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
Question 1
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care,
Primary Care Versus Primary Prevention
Stem: A community health nurse is planning a health fair for a
local elementary school. Which activity best represents the
concept of primary prevention within the context of pediatric
primary care?
Options:
A) Performing vision and hearing screenings for all kindergarten
students.
B) Administering recommended influenza vaccines to children
and staff.
C) Teaching a class for children with asthma on correct inhaler
technique.
D) Conducting developmental screenings for children referred
by teachers.
Correct Answer: B
Rationale:
, • Correct Answer (B): Primary prevention aims to prevent
disease or injury before it occurs. Administering vaccines is
a quintessential example of primary prevention, as it
prevents the target illness.
• Incorrect Answers:
o A & D: Vision, hearing, and developmental screenings
are forms of secondary prevention, which focus on
early detection and intervention for existing health
problems.
o C: Teaching inhaler technique to children who already
have asthma is tertiary prevention, which aims to
manage an established disease and prevent
complications.
Teaching Point: Primary prevention prevents disease;
secondary prevention detects it early; tertiary
prevention manages established illness.
Question 2
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care, Unique
Issues in Pediatrics
Stem: The parent of a 2-week-old infant expresses concern that
their baby seems to have a different pediatric primary care
provider (PCP) at each visit. Which response by the nurse best
explains a core principle of the pediatric medical home?
Options:
,A) "Continuity of care with a consistent PCP is essential for
building trust and monitoring development over time."
B) "It is more efficient for the clinic to schedule you with
whichever provider has the first available appointment."
C) "As long as the provider is board-certified in pediatrics, the
specific individual is not important."
D) "This model allows you to find the provider whose
personality best matches your family's needs."
Correct Answer: A
Rationale:
• Correct Answer (A): The medical home model, a
cornerstone of pediatric primary care, emphasizes a
continuous, collaborative relationship with
a known provider to ensure care is accessible, family-
centered, coordinated, and compassionate.
• Incorrect Answers:
o B: This describes a convenience model, which is the
antithesis of the coordinated, continuous medical
home.
o C: While certification is important, the ongoing
relationship is a critical component for effective care.
o D: While finding a good fit is valuable, the primary
goal of the medical home is consistent, longitudinal
care, not provider shopping.
Teaching Point: The pediatric medical home requires
, a continuous, trusting relationship with a known
primary care provider.
Question 3
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care, Caring
for Children and Youth With Special Healthcare Needs (CYSHCN)
Stem: A nurse is caring for a 10-year-old with cerebral palsy and
a gastrostomy tube who is technology-dependent. When
developing a plan of care, the nurse prioritizes which action to
support the family and ensure care coordination?
Options:
A) Scheduling all specialist appointments on the same day to
minimize travel.
B) Creating a comprehensive, integrated, and accessible care
plan in partnership with the family.
C) Instructing the family to keep a detailed log of all
medications and interventions.
D) Referring the family to a separate case manager to handle all
medical coordination.
Correct Answer: B
Rationale:
• Correct Answer (B): For CYSHCN, a comprehensive,
integrated care plan developed with the family is a central
element of the medical home. It ensures all providers are
aligned and care is coordinated.
• Incorrect Answers:
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Pediatric Primary Care NCLEX/HESI Test Bank
Question 1
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care,
Primary Care Versus Primary Prevention
Stem: A community health nurse is planning a health fair for a
local elementary school. Which activity best represents the
concept of primary prevention within the context of pediatric
primary care?
Options:
A) Performing vision and hearing screenings for all kindergarten
students.
B) Administering recommended influenza vaccines to children
and staff.
C) Teaching a class for children with asthma on correct inhaler
technique.
D) Conducting developmental screenings for children referred
by teachers.
Correct Answer: B
Rationale:
, • Correct Answer (B): Primary prevention aims to prevent
disease or injury before it occurs. Administering vaccines is
a quintessential example of primary prevention, as it
prevents the target illness.
• Incorrect Answers:
o A & D: Vision, hearing, and developmental screenings
are forms of secondary prevention, which focus on
early detection and intervention for existing health
problems.
o C: Teaching inhaler technique to children who already
have asthma is tertiary prevention, which aims to
manage an established disease and prevent
complications.
Teaching Point: Primary prevention prevents disease;
secondary prevention detects it early; tertiary
prevention manages established illness.
Question 2
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care, Unique
Issues in Pediatrics
Stem: The parent of a 2-week-old infant expresses concern that
their baby seems to have a different pediatric primary care
provider (PCP) at each visit. Which response by the nurse best
explains a core principle of the pediatric medical home?
Options:
,A) "Continuity of care with a consistent PCP is essential for
building trust and monitoring development over time."
B) "It is more efficient for the clinic to schedule you with
whichever provider has the first available appointment."
C) "As long as the provider is board-certified in pediatrics, the
specific individual is not important."
D) "This model allows you to find the provider whose
personality best matches your family's needs."
Correct Answer: A
Rationale:
• Correct Answer (A): The medical home model, a
cornerstone of pediatric primary care, emphasizes a
continuous, collaborative relationship with
a known provider to ensure care is accessible, family-
centered, coordinated, and compassionate.
• Incorrect Answers:
o B: This describes a convenience model, which is the
antithesis of the coordinated, continuous medical
home.
o C: While certification is important, the ongoing
relationship is a critical component for effective care.
o D: While finding a good fit is valuable, the primary
goal of the medical home is consistent, longitudinal
care, not provider shopping.
Teaching Point: The pediatric medical home requires
, a continuous, trusting relationship with a known
primary care provider.
Question 3
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care, Caring
for Children and Youth With Special Healthcare Needs (CYSHCN)
Stem: A nurse is caring for a 10-year-old with cerebral palsy and
a gastrostomy tube who is technology-dependent. When
developing a plan of care, the nurse prioritizes which action to
support the family and ensure care coordination?
Options:
A) Scheduling all specialist appointments on the same day to
minimize travel.
B) Creating a comprehensive, integrated, and accessible care
plan in partnership with the family.
C) Instructing the family to keep a detailed log of all
medications and interventions.
D) Referring the family to a separate case manager to handle all
medical coordination.
Correct Answer: B
Rationale:
• Correct Answer (B): For CYSHCN, a comprehensive,
integrated care plan developed with the family is a central
element of the medical home. It ensures all providers are
aligned and care is coordinated.
• Incorrect Answers:
