Burns' Pediatric Primary Care 8th Edition Test Bank | 20
MCQs per Chapter
Pediatric Primary Care Test Bank & NCLEX-HESI
Review | Burns' 8th Edition
Question 1:
A 6-month-old infant presents for a well-child visit. The family
expresses interest in ways to prevent injuries at home. Which
approach best represents primary prevention in pediatric
primary care?
A. Treat insect bite reaction after it occurs and counsel on
symptom management.
B. Provide anticipatory guidance and install outlet covers and
window guards before injuries occur.
C. Prescribe an EpiPen for a child with known severe peanut
allergy.
D. Refer the family to physical therapy after a torticollis
diagnosis.
Correct Answer: B
Rationale:
B is primary prevention — interventions that occur before harm
to reduce risk (anticipatory guidance, environmental
modifications). A is tertiary or secondary—managing an event
that already occurred. C is a secondary/tertiary prevention
strategy (medical readiness for a known condition) rather than
,universal primary prevention. D is tertiary/secondary care after
a condition is present. (Primary vs prevention concepts align
with pediatric primary care principles described in Burns and
preventive guidance frameworks such as Bright Futures).
Elsevier Health+1
Question 2:
A 14-year-old with no chronic conditions asks the nurse
practitioner whether primary care is the same as health
promotion. Which statement best distinguishes primary care
from primary prevention?
A. Primary care is only episodic urgent care; primary prevention
is unrelated.
B. Primary care provides comprehensive, continuous care
including prevention; primary prevention emphasizes actions to
stop disease before it starts.
C. Primary prevention includes specialty referrals, while primary
care does not.
D. Primary care is exclusively for vaccinations and growth
monitoring; primary prevention is for injuries only.
Correct Answer: B
Rationale:
B correctly differentiates: primary care is a continuous,
comprehensive service that includes prevention, health
promotion, and management; primary prevention focuses
specifically on preventing disease (vaccines, safety counseling).
,A, C, and D are inaccurate simplifications. This distinction is
central to pediatric primary care models in Burns and aligns
with Bright Futures concepts. Elsevier Health+1
Question 3:
A 3-year-old with frequent otitis media is seen in a primary care
clinic that uses a two-generation (dual-patient) model. Which
action best demonstrates the two-generation approach?
A. Treat the child's infection and discharge without family
follow-up.
B. Provide the child antibiotics and also screen the caregiver for
depressive symptoms and connect to supports.
C. Refer the child to ENT and ask family to follow up on their
own.
D. Schedule a return visit only for the child’s next
immunizations.
Correct Answer: B
Rationale:
B embodies the two-generation model: addressing the child’s
clinical issue and recognizing/intervening on caregiver/family
factors (mental health, social supports) that affect child health.
A and D focus only on the child; C shifts care to specialty
without addressing family needs. Two-generation models are
evidence-based strategies in pediatric primary care to improve
outcomes by treating child and family as interdependent.
Elsevier Health
, Question 4:
During a well visit an adolescent discloses frequent vaping and
asks for help to quit. Which primary care role is the most
appropriate immediate priority for the pediatric primary care
provider?
A. Report the adolescent to authorities for nicotine use.
B. Provide brief motivational interviewing, assess readiness to
quit, and offer resources/referral.
C. Prescribe nicotine replacement therapy without counseling.
D. Schedule a routine follow-up in 6 months and say quitting is
their choice.
Correct Answer: B
Rationale:
B is correct: pediatric primary care includes behavior change
counseling (motivational interviewing), assessing readiness, and
offering resources/referral — evidence-based steps for
adolescent substance use. A is inappropriate and punitive. C is
incomplete (pharmacotherapy should be combined with
counseling and age-appropriate prescribing rules). D delays care
and misses an opportunity for timely intervention. This reflects
the clinical reasoning and anticipatory guidance role of primary
care. AAP
Question 5:
A clinic is updating its well-child visit templates to align with
MCQs per Chapter
Pediatric Primary Care Test Bank & NCLEX-HESI
Review | Burns' 8th Edition
Question 1:
A 6-month-old infant presents for a well-child visit. The family
expresses interest in ways to prevent injuries at home. Which
approach best represents primary prevention in pediatric
primary care?
