Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
1) Reference
Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
Question Stem
A 4-month-old attends a well-child visit for routine care. The
parent asks whether the visit is mostly “treating problems” or
“preventing problems.” Which primary-care action best
exemplifies primary prevention at this visit?
A. Assessing for developmental delays and referring to early
intervention if concerns arise.
B. Administering age-recommended immunizations according
to schedule.
C. Evaluating a current fever and prescribing antipyretic
medication.
D. Ordering labs to investigate poor weight gain over the last
month.
Correct Answer
B
,Rationales
Correct: Administering immunizations prevents specific
infectious diseases before exposure, a core primary prevention
activity in pediatric primary care.
A: Developmental screening with referral is early detection and
intervention (secondary prevention) rather than primary
prevention.
C: Treating an existing fever is tertiary/acute care management,
not primary prevention.
D: Investigating an identified problem is
diagnostic/management, not primary prevention.
Teaching Point
Primary prevention removes or reduces disease risk before
onset.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
2) Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
Question Stem
A family presents to a clinic with a healthy 2-year-old. Parent
wants to know whether a pediatric nurse practitioner (PNP) or
,pediatrician is necessary for well-child care. Which statement
best reflects the role of pediatric primary care providers?
A. Only pediatricians may provide anticipatory guidance and
developmental screening.
B. PNPs, pediatricians, and PAs all provide family-centered
preventive and acute pediatric care in primary care.
C. Physician assistants are limited to urgent care and cannot
manage chronic pediatric conditions.
D. Primary care for children should always be delivered in a
hospital setting for safety.
Correct Answer
B
Rationales
Correct: Multiple qualified providers—PNPs, pediatricians, and
PAs—deliver preventive, acute, and chronic pediatric primary
care using family-centered approaches.
A: Anticipatory guidance and developmental screening are
within the scope of trained primary-care clinicians, not exclusive
to physicians.
C: PAs trained in pediatrics can manage chronic conditions
under collaborative practice models.
D: Primary care is typically delivered in outpatient settings, not
restricted to hospitals.
Teaching Point
A multidisciplinary primary care workforce provides accessible,
family-centered pediatric care.
, Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
3) Reference
Ch. 1 — Pediatric Primary Care — Unique Issues in Pediatrics
Question Stem
During a visit, a 14-year-old with chronic asthma asks about
confidentiality for reproductive health questions. What is the
best first action by the primary-care provider?
A. Inform the adolescent that all visits are shared with parents
for safety.
B. Explain confidentiality limits and offer a private time to
discuss sensitive topics.
C. Refuse any private conversation because parental
involvement is mandatory.
D. Ask the parent to leave and immediately prescribe
contraception without explanation.
Correct Answer
B
Rationales
Correct: Adolescents should be informed about confidentiality
boundaries and be offered private time to discuss sensitive
issues—this supports trust and appropriate care.
A: Blanket statements that all visits are shared undermine
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
1) Reference
Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
Question Stem
A 4-month-old attends a well-child visit for routine care. The
parent asks whether the visit is mostly “treating problems” or
“preventing problems.” Which primary-care action best
exemplifies primary prevention at this visit?
A. Assessing for developmental delays and referring to early
intervention if concerns arise.
B. Administering age-recommended immunizations according
to schedule.
C. Evaluating a current fever and prescribing antipyretic
medication.
D. Ordering labs to investigate poor weight gain over the last
month.
Correct Answer
B
,Rationales
Correct: Administering immunizations prevents specific
infectious diseases before exposure, a core primary prevention
activity in pediatric primary care.
A: Developmental screening with referral is early detection and
intervention (secondary prevention) rather than primary
prevention.
C: Treating an existing fever is tertiary/acute care management,
not primary prevention.
D: Investigating an identified problem is
diagnostic/management, not primary prevention.
Teaching Point
Primary prevention removes or reduces disease risk before
onset.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
2) Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
Question Stem
A family presents to a clinic with a healthy 2-year-old. Parent
wants to know whether a pediatric nurse practitioner (PNP) or
,pediatrician is necessary for well-child care. Which statement
best reflects the role of pediatric primary care providers?
A. Only pediatricians may provide anticipatory guidance and
developmental screening.
B. PNPs, pediatricians, and PAs all provide family-centered
preventive and acute pediatric care in primary care.
C. Physician assistants are limited to urgent care and cannot
manage chronic pediatric conditions.
D. Primary care for children should always be delivered in a
hospital setting for safety.
Correct Answer
B
Rationales
Correct: Multiple qualified providers—PNPs, pediatricians, and
PAs—deliver preventive, acute, and chronic pediatric primary
care using family-centered approaches.
A: Anticipatory guidance and developmental screening are
within the scope of trained primary-care clinicians, not exclusive
to physicians.
C: PAs trained in pediatrics can manage chronic conditions
under collaborative practice models.
D: Primary care is typically delivered in outpatient settings, not
restricted to hospitals.
Teaching Point
A multidisciplinary primary care workforce provides accessible,
family-centered pediatric care.
, Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
3) Reference
Ch. 1 — Pediatric Primary Care — Unique Issues in Pediatrics
Question Stem
During a visit, a 14-year-old with chronic asthma asks about
confidentiality for reproductive health questions. What is the
best first action by the primary-care provider?
A. Inform the adolescent that all visits are shared with parents
for safety.
B. Explain confidentiality limits and offer a private time to
discuss sensitive topics.
C. Refuse any private conversation because parental
involvement is mandatory.
D. Ask the parent to leave and immediately prescribe
contraception without explanation.
Correct Answer
B
Rationales
Correct: Adolescents should be informed about confidentiality
boundaries and be offered private time to discuss sensitive
issues—this supports trust and appropriate care.
A: Blanket statements that all visits are shared undermine
