Burns’ Pediatric Primary Care 8th Ed Test Bank • 20 MCQs/Chapter • FNP & PNP Exam Prep • Clinical Pediatric Assessment & Management

Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)




1. Question Stem
A 6-month-old infant presents to a clinic for a well-child
visit. The family asks whether immunizations and
anticipatory guidance are part of "primary care" or
"primary prevention." Which explanation best reflects the
difference between primary care and primary prevention
in pediatric practice?
Options
A. Primary care focuses on treating acute illness; primary
prevention only occurs in public health departments.
B. Primary care provides ongoing, comprehensive services
including diagnosis and management; primary prevention aims
to prevent disease before it occurs.
C. Primary care is only for children with chronic conditions;
primary prevention includes treatment to prevent
complications.

,D. Primary care and primary prevention are synonymous terms
used interchangeably in pediatrics.
Correct Answer
B
Rationales
Correct: Primary care in pediatrics is longitudinal and
comprehensive—diagnosis, management, coordination—while
primary prevention specifically refers to actions (e.g.,
immunizations, counseling) that prevent disease onset.
A: Incorrect — Primary care includes both acute and preventive
services and is not limited to treatment.
C: Incorrect — Primary care serves all children, not only those
with chronic conditions; primary prevention is preventive, not
treatment-based.
D: Incorrect — The two terms are distinct; they overlap but are
not synonymous.
Teaching Point
Primary care is longitudinal and comprehensive; primary
prevention prevents disease before it occurs.
Citation (simplified APA)
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.


Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention

,2) Question Stem
During a 15-month visit, a nurse practitioner reviews injury
prevention strategies. Which action is the best example of
primary prevention in this setting?
Options
A. Referring the child to a pediatric cardiologist after detecting a
murmur.
B. Counseling on installing and using a properly fitted car seat
for the toddler.
C. Ordering an echocardiogram to evaluate a suspected
structural problem.
D. Prescribing an inhaler for newly diagnosed asthma to reduce
exacerbations.
Correct Answer
B
Rationales
Correct: Counseling and ensuring a properly fitted car seat
prevents injuries before they occur—classic primary prevention.
A: Incorrect — Referral for further diagnosis is primary
care/diagnostic action, not primary prevention.
C: Incorrect — Ordering diagnostics addresses an existing
concern rather than preventing a problem.
D: Incorrect — Prescribing medication for asthma is
secondary/tertiary prevention to manage disease, not primary
prevention.

, Teaching Point
Counseling and safety measures (e.g., car seats) are key primary
prevention strategies.
Citation (simplified APA)
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.


Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
3) Question Stem
A parent asks why their child’s nurse practitioner (NP)
coordinates care with a school’s special education team. Which
rationale best explains the NP’s role among pediatric primary
care providers?
Options
A. The NP’s role is primarily to prescribe medications;
coordination is optional.
B. The NP acts as a central coordinator to integrate medical,
developmental, and educational services.
C. The NP should defer coordination to a social worker and not
contact schools.
D. The NP’s responsibility is limited to physical examinations
and immunizations.
Correct Answer
B