Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Question Stem
A 3-week-old term infant presents for the initial well visit. The
mother asks whether the visit is “just for vaccines.” Which
response best reflects the scope of pediatric primary care for
this visit?
Options
A. "This visit is primarily vaccination; developmental screening
will happen at later visits."
B. "Primary care includes preventive care, growth and
development surveillance, and family counseling today."
C. "We only provide acute illness care and will refer you to a
specialist for prevention."
D. "Primary care focuses on diagnosing illnesses; prevention is
handled by public health clinics."
,Correct Answer
B
Rationales
• Correct (B): Pediatric primary care encompasses
preventive services, growth and developmental
surveillance, anticipatory guidance, and family-centered
counseling at well visits.
• Incorrect (A): Vaccinations are important but primary care
is not limited to immunizations; developmental screening
should begin early.
• Incorrect (C): Primary care provides preventive and
ongoing care, not just acute illness management or routine
referral to specialists.
• Incorrect (D): Primary care integrates diagnosis and
prevention; prevention is not delegated exclusively to
public health.
Teaching Point
Primary care integrates preventive services, surveillance, and
family-centered counseling.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
2
,Reference
Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
Question Stem
During a well-child visit, a nurse practitioner implements
anticipatory guidance about safe sleep and smoking cessation in
the household. Which statement best distinguishes this activity
as primary prevention?
Options
A. It treats a current respiratory illness caused by secondhand
smoke.
B. It decreases risk factors to prevent future disease in an
otherwise healthy child.
C. It manages chronic disease progression in a child already
diagnosed with asthma.
D. It refers the family to specialists for smoking cessation
medications only.
Correct Answer
B
Rationales
• Correct (B): Primary prevention reduces exposure to risk
factors and prevents disease before it occurs, which is the
goal of anticipatory guidance on smoke and safe sleep.
• Incorrect (A): Treating an existing illness would be
secondary or tertiary care, not primary prevention.
, • Incorrect (C): Managing an established chronic disease is
secondary/tertiary prevention rather than primary
prevention.
• Incorrect (D): Referral alone without direct preventive
counseling mischaracterizes the comprehensive prevention
role of primary care.
Teaching Point
Primary prevention reduces exposure to risk to prevent disease
onset.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
3
Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
Question Stem
A 14-year-old with mild depression prefers seeing a nurse
practitioner for follow-up rather than the clinic psychiatrist.
According to primary care provider roles, what is the most
appropriate next step?
Options
A. Decline follow-up and insist psychiatric follow-up only.
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Question Stem
A 3-week-old term infant presents for the initial well visit. The
mother asks whether the visit is “just for vaccines.” Which
response best reflects the scope of pediatric primary care for
this visit?
Options
A. "This visit is primarily vaccination; developmental screening
will happen at later visits."
B. "Primary care includes preventive care, growth and
development surveillance, and family counseling today."
C. "We only provide acute illness care and will refer you to a
specialist for prevention."
D. "Primary care focuses on diagnosing illnesses; prevention is
handled by public health clinics."
,Correct Answer
B
Rationales
• Correct (B): Pediatric primary care encompasses
preventive services, growth and developmental
surveillance, anticipatory guidance, and family-centered
counseling at well visits.
• Incorrect (A): Vaccinations are important but primary care
is not limited to immunizations; developmental screening
should begin early.
• Incorrect (C): Primary care provides preventive and
ongoing care, not just acute illness management or routine
referral to specialists.
• Incorrect (D): Primary care integrates diagnosis and
prevention; prevention is not delegated exclusively to
public health.
Teaching Point
Primary care integrates preventive services, surveillance, and
family-centered counseling.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
2
,Reference
Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
Question Stem
During a well-child visit, a nurse practitioner implements
anticipatory guidance about safe sleep and smoking cessation in
the household. Which statement best distinguishes this activity
as primary prevention?
Options
A. It treats a current respiratory illness caused by secondhand
smoke.
B. It decreases risk factors to prevent future disease in an
otherwise healthy child.
C. It manages chronic disease progression in a child already
diagnosed with asthma.
D. It refers the family to specialists for smoking cessation
medications only.
Correct Answer
B
Rationales
• Correct (B): Primary prevention reduces exposure to risk
factors and prevents disease before it occurs, which is the
goal of anticipatory guidance on smoke and safe sleep.
• Incorrect (A): Treating an existing illness would be
secondary or tertiary care, not primary prevention.
, • Incorrect (C): Managing an established chronic disease is
secondary/tertiary prevention rather than primary
prevention.
• Incorrect (D): Referral alone without direct preventive
counseling mischaracterizes the comprehensive prevention
role of primary care.
Teaching Point
Primary prevention reduces exposure to risk to prevent disease
onset.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
3
Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
Question Stem
A 14-year-old with mild depression prefers seeing a nurse
practitioner for follow-up rather than the clinic psychiatrist.
According to primary care provider roles, what is the most
appropriate next step?
Options
A. Decline follow-up and insist psychiatric follow-up only.
