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
During a 2-month well-child visit, the caregiver asks what action
will best prevent infectious disease in their infant. Which of the
following is the most appropriate primary-prevention
recommendation the nurse practitioner should emphasize?
A. Begin daily vitamin supplementation to reduce infection risk.
B. Administer the age-appropriate immunizations on schedule.
C. Schedule a baseline complete blood count to detect early
infection.
D. Start prophylactic antibiotics during peak viral season.
Correct Answer
B
Rationales
Correct: Immunizations are archetypal primary-prevention
,interventions that reduce the incidence of vaccine-preventable
illnesses and are central to well-child primary care.
A: Vitamin supplements are not the primary evidence-based
method for preventing common infant infections.
C: A baseline CBC is a screening/diagnostic test, not primary
prevention.
D: Routine prophylactic antibiotics are not recommended for
healthy infants and increase resistance risk.
Teaching Point
Immunizations are foundational primary-prevention in pediatric
primary care.
Citation (APA)
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
A 4-year-old presents for a health maintenance visit. The
provider documents growth curves and anticipatory guidance.
Which activity performed at this visit best represents secondary
prevention?
,A. Counseling about dental hygiene and choking hazards.
B. Administering scheduled vaccines.
C. Performing developmental screening with a validated tool.
D. Referring to community playground safety programs.
Correct Answer
C
Rationales
Correct: Developmental screening detects problems early
(before symptoms become disabling), which is the essence of
secondary prevention.
A: Counseling about hazards is primary prevention and
anticipatory guidance.
B: Vaccination is primary prevention.
D: Referral to safety programs is primary prevention and
community health promotion.
Teaching Point
Screening identifies problems early—key secondary-prevention
strategy.
Citation (APA)
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 requests care coordination for a toddler with multiple
specialists (ENT, GI, and early intervention). Which provider role
best describes who should lead and be accountable for the
child’s “medical home”?
A. Any referral specialist who sees the child most frequently.
B. The primary care clinician who provides continuous,
comprehensive care.
C. A hospitalist when the child is admitted for procedures.
D. A community health worker coordinating appointments.
Correct Answer
B
Rationales
Correct: The primary care clinician is responsible for
establishing and maintaining the medical home—providing
continuous, comprehensive care and coordinating specialists.
A: Specialists provide focused care but do not replace the
coordinating role of primary care.
C: Hospitalists manage inpatient care but not the ongoing
outpatient medical home.
D: Community health workers assist coordination but do not
assume clinical accountability for the medical home.
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
1
Reference
Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
Question Stem
During a 2-month well-child visit, the caregiver asks what action
will best prevent infectious disease in their infant. Which of the
following is the most appropriate primary-prevention
recommendation the nurse practitioner should emphasize?
A. Begin daily vitamin supplementation to reduce infection risk.
B. Administer the age-appropriate immunizations on schedule.
C. Schedule a baseline complete blood count to detect early
infection.
D. Start prophylactic antibiotics during peak viral season.
Correct Answer
B
Rationales
Correct: Immunizations are archetypal primary-prevention
,interventions that reduce the incidence of vaccine-preventable
illnesses and are central to well-child primary care.
A: Vitamin supplements are not the primary evidence-based
method for preventing common infant infections.
C: A baseline CBC is a screening/diagnostic test, not primary
prevention.
D: Routine prophylactic antibiotics are not recommended for
healthy infants and increase resistance risk.
Teaching Point
Immunizations are foundational primary-prevention in pediatric
primary care.
Citation (APA)
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
A 4-year-old presents for a health maintenance visit. The
provider documents growth curves and anticipatory guidance.
Which activity performed at this visit best represents secondary
prevention?
,A. Counseling about dental hygiene and choking hazards.
B. Administering scheduled vaccines.
C. Performing developmental screening with a validated tool.
D. Referring to community playground safety programs.
Correct Answer
C
Rationales
Correct: Developmental screening detects problems early
(before symptoms become disabling), which is the essence of
secondary prevention.
A: Counseling about hazards is primary prevention and
anticipatory guidance.
B: Vaccination is primary prevention.
D: Referral to safety programs is primary prevention and
community health promotion.
Teaching Point
Screening identifies problems early—key secondary-prevention
strategy.
Citation (APA)
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 requests care coordination for a toddler with multiple
specialists (ENT, GI, and early intervention). Which provider role
best describes who should lead and be accountable for the
child’s “medical home”?
A. Any referral specialist who sees the child most frequently.
B. The primary care clinician who provides continuous,
comprehensive care.
C. A hospitalist when the child is admitted for procedures.
D. A community health worker coordinating appointments.
Correct Answer
B
Rationales
Correct: The primary care clinician is responsible for
establishing and maintaining the medical home—providing
continuous, comprehensive care and coordinating specialists.
A: Specialists provide focused care but do not replace the
coordinating role of primary care.
C: Hospitalists manage inpatient care but not the ongoing
outpatient medical home.
D: Community health workers assist coordination but do not
assume clinical accountability for the medical home.
