Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Topic 1: Pediatric Primary Care & Health Status Influences
Question 1
• Chapter & Subtopic: Chapter 1 – Pediatric Primary Care,
Primary Care Versus Primary Prevention
• Stem: A nurse is orienting a new graduate and explains the
core function of a pediatric primary care practice. Which of
the following best describes the concept of primary care as
opposed to primary prevention?
• Options:
A. Administering the seasonal influenza vaccine to a
healthy 4-year-old.
B. Providing coordinated, continuous, and comprehensive
health services over time.
C. Prescribing a short course of antibiotics for a child
diagnosed with acute otitis media.
D. Teaching a parent of a toddler about age-appropriate
home safety measures.
• Correct Answer: B
• Rationale:
, o Correct: Primary care refers to the delivery of
integrated, accessible healthcare services by clinicians
who are accountable for addressing a large majority
of personal health needs, developing a sustained
partnership with patients, and practicing within the
context of family and community. This encompasses
continuity and comprehensiveness (Burns, Ch. 1).
o A, C, D are incorrect: While these are all important
services, option A is primary prevention (preventing
disease), option C is secondary prevention (treating
an existing illness), and option D is primary
prevention/anticipatory guidance. They are
components of care but do not define the overarching
system of primary care.
• Teaching Point: Primary care is the continuous,
coordinated system; prevention is one activity within it.
Question 2
• Chapter & Subtopic: Chapter 1 – Pediatric Primary Care,
Unique Issues in Pediatrics
• Stem: During a well-child visit for a 6-month-old, the
pediatric primary care nurse recognizes that consent for
treatment is legally obtained from the parent. Which
unique aspect of pediatric care does this scenario best
demonstrate?
,• Options:
A. The emphasis on health promotion and disease
prevention.
B. The triadic nature of the clinician-patient-parent
relationship.
C. The changing epidemiology of childhood illness.
D. The dependency of the child within a family system.
• Correct Answer: D
• Rationale:
o Correct: Children are legally, developmentally, and
emotionally dependent on their parents or guardians.
This dependency is a fundamental unique issue in
pediatrics, directly influencing consent procedures
(Burns, Ch. 1).
o A is incorrect: While true, this is not the specific issue
demonstrated by the need for parental consent.
o B is incorrect: The triadic relationship is a
consequence of the child's dependency, but the legal
requirement for consent is a direct result of
dependency itself.
o C is incorrect: This refers to shifts in patterns of
disease (e.g., increase in chronic conditions) and is
unrelated to consent.
, • Teaching Point: Children's legal and developmental
dependency on caregivers is a cornerstone of pediatric
care.
Question 3
• Chapter & Subtopic: Chapter 1 – Pediatric Primary Care,
Caring for Children and Youth With Special Healthcare
Needs (CYSHCN)
• Stem: The nurse is using a "medical home" model to
coordinate care for a 10-year-old with cerebral palsy.
Which action by the nurse best exemplifies a key principle
of the medical home?
• Options:
A. Referring the family to a pediatric orthopedic specialist
and ending involvement.
B. Scheduling the child's next well-visit in one year.
C. Maintaining a central record of all specialist reports and
facilitating communication between providers.
D. Focusing the visit solely on the child's physical therapy
progress.
• Correct Answer: C
• Rationale:
o Correct: A core tenet of the medical home for
CYSHCN is being accessible, family-centered,
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Topic 1: Pediatric Primary Care & Health Status Influences
Question 1
• Chapter & Subtopic: Chapter 1 – Pediatric Primary Care,
Primary Care Versus Primary Prevention
• Stem: A nurse is orienting a new graduate and explains the
core function of a pediatric primary care practice. Which of
the following best describes the concept of primary care as
opposed to primary prevention?
• Options:
A. Administering the seasonal influenza vaccine to a
healthy 4-year-old.
B. Providing coordinated, continuous, and comprehensive
health services over time.
C. Prescribing a short course of antibiotics for a child
diagnosed with acute otitis media.
D. Teaching a parent of a toddler about age-appropriate
home safety measures.
• Correct Answer: B
• Rationale:
, o Correct: Primary care refers to the delivery of
integrated, accessible healthcare services by clinicians
who are accountable for addressing a large majority
of personal health needs, developing a sustained
partnership with patients, and practicing within the
context of family and community. This encompasses
continuity and comprehensiveness (Burns, Ch. 1).
o A, C, D are incorrect: While these are all important
services, option A is primary prevention (preventing
disease), option C is secondary prevention (treating
an existing illness), and option D is primary
prevention/anticipatory guidance. They are
components of care but do not define the overarching
system of primary care.
• Teaching Point: Primary care is the continuous,
coordinated system; prevention is one activity within it.
Question 2
• Chapter & Subtopic: Chapter 1 – Pediatric Primary Care,
Unique Issues in Pediatrics
• Stem: During a well-child visit for a 6-month-old, the
pediatric primary care nurse recognizes that consent for
treatment is legally obtained from the parent. Which
unique aspect of pediatric care does this scenario best
demonstrate?
,• Options:
A. The emphasis on health promotion and disease
prevention.
B. The triadic nature of the clinician-patient-parent
relationship.
C. The changing epidemiology of childhood illness.
D. The dependency of the child within a family system.
• Correct Answer: D
• Rationale:
o Correct: Children are legally, developmentally, and
emotionally dependent on their parents or guardians.
This dependency is a fundamental unique issue in
pediatrics, directly influencing consent procedures
(Burns, Ch. 1).
o A is incorrect: While true, this is not the specific issue
demonstrated by the need for parental consent.
o B is incorrect: The triadic relationship is a
consequence of the child's dependency, but the legal
requirement for consent is a direct result of
dependency itself.
o C is incorrect: This refers to shifts in patterns of
disease (e.g., increase in chronic conditions) and is
unrelated to consent.
, • Teaching Point: Children's legal and developmental
dependency on caregivers is a cornerstone of pediatric
care.
Question 3
• Chapter & Subtopic: Chapter 1 – Pediatric Primary Care,
Caring for Children and Youth With Special Healthcare
Needs (CYSHCN)
• Stem: The nurse is using a "medical home" model to
coordinate care for a 10-year-old with cerebral palsy.
Which action by the nurse best exemplifies a key principle
of the medical home?
• Options:
A. Referring the family to a pediatric orthopedic specialist
and ending involvement.
B. Scheduling the child's next well-visit in one year.
C. Maintaining a central record of all specialist reports and
facilitating communication between providers.
D. Focusing the visit solely on the child's physical therapy
progress.
• Correct Answer: C
• Rationale:
o Correct: A core tenet of the medical home for
CYSHCN is being accessible, family-centered,
