Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Chapter 1: Pediatric Primary Care
Chapter 1 – Primary Care versus Primary Prevention
Key Concept: Family-centered, coordinated primary care model
Stem: A 2-year-old child with asthma attends a primary care
clinic where the nurse coordinates visits with the pediatrician, a
school nurse, and a community asthma educator; the family is
included in goal setting. Which statement best describes why
this approach exemplifies the "medical home"?
A. It centralizes payment and billing for multiple services.
B. It provides episodic, specialist-led care focused on acute
problems.
C. It assures continuous, family-centered, and coordinated care
across settings.
D. It transfers responsibility for chronic disease management to
community agencies.
Correct Answer: C
,Rationale — Correct: This description reflects the medical
home principles of accessibility, continuity, comprehensiveness,
care coordination, and family partnership (Burns, Chapter 1 —
Components of the Medical Home).
Rationale — Incorrect:
A. Billing centralization is not the defining feature of a medical
home.
B. Episodic, specialist-led care contrasts with the continuous,
primary-care focus of a medical home.
D. The medical home supports family and community resources
but does not transfer primary responsibility away from
coordinated care.
Teaching Point: The medical home ensures continuous, family-
centered, coordinated pediatric care.
2
Chapter 1 – Pediatric Primary Care: Role of the Primary Care
Nurse
Section: Nursing Responsibilities in Well-Child Care
Key Concept: Anticipatory guidance and health promotion
Stem: During a 15-month well visit, the nurse provides
anticipatory guidance to parents about safety, nutrition, and
oral care. Which nursing action best demonstrates effective
anticipatory guidance?
A. Telling parents to avoid all dairy products.
,B. Explaining expected developmental milestones and
associated safety risks.
C. Advising parents to delay immunizations until school entry.
D. Limiting the visit to the physical exam to save time.
Correct Answer: B
Rationale — Correct: Anticipatory guidance involves informing
families about expected development and associated risks so
they can prevent injury and promote health (Burns, Chapter 1
— Nursing Role in Well-Child Care).
Rationale — Incorrect:
A. Avoiding all dairy is not a general recommendation and may
be inappropriate without indication.
C. Delaying recommended immunizations is contrary to
preventive care guidance.
D. Limiting the visit omits important preventive education and
reduces care quality.
Teaching Point: Anticipatory guidance prepares families to
prevent illness and support development.
3
Chapter 2 – Primary Care Versus Primary Prevention
Section: Levels of Prevention in Pediatrics
Key Concept: Primary vs secondary prevention
Stem: A nurse implements fluoride varnish application at
routine well-child visits and discusses dental hygiene with
, caregivers. This action is best classified as:
A. Primary prevention — preventing disease before it occurs.
B. Secondary prevention — early detection of existing disease.
C. Tertiary prevention — reducing disability after disease onset.
D. Screening — diagnostic testing for established disease.
Correct Answer: A
Rationale — Correct: Fluoride varnish and dental hygiene
counseling are preventive measures to reduce the risk of dental
caries before disease occurs, consistent with primary
prevention (Burns, Chapter 2 — Levels of Prevention).
Rationale — Incorrect:
B. Secondary prevention targets early detection (e.g., screening
tests), not preventive varnish.
C. Tertiary prevention focuses on minimizing complications after
disease onset.
D. While screening identifies disease early, fluoride application
prevents disease, not screens for it.
Teaching Point: Primary prevention stops illness before it starts
(e.g., fluoride varnish).
4
Chapter 2 – Primary Care Versus Primary Prevention
Section: Immunizations and Preventive Care
Key Concept: Vaccine communication and informed consent
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Chapter 1: Pediatric Primary Care
Chapter 1 – Primary Care versus Primary Prevention
Key Concept: Family-centered, coordinated primary care model
Stem: A 2-year-old child with asthma attends a primary care
clinic where the nurse coordinates visits with the pediatrician, a
school nurse, and a community asthma educator; the family is
included in goal setting. Which statement best describes why
this approach exemplifies the "medical home"?
A. It centralizes payment and billing for multiple services.
B. It provides episodic, specialist-led care focused on acute
problems.
C. It assures continuous, family-centered, and coordinated care
across settings.
D. It transfers responsibility for chronic disease management to
community agencies.
Correct Answer: C
,Rationale — Correct: This description reflects the medical
home principles of accessibility, continuity, comprehensiveness,
care coordination, and family partnership (Burns, Chapter 1 —
Components of the Medical Home).
Rationale — Incorrect:
A. Billing centralization is not the defining feature of a medical
home.
B. Episodic, specialist-led care contrasts with the continuous,
primary-care focus of a medical home.
D. The medical home supports family and community resources
but does not transfer primary responsibility away from
coordinated care.
Teaching Point: The medical home ensures continuous, family-
centered, coordinated pediatric care.
2
Chapter 1 – Pediatric Primary Care: Role of the Primary Care
Nurse
Section: Nursing Responsibilities in Well-Child Care
Key Concept: Anticipatory guidance and health promotion
Stem: During a 15-month well visit, the nurse provides
anticipatory guidance to parents about safety, nutrition, and
oral care. Which nursing action best demonstrates effective
anticipatory guidance?
A. Telling parents to avoid all dairy products.
,B. Explaining expected developmental milestones and
associated safety risks.
C. Advising parents to delay immunizations until school entry.
D. Limiting the visit to the physical exam to save time.
Correct Answer: B
Rationale — Correct: Anticipatory guidance involves informing
families about expected development and associated risks so
they can prevent injury and promote health (Burns, Chapter 1
— Nursing Role in Well-Child Care).
Rationale — Incorrect:
A. Avoiding all dairy is not a general recommendation and may
be inappropriate without indication.
C. Delaying recommended immunizations is contrary to
preventive care guidance.
D. Limiting the visit omits important preventive education and
reduces care quality.
Teaching Point: Anticipatory guidance prepares families to
prevent illness and support development.
3
Chapter 2 – Primary Care Versus Primary Prevention
Section: Levels of Prevention in Pediatrics
Key Concept: Primary vs secondary prevention
Stem: A nurse implements fluoride varnish application at
routine well-child visits and discusses dental hygiene with
, caregivers. This action is best classified as:
A. Primary prevention — preventing disease before it occurs.
B. Secondary prevention — early detection of existing disease.
C. Tertiary prevention — reducing disability after disease onset.
D. Screening — diagnostic testing for established disease.
Correct Answer: A
Rationale — Correct: Fluoride varnish and dental hygiene
counseling are preventive measures to reduce the risk of dental
caries before disease occurs, consistent with primary
prevention (Burns, Chapter 2 — Levels of Prevention).
Rationale — Incorrect:
B. Secondary prevention targets early detection (e.g., screening
tests), not preventive varnish.
C. Tertiary prevention focuses on minimizing complications after
disease onset.
D. While screening identifies disease early, fluoride application
prevents disease, not screens for it.
Teaching Point: Primary prevention stops illness before it starts
(e.g., fluoride varnish).
4
Chapter 2 – Primary Care Versus Primary Prevention
Section: Immunizations and Preventive Care
Key Concept: Vaccine communication and informed consent
