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 is seen for a well-child visit. The family
asks whether the visit is "primary care" or "primary
prevention." Which statement best differentiates primary care
from primary prevention in pediatric practice?
A. Primary care focuses only on acute illness management;
primary prevention is only immunizations.
B. Primary care is a continuous relationship providing
comprehensive services; primary prevention refers specifically
to actions that prevent disease before it occurs.
C. Primary care occurs only in clinics; primary prevention occurs
only in schools and community settings.
D. Primary care is delivered only by pediatricians; primary
prevention is delivered by public health agencies.
Correct Answer: B
Rationale:
B is correct — primary care in pediatrics denotes an ongoing,
comprehensive relationship that includes health promotion,
surveillance, anticipatory guidance, and management of acute
,and chronic conditions; primary prevention refers to
interventions that prevent disease or injury before it occurs
(e.g., immunizations, safety counseling). A is incorrect because
primary care includes more than acute management and
primary prevention is broader than immunizations. C is
incorrect because both primary care and primary prevention
occur across settings (clinic, home, school, community). D is
incorrect because primary care is delivered by a range of
providers (physicians, nurse practitioners, PAs) and primary
prevention may be performed by clinicians as well as public
health agencies.
Question 2:
A 3-year-old with recurrent otitis media is followed by a
pediatric NP who also screens the family for food insecurity and
connects them to community resources. Which primary care
principle is being demonstrated?
A. Episodic care
B. Two-generation (dual patient) approach
C. Tertiary prevention
D. Specialty referral model
Correct Answer: B
Rationale:
B is correct — the two-generation or dual-patient approach
recognizes that caring for the child involves addressing
caregiver/household needs (e.g., food insecurity) because
,family context affects child health. A is incorrect because
episodic care would focus narrowly on an acute visit rather than
family-centered, ongoing care. C is incorrect because tertiary
prevention refers to reducing complications of established
disease. D is incorrect because the scenario describes primary
care coordination and social determinants screening, not solely
specialty referral.
Question 3:
During a 15-minute well visit, a 16-year-old with type 1 diabetes
expresses fear about transferring to adult care after high school.
Which strategy best reflects evidence-based transition
planning?
A. Tell the adolescent they will be assigned an adult provider at
age 18 and to contact them then.
B. Start transition discussions early, assess self-management
skills, and create a written, individualized transition plan.
C. Delay transition planning until the adolescent requests it.
D. Transfer medical records only when school ends; no further
coordination is needed.
Correct Answer: B
Rationale:
B is correct — effective transition requires early, ongoing
discussions; assessment of readiness/self-management; and an
individualized, documented plan with coordination between
pediatric and adult providers. A is incorrect because passive
, assignment without planning leads to gaps in care. C is incorrect
because delaying planning risks poor outcomes. D is incorrect
because simple record transfer without active coordination and
preparation often fails to ensure successful transition, especially
for youth with special health care needs.
Question 4:
Which statement best reflects an evidence-based reason to
integrate ACEs screening and trauma-informed care into
pediatric primary care?
A. ACEs screening is only useful in specialty mental health
clinics and has no role in primary care.
B. Identification of ACEs allows for early intervention that can
reduce lifelong health risks associated with toxic stress.
C. ACEs are rare and screening wastes clinic time.
D. Addressing ACEs should be deferred until adulthood when
patients can consent.
Correct Answer: B
Rationale:
B is correct — research links ACEs to increased risk for chronic
disease, mental health problems, and poorer outcomes across
the life course; early identification in primary care supports
mitigation (referrals, supports, trauma-informed approaches). A
is incorrect because primary care is a key setting for ACEs
recognition and early intervention. C is incorrect; ACEs are more
common than rare and screening coupled with resources can be
MCQs per Chapter
Pediatric Primary Care Test Bank & NCLEX-HESI
Review | Burns' 8th Edition
Question 1:
A 6-month-old infant is seen for a well-child visit. The family
asks whether the visit is "primary care" or "primary
prevention." Which statement best differentiates primary care
from primary prevention in pediatric practice?
A. Primary care focuses only on acute illness management;
primary prevention is only immunizations.
B. Primary care is a continuous relationship providing
comprehensive services; primary prevention refers specifically
to actions that prevent disease before it occurs.
C. Primary care occurs only in clinics; primary prevention occurs
only in schools and community settings.
D. Primary care is delivered only by pediatricians; primary
prevention is delivered by public health agencies.
Correct Answer: B
Rationale:
B is correct — primary care in pediatrics denotes an ongoing,
comprehensive relationship that includes health promotion,
surveillance, anticipatory guidance, and management of acute
,and chronic conditions; primary prevention refers to
interventions that prevent disease or injury before it occurs
(e.g., immunizations, safety counseling). A is incorrect because
primary care includes more than acute management and
primary prevention is broader than immunizations. C is
incorrect because both primary care and primary prevention
occur across settings (clinic, home, school, community). D is
incorrect because primary care is delivered by a range of
providers (physicians, nurse practitioners, PAs) and primary
prevention may be performed by clinicians as well as public
health agencies.
Question 2:
A 3-year-old with recurrent otitis media is followed by a
pediatric NP who also screens the family for food insecurity and
connects them to community resources. Which primary care
principle is being demonstrated?
A. Episodic care
B. Two-generation (dual patient) approach
C. Tertiary prevention
D. Specialty referral model
Correct Answer: B
Rationale:
B is correct — the two-generation or dual-patient approach
recognizes that caring for the child involves addressing
caregiver/household needs (e.g., food insecurity) because
,family context affects child health. A is incorrect because
episodic care would focus narrowly on an acute visit rather than
family-centered, ongoing care. C is incorrect because tertiary
prevention refers to reducing complications of established
disease. D is incorrect because the scenario describes primary
care coordination and social determinants screening, not solely
specialty referral.
Question 3:
During a 15-minute well visit, a 16-year-old with type 1 diabetes
expresses fear about transferring to adult care after high school.
Which strategy best reflects evidence-based transition
planning?
A. Tell the adolescent they will be assigned an adult provider at
age 18 and to contact them then.
B. Start transition discussions early, assess self-management
skills, and create a written, individualized transition plan.
C. Delay transition planning until the adolescent requests it.
D. Transfer medical records only when school ends; no further
coordination is needed.
Correct Answer: B
Rationale:
B is correct — effective transition requires early, ongoing
discussions; assessment of readiness/self-management; and an
individualized, documented plan with coordination between
pediatric and adult providers. A is incorrect because passive
, assignment without planning leads to gaps in care. C is incorrect
because delaying planning risks poor outcomes. D is incorrect
because simple record transfer without active coordination and
preparation often fails to ensure successful transition, especially
for youth with special health care needs.
Question 4:
Which statement best reflects an evidence-based reason to
integrate ACEs screening and trauma-informed care into
pediatric primary care?
A. ACEs screening is only useful in specialty mental health
clinics and has no role in primary care.
B. Identification of ACEs allows for early intervention that can
reduce lifelong health risks associated with toxic stress.
C. ACEs are rare and screening wastes clinic time.
D. Addressing ACEs should be deferred until adulthood when
patients can consent.
Correct Answer: B
Rationale:
B is correct — research links ACEs to increased risk for chronic
disease, mental health problems, and poorer outcomes across
the life course; early identification in primary care supports
mitigation (referrals, supports, trauma-informed approaches). A
is incorrect because primary care is a key setting for ACEs
recognition and early intervention. C is incorrect; ACEs are more
common than rare and screening coupled with resources can be
