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 — Primary Care Versus Primary
Prevention
Question Stem
A 9-month-old infant presents for a well-child visit. The family
asks whether immunizations are "preventive care" or "primary
care." Which explanation best distinguishes primary prevention
from primary care in pediatric practice?
A. Primary prevention treats diseases early to prevent
complications; primary care focuses only on acute illnesses.
B. Primary prevention reduces disease incidence through
actions like immunizations; primary care provides ongoing
comprehensive health services.
C. Primary prevention is exclusively community-level policy
,work; primary care is only clinical care delivered in clinics.
D. Primary prevention means treating chronic conditions;
primary care focuses on screening only.
Correct Answer
B
Rationales
Correct: Primary prevention includes interventions (e.g.,
immunizations) that reduce disease incidence; primary care is
the broader, ongoing clinical relationship providing
comprehensive services. This distinction supports anticipatory
guidance and preventive services in the primary-care setting.
A: Incorrect — Primary prevention aims to prevent disease
onset rather than treat early disease; primary care includes
both prevention and treatment.
C: Incorrect — Primary prevention can be community-level but
also individual clinical interventions; primary care is not limited
to clinic-only services.
D: Incorrect — Primary prevention is not about treating chronic
conditions; primary care does more than screening.
Teaching Point
Primary prevention (e.g., immunizations) reduces disease
incidence; primary care delivers continuous, comprehensive
health services.
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 pediatrician in a community clinic is designing care protocols
and must decide which providers to involve for well-child care
of infants. Which team composition most aligns with the
collaborative model of pediatric primary care?
A. Pediatrician alone, with nurse triage only for phone calls.
B. Pediatrician, nurse practitioner, medical assistant, and care
coordinator.
C. Pediatrician and social worker only, with referrals to
specialists as needed.
D. Pediatrician and community paramedic primarily for home
visits.
Correct Answer
B
Rationales
Correct: A collaborative primary-care model uses
interdisciplinary team members—NP, MA, and care
coordinator—to deliver preventive, acute, and care-
management services.
A: Incorrect — Sole physician care without team support limits
, capacity for prevention, care coordination, and screening.
C: Incorrect — Social work is valuable, but a broader clinical
team (NP/MA) improves access and continuity.
D: Incorrect — Community paramedics may support home care
but don't replace routine clinic-based interdisciplinary teams.
Teaching Point
Interdisciplinary teams (clinician, NP, MA, coordinator) optimize
pediatric primary care delivery.
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
A 14-year-old adolescent with type 1 diabetes transitions from
pediatric to adult services. Which unique pediatric issue most
influences the transition plan?
A. Adolescents' preference for same-gender providers.
B. The need to shift responsibility for self-management
gradually from caregiver to adolescent.
C. Adult clinics always require insurance changes.
D. Adolescents should stop preventive care during transition.
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
1
Reference
Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
Question Stem
A 9-month-old infant presents for a well-child visit. The family
asks whether immunizations are "preventive care" or "primary
care." Which explanation best distinguishes primary prevention
from primary care in pediatric practice?
A. Primary prevention treats diseases early to prevent
complications; primary care focuses only on acute illnesses.
B. Primary prevention reduces disease incidence through
actions like immunizations; primary care provides ongoing
comprehensive health services.
C. Primary prevention is exclusively community-level policy
,work; primary care is only clinical care delivered in clinics.
D. Primary prevention means treating chronic conditions;
primary care focuses on screening only.
Correct Answer
B
Rationales
Correct: Primary prevention includes interventions (e.g.,
immunizations) that reduce disease incidence; primary care is
the broader, ongoing clinical relationship providing
comprehensive services. This distinction supports anticipatory
guidance and preventive services in the primary-care setting.
A: Incorrect — Primary prevention aims to prevent disease
onset rather than treat early disease; primary care includes
both prevention and treatment.
C: Incorrect — Primary prevention can be community-level but
also individual clinical interventions; primary care is not limited
to clinic-only services.
D: Incorrect — Primary prevention is not about treating chronic
conditions; primary care does more than screening.
Teaching Point
Primary prevention (e.g., immunizations) reduces disease
incidence; primary care delivers continuous, comprehensive
health services.
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 pediatrician in a community clinic is designing care protocols
and must decide which providers to involve for well-child care
of infants. Which team composition most aligns with the
collaborative model of pediatric primary care?
A. Pediatrician alone, with nurse triage only for phone calls.
B. Pediatrician, nurse practitioner, medical assistant, and care
coordinator.
C. Pediatrician and social worker only, with referrals to
specialists as needed.
D. Pediatrician and community paramedic primarily for home
visits.
Correct Answer
B
Rationales
Correct: A collaborative primary-care model uses
interdisciplinary team members—NP, MA, and care
coordinator—to deliver preventive, acute, and care-
management services.
A: Incorrect — Sole physician care without team support limits
, capacity for prevention, care coordination, and screening.
C: Incorrect — Social work is valuable, but a broader clinical
team (NP/MA) improves access and continuity.
D: Incorrect — Community paramedics may support home care
but don't replace routine clinic-based interdisciplinary teams.
Teaching Point
Interdisciplinary teams (clinician, NP, MA, coordinator) optimize
pediatric primary care delivery.
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
A 14-year-old adolescent with type 1 diabetes transitions from
pediatric to adult services. Which unique pediatric issue most
influences the transition plan?
A. Adolescents' preference for same-gender providers.
B. The need to shift responsibility for self-management
gradually from caregiver to adolescent.
C. Adult clinics always require insurance changes.
D. Adolescents should stop preventive care during transition.
