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 2-month well visit reveals that the infant’s
family has recently immigrated and has no medical home. As
the PNP, which initial action best addresses primary care needs
and access?
A. Provide a one-time immunization clinic referral and schedule
the next well visit in 6 months.
B. Enroll the family in the clinic’s medical home, complete initial
intake, and arrange follow-up well visits per age.
C. Give written handouts on infant care and ask parents to
return when they choose a provider.
D. Refer the family to the emergency department for any future
concerns.
Correct Answer: B
Rationale (Correct): Establishing a medical home (enrollment,
intake, and age-appropriate follow-up) ensures continuity,
access, and comprehensive primary care for infants.
Rationale (A): Immunization referral is helpful but insufficient—
ongoing care and coordination are essential.
Rationale (C): Handouts alone do not ensure access or
continuity of care.
,Rationale (D): ED referral is inappropriate for routine primary
care and fragments care.
Teaching Point: Establish a medical home to ensure continuous,
coordinated pediatric care.
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 toddler visit, the PNP provides
immunizations, fluoride guidance, and anticipatory guidance
about safe sleep. Which best describes these actions?
A. Primary care only — they are unrelated to prevention.
B. Primary prevention only — they do not involve ongoing care.
C. Both primary care and primary prevention — routine care
that prevents disease and promotes health.
D. Secondary prevention — these detect disease early.
Correct Answer: C
Rationale (Correct): Many primary care activities
(immunizations, anticipatory guidance) are also primary
prevention because they prevent disease and promote health in
the population.
Rationale (A): Incorrect — primary care includes preventive
measures.
,Rationale (B): Incorrect — primary prevention is a component,
but the actions occur within ongoing primary care.
Rationale (D): Incorrect — secondary prevention focuses on
early detection, not routine immunization/anticipatory
guidance.
Teaching Point: Primary care integrates direct clinical services
and primary prevention measures.
Citation: Burns et al., 2023, Ch. 1, Section: Primary Care Versus
Primary Prevention
3
Reference: Ch. 1, Section: Pediatric Primary Care Providers
Question Stem: A family asks whether a pediatric nurse
practitioner (PNP) can independently manage routine childhood
asthma in your state. Which is the PNP’s best response when
explaining provider roles to the family?
A. “Only physicians can diagnose and manage asthma.”
B. “PNPs collaborate with families and other clinicians and can
diagnose and manage asthma within our scope and state
regulations.”
C. “We can manage asthma but cannot prescribe controller
medications.”
D. “PNPs only provide health promotion; you must see a
pediatrician for chronic conditions.”
Correct Answer: B
, Rationale (Correct): PNPs are trained to diagnose and manage
common chronic conditions, collaborating with families and
other professionals; prescriptive authority varies by state but is
typically part of PNP practice.
Rationale (A): Incorrect — PNPs are qualified to manage many
pediatric conditions.
Rationale (C): Incorrect — PNPs frequently prescribe controller
medications within their scope.
Rationale (D): Incorrect — PNP role includes management of
chronic conditions, not just health promotion.
Teaching Point: Clarify PNP scope and collaborative practice
while following state regulations.
Citation: Burns et al., 2023, Ch. 1, Section: Pediatric Primary
Care Providers
4
Reference: Ch. 1, Section: Unique Issues in Pediatrics
Question Stem: A 15-year-old requests confidential STI testing.
Which action best balances adolescent confidentiality and
legal/ethical responsibilities?
A. Refuse testing without parental consent under all
circumstances.
B. Provide testing and treatment per laws allowing mature
minor or public health exceptions, and discuss confidentiality
limits.
MCQs per Chapter
Pediatric Primary Care Test Bank & NCLEX-HESI
Review | Burns' 8th Edition
Reference: Ch. 1, Section: Pediatric Primary Care
Question Stem: A 2-month well visit reveals that the infant’s
family has recently immigrated and has no medical home. As
the PNP, which initial action best addresses primary care needs
and access?
A. Provide a one-time immunization clinic referral and schedule
the next well visit in 6 months.
B. Enroll the family in the clinic’s medical home, complete initial
intake, and arrange follow-up well visits per age.
C. Give written handouts on infant care and ask parents to
return when they choose a provider.
D. Refer the family to the emergency department for any future
concerns.
Correct Answer: B
Rationale (Correct): Establishing a medical home (enrollment,
intake, and age-appropriate follow-up) ensures continuity,
access, and comprehensive primary care for infants.
Rationale (A): Immunization referral is helpful but insufficient—
ongoing care and coordination are essential.
Rationale (C): Handouts alone do not ensure access or
continuity of care.
,Rationale (D): ED referral is inappropriate for routine primary
care and fragments care.
Teaching Point: Establish a medical home to ensure continuous,
coordinated pediatric care.
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 toddler visit, the PNP provides
immunizations, fluoride guidance, and anticipatory guidance
about safe sleep. Which best describes these actions?
A. Primary care only — they are unrelated to prevention.
B. Primary prevention only — they do not involve ongoing care.
C. Both primary care and primary prevention — routine care
that prevents disease and promotes health.
D. Secondary prevention — these detect disease early.
Correct Answer: C
Rationale (Correct): Many primary care activities
(immunizations, anticipatory guidance) are also primary
prevention because they prevent disease and promote health in
the population.
Rationale (A): Incorrect — primary care includes preventive
measures.
,Rationale (B): Incorrect — primary prevention is a component,
but the actions occur within ongoing primary care.
Rationale (D): Incorrect — secondary prevention focuses on
early detection, not routine immunization/anticipatory
guidance.
Teaching Point: Primary care integrates direct clinical services
and primary prevention measures.
Citation: Burns et al., 2023, Ch. 1, Section: Primary Care Versus
Primary Prevention
3
Reference: Ch. 1, Section: Pediatric Primary Care Providers
Question Stem: A family asks whether a pediatric nurse
practitioner (PNP) can independently manage routine childhood
asthma in your state. Which is the PNP’s best response when
explaining provider roles to the family?
A. “Only physicians can diagnose and manage asthma.”
B. “PNPs collaborate with families and other clinicians and can
diagnose and manage asthma within our scope and state
regulations.”
C. “We can manage asthma but cannot prescribe controller
medications.”
D. “PNPs only provide health promotion; you must see a
pediatrician for chronic conditions.”
Correct Answer: B
, Rationale (Correct): PNPs are trained to diagnose and manage
common chronic conditions, collaborating with families and
other professionals; prescriptive authority varies by state but is
typically part of PNP practice.
Rationale (A): Incorrect — PNPs are qualified to manage many
pediatric conditions.
Rationale (C): Incorrect — PNPs frequently prescribe controller
medications within their scope.
Rationale (D): Incorrect — PNP role includes management of
chronic conditions, not just health promotion.
Teaching Point: Clarify PNP scope and collaborative practice
while following state regulations.
Citation: Burns et al., 2023, Ch. 1, Section: Pediatric Primary
Care Providers
4
Reference: Ch. 1, Section: Unique Issues in Pediatrics
Question Stem: A 15-year-old requests confidential STI testing.
Which action best balances adolescent confidentiality and
legal/ethical responsibilities?
A. Refuse testing without parental consent under all
circumstances.
B. Provide testing and treatment per laws allowing mature
minor or public health exceptions, and discuss confidentiality
limits.
