Burns' Pediatric Primary Care 8th Edition Test Bank | 20
MCQs per Chapter
Pediatric Primary Care Test Bank & NCLEX-HESI
Review | Burns' 8th Edition
Question: A 4-year-old presents for a well-child visit; the parent
asks how primary care differs from public health prevention. As
a PNP, which description best differentiates primary care from
primary prevention?
A. Primary care focuses only on acute illnesses while primary
prevention addresses only community outbreaks.
B. Primary care delivers continuous, comprehensive care across
the lifespan; primary prevention specifically reduces disease
incidence through interventions like immunization.
C. Primary care is delivered exclusively in clinics; primary
prevention occurs only in schools.
D. Primary care refers to specialty referrals; primary prevention
is limited to genetic counseling.
Correct Answer: B
Rationale — Correct: Primary care is continuous and
comprehensive, managing acute and chronic conditions and
coordinating care, while primary prevention aims to prevent
disease occurrence (e.g., immunizations, safety counseling).
This distinction guides PNPs’ counseling and care planning.
Rationale — A: Incorrect — primary care is not limited to acute
care; it includes preventive, chronic, and developmental care.
,Rationale — C: Incorrect — settings overlap; both primary care
and prevention can occur in multiple sites.
Rationale — D: Incorrect — primary care is broader than
specialty referral, and primary prevention includes more than
genetic counseling.
Teaching Point: Primary care = continuous, comprehensive
care; primary prevention = interventions to prevent disease.
Citation: Burns et al., 2023, Ch. 1, Section: Pediatric Primary
Care
2.
Reference: Ch. 1, Section: Primary Care Versus Primary
Prevention
Question: A PNP is designing a clinic program to reduce
childhood obesity prevalence. Which activity best represents
primary prevention?
A. Beginning pharmacotherapy for an obese 13-year-old with
metabolic syndrome.
B. Screening all children for BMI and providing universal
nutrition education and physical activity promotion.
C. Referring a child with type 2 diabetes to endocrinology.
D. Intensifying therapy for an adolescent with established
diabetes-related complications.
Correct Answer: B
,Rationale — Correct: Primary prevention reduces the incidence
of disease through universal interventions (education, activity
promotion) before disease develops or is detected. Screening
plus universal counseling fits primary prevention in pediatric
primary care.
Rationale — A: Incorrect — pharmacotherapy treats an
established condition (secondary/tertiary intervention).
Rationale — C: Incorrect — referral for treatment is
management, not primary prevention.
Rationale — D: Incorrect — intensifying therapy addresses
complications (tertiary care).
Teaching Point: Primary prevention targets the population
before disease onset.
Citation: Burns et al., 2023, Ch. 1, Section: Primary Care Versus
Primary Prevention
3.
Reference: Ch. 1, Section: Pediatric Primary Care Providers
Question: A family wants to know the unique role of the
pediatric nurse practitioner within the primary care team.
Which statement best reflects the PNP role?
A. PNPs only perform well-child checks and must refer all
complex issues.
B. PNPs provide diagnosis, evidence-based treatment (including
prescribing within scope), health promotion, and care
coordination across lifespan.
, C. PNPs exclusively provide inpatient care and do not
participate in preventive services.
D. PNPs function identically to medical assistants in workflow
and decision-making.
Correct Answer: B
Rationale — Correct: PNPs deliver comprehensive care
including assessment, diagnosis, prescribing (within state
scope), counseling, and coordination—central to pediatric
primary care teams.
Rationale — A: Incorrect — PNPs manage many complex issues
within their scope and do not only perform well-child checks.
Rationale — C: Incorrect — PNPs commonly provide outpatient
preventive services.
Rationale — D: Incorrect — PNPs have advanced-level clinical
responsibilities distinct from support staff.
Teaching Point: PNPs provide advanced, independent pediatric
primary care including prescribing and coordination.
Citation: Burns et al., 2023, Ch. 1, Section: Pediatric Primary
Care Providers
4.
Reference: Ch. 1, Section: Unique Issues in Pediatrics
Question: When prescribing codeine for a child’s cough, which
pediatric-specific issue should most influence the PNP’s
decision?
