Burns' Pediatric Primary Care 8th Edition Test Bank | 20
MCQs per Chapter
Pediatric Primary Care Test Bank & NCLEX-HESI
Review | Burns' 8th Edition
Question 1:
A 6-month-old infant comes for a well-child visit. The parent
asks about anticipatory guidance for injury prevention at home.
Which response best reflects the primary role of pediatric
primary care during preventive health visits?
A. Provide episodic care only when a problem is reported.
B. Offer anticipatory guidance and screening to prevent injury
and promote development.
C. Refer all families to community resources and avoid
counseling to save clinic time.
D. Perform only growth measurements and defer counseling to
the next visit.
Correct Answer: B
Rationale: The primary role of pediatric primary care includes
health supervision, anticipatory guidance, and preventive
screening to reduce injury and promote healthy development.
Option B is correct because effective primary care proactively
addresses risks (e.g., safety, immunizations, feeding) at well
visits. A is incorrect — episodic care alone misses prevention. C
is incorrect — referral can supplement but does not replace
,clinician counseling. D is incorrect — growth measures are
important but insufficient; counseling should occur at the visit.
Question 2:
A 3-year-old with recurrent otitis media is seen in a busy clinic.
The family attends with the mother and a teenage sibling who is
the main household caregiver when mother works. The clinician
recognizes the family context and asks about sibling caregiving
stress, access to food, and parent employment. Which concept
does this best illustrate?
A. Primary prevention only
B. Two-generation (2Gen) or dual-patient approach
C. Tertiary care management
D. Fragmented episodic care
Correct Answer: B
Rationale: Asking about family context and caregiver resources
reflects a two-generation (2Gen) approach — addressing child
and caregiver/adult needs together to improve child outcomes.
A is incorrect — this is broader than primary prevention. C is
incorrect — tertiary care refers to specialized disease
management, not family-centered screening. D is incorrect —
this is coordinated, not fragmented. (Supports 2Gen approach
as an evidence-based model for family-centered primary care.)
Ascend at the Aspen Institute+1
,Question 3:
During a 15-month well visit, a parent discloses that they often
lose temper and that there is frequent yelling and occasional
food insecurity at home. The pediatric NP suspects adverse
childhood experiences (ACEs). Which immediate clinical action
best follows current AAP guidance?
A. Dismiss the concern because ACEs screening is not useful in
primary care.
B. Screen sensitively for ACEs and connect the family to
concrete resources and trauma-informed support.
C. Report the parents to child protective services immediately
without further assessment.
D. Provide only anticipatory guidance on development and
ignore social context.
Correct Answer: B
Rationale: AAP guidance supports sensitive screening for ACEs
or related toxic stress and then addressing identified needs with
trauma-informed care and connection to supports (e.g.,
community resources, behavioral health, social services). B is
correct. A is incorrect — ACEs screening and recognition are
important. C is incorrect — mandatory reporting is required
only when there is suspicion of current abuse/neglect;
screening alone without evidence of abuse doesn’t mandate
immediate reporting. D is incorrect — ignoring social
determinants misses modifiable risk factors. AAP Publications+1
, Question 4:
A 17-year-old youth with congenital heart disease is preparing
to move to adult care. Which plan best demonstrates
appropriate transition planning per best practice models?
A. Wait until the patient turns 18 and then transfer records to
an adult cardiologist.
B. Start transition planning early, assess self-management skills,
create a written plan, and coordinate with adult providers.
C. Tell the youth that transition is their responsibility alone and
provide no assistance.
D. Discharge the youth from the pediatric clinic without a
summary, expecting the patient to find adult care.
Correct Answer: B
Rationale: Best practice for health care transition includes early,
purposeful planning (often beginning in adolescence), skills
assessment, creating summaries/plans, and coordination with
adult providers to ensure continuity of care. B is correct. A is
incorrect — delaying planning until 18 risks gaps. C and D are
incorrect — transition requires structured support, not
abandonment. (Got Transition and AAP endorse structured
transition planning.) AAP Publications+1
Question 5:
A 9-year-old child with asthma, developmental delay, and daily
medication needs attends clinic. The family reports difficulty
scheduling specialty visits and frequent unmet needs. Which
MCQs per Chapter
Pediatric Primary Care Test Bank & NCLEX-HESI
Review | Burns' 8th Edition
Question 1:
A 6-month-old infant comes for a well-child visit. The parent
asks about anticipatory guidance for injury prevention at home.
