Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Reference
Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
Question Stem
A 6-month-old infant presents for a well visit. The family asks
whether immunizations, safety counseling, and growth
monitoring are considered "primary care" or "primary
prevention." As a pediatric NP, which response best
distinguishes primary care from primary prevention in this
clinical context?
Options
A. Primary care focuses only on treating acute illness; primary
prevention is exclusively immunizations.
B. Primary care is ongoing, comprehensive health services
including prevention; primary prevention specifically aims to
stop disease before it occurs.
C. Primary care and primary prevention are interchangeable
terms in pediatrics.
,D. Primary care is delivered only in specialty clinics; primary
prevention occurs only in community programs.
Correct Answer
B
Rationales
• Correct (B): Primary care in pediatrics is ongoing,
comprehensive care that includes health supervision,
screening, and preventive services; primary prevention
specifically targets actions (e.g., immunizations, safety
counseling) to prevent disease before it starts.
• Incorrect (A): Primary care is not limited to treating acute
illness; it includes preventive and anticipatory guidance.
• Incorrect (C): The terms are related but not synonymous—
primary prevention is a subset of primary care activities.
• Incorrect (D): Primary care is delivered across settings
including primary-care offices; prevention occurs within
primary care and community settings.
Teaching Point
Primary care provides continuous, comprehensive care;
prevention is a core component.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
,2
Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
Question Stem
A family with a 3-year-old asks whether a pediatric NP, a PA, or
a pediatrician would be best for routine developmental
screening and anticipatory guidance. Which statement best
reflects the scope and collaborative role of pediatric primary
care providers?
Options
A. Only pediatricians can perform developmental screening;
NPs and PAs must refer.
B. Pediatric NPs, PAs, and pediatricians all provide
developmental screening and anticipatory guidance, often
collaborating within a medical home.
C. PAs focus exclusively on procedures and cannot give
anticipatory guidance.
D. NPs only provide care for well children and cannot manage
chronic conditions.
Correct Answer
B
Rationales
• Correct (B): Pediatric NPs, PAs, and pediatricians are
trained to perform developmental screening and provide
, anticipatory guidance, typically working collaboratively
within a medical home to coordinate care.
• Incorrect (A): Developmental screening is within the scope
of practice for qualified NPs and PAs, not reserved only for
physicians.
• Incorrect (C): PAs are trained to provide comprehensive
primary-care services including counseling and screening,
not only procedures.
• Incorrect (D): NPs manage both well-child care and chronic
conditions within their scope and collaborative
agreements as applicable.
Teaching Point
Interprofessional collaboration in the medical home optimizes
pediatric preventive care.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
3
Reference
Ch. 1 — Pediatric Primary Care — Unique Issues in Pediatrics
Question Stem
During a well-child visit, the parents of a 2-week-old ask about
medication dosing and safe storage. Which primary-care
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Reference
Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
Question Stem
A 6-month-old infant presents for a well visit. The family asks
whether immunizations, safety counseling, and growth
monitoring are considered "primary care" or "primary
prevention." As a pediatric NP, which response best
distinguishes primary care from primary prevention in this
clinical context?
Options
A. Primary care focuses only on treating acute illness; primary
prevention is exclusively immunizations.
B. Primary care is ongoing, comprehensive health services
including prevention; primary prevention specifically aims to
stop disease before it occurs.
C. Primary care and primary prevention are interchangeable
terms in pediatrics.
,D. Primary care is delivered only in specialty clinics; primary
prevention occurs only in community programs.
Correct Answer
B
Rationales
• Correct (B): Primary care in pediatrics is ongoing,
comprehensive care that includes health supervision,
screening, and preventive services; primary prevention
specifically targets actions (e.g., immunizations, safety
counseling) to prevent disease before it starts.
• Incorrect (A): Primary care is not limited to treating acute
illness; it includes preventive and anticipatory guidance.
• Incorrect (C): The terms are related but not synonymous—
primary prevention is a subset of primary care activities.
• Incorrect (D): Primary care is delivered across settings
including primary-care offices; prevention occurs within
primary care and community settings.
Teaching Point
Primary care provides continuous, comprehensive care;
prevention is a core component.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
,2
Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
Question Stem
A family with a 3-year-old asks whether a pediatric NP, a PA, or
a pediatrician would be best for routine developmental
screening and anticipatory guidance. Which statement best
reflects the scope and collaborative role of pediatric primary
care providers?
Options
A. Only pediatricians can perform developmental screening;
NPs and PAs must refer.
B. Pediatric NPs, PAs, and pediatricians all provide
developmental screening and anticipatory guidance, often
collaborating within a medical home.
C. PAs focus exclusively on procedures and cannot give
anticipatory guidance.
D. NPs only provide care for well children and cannot manage
chronic conditions.
Correct Answer
B
Rationales
• Correct (B): Pediatric NPs, PAs, and pediatricians are
trained to perform developmental screening and provide
, anticipatory guidance, typically working collaboratively
within a medical home to coordinate care.
• Incorrect (A): Developmental screening is within the scope
of practice for qualified NPs and PAs, not reserved only for
physicians.
• Incorrect (C): PAs are trained to provide comprehensive
primary-care services including counseling and screening,
not only procedures.
• Incorrect (D): NPs manage both well-child care and chronic
conditions within their scope and collaborative
agreements as applicable.
Teaching Point
Interprofessional collaboration in the medical home optimizes
pediatric preventive care.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
3
Reference
Ch. 1 — Pediatric Primary Care — Unique Issues in Pediatrics
Question Stem
During a well-child visit, the parents of a 2-week-old ask about
medication dosing and safe storage. Which primary-care