MCQs per Chapter
Pediatric Primary Care Test Bank & NCLEX-HESI
Review | Burns' 8th Edition
Question: A 4-year-old presents for a well-child visit; the parent
asks how primary care differs from public health prevention. As
a PNP, which description best differentiates primary care from
primary prevention?
A. Primary care focuses only on acute illnesses while primary
prevention addresses only community outbreaks.
B. Primary care delivers continuous, comprehensive care across
the lifespan; primary prevention specifically reduces disease
incidence through interventions like immunization.
C. Primary care is delivered exclusively in clinics; primary
prevention occurs only in schools.
D. Primary care refers to specialty referrals; primary prevention
is limited to genetic counseling.
Correct Answer: B
Rationale — Correct: Primary care is continuous and
comprehensive, managing acute and chronic conditions and
coordinating care, while primary prevention aims to prevent
disease occurrence (e.g., immunizations, safety counseling).
This distinction guides PNPs’ counseling and care planning.
Rationale — A: Incorrect — primary care is not limited to acute
care; it includes preventive, chronic, and developmental care.
,Rationale — C: Incorrect — settings overlap; both primary care
and prevention can occur in multiple sites.
Rationale — D: Incorrect — primary care is broader than
specialty referral, and primary prevention includes more than
genetic counseling.
Teaching Point: Primary care = continuous, comprehensive
care; primary prevention = interventions to prevent disease.
Citation: Burns et al., 2023, Ch. 1, Section: Pediatric Primary
Care
2.
Reference: Ch. 1, Section: Primary Care Versus Primary
Prevention
Question: A PNP is designing a clinic program to reduce
childhood obesity prevalence. Which activity best represents
primary prevention?
A. Beginning pharmacotherapy for an obese 13-year-old with
metabolic syndrome.
B. Screening all children for BMI and providing universal
nutrition education and physical activity promotion.
C. Referring a child with type 2 diabetes to endocrinology.
D. Intensifying therapy for an adolescent with established
diabetes-related complications.
Correct Answer: B
,Rationale — Correct: Primary prevention reduces the incidence
of disease through universal interventions (education, activity
promotion) before disease develops or is detected. Screening
plus universal counseling fits primary prevention in pediatric
primary care.
Rationale — A: Incorrect — pharmacotherapy treats an
established condition (secondary/tertiary intervention).
Rationale — C: Incorrect — referral for treatment is
management, not primary prevention.
Rationale — D: Incorrect — intensifying therapy addresses
complications (tertiary care).
Teaching Point: Primary prevention targets the population
before disease onset.
Citation: Burns et al., 2023, Ch. 1, Section: Primary Care Versus
Primary Prevention
3.
Reference: Ch. 1, Section: Pediatric Primary Care Providers
Question: A family wants to know the unique role of the
pediatric nurse practitioner within the primary care team.
Which statement best reflects the PNP role?
A. PNPs only perform well-child checks and must refer all
complex issues.
B. PNPs provide diagnosis, evidence-based treatment (including
prescribing within scope), health promotion, and care
coordination across lifespan.
, C. PNPs exclusively provide inpatient care and do not
participate in preventive services.
D. PNPs function identically to medical assistants in workflow
and decision-making.
Correct Answer: B
Rationale — Correct: PNPs deliver comprehensive care
including assessment, diagnosis, prescribing (within state
scope), counseling, and coordination—central to pediatric
primary care teams.
Rationale — A: Incorrect — PNPs manage many complex issues
within their scope and do not only perform well-child checks.
Rationale — C: Incorrect — PNPs commonly provide outpatient
preventive services.
Rationale — D: Incorrect — PNPs have advanced-level clinical
responsibilities distinct from support staff.
Teaching Point: PNPs provide advanced, independent pediatric
primary care including prescribing and coordination.
Citation: Burns et al., 2023, Ch. 1, Section: Pediatric Primary
Care Providers
4.
Reference: Ch. 1, Section: Unique Issues in Pediatrics
Question: When prescribing codeine for a child’s cough, which
pediatric-specific issue should most influence the PNP’s
decision?
