Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Pediatric Primary Care NCLEX/HESI Test Bank
Questions 1-5: Pediatric Primary Care & Unique Issues
Question 1
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care,
Primary Care Versus Primary Prevention
Stem: A new graduate nurse is reviewing the core functions of
pediatric primary care. Which of the following statements best
describes the primary distinction between primary care and
primary prevention?
A. Primary care focuses on treating acute illnesses, while
primary prevention focuses on managing chronic conditions.
B. Primary care encompasses primary, secondary, and tertiary
prevention, while primary prevention is a specific level of
intervention.
C. Primary prevention is delivered in specialty clinics, while
primary care is delivered in community settings.
,D. Primary care is solely the responsibility of the physician,
while primary prevention is the role of the public health nurse.
Correct Answer: B
Rationale:
• Correct (B): Pediatric primary care is a comprehensive,
continuous service that includes all levels of prevention:
primary (e.g., immunizations), secondary (e.g., screening),
and tertiary (e.g., managing chronic illness). Primary
prevention is a specific component aimed at preventing
disease before it occurs. This aligns with the textbook's
description of primary care as an inclusive model.
• Incorrect (A): This is incorrect because primary care is not
limited to acute illness; it includes health promotion and
chronic disease management.
• Incorrect (C): Both primary care and primary prevention
activities occur in various settings, including primary care
clinics.
• Incorrect (D): Pediatric primary care is an interprofessional
team effort, and primary prevention is a key role of the
primary care pediatric nurse.
Teaching Point: Primary care is a comprehensive model that
integrates all levels of prevention to promote child health.
Question 2
,Chapter & Subtopic: Chapter 1 – Pediatric Primary Care, Unique
Issues in Pediatrics
Stem: The pediatric primary care nurse understands that a
fundamental principle distinguishing pediatric care from adult
care is:
A. The need for more frequent vital sign monitoring during well-
child visits.
B. The child's status as a developing organism within a family
context.
C. The higher prevalence of technology dependence among
pediatric patients.
D. The requirement for parental consent for all treatments and
procedures.
Correct Answer: B
Rationale:
• Correct (B): The core unique issue in pediatrics is the
dynamic process of growth and development. The child's
health is inextricably linked to the family, which is the
primary context and source of support. This holistic view is
central to the textbook's philosophy.
• Incorrect (A): While monitoring is important, frequency is
not the fundamental philosophical difference.
• Incorrect (C): While some children have special needs, this
is not a universal principle distinguishing all pediatric care.
, • Incorrect (D): Consent laws are important but represent a
legal difference, not the core philosophical tenet of
pediatric care.
Teaching Point: Pediatric care is family-centered and focuses on
the child's ongoing growth and development.
Question 3
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care, Caring
for Children and Youth With Special Healthcare Needs (CYSHCN)
Stem: A nurse is using the "medical home" model to coordinate
care for a 6-year-old with cerebral palsy. Which action by the
nurse best exemplifies a key principle of this model?
A. Referring the family to a tertiary care center for all specialist
consultations.
B. Conducting a comprehensive developmental screening at
each visit.
C. Ensuring care is accessible, continuous, comprehensive,
family-centered, coordinated, compassionate, and culturally
effective.
D. Creating a detailed medical plan that the family must follow
exactly as prescribed.
Correct Answer: C
Rationale:
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Pediatric Primary Care NCLEX/HESI Test Bank
Questions 1-5: Pediatric Primary Care & Unique Issues
Question 1
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care,
Primary Care Versus Primary Prevention
Stem: A new graduate nurse is reviewing the core functions of
pediatric primary care. Which of the following statements best
describes the primary distinction between primary care and
primary prevention?
A. Primary care focuses on treating acute illnesses, while
primary prevention focuses on managing chronic conditions.
B. Primary care encompasses primary, secondary, and tertiary
prevention, while primary prevention is a specific level of
intervention.
C. Primary prevention is delivered in specialty clinics, while
primary care is delivered in community settings.
,D. Primary care is solely the responsibility of the physician,
while primary prevention is the role of the public health nurse.
Correct Answer: B
Rationale:
• Correct (B): Pediatric primary care is a comprehensive,
continuous service that includes all levels of prevention:
primary (e.g., immunizations), secondary (e.g., screening),
and tertiary (e.g., managing chronic illness). Primary
prevention is a specific component aimed at preventing
disease before it occurs. This aligns with the textbook's
description of primary care as an inclusive model.
• Incorrect (A): This is incorrect because primary care is not
limited to acute illness; it includes health promotion and
chronic disease management.
• Incorrect (C): Both primary care and primary prevention
activities occur in various settings, including primary care
clinics.
• Incorrect (D): Pediatric primary care is an interprofessional
team effort, and primary prevention is a key role of the
primary care pediatric nurse.
Teaching Point: Primary care is a comprehensive model that
integrates all levels of prevention to promote child health.
Question 2
,Chapter & Subtopic: Chapter 1 – Pediatric Primary Care, Unique
Issues in Pediatrics
Stem: The pediatric primary care nurse understands that a
fundamental principle distinguishing pediatric care from adult
care is:
A. The need for more frequent vital sign monitoring during well-
child visits.
B. The child's status as a developing organism within a family
context.
C. The higher prevalence of technology dependence among
pediatric patients.
D. The requirement for parental consent for all treatments and
procedures.
Correct Answer: B
Rationale:
• Correct (B): The core unique issue in pediatrics is the
dynamic process of growth and development. The child's
health is inextricably linked to the family, which is the
primary context and source of support. This holistic view is
central to the textbook's philosophy.
• Incorrect (A): While monitoring is important, frequency is
not the fundamental philosophical difference.
• Incorrect (C): While some children have special needs, this
is not a universal principle distinguishing all pediatric care.
, • Incorrect (D): Consent laws are important but represent a
legal difference, not the core philosophical tenet of
pediatric care.
Teaching Point: Pediatric care is family-centered and focuses on
the child's ongoing growth and development.
Question 3
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care, Caring
for Children and Youth With Special Healthcare Needs (CYSHCN)
Stem: A nurse is using the "medical home" model to coordinate
care for a 6-year-old with cerebral palsy. Which action by the
nurse best exemplifies a key principle of this model?
A. Referring the family to a tertiary care center for all specialist
consultations.
B. Conducting a comprehensive developmental screening at
each visit.
C. Ensuring care is accessible, continuous, comprehensive,
family-centered, coordinated, compassionate, and culturally
effective.
D. Creating a detailed medical plan that the family must follow
exactly as prescribed.
Correct Answer: C
Rationale:
