Burns’ Pediatric Primary Care 8th Ed Test Bank – 20 MCQs/Chapter • FNP/PNP Pediatrics Clinical Decision-Making Study Guide

Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)




1)
1) Reference
Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
2) Question Stem
A 6-month-old infant comes for a well-child visit. The parent
asks whether immunizations and anticipatory guidance are part
of "primary prevention" or "primary care." As the clinician,
which statement best distinguishes primary prevention from
primary care in pediatric practice?
3) Options
A. Primary prevention focuses on treating acute illness; primary
care focuses only on vaccinations.
B. Primary prevention includes actions to avert disease (e.g.,
immunizations); primary care includes ongoing, comprehensive
services (e.g., diagnosis, management, health promotion).
C. Primary prevention and primary care are interchangeable
terms describing the same services.

,D. Primary prevention focuses only on population-level policies,
whereas primary care is exclusively episodic sick-visit care.
4) Correct Answer
B
5) Rationales
• Correct (B): Primary prevention includes strategies that
prevent disease before it occurs (immunizations, safety
counseling); primary care is broader and continuous,
covering prevention, diagnosis, management, and health
promotion.
• Incorrect (A): Incorrect — primary prevention is not
primarily about treating acute illness; that describes
tertiary or acute care.
• Incorrect (C): Incorrect — the terms overlap but are not
synonymous; primary care includes prevention but also
longitudinal management.
• Incorrect (D): Incorrect — primary prevention includes
individual and population strategies, and primary care is
not limited to episodic sick visits.
6) Teaching Point
Primary prevention (e.g., vaccines) is a component of broader,
longitudinal pediatric primary care.

,7) Citation (APA)
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.


2)
1) Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
2) Question Stem
A family with a 4-year-old asks why a nurse practitioner is
appropriate for their child's primary care instead of a
pediatrician. Which response best addresses scope,
competency, and continuity of care?
3) Options
A. NPs only provide immunizations and must refer all other care
to physicians.
B. NPs provide comprehensive, family-centered primary care
including preventive services, acute and chronic management,
and coordination of referrals.
C. NPs generally see only healthy children and cannot manage
chronic conditions.
D. NPs are only trained for inpatient pediatric care, not
outpatient primary care.
4) Correct Answer
B

, 5) Rationales
• Correct (B): NPs are trained to deliver comprehensive
primary care—prevention, acute and chronic condition
management, family education, and care coordination—
providing continuity similar to other primary care
providers.
• Incorrect (A): Incorrect — NPs manage far more than
immunizations and do not have to refer all other care.
• Incorrect (C): Incorrect — NPs manage both healthy
children and those with chronic conditions within their
scope of practice.
• Incorrect (D): Incorrect — NPs are prepared for outpatient
primary care; many practice in community settings.
6) Teaching Point
Advanced practice providers deliver comprehensive, continuity-
focused pediatric primary care.
7) Citation (APA)
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.


3)
1) Reference
Ch. 1 — Pediatric Primary Care — Unique Issues in Pediatrics