Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Question 1:
A 9-month-old infant presents for a well-child visit focused on
routine immunizations, growth monitoring, and parental
guidance about introducing solids. Which element best
represents primary prevention in pediatric primary care?
A. Screening the infant for developmental delays at the visit.
B. Administering age-appropriate vaccines during the visit.
C. Referring the infant to early intervention after failed
developmental screening.
D. Ordering blood tests after the infant shows failure to thrive.
Correct Answer: B
Rationale: Administering vaccines is primary prevention
because it prevents disease before it occurs. Screening for
developmental delays (A) is secondary prevention (early
detection). Referral to early intervention after a failed screening
(C) is tertiary/secondary intervention to reduce impact and
treat identified problems. Ordering diagnostic tests after signs
of failure to thrive (D) is part of evaluation and management,
not primary prevention.
,Question 2:
A family brings a 7-year-old with recurrent asthma
exacerbations. The pediatric PCP adjusts the care plan to
include environmental trigger reduction at home and a written
asthma action plan. This approach best exemplifies which role
of primary care?
A. Episodic acute-care only.
B. Population-level immunization tracking.
C. Comprehensive, continuous care including management and
prevention.
D. Surgical referral coordination only.
Correct Answer: C
Rationale: Primary care’s role includes comprehensive,
continuous care — ongoing management, prevention, and
coordination (C). Episodic acute-care only (A) is too narrow.
Population-level immunization tracking (B) is one component
but doesn’t capture the individualized management. Surgical
referral coordination only (D) is a limited function and not the
best descriptor.
Question 3:
A 16-year-old with congenital heart disease is preparing to
transition to adult cardiology. As a pediatric NP, which action
most effectively facilitates a successful transition?
A. Telling the adolescent to contact adult cardiology when they
,turn 18.
B. Gradually increasing adolescent’s involvement in self-
management and arranging a joint visit with adult cardiology
before transfer.
C. Transferring all records on the patient’s 18th birthday
without prior communication.
D. Continuing to manage the patient indefinitely in pediatric
practice.
Correct Answer: B
Rationale: Best practice for transition includes gradual
assumption of self-management by the adolescent and planned
transfer with communication, ideally a joint visit or warm
handoff (B). Simply telling them to contact adult cardiology (A)
or transferring records without coordination (C) risks loss to
follow-up. Continuing indefinitely (D) may not be feasible or
appropriate for adult services.
Question 4:
During a well visit, a parent discloses concerns about food
insecurity at home. Which response aligns with a two-
generation (dual patient) approach?
A. Document the concern and schedule the next routine well
visit.
B. Focus solely on the child’s growth parameters and ignore
family needs.
C. Screen for caregiver stress, provide referrals to community
, food resources, and discuss nutrition safety for the child.
D. Tell the family to apply for food assistance online without
additional support.
Correct Answer: C
Rationale: The two-generation approach addresses both child
and caregiver/family needs—screening caregiver stress,
connecting to resources, and ensuring child nutrition are
appropriate (C). Documenting only (A) or focusing solely on the
child (B) misses caregiver needs. Telling them to apply online
without support (D) may not be feasible; active referral and
assistance are recommended.
Question 5:
Which statement best reflects the difference between primary
care and primary prevention in pediatric practice?
A. Primary care is clinic-based while primary prevention is only
community-based.
B. Primary care provides continuous, comprehensive services;
primary prevention refers to actions that prevent disease before
it occurs.
C. Primary care only treats acute illness; primary prevention
only involves immunizations.
D. There is no meaningful difference; both terms are
interchangeable.
Correct Answer: B
Rationale: Primary care refers to the broad, continuous,
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Question 1:
A 9-month-old infant presents for a well-child visit focused on
routine immunizations, growth monitoring, and parental
guidance about introducing solids. Which element best
represents primary prevention in pediatric primary care?
A. Screening the infant for developmental delays at the visit.
B. Administering age-appropriate vaccines during the visit.
C. Referring the infant to early intervention after failed
developmental screening.
D. Ordering blood tests after the infant shows failure to thrive.
Correct Answer: B
Rationale: Administering vaccines is primary prevention
because it prevents disease before it occurs. Screening for
developmental delays (A) is secondary prevention (early
detection). Referral to early intervention after a failed screening
(C) is tertiary/secondary intervention to reduce impact and
treat identified problems. Ordering diagnostic tests after signs
of failure to thrive (D) is part of evaluation and management,
not primary prevention.
,Question 2:
A family brings a 7-year-old with recurrent asthma
exacerbations. The pediatric PCP adjusts the care plan to
include environmental trigger reduction at home and a written
asthma action plan. This approach best exemplifies which role
of primary care?
A. Episodic acute-care only.
B. Population-level immunization tracking.
C. Comprehensive, continuous care including management and
prevention.
D. Surgical referral coordination only.
Correct Answer: C
Rationale: Primary care’s role includes comprehensive,
continuous care — ongoing management, prevention, and
coordination (C). Episodic acute-care only (A) is too narrow.
Population-level immunization tracking (B) is one component
but doesn’t capture the individualized management. Surgical
referral coordination only (D) is a limited function and not the
best descriptor.
Question 3:
A 16-year-old with congenital heart disease is preparing to
transition to adult cardiology. As a pediatric NP, which action
most effectively facilitates a successful transition?
A. Telling the adolescent to contact adult cardiology when they
,turn 18.
B. Gradually increasing adolescent’s involvement in self-
management and arranging a joint visit with adult cardiology
before transfer.
C. Transferring all records on the patient’s 18th birthday
without prior communication.
D. Continuing to manage the patient indefinitely in pediatric
practice.
Correct Answer: B
Rationale: Best practice for transition includes gradual
assumption of self-management by the adolescent and planned
transfer with communication, ideally a joint visit or warm
handoff (B). Simply telling them to contact adult cardiology (A)
or transferring records without coordination (C) risks loss to
follow-up. Continuing indefinitely (D) may not be feasible or
appropriate for adult services.
Question 4:
During a well visit, a parent discloses concerns about food
insecurity at home. Which response aligns with a two-
generation (dual patient) approach?
A. Document the concern and schedule the next routine well
visit.
B. Focus solely on the child’s growth parameters and ignore
family needs.
C. Screen for caregiver stress, provide referrals to community
, food resources, and discuss nutrition safety for the child.
D. Tell the family to apply for food assistance online without
additional support.
Correct Answer: C
Rationale: The two-generation approach addresses both child
and caregiver/family needs—screening caregiver stress,
connecting to resources, and ensuring child nutrition are
appropriate (C). Documenting only (A) or focusing solely on the
child (B) misses caregiver needs. Telling them to apply online
without support (D) may not be feasible; active referral and
assistance are recommended.
Question 5:
Which statement best reflects the difference between primary
care and primary prevention in pediatric practice?
A. Primary care is clinic-based while primary prevention is only
community-based.
B. Primary care provides continuous, comprehensive services;
primary prevention refers to actions that prevent disease before
it occurs.
C. Primary care only treats acute illness; primary prevention
only involves immunizations.
D. There is no meaningful difference; both terms are
interchangeable.
Correct Answer: B
Rationale: Primary care refers to the broad, continuous,
