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 6-month-old infant presents for a well visit.
The family asks why the clinic emphasizes longitudinal visits
with a single primary provider rather than episodic visits to
urgent care. As a pediatric primary care APRN, which
explanation best supports the role of primary care?
A. Primary care focuses exclusively on acute illness and
referrals.
B. Primary care provides longitudinal, family-centered care
including prevention and coordination.
C. Primary care only offers immunizations and routine
screening.
D. Primary care prevents all possible future illnesses with
annual vaccines alone.
Correct Answer: B
Rationale — Correct: Primary care is defined by continuous,
holistic, family-centered care that emphasizes prevention,
anticipatory guidance, and coordination across settings, which
improves outcomes.
Rationale — A: Incorrect — Primary care is not limited to acute
issues and referral; it includes prevention and longitudinal
,management.
Rationale — C: Incorrect — Immunizations and screening are
components but not the whole of primary care.
Rationale — D: Incorrect — Prevention is important, but
primary care cannot prevent all future illnesses through
vaccines alone.
Teaching Point: Primary care = continuous, family-centered
prevention and coordination.
Citation: Burns et al., 2023, Ch. 1, Section: Pediatric Primary
Care
2.
Reference: Ch. 1, Section: Primary Care Versus Primary
Prevention
Question Stem: A primary care APRN is designing a clinic
program to reduce childhood obesity. Which component best
exemplifies primary prevention rather than primary care only?
A. Treating a child’s current hypertension medication
adjustment.
B. Providing community education on healthy feeding and
active play before obesity develops.
C. Referring an obese adolescent to a bariatric surgeon.
D. Documenting BMI and scheduling weight follow-up.
Correct Answer: B
,Rationale — Correct: Primary prevention aims to prevent
disease before it occurs; community education about healthy
behaviors targets risk reduction prior to disease onset.
Rationale — A: Incorrect — Managing existing hypertension is
tertiary or secondary care, not primary prevention.
Rationale — C: Incorrect — Referral for surgical management
addresses established disease (tertiary).
Rationale — D: Incorrect — Screening and follow-up are part of
primary care practice but not the active prevention strategy
described.
Teaching Point: Primary prevention intervenes 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 Stem: A family requests to see a pediatric nurse
practitioner for well and sick visits. Which statement best
describes the APRN’s scope in pediatric primary care?
A. APRNs may perform health promotion, diagnose, treat
common conditions, and prescribe per state law.
B. APRNs are limited to counseling and must refer for all
prescriptions.
C. APRNs can only do immunizations but cannot manage
, chronic conditions.
D. APRNs cannot coordinate care with specialists.
Correct Answer: A
Rationale — Correct: APRNs (PNPs) in primary care provide
comprehensive services — assessment, diagnosis, treatment,
prescribing (within regulatory limits), and care coordination.
Rationale — B: Incorrect — APRNs frequently prescribe and
manage conditions according to scope and regulation.
Rationale — C: Incorrect — APRNs manage both preventive care
and chronic conditions in primary care.
Rationale — D: Incorrect — Care coordination with specialists is
a central role of primary care APRNs.
Teaching Point: APRNs deliver comprehensive primary care
within regulatory scope.
Citation: Burns et al., 2023, Ch. 1, Section: Pediatric Primary
Care Providers
4.
Reference: Ch. 1, Section: Unique Issues in Pediatrics
Question Stem: An 8-year-old with recurrent otitis media is
brought in. Which pediatric-specific consideration should most
influence your management compared with adult care?
A. Children’s disease presentations and family-centered context
differ; growth and development affect decisions.
B. Children should be treated identically to adults for dosing
MCQs per Chapter
Pediatric Primary Care Test Bank & NCLEX-HESI
Review | Burns' 8th Edition
Reference: Ch. 1, Section: Pediatric Primary Care
Question Stem: A 6-month-old infant presents for a well visit.
The family asks why the clinic emphasizes longitudinal visits
with a single primary provider rather than episodic visits to
urgent care. As a pediatric primary care APRN, which
explanation best supports the role of primary care?
A. Primary care focuses exclusively on acute illness and
referrals.
B. Primary care provides longitudinal, family-centered care
including prevention and coordination.
C. Primary care only offers immunizations and routine
screening.
D. Primary care prevents all possible future illnesses with
annual vaccines alone.
Correct Answer: B
Rationale — Correct: Primary care is defined by continuous,
holistic, family-centered care that emphasizes prevention,
anticipatory guidance, and coordination across settings, which
improves outcomes.
Rationale — A: Incorrect — Primary care is not limited to acute
issues and referral; it includes prevention and longitudinal
,management.
Rationale — C: Incorrect — Immunizations and screening are
components but not the whole of primary care.
Rationale — D: Incorrect — Prevention is important, but
primary care cannot prevent all future illnesses through
vaccines alone.
Teaching Point: Primary care = continuous, family-centered
prevention and coordination.
Citation: Burns et al., 2023, Ch. 1, Section: Pediatric Primary
Care
2.
Reference: Ch. 1, Section: Primary Care Versus Primary
Prevention
Question Stem: A primary care APRN is designing a clinic
program to reduce childhood obesity. Which component best
exemplifies primary prevention rather than primary care only?
A. Treating a child’s current hypertension medication
adjustment.
B. Providing community education on healthy feeding and
active play before obesity develops.
C. Referring an obese adolescent to a bariatric surgeon.
D. Documenting BMI and scheduling weight follow-up.
Correct Answer: B
,Rationale — Correct: Primary prevention aims to prevent
disease before it occurs; community education about healthy
behaviors targets risk reduction prior to disease onset.
Rationale — A: Incorrect — Managing existing hypertension is
tertiary or secondary care, not primary prevention.
Rationale — C: Incorrect — Referral for surgical management
addresses established disease (tertiary).
Rationale — D: Incorrect — Screening and follow-up are part of
primary care practice but not the active prevention strategy
described.
Teaching Point: Primary prevention intervenes 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 Stem: A family requests to see a pediatric nurse
practitioner for well and sick visits. Which statement best
describes the APRN’s scope in pediatric primary care?
A. APRNs may perform health promotion, diagnose, treat
common conditions, and prescribe per state law.
B. APRNs are limited to counseling and must refer for all
prescriptions.
C. APRNs can only do immunizations but cannot manage
, chronic conditions.
D. APRNs cannot coordinate care with specialists.
Correct Answer: A
Rationale — Correct: APRNs (PNPs) in primary care provide
comprehensive services — assessment, diagnosis, treatment,
prescribing (within regulatory limits), and care coordination.
Rationale — B: Incorrect — APRNs frequently prescribe and
manage conditions according to scope and regulation.
Rationale — C: Incorrect — APRNs manage both preventive care
and chronic conditions in primary care.
Rationale — D: Incorrect — Care coordination with specialists is
a central role of primary care APRNs.
Teaching Point: APRNs deliver comprehensive primary care
within regulatory scope.
Citation: Burns et al., 2023, Ch. 1, Section: Pediatric Primary
Care Providers
4.
Reference: Ch. 1, Section: Unique Issues in Pediatrics
Question Stem: An 8-year-old with recurrent otitis media is
brought in. Which pediatric-specific consideration should most
influence your management compared with adult care?
A. Children’s disease presentations and family-centered context
differ; growth and development affect decisions.
B. Children should be treated identically to adults for dosing