Which response best reflects the primary role of pediatric
primary care during preventive health visits?
A. Provide episodic care only when a problem is reported.
B. Offer anticipatory guidance and screening to prevent injury
and promote development.
C. Refer all families to community resources and avoid
counseling to save clinic time.
D. Perform only growth measurements and defer counseling to
the next visit.
Correct Answer: B
Rationale: The primary role of pediatric primary care includes
health supervision, anticipatory guidance, and preventive
screening to reduce injury and promote healthy development.
Option B is correct because effective primary care proactively
addresses risks (e.g., safety, immunizations, feeding) at well
visits. A is incorrect — episodic care alone misses prevention. C
is incorrect — referral can supplement but does not replace
,clinician counseling. D is incorrect — growth measures are
important but insufficient; counseling should occur at the visit.
Question 2:
A 3-year-old with recurrent otitis media is seen in a busy clinic.
The family attends with the mother and a teenage sibling who is
the main household caregiver when mother works. The clinician
recognizes the family context and asks about sibling caregiving
stress, access to food, and parent employment. Which concept
does this best illustrate?
A. Primary prevention only
B. Two-generation (2Gen) or dual-patient approach
C. Tertiary care management
D. Fragmented episodic care
Correct Answer: B
Rationale: Asking about family context and caregiver resources
reflects a two-generation (2Gen) approach — addressing child
and caregiver/adult needs together to improve child outcomes.
A is incorrect — this is broader than primary prevention. C is
incorrect — tertiary care refers to specialized disease
management, not family-centered screening. D is incorrect —
this is coordinated, not fragmented. (Supports 2Gen approach
as an evidence-based model for family-centered primary care.)
Ascend at the Aspen Institute+1
,Question 3:
During a 15-month well visit, a parent discloses that they often
lose temper and that there is frequent yelling and occasional
food insecurity at home. The pediatric NP suspects adverse
childhood experiences (ACEs). Which immediate clinical action
best follows current AAP guidance?
A. Dismiss the concern because ACEs screening is not useful in
primary care.
B. Screen sensitively for ACEs and connect the family to
concrete resources and trauma-informed support.
C. Report the parents to child protective services immediately
without further assessment.
D. Provide only anticipatory guidance on development and
ignore social context.
Correct Answer: B
Rationale: AAP guidance supports sensitive screening for ACEs
or related toxic stress and then addressing identified needs with
trauma-informed care and connection to supports (e.g.,
community resources, behavioral health, social services). B is
correct. A is incorrect — ACEs screening and recognition are
important. C is incorrect — mandatory reporting is required
only when there is suspicion of current abuse/neglect;
screening alone without evidence of abuse doesn’t mandate
immediate reporting. D is incorrect — ignoring social
determinants misses modifiable risk factors. AAP Publications+1
, Question 4:
A 17-year-old youth with congenital heart disease is preparing
to move to adult care. Which plan best demonstrates
appropriate transition planning per best practice models?
A. Wait until the patient turns 18 and then transfer records to
an adult cardiologist.
B. Start transition planning early, assess self-management skills,
create a written plan, and coordinate with adult providers.
C. Tell the youth that transition is their responsibility alone and
provide no assistance.
D. Discharge the youth from the pediatric clinic without a
summary, expecting the patient to find adult care.
Correct Answer: B
Rationale: Best practice for health care transition includes early,
purposeful planning (often beginning in adolescence), skills
assessment, creating summaries/plans, and coordination with
adult providers to ensure continuity of care. B is correct. A is
incorrect — delaying planning until 18 risks gaps. C and D are
incorrect — transition requires structured support, not
abandonment. (Got Transition and AAP endorse structured
transition planning.) AAP Publications+1
Question 5:
A 9-year-old child with asthma, developmental delay, and daily
medication needs attends clinic. The family reports difficulty
scheduling specialty visits and frequent unmet needs. Which
