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: Burns et al., 2023, Ch. 1, Section: Pediatric Primary
Care
Question: A 6-month-old infant presents for a well visit. The
parent asks whether the infant should continue to see the same
primary care clinician after moving to a new neighborhood. As a
PNP, what is the best response regarding continuity of pediatric
primary care?
A. Recommend changing immediately; community clinics
always provide better access.
B. Encourage maintaining the established primary care
relationship to support continuity of care.
C. Advise switching only when the child turns 1 year old.
D. Suggest using urgent care for routine well visits until a new
provider is found.
Correct Answer: B
Rationale (correct): Continuity of a trusted primary care
relationship improves preventive care, immunization
completion, and developmental surveillance, so maintaining
care when possible is preferred.
,Rationale (A): Community clinics may improve access for some
families, but they do not universally provide better continuity or
individualized care.
Rationale (C): There is no evidence-based cutoff at 1 year;
timing should be individualized based on access and family
needs.
Rationale (D): Urgent care is not appropriate for routine
preventive visits and misses opportunities for continuity.
Teaching point: Continuous primary care improves preventive
services and developmental outcomes.
Citation: Burns et al., 2023, Ch. 1, Section: Pediatric Primary
Care
2
Reference: Burns et al., 2023, Ch. 1, Section: Primary Care
Versus Primary Prevention
Question: A PNP is designing an office program to reduce
childhood obesity. Which strategy best exemplifies primary
prevention?
A. Starting statin therapy for a 16-year-old with familial
hypercholesterolemia.
B. Providing all families with anticipatory guidance on nutrition
and active play.
C. Referring an overweight 13-year-old for bariatric surgery
evaluation.
,D. Initiating a weight-loss medication for a 15-year-old with BMI
>95th percentile.
Correct Answer: B
Rationale (correct): Primary prevention aims to prevent disease
before it begins; anticipatory guidance on nutrition and activity
is classic primary prevention.
Rationale (A): Statin therapy is secondary prevention/treatment
for an identified risk condition, not primary prevention for the
general population.
Rationale (C): Referral for surgery is tertiary/advanced
treatment for established severe obesity, not primary
prevention.
Rationale (D): Pharmacotherapy addresses an existing
condition and is not primary prevention.
Teaching point: Primary prevention prevents disease through
universal health promotion strategies.
Citation: Burns et al., 2023, Ch. 1, Section: Primary Care Versus
Primary Prevention
3
Reference: Burns et al., 2023, Ch. 1, Section: Pediatric Primary
Care Providers
Question: A family asks whether a nurse practitioner (NP) can
manage their healthy school-age child's routine care. As an
, APRN, what is the most accurate description of NP scope in
primary pediatric care?
A. NPs only provide triage and must refer all management
decisions to physicians.
B. NPs independently provide comprehensive primary care,
including prevention, diagnosis, and management within scope.
C. NPs can perform well visits but cannot prescribe medications.
D. NPs are limited to immunizations and screening only.
Correct Answer: B
Rationale (correct): Pediatric NPs are trained and authorized in
many settings to provide full-spectrum primary care—
preventive, diagnostic, and therapeutic—consistent with scope
and regulations.
Rationale (A): NPs do far more than triage; they manage
illnesses and chronic conditions within their licensure.
Rationale (C): In most jurisdictions, NPs can prescribe;
limitation depends on local regulation but they are not
universally non-prescribing.
Rationale (D): NPs provide broad primary care beyond
immunizations and screening.
Teaching point: Pediatric NPs deliver comprehensive primary
care within their legal scope.
Citation: Burns et al., 2023, Ch. 1, Section: Pediatric Primary
Care Providers
MCQs per Chapter
Pediatric Primary Care Test Bank & NCLEX-HESI
Review | Burns' 8th Edition
1
Reference: Burns et al., 2023, Ch. 1, Section: Pediatric Primary
Care
Question: A 6-month-old infant presents for a well visit. The
parent asks whether the infant should continue to see the same
primary care clinician after moving to a new neighborhood. As a
PNP, what is the best response regarding continuity of pediatric
primary care?
A. Recommend changing immediately; community clinics
always provide better access.
B. Encourage maintaining the established primary care
relationship to support continuity of care.
C. Advise switching only when the child turns 1 year old.
D. Suggest using urgent care for routine well visits until a new
provider is found.
Correct Answer: B
Rationale (correct): Continuity of a trusted primary care
relationship improves preventive care, immunization
completion, and developmental surveillance, so maintaining
care when possible is preferred.
,Rationale (A): Community clinics may improve access for some
families, but they do not universally provide better continuity or
individualized care.
Rationale (C): There is no evidence-based cutoff at 1 year;
timing should be individualized based on access and family
needs.
Rationale (D): Urgent care is not appropriate for routine
preventive visits and misses opportunities for continuity.
Teaching point: Continuous primary care improves preventive
services and developmental outcomes.
Citation: Burns et al., 2023, Ch. 1, Section: Pediatric Primary
Care
2
Reference: Burns et al., 2023, Ch. 1, Section: Primary Care
Versus Primary Prevention
Question: A PNP is designing an office program to reduce
childhood obesity. Which strategy best exemplifies primary
prevention?
A. Starting statin therapy for a 16-year-old with familial
hypercholesterolemia.
B. Providing all families with anticipatory guidance on nutrition
and active play.
C. Referring an overweight 13-year-old for bariatric surgery
evaluation.
,D. Initiating a weight-loss medication for a 15-year-old with BMI
>95th percentile.
Correct Answer: B
Rationale (correct): Primary prevention aims to prevent disease
before it begins; anticipatory guidance on nutrition and activity
is classic primary prevention.
Rationale (A): Statin therapy is secondary prevention/treatment
for an identified risk condition, not primary prevention for the
general population.
Rationale (C): Referral for surgery is tertiary/advanced
treatment for established severe obesity, not primary
prevention.
Rationale (D): Pharmacotherapy addresses an existing
condition and is not primary prevention.
Teaching point: Primary prevention prevents disease through
universal health promotion strategies.
Citation: Burns et al., 2023, Ch. 1, Section: Primary Care Versus
Primary Prevention
3
Reference: Burns et al., 2023, Ch. 1, Section: Pediatric Primary
Care Providers
Question: A family asks whether a nurse practitioner (NP) can
manage their healthy school-age child's routine care. As an
, APRN, what is the most accurate description of NP scope in
primary pediatric care?
A. NPs only provide triage and must refer all management
decisions to physicians.
B. NPs independently provide comprehensive primary care,
including prevention, diagnosis, and management within scope.
C. NPs can perform well visits but cannot prescribe medications.
D. NPs are limited to immunizations and screening only.
Correct Answer: B
Rationale (correct): Pediatric NPs are trained and authorized in
many settings to provide full-spectrum primary care—
preventive, diagnostic, and therapeutic—consistent with scope
and regulations.
Rationale (A): NPs do far more than triage; they manage
illnesses and chronic conditions within their licensure.
Rationale (C): In most jurisdictions, NPs can prescribe;
limitation depends on local regulation but they are not
universally non-prescribing.
Rationale (D): NPs provide broad primary care beyond
immunizations and screening.
Teaching point: Pediatric NPs deliver comprehensive primary
care within their legal scope.
Citation: Burns et al., 2023, Ch. 1, Section: Pediatric Primary
Care Providers
