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 4-year-old child presents for a well-visit. The parent asks
whether primary care should focus more on treating illness or
on preventing future health problems. Which explanation best
reflects the role of pediatric primary care?
Options
A. Primary care primarily treats acute illnesses; prevention is
the role of public health.
B. Primary care combines diagnosis and management of illness
with continuous preventive care and health promotion.
C. Primary care focuses on specialty referrals; primary
prevention is delivered by schools.
D. Primary care limits services to immunizations and periodic
growth measurements.
,Correct Answer
B
Rationales
• Correct (B): Pediatric primary care integrates
diagnosis/management of illness with ongoing preventive
care, anticipatory guidance, and health promotion across
the lifespan.
• Incorrect (A): Overly narrow—primary care includes
prevention, not only treatment.
• Incorrect (C): Primary care provides comprehensive first-
line services, not merely referrals.
• Incorrect (D): Primary care is broader than immunizations
and growth checks.
Teaching Point
Primary care blends acute care with continuous prevention and
health promotion.
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 visit, a parent wants to reduce their infant’s risk of lead
exposure at home. Which primary-prevention strategy should
the pediatric primary care provider prioritize?
Options
A. Test the infant’s blood lead level now and again at age 2.
B. Provide education and support to eliminate or reduce lead
sources in the home environment.
C. Advise the family to wait until the child chews on paint
before testing.
D. Refer to hematology only if the child develops anemia.
Correct Answer
B
Rationales
• Correct (B): Primary prevention aims to remove or reduce
exposure before harm occurs; environmental remediation
and education are prioritized.
• Incorrect (A): Screening is secondary prevention; it’s
important but follows prevention of exposure.
• Incorrect (C): Waiting allows preventable exposure and
harm.
• Incorrect (D): Referral after clinical effects is reactive and
not preventive.
, Teaching Point
Primary prevention removes hazards before exposure occurs.
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 toddler with recurrent otitis media arrives at a clinic staffed
by a pediatric NP, a family physician, and a pediatrician. The
family asks which provider is best for ongoing pediatric care.
Which response aligns with roles described for primary care
providers?
Options
A. Only pediatricians provide comprehensive pediatric primary
care.
B. Pediatric NPs, family physicians, and pediatricians can all
provide high-quality pediatric primary care depending on
training and scope.
C. Family physicians should only see adults and should not
manage children.
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
1
Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Question Stem
A 4-year-old child presents for a well-visit. The parent asks
whether primary care should focus more on treating illness or
on preventing future health problems. Which explanation best
reflects the role of pediatric primary care?
Options
A. Primary care primarily treats acute illnesses; prevention is
the role of public health.
B. Primary care combines diagnosis and management of illness
with continuous preventive care and health promotion.
C. Primary care focuses on specialty referrals; primary
prevention is delivered by schools.
D. Primary care limits services to immunizations and periodic
growth measurements.
,Correct Answer
B
Rationales
• Correct (B): Pediatric primary care integrates
diagnosis/management of illness with ongoing preventive
care, anticipatory guidance, and health promotion across
the lifespan.
• Incorrect (A): Overly narrow—primary care includes
prevention, not only treatment.
• Incorrect (C): Primary care provides comprehensive first-
line services, not merely referrals.
• Incorrect (D): Primary care is broader than immunizations
and growth checks.
Teaching Point
Primary care blends acute care with continuous prevention and
health promotion.
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 visit, a parent wants to reduce their infant’s risk of lead
exposure at home. Which primary-prevention strategy should
the pediatric primary care provider prioritize?
Options
A. Test the infant’s blood lead level now and again at age 2.
B. Provide education and support to eliminate or reduce lead
sources in the home environment.
C. Advise the family to wait until the child chews on paint
before testing.
D. Refer to hematology only if the child develops anemia.
Correct Answer
B
Rationales
• Correct (B): Primary prevention aims to remove or reduce
exposure before harm occurs; environmental remediation
and education are prioritized.
• Incorrect (A): Screening is secondary prevention; it’s
important but follows prevention of exposure.
• Incorrect (C): Waiting allows preventable exposure and
harm.
• Incorrect (D): Referral after clinical effects is reactive and
not preventive.
, Teaching Point
Primary prevention removes hazards before exposure occurs.
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 toddler with recurrent otitis media arrives at a clinic staffed
by a pediatric NP, a family physician, and a pediatrician. The
family asks which provider is best for ongoing pediatric care.
Which response aligns with roles described for primary care
providers?
Options
A. Only pediatricians provide comprehensive pediatric primary
care.
B. Pediatric NPs, family physicians, and pediatricians can all
provide high-quality pediatric primary care depending on
training and scope.
C. Family physicians should only see adults and should not
manage children.
