Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
1) Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Question Stem
A 3-week-old infant arrives for a well-visit. The family asks why
pediatric primary care visits differ from adult primary care.
Which explanation best supports the unique role of pediatric
primary care?
A. Pediatric primary care focuses only on treating acute illness
during infancy and childhood.
B. Pediatric primary care includes monitoring growth,
development, and anticipatory guidance across stages.
C. Pediatric primary care emphasizes specialist referrals over
routine preventive care.
D. Pediatric primary care provides care only when parents
request services.
Correct Answer
B
,Rationales
Correct: Pediatric primary care emphasizes longitudinal
monitoring of growth and development and provides
anticipatory guidance and prevention throughout childhood.
A (Incorrect): Pediatric care is not limited to acute illness; it is
preventive and developmental.
C (Incorrect): While referrals are used, primary care emphasizes
routine preventive care first.
D (Incorrect): Care is proactive and scheduled (eg, well visits),
not solely reactive to parental requests.
Teaching Point
Pediatric primary care centers on growth, development, and
anticipatory guidance.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
2) Reference
Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
Question Stem
During a 2-year well visit, a parent asks which service is an
example of primary prevention. Which response by the clinician
is best?
,A. “Ordering a lead level because the child has pica.”
B. “Administering the MMR vaccine per the immunization
schedule.”
C. “Referring to audiology after speech delay is noted.”
D. “Starting inhaled steroid therapy for recurrent wheeze.”
Correct Answer
B
Rationales
Correct: Immunizations prevent disease before it occurs and are
classic primary prevention.
A (Incorrect): Lead level screening is secondary prevention—
detecting exposure after risk.
C (Incorrect): Referral for identified delay is tertiary/secondary
intervention, not primary prevention.
D (Incorrect): Initiating therapy for established symptoms is
secondary/tertiary care, not primary prevention.
Teaching Point
Primary prevention prevents disease before onset (vaccination,
safety counseling).
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
3) Reference
, Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
Question Stem
A family asks whether a pediatric nurse practitioner (PNP) is
appropriate to manage their school-age child’s uncomplicated
asthma. Which statement best reflects the role of pediatric
primary care providers?
A. PNPs cannot prescribe or manage chronic conditions; only
physicians can.
B. PNPs provide comprehensive primary care, including chronic
condition management and prescribing within scope.
C. PNPs only provide preventive care and must always refer
chronic cases to specialists.
D. PNPs only handle triage and scheduling, not diagnosis or
treatment.
Correct Answer
B
Rationales
Correct: Pediatric primary care providers such as PNPs manage
acute and chronic issues, prescribe, and provide continuity of
care within their licensure.
A (Incorrect): PNPs often have prescriptive authority and
manage chronic diseases.
C (Incorrect): They manage many chronic conditions without
automatic specialist referral.
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
1) Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Question Stem
A 3-week-old infant arrives for a well-visit. The family asks why
pediatric primary care visits differ from adult primary care.
Which explanation best supports the unique role of pediatric
primary care?
A. Pediatric primary care focuses only on treating acute illness
during infancy and childhood.
B. Pediatric primary care includes monitoring growth,
development, and anticipatory guidance across stages.
C. Pediatric primary care emphasizes specialist referrals over
routine preventive care.
D. Pediatric primary care provides care only when parents
request services.
Correct Answer
B
,Rationales
Correct: Pediatric primary care emphasizes longitudinal
monitoring of growth and development and provides
anticipatory guidance and prevention throughout childhood.
A (Incorrect): Pediatric care is not limited to acute illness; it is
preventive and developmental.
C (Incorrect): While referrals are used, primary care emphasizes
routine preventive care first.
D (Incorrect): Care is proactive and scheduled (eg, well visits),
not solely reactive to parental requests.
Teaching Point
Pediatric primary care centers on growth, development, and
anticipatory guidance.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
2) Reference
Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
Question Stem
During a 2-year well visit, a parent asks which service is an
example of primary prevention. Which response by the clinician
is best?
,A. “Ordering a lead level because the child has pica.”
B. “Administering the MMR vaccine per the immunization
schedule.”
C. “Referring to audiology after speech delay is noted.”
D. “Starting inhaled steroid therapy for recurrent wheeze.”
Correct Answer
B
Rationales
Correct: Immunizations prevent disease before it occurs and are
classic primary prevention.
A (Incorrect): Lead level screening is secondary prevention—
detecting exposure after risk.
C (Incorrect): Referral for identified delay is tertiary/secondary
intervention, not primary prevention.
D (Incorrect): Initiating therapy for established symptoms is
secondary/tertiary care, not primary prevention.
Teaching Point
Primary prevention prevents disease before onset (vaccination,
safety counseling).
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
3) Reference
, Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
Question Stem
A family asks whether a pediatric nurse practitioner (PNP) is
appropriate to manage their school-age child’s uncomplicated
asthma. Which statement best reflects the role of pediatric
primary care providers?
A. PNPs cannot prescribe or manage chronic conditions; only
physicians can.
B. PNPs provide comprehensive primary care, including chronic
condition management and prescribing within scope.
C. PNPs only provide preventive care and must always refer
chronic cases to specialists.
D. PNPs only handle triage and scheduling, not diagnosis or
treatment.
Correct Answer
B
Rationales
Correct: Pediatric primary care providers such as PNPs manage
acute and chronic issues, prescribe, and provide continuity of
care within their licensure.
A (Incorrect): PNPs often have prescriptive authority and
manage chronic diseases.
C (Incorrect): They manage many chronic conditions without
automatic specialist referral.