A. Treat insect bite reaction after it occurs and counsel on
symptom management.
B. Provide anticipatory guidance and install outlet covers and
window guards before injuries occur.
C. Prescribe an EpiPen for a child with known severe peanut
allergy.
D. Refer the family to physical therapy after a torticollis
diagnosis.
Correct Answer: B
Rationale:
B is primary prevention — interventions that occur before harm
to reduce risk (anticipatory guidance, environmental
modifications). A is tertiary or secondary—managing an event
that already occurred. C is a secondary/tertiary prevention
strategy (medical readiness for a known condition) rather than
,universal primary prevention. D is tertiary/secondary care after
a condition is present. (Primary vs prevention concepts align
with pediatric primary care principles described in Burns and
preventive guidance frameworks such as Bright Futures).
Elsevier Health+1
Question 2:
A 14-year-old with no chronic conditions asks the nurse
practitioner whether primary care is the same as health
promotion. Which statement best distinguishes primary care
from primary prevention?
A. Primary care is only episodic urgent care; primary prevention
is unrelated.
B. Primary care provides comprehensive, continuous care
including prevention; primary prevention emphasizes actions to
stop disease before it starts.
C. Primary prevention includes specialty referrals, while primary
care does not.
D. Primary care is exclusively for vaccinations and growth
monitoring; primary prevention is for injuries only.
Correct Answer: B
Rationale:
B correctly differentiates: primary care is a continuous,
comprehensive service that includes prevention, health
promotion, and management; primary prevention focuses
specifically on preventing disease (vaccines, safety counseling).
,A, C, and D are inaccurate simplifications. This distinction is
central to pediatric primary care models in Burns and aligns
with Bright Futures concepts. Elsevier Health+1
Question 3:
A 3-year-old with frequent otitis media is seen in a primary care
clinic that uses a two-generation (dual-patient) model. Which
action best demonstrates the two-generation approach?
A. Treat the child's infection and discharge without family
follow-up.
B. Provide the child antibiotics and also screen the caregiver for
depressive symptoms and connect to supports.
C. Refer the child to ENT and ask family to follow up on their
own.
D. Schedule a return visit only for the child’s next
immunizations.
Correct Answer: B
Rationale:
B embodies the two-generation model: addressing the child’s
clinical issue and recognizing/intervening on caregiver/family
factors (mental health, social supports) that affect child health.
A and D focus only on the child; C shifts care to specialty
without addressing family needs. Two-generation models are
evidence-based strategies in pediatric primary care to improve
outcomes by treating child and family as interdependent.
Elsevier Health
, Question 4:
During a well visit an adolescent discloses frequent vaping and
asks for help to quit. Which primary care role is the most
appropriate immediate priority for the pediatric primary care
provider?
A. Report the adolescent to authorities for nicotine use.
B. Provide brief motivational interviewing, assess readiness to
quit, and offer resources/referral.
C. Prescribe nicotine replacement therapy without counseling.
D. Schedule a routine follow-up in 6 months and say quitting is
their choice.
Correct Answer: B
Rationale:
B is correct: pediatric primary care includes behavior change
counseling (motivational interviewing), assessing readiness, and
offering resources/referral — evidence-based steps for
adolescent substance use. A is inappropriate and punitive. C is
incomplete (pharmacotherapy should be combined with
counseling and age-appropriate prescribing rules). D delays care
and misses an opportunity for timely intervention. This reflects
the clinical reasoning and anticipatory guidance role of primary
care. AAP
Question 5:
A clinic is updating its well-child visit templates to align with
