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 6-month-old infant presents for a well visit.
The caregiver asks whether the visit is mostly for identifying
illness or for preventing future health problems. Which
primary-care action best illustrates primary prevention at this
visit?
Options:
A. Ordering a metabolic panel to screen for underlying
disease.
B. Administering scheduled immunizations.
,C. Initiating referral to a pediatric cardiologist for a murmur.
D. Performing development screening to identify delays.
Correct Answer: B
Rationales:
• Correct (B): Administering scheduled immunizations
prevents disease before it occurs, which is the core of
primary prevention; well-child visits are a prime
opportunity for vaccine delivery.
• Incorrect (A): Ordering lab screening may detect disease
(secondary prevention or screening), not prevent initial
occurrence.
• Incorrect (C): Referral for a murmur is diagnostic/tertiary
care planning if disease is suspected, not primary
prevention.
• Incorrect (D): Developmental screening identifies existing
delays (secondary prevention), not prevention of disease
onset.
Teaching Point: Immunizations at well visits are classic primary
prevention.
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 3-year-old with recurrent otitis media is
seen by a family nurse practitioner (FNP) in a community
clinic. Which action demonstrates appropriate utilization of
the FNP within pediatric primary care?
Options:
A. Performing routine immunizations and managing
uncomplicated infections.
B. Performing tympanoplasty in the clinic.
C. Issuing long-term opioid prescriptions without specialist
consultation.
D. Providing tertiary subspecialty surgeries.
Correct Answer: A
Rationales:
• Correct (A): FNPs deliver prevention and common
acute/chronic care such as immunizations and
uncomplicated infections, aligning with primary-care
scope.
• Incorrect (B): Tympanoplasty is a surgical subspecialty
procedure beyond primary-care scope.
• Incorrect (C): Long-term controlled substance prescribing
requires specialist involvement and strict oversight, not
routine primary care.
, • Incorrect (D): Tertiary surgeries are performed by
specialists in operative settings, not primary-care
providers.
Teaching Point: Primary-care providers manage prevention
and common pediatric illnesses.
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: An 8-month-old who is crawling is seen for
safety anticipatory guidance. Which caregiver instruction best
targets the developmental milestone to reduce injury risk?
Options:
A. Teach rear-facing car seat transition now.
B. Advise removal of small objects and securing furniture to
prevent falls.
C. Recommend trampoline play to increase mobility.
D. Suggest starting stair training without gates.
Correct Answer: B
Rationales:
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 6-month-old infant presents for a well visit.
The caregiver asks whether the visit is mostly for identifying
illness or for preventing future health problems. Which
primary-care action best illustrates primary prevention at this
visit?
Options:
A. Ordering a metabolic panel to screen for underlying
disease.
B. Administering scheduled immunizations.
,C. Initiating referral to a pediatric cardiologist for a murmur.
D. Performing development screening to identify delays.
Correct Answer: B
Rationales:
• Correct (B): Administering scheduled immunizations
prevents disease before it occurs, which is the core of
primary prevention; well-child visits are a prime
opportunity for vaccine delivery.
• Incorrect (A): Ordering lab screening may detect disease
(secondary prevention or screening), not prevent initial
occurrence.
• Incorrect (C): Referral for a murmur is diagnostic/tertiary
care planning if disease is suspected, not primary
prevention.
• Incorrect (D): Developmental screening identifies existing
delays (secondary prevention), not prevention of disease
onset.
Teaching Point: Immunizations at well visits are classic primary
prevention.
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 3-year-old with recurrent otitis media is
seen by a family nurse practitioner (FNP) in a community
clinic. Which action demonstrates appropriate utilization of
the FNP within pediatric primary care?
Options:
A. Performing routine immunizations and managing
uncomplicated infections.
B. Performing tympanoplasty in the clinic.
C. Issuing long-term opioid prescriptions without specialist
consultation.
D. Providing tertiary subspecialty surgeries.
Correct Answer: A
Rationales:
• Correct (A): FNPs deliver prevention and common
acute/chronic care such as immunizations and
uncomplicated infections, aligning with primary-care
scope.
• Incorrect (B): Tympanoplasty is a surgical subspecialty
procedure beyond primary-care scope.
• Incorrect (C): Long-term controlled substance prescribing
requires specialist involvement and strict oversight, not
routine primary care.
, • Incorrect (D): Tertiary surgeries are performed by
specialists in operative settings, not primary-care
providers.
Teaching Point: Primary-care providers manage prevention
and common pediatric illnesses.
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: An 8-month-old who is crawling is seen for
safety anticipatory guidance. Which caregiver instruction best
targets the developmental milestone to reduce injury risk?
Options:
A. Teach rear-facing car seat transition now.
B. Advise removal of small objects and securing furniture to
prevent falls.
C. Recommend trampoline play to increase mobility.
D. Suggest starting stair training without gates.
Correct Answer: B
Rationales:
