferring all preventive counseling until the child is older to
reduce parental anxiety
Correct Answer: B
Rationale — Correct: Option B reflects the comprehensive
scope of pediatric primary care: preventive services
(immunizations), developmental surveillance, and anticipatory
guidance tailored to family needs.
Rationale — A: Initiating specialty referral without family
engagement bypasses the primary care partnership and
,continuity functions.
Rationale — C: Immediate genetics workup may be premature
without targeted assessment or red flags; primary care would
first monitor and coordinate as needed.
Rationale — D: Deferring preventive counseling neglects
anticipatory guidance, a core primary care responsibility.
Teaching Point: Primary pediatric care combines prevention,
surveillance, and family-centered guidance.
Citation: Burns et al., 2023, Ch. 1, Section: Pediatric Primary
Care
2
Reference: Ch. 1, Section: Primary Care Versus Primary
Prevention
Question Stem: During a clinic meeting, a PNP distinguishes
primary care from primary prevention. Which intervention is
best classified as primary prevention?
A. Developing a chronic care plan for a child with asthma
B. Providing influenza vaccination to an 8-year-old
C. Coordinating transition planning for an adolescent with cystic
fibrosis
D. Managing acute otitis media with appropriate antibiotics
Correct Answer: B
Rationale — Correct: Vaccination prevents disease onset and is
a classic primary prevention strategy.
,Rationale — A: Chronic care planning is primary care and
secondary/tertiary prevention (disease management), not
primary prevention.
Rationale — C: Transition planning is part of longitudinal
primary care and tertiary prevention for continuity, not primary
prevention.
Rationale — D: Treating acute illness is therapeutic care, not
primary prevention.
Teaching Point: Primary prevention prevents disease before it
starts (e.g., immunizations).
Citation: Burns et al., 2023, Ch. 1, Section: Primary Care Versus
Primary Prevention
3
Reference: Ch. 1, Section: Primary Care Versus Primary
Prevention
Question Stem: A parent asks why the PNP spends time on
anticipatory guidance at well visits rather than only treating
illness. How should the PNP explain the value of anticipatory
guidance?
A. “It’s optional; most preventive topics don’t affect outcomes.”
B. “It’s primary prevention—anticipatory guidance reduces
injury and promotes healthy development.”
C. “We do it only to meet insurance requirements.”
D. “We focus on it only when children reach school age.”
, Correct Answer: B
Rationale — Correct: Anticipatory guidance is a primary
prevention activity shown to reduce injury risk and promote
developmental and behavioral health.
Rationale — A: Incorrect; anticipatory guidance is evidence-
based and affects outcomes.
Rationale — C: Incorrect and cynical; the primary rationale is
child and family health, not billing.
Rationale — D: Anticipatory guidance is age-specific and begins
in infancy, not only at school age.
Teaching Point: Anticipatory guidance is a foundational primary
prevention strategy.
Citation: Burns et al., 2023, Ch. 1, Section: Primary Care Versus
Primary Prevention
4
Reference: Ch. 1, Section: Pediatric Primary Care Providers
Question Stem: A family asks whether to see a pediatric nurse
practitioner (PNP) or a family nurse practitioner (FNP) for their
3-year-old’s well visit. Which statement best reflects the
difference most relevant to this family’s choice?
A. Only physicians can provide immunizations; NPs cannot.
B. Both PNPs and FNPs can deliver primary pediatric care; PNPs
typically have specialized pediatric training and focused
developmental expertise.
