Burns' Pediatric Primary Care 8th Edition Test Bank | 20
MCQs per Chapter
Pediatric Primary Care Test Bank & NCLEX-HESI
Review | Burns' 8th Edition
Question Stem: A 6-week-old infant presents for a routine visit.
The parents ask whether primary care is the same as primary
prevention. As the pediatric NP, which statement best
distinguishes primary care from primary prevention?
A. Primary care focuses on immunizations and well-child visits;
primary prevention is only public health policy.
B. Primary care is individual clinical services; primary prevention
is activities that prevent disease before it occurs.
C. Primary care is limited to acute illness management; primary
prevention occurs only in schools.
D. Primary care and primary prevention are identical in scope
and interventions.
Correct Answer: B
Rationale (correct): Primary care delivers individualized clinical
services (assessment, diagnosis, ongoing management), while
primary prevention includes actions to prevent disease onset
(immunization, counseling) — they overlap but are distinct.
Rationale (A): Incorrect — primary prevention includes
immunizations but is not limited to them nor separate from
clinical practice.
Rationale (C): Incorrect — primary care includes prevention and
,management; prevention is not limited to schools.
Rationale (D): Incorrect — they overlap but are not identical;
primary prevention is a component of primary care.
Teaching Point: Primary care includes prevention; primary
prevention aims to stop disease before it starts.
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 Stem: A clinic implements a program offering
seasonal influenza vaccination at school-based clinics and
counseling about hand hygiene. Which best characterizes these
actions from a primary prevention perspective?
A. They are tertiary prevention because they treat
complications.
B. They are primary prevention because they reduce initial
disease occurrence.
C. They are secondary prevention since they focus on screening.
D. They are not prevention; they are health promotion only.
Correct Answer: B
Rationale (correct): Vaccination and hygiene counseling aim to
prevent initial infection—classic primary prevention
,interventions.
Rationale (A): Incorrect — tertiary prevention treats established
disease or complications, not preventing first occurrence.
Rationale (C): Incorrect — secondary prevention involves early
detection (screening), not prevention of first occurrence.
Rationale (D): Incorrect — health promotion overlaps with
primary prevention; these are both prevention and promotion.
Teaching Point: Vaccination and hygiene counseling are primary
prevention 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 Stem: A parent asks whether a pediatric nurse
practitioner (PNP) can manage their toddler's recurrent otitis
media. Which response best reflects the role of PNPs in
pediatric primary care?
A. PNPs provide only health education and must refer all
illnesses to pediatricians.
B. PNPs provide comprehensive assessment, diagnosis,
treatment, and coordination in primary care.
C. PNPs are limited to immunizations and cannot prescribe
antibiotics.
, D. PNPs can manage common conditions but are not part of a
medical home.
Correct Answer: B
Rationale (correct): PNPs are trained to provide comprehensive
primary care—assessment, diagnosis, treatment (including
prescribing per scope), and care coordination as part of the
medical home.
Rationale (A): Incorrect — PNPs do more than education and
refer only when appropriate.
Rationale (C): Incorrect — within their scope and regulations,
PNPs often prescribe medications including antibiotics.
Rationale (D): Incorrect — PNPs commonly function within and
support the medical home model.
Teaching Point: PNPs deliver full-spectrum primary care
including diagnosis, treatment, and coordination.
Citation: Burns et al., 2023, Ch. 1, Section: Pediatric Primary
Care Providers.
4
Reference: Burns et al., 2023, Ch. 1, Section: Pediatric Primary
Care Providers
Question Stem: A rural clinic has difficulty recruiting pediatric
subspecialists. Which primary care adaptation most aligns with
the chapter’s recommendations to maintain quality pediatric
MCQs per Chapter
Pediatric Primary Care Test Bank & NCLEX-HESI
Review | Burns' 8th Edition
Question Stem: A 6-week-old infant presents for a routine visit.
The parents ask whether primary care is the same as primary
prevention. As the pediatric NP, which statement best
distinguishes primary care from primary prevention?
A. Primary care focuses on immunizations and well-child visits;
primary prevention is only public health policy.
B. Primary care is individual clinical services; primary prevention
is activities that prevent disease before it occurs.
C. Primary care is limited to acute illness management; primary
prevention occurs only in schools.
D. Primary care and primary prevention are identical in scope
and interventions.
Correct Answer: B
Rationale (correct): Primary care delivers individualized clinical
services (assessment, diagnosis, ongoing management), while
primary prevention includes actions to prevent disease onset
(immunization, counseling) — they overlap but are distinct.
Rationale (A): Incorrect — primary prevention includes
immunizations but is not limited to them nor separate from
clinical practice.
Rationale (C): Incorrect — primary care includes prevention and
,management; prevention is not limited to schools.
Rationale (D): Incorrect — they overlap but are not identical;
primary prevention is a component of primary care.
Teaching Point: Primary care includes prevention; primary
prevention aims to stop disease before it starts.
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 Stem: A clinic implements a program offering
seasonal influenza vaccination at school-based clinics and
counseling about hand hygiene. Which best characterizes these
actions from a primary prevention perspective?
A. They are tertiary prevention because they treat
complications.
B. They are primary prevention because they reduce initial
disease occurrence.
C. They are secondary prevention since they focus on screening.
D. They are not prevention; they are health promotion only.
Correct Answer: B
Rationale (correct): Vaccination and hygiene counseling aim to
prevent initial infection—classic primary prevention
,interventions.
Rationale (A): Incorrect — tertiary prevention treats established
disease or complications, not preventing first occurrence.
Rationale (C): Incorrect — secondary prevention involves early
detection (screening), not prevention of first occurrence.
Rationale (D): Incorrect — health promotion overlaps with
primary prevention; these are both prevention and promotion.
Teaching Point: Vaccination and hygiene counseling are primary
prevention 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 Stem: A parent asks whether a pediatric nurse
practitioner (PNP) can manage their toddler's recurrent otitis
media. Which response best reflects the role of PNPs in
pediatric primary care?
A. PNPs provide only health education and must refer all
illnesses to pediatricians.
B. PNPs provide comprehensive assessment, diagnosis,
treatment, and coordination in primary care.
C. PNPs are limited to immunizations and cannot prescribe
antibiotics.
, D. PNPs can manage common conditions but are not part of a
medical home.
Correct Answer: B
Rationale (correct): PNPs are trained to provide comprehensive
primary care—assessment, diagnosis, treatment (including
prescribing per scope), and care coordination as part of the
medical home.
Rationale (A): Incorrect — PNPs do more than education and
refer only when appropriate.
Rationale (C): Incorrect — within their scope and regulations,
PNPs often prescribe medications including antibiotics.
Rationale (D): Incorrect — PNPs commonly function within and
support the medical home model.
Teaching Point: PNPs deliver full-spectrum primary care
including diagnosis, treatment, and coordination.
Citation: Burns et al., 2023, Ch. 1, Section: Pediatric Primary
Care Providers.
4
Reference: Burns et al., 2023, Ch. 1, Section: Pediatric Primary
Care Providers
Question Stem: A rural clinic has difficulty recruiting pediatric
subspecialists. Which primary care adaptation most aligns with
the chapter’s recommendations to maintain quality pediatric
