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 Providers
Question: A 6-month-old infant presents for a well visit. The
family asks whether the pediatric nurse practitioner (PNP) is the
best provider to manage routine immunizations and
developmental screening. As an APRN in primary care, what is
the most appropriate response?
A. Refer to a pediatrician for all preventive care.
B. Explain that PNPs provide comprehensive well care including
immunizations and developmental screening.
C. Schedule immunizations only with the primary care
physician; PNPs should not vaccinate.
D. Recommend waiting until 12 months for developmental
screening by a specialist.
Correct Answer: B
Rationale — correct: PNPs are trained and qualified to deliver
comprehensive primary pediatric care, including administering
immunizations and performing developmental screening as
standard preventive services. This aligns with the role of
primary care providers in promoting child health.
Rationale — A: Incorrect; pediatricians are one option, but
PNPs also provide full preventive care.
,Rationale — C: Incorrect; PNPs routinely vaccinate and manage
immunizations per guidelines.
Rationale — D: Incorrect; early developmental screening
(before 12 months) is recommended and is within primary care
scope.
Teaching Point: PNPs provide full-spectrum preventive pediatric
care, including vaccines and developmental screening.
Citation: Burns et al., 2023, Ch. 1, Section: Pediatric Primary
Care Providers
2
Reference: Ch. 1, Section: Primary Care Versus Primary
Prevention
Question: A 14-year-old with obesity presents for a sports
physical. Which primary-prevention strategy should the PNP
prioritize during the visit to reduce long-term cardiometabolic
risk?
A. Order lipid profile only if family history is positive.
B. Counsel on healthy eating and increased physical activity.
C. Delay counseling until the next annual visit.
D. Prescribe weight-loss medication immediately.
Correct Answer: B
Rationale — correct: Primary prevention focuses on reducing
risk before disease develops; counseling on diet and physical
activity is an evidence-based, first-line preventive intervention
,in adolescents.
Rationale — A: Incorrect; while screening may be indicated,
prevention through lifestyle counseling should not wait for labs.
Rationale — C: Incorrect; delaying preventive counseling misses
an opportunity to intervene during adolescence.
Rationale — D: Incorrect; medications are not first-line primary
prevention for adolescent obesity without comprehensive
evaluation.
Teaching Point: Prioritize lifestyle counseling for primary
prevention of cardiometabolic disease.
Citation: Burns et al., 2023, Ch. 1, Section: Primary Care Versus
Primary Prevention
3
Reference: Ch. 1, Section: Pediatric Primary Care Providers
Question: A 2-year-old with recurrent otitis media is brought in
by parents who ask if an APRN can coordinate specialty referral.
What is the most appropriate action by the APRN?
A. Tell them only physicians may coordinate referrals.
B. Initiate referral to ENT and provide interim follow-up in
primary care.
C. Recommend over-the-counter remedies indefinitely before
referral.
D. Discharge patient without follow-up and advise ER if
symptoms worsen.
, Correct Answer: B
Rationale — correct: APRNs functioning in primary care
coordinate care, initiate referrals to specialists (e.g., ENT), and
provide continuity and interim management—core functions of
primary care providers.
Rationale — A: Incorrect; APRNs can and do coordinate
referrals as part of comprehensive care.
Rationale — C: Incorrect; indefinite OTC management is
inappropriate for recurrent infections needing evaluation.
Rationale — D: Incorrect; discharging without follow-up
neglects continuity and safety responsibilities.
Teaching Point: APRNs coordinate referrals and provide
continuity while specialty evaluation is arranged.
Citation: Burns et al., 2023, Ch. 1, Section: Pediatric Primary
Care Providers
4
Reference: Ch. 1, Section: Unique Issues in Pediatrics
Question: A 9-year-old with newly diagnosed type 1 diabetes
requires insulin teaching. Which pediatric-specific consideration
should the PNP emphasize during education?
A. Adults' insulin dosing can be applied directly to children.
B. Growth and activity level require frequent insulin dose
adjustments.
C. Children never need education about hypoglycemia
MCQs per Chapter
Pediatric Primary Care Test Bank & NCLEX-HESI
Review | Burns' 8th Edition
Reference: Ch. 1, Section: Pediatric Primary Care Providers
Question: A 6-month-old infant presents for a well visit. The
family asks whether the pediatric nurse practitioner (PNP) is the
best provider to manage routine immunizations and
developmental screening. As an APRN in primary care, what is
the most appropriate response?
A. Refer to a pediatrician for all preventive care.
B. Explain that PNPs provide comprehensive well care including
immunizations and developmental screening.
C. Schedule immunizations only with the primary care
physician; PNPs should not vaccinate.
D. Recommend waiting until 12 months for developmental
screening by a specialist.
Correct Answer: B
Rationale — correct: PNPs are trained and qualified to deliver
comprehensive primary pediatric care, including administering
immunizations and performing developmental screening as
standard preventive services. This aligns with the role of
primary care providers in promoting child health.
Rationale — A: Incorrect; pediatricians are one option, but
PNPs also provide full preventive care.
,Rationale — C: Incorrect; PNPs routinely vaccinate and manage
immunizations per guidelines.
Rationale — D: Incorrect; early developmental screening
(before 12 months) is recommended and is within primary care
scope.
Teaching Point: PNPs provide full-spectrum preventive pediatric
care, including vaccines and developmental screening.
Citation: Burns et al., 2023, Ch. 1, Section: Pediatric Primary
Care Providers
2
Reference: Ch. 1, Section: Primary Care Versus Primary
Prevention
Question: A 14-year-old with obesity presents for a sports
physical. Which primary-prevention strategy should the PNP
prioritize during the visit to reduce long-term cardiometabolic
risk?
A. Order lipid profile only if family history is positive.
B. Counsel on healthy eating and increased physical activity.
C. Delay counseling until the next annual visit.
D. Prescribe weight-loss medication immediately.
Correct Answer: B
Rationale — correct: Primary prevention focuses on reducing
risk before disease develops; counseling on diet and physical
activity is an evidence-based, first-line preventive intervention
,in adolescents.
Rationale — A: Incorrect; while screening may be indicated,
prevention through lifestyle counseling should not wait for labs.
Rationale — C: Incorrect; delaying preventive counseling misses
an opportunity to intervene during adolescence.
Rationale — D: Incorrect; medications are not first-line primary
prevention for adolescent obesity without comprehensive
evaluation.
Teaching Point: Prioritize lifestyle counseling for primary
prevention of cardiometabolic disease.
Citation: Burns et al., 2023, Ch. 1, Section: Primary Care Versus
Primary Prevention
3
Reference: Ch. 1, Section: Pediatric Primary Care Providers
Question: A 2-year-old with recurrent otitis media is brought in
by parents who ask if an APRN can coordinate specialty referral.
What is the most appropriate action by the APRN?
A. Tell them only physicians may coordinate referrals.
B. Initiate referral to ENT and provide interim follow-up in
primary care.
C. Recommend over-the-counter remedies indefinitely before
referral.
D. Discharge patient without follow-up and advise ER if
symptoms worsen.
, Correct Answer: B
Rationale — correct: APRNs functioning in primary care
coordinate care, initiate referrals to specialists (e.g., ENT), and
provide continuity and interim management—core functions of
primary care providers.
Rationale — A: Incorrect; APRNs can and do coordinate
referrals as part of comprehensive care.
Rationale — C: Incorrect; indefinite OTC management is
inappropriate for recurrent infections needing evaluation.
Rationale — D: Incorrect; discharging without follow-up
neglects continuity and safety responsibilities.
Teaching Point: APRNs coordinate referrals and provide
continuity while specialty evaluation is arranged.
Citation: Burns et al., 2023, Ch. 1, Section: Pediatric Primary
Care Providers
4
Reference: Ch. 1, Section: Unique Issues in Pediatrics
Question: A 9-year-old with newly diagnosed type 1 diabetes
requires insulin teaching. Which pediatric-specific consideration
should the PNP emphasize during education?
A. Adults' insulin dosing can be applied directly to children.
B. Growth and activity level require frequent insulin dose
adjustments.
C. Children never need education about hypoglycemia
