Burns' Pediatric Primary Care
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks, Martha
Driessnack, Karen G. Duderstadt, Nan M. Gaylord
Burns Pediatric Primary Care 8th Edition
MCQ Study Guide & Practice Test Bank
1. A 9-month-old infant presents for a well visit. The parent
asks why primary care visits focus on both anticipatory
guidance and screening rather than only treating illness.
Which rationale best reflects the role of pediatric primary
care?
A. Primary care focuses primarily on treating acute
illnesses and refers preventive services to public health.
B. Primary care integrates health promotion, disease
, prevention, early detection, and family education over
time.
C. Primary care is mainly for vaccine delivery;
developmental concerns are handled by specialists.
D. Primary care visits are optional unless the child has
chronic disease.
Correct Answer: B
Rationale: Pediatric primary care emphasizes continuous,
comprehensive services — health promotion, prevention, early
detection, and family-centered guidance. A and C understate
the scope; D is incorrect because routine primary care is
recommended for all children.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
2. A 3-year-old is seen for well care. The primary care
clinician identifies housing instability in the family. Which
action best reflects the “two-generation” approach?
A. Address only the child’s immunization needs and
document social history.
B. Provide developmental screening and offer parent
referrals for housing and adult services.
C. Refer the child to a specialist for growth monitoring and
avoid discussing parental needs.
D. Schedule follow-up for the child and suggest the parent
apply for services later.
,Correct Answer: B
Rationale: The two-generation approach addresses both child
and caregiver needs—screening the child and referring
caregivers to resources (housing, adult services) that affect child
health. A and C ignore caregiver factors; D delays intervention
unnecessarily.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
3. During a school-age visit, the nurse practitioner uses Bright
Futures anticipatory guidance. Which counseling topic is
most appropriate to address at this developmental stage?
A. Infant feeding techniques.
B. Safe sleep position only.
C. Injury prevention related to sports and bicycle safety.
D. Guidance solely about college applications.
Correct Answer: C
Rationale: Bright Futures guidance is age-specific; for school-
age children, injury prevention (sports, bicycle helmets) is highly
relevant. A and B are for infants; D is relevant much later.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
4. A 16-year-old with a chronic condition is preparing to
transition to adult care. Which element is essential for a
, successful transition plan?
A. Immediate transfer at age 16 without preparatory
education.
B. Gradual development of self-management skills and
coordination with adult providers.
C. Stop documenting transition readiness once the
adolescent reaches legal adulthood.
D. Encourage adolescents to research adult providers
independently the week before transfer.
Correct Answer: B
Rationale: Effective transition requires gradual skill building
(self-management), assessment of readiness, and coordinated
transfer to adult providers. A and D are abrupt and insufficient;
C ignores ongoing assessment needs.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
5. A clinician screens for Adverse Childhood Experiences
(ACEs). Which outcome is most strongly associated with
high ACE scores and thus important to identify early?
A. Improved academic performance.
B. Increased risk for chronic physical and mental health
problems across the lifespan.
C. Immediate improvement in family functioning.
D. Guaranteed development of a single specific disease in
childhood.
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks, Martha
Driessnack, Karen G. Duderstadt, Nan M. Gaylord
Burns Pediatric Primary Care 8th Edition
MCQ Study Guide & Practice Test Bank
1. A 9-month-old infant presents for a well visit. The parent
asks why primary care visits focus on both anticipatory
guidance and screening rather than only treating illness.
Which rationale best reflects the role of pediatric primary
care?
A. Primary care focuses primarily on treating acute
illnesses and refers preventive services to public health.
B. Primary care integrates health promotion, disease
, prevention, early detection, and family education over
time.
C. Primary care is mainly for vaccine delivery;
developmental concerns are handled by specialists.
D. Primary care visits are optional unless the child has
chronic disease.
Correct Answer: B
Rationale: Pediatric primary care emphasizes continuous,
comprehensive services — health promotion, prevention, early
detection, and family-centered guidance. A and C understate
the scope; D is incorrect because routine primary care is
recommended for all children.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
2. A 3-year-old is seen for well care. The primary care
clinician identifies housing instability in the family. Which
action best reflects the “two-generation” approach?
A. Address only the child’s immunization needs and
document social history.
B. Provide developmental screening and offer parent
referrals for housing and adult services.
C. Refer the child to a specialist for growth monitoring and
avoid discussing parental needs.
D. Schedule follow-up for the child and suggest the parent
apply for services later.
,Correct Answer: B
Rationale: The two-generation approach addresses both child
and caregiver needs—screening the child and referring
caregivers to resources (housing, adult services) that affect child
health. A and C ignore caregiver factors; D delays intervention
unnecessarily.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
3. During a school-age visit, the nurse practitioner uses Bright
Futures anticipatory guidance. Which counseling topic is
most appropriate to address at this developmental stage?
A. Infant feeding techniques.
B. Safe sleep position only.
C. Injury prevention related to sports and bicycle safety.
D. Guidance solely about college applications.
Correct Answer: C
Rationale: Bright Futures guidance is age-specific; for school-
age children, injury prevention (sports, bicycle helmets) is highly
relevant. A and B are for infants; D is relevant much later.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
4. A 16-year-old with a chronic condition is preparing to
transition to adult care. Which element is essential for a
, successful transition plan?
A. Immediate transfer at age 16 without preparatory
education.
B. Gradual development of self-management skills and
coordination with adult providers.
C. Stop documenting transition readiness once the
adolescent reaches legal adulthood.
D. Encourage adolescents to research adult providers
independently the week before transfer.
Correct Answer: B
Rationale: Effective transition requires gradual skill building
(self-management), assessment of readiness, and coordinated
transfer to adult providers. A and D are abrupt and insufficient;
C ignores ongoing assessment needs.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
5. A clinician screens for Adverse Childhood Experiences
(ACEs). Which outcome is most strongly associated with
high ACE scores and thus important to identify early?
A. Improved academic performance.
B. Increased risk for chronic physical and mental health
problems across the lifespan.
C. Immediate improvement in family functioning.
D. Guaranteed development of a single specific disease in
childhood.
