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 — Pediatric Primary Care
Question Stem
A 6-month-old infant presents for a well-child visit. The parent
asks whether immunizations, growth monitoring, and
anticipatory guidance are part of "primary care" or "primary
prevention." Which explanation best distinguishes primary care
from primary prevention in pediatric practice?
Options
A. Primary care focuses solely on treating acute illnesses, while
primary prevention is for vaccinations only.
B. Primary care provides continuous, comprehensive health
services including prevention; primary prevention focuses on
actions to prevent disease before it occurs.
C. Primary care is only delivered in hospitals; primary
prevention is community-based.
D. Primary care excludes health promotion; primary prevention
includes diagnosis and chronic disease management.
,Correct Answer
B
Rationales
Correct (B): Primary care in pediatrics offers continuous,
comprehensive services (well visits, surveillance, coordination)
and includes preventive services; primary prevention
specifically refers to actions taken to prevent the onset of
disease (e.g., immunizations, anticipatory guidance).
Incorrect (A): Primary care is not limited to treating acute
illnesses; it also encompasses preventive and developmental
services.
Incorrect (C): Primary care is not confined to hospitals; it is
often delivered in outpatient settings and includes both clinical
and community linkages.
Incorrect (D): Primary care includes health promotion; primary
prevention does not typically manage existing chronic disease.
Teaching Point
Primary care = continuous comprehensive care; primary
prevention = actions preventing disease onset.
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 2-year visit, a toddler’s parent asks about lead
exposure prevention. The nurse practitioner frames this as
which type of prevention and chooses the best action to
implement during the visit. Which is the best action?
Options
A. Label lead counseling as tertiary prevention and refer to
specialty care.
B. Provide anticipatory guidance about preventing lead
exposure and screen as indicated — primary prevention.
C. Wait until laboratory results show elevated lead to counsel —
secondary prevention.
D. Focus on treating developmental delay rather than
prevention — quaternary prevention.
Correct Answer
B
Rationales
Correct (B): Counseling on environmental risks and screening as
indicated are primary prevention strategies to prevent exposure
and early harm.
Incorrect (A): Tertiary prevention focuses on reducing impact of
established disease; lead exposure counseling before harm is
primary prevention.
, Incorrect (C): Waiting for elevated lead levels is reactive
(secondary/tertiary), missing the preventive opportunity.
Incorrect (D): Focusing solely on treating delay ignores the
prevention strategy; quaternary prevention is not applicable
here.
Teaching Point
Anticipatory guidance and targeted screening are primary
prevention in pediatrics.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
3)
Reference
Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
Question Stem
A clinic develops a program to promote breastfeeding, safe
sleep, and immunization adherence. Which evaluation metric
best assesses whether the program achieved primary
prevention goals?
Options
A. Reduction in clinic wait times for sick visits.
B. Increased initiation and exclusive breastfeeding rates at 3
months and decreased infant sleep-related injuries.
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
1)
Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Question Stem
A 6-month-old infant presents for a well-child visit. The parent
asks whether immunizations, growth monitoring, and
anticipatory guidance are part of "primary care" or "primary
prevention." Which explanation best distinguishes primary care
from primary prevention in pediatric practice?
Options
A. Primary care focuses solely on treating acute illnesses, while
primary prevention is for vaccinations only.
B. Primary care provides continuous, comprehensive health
services including prevention; primary prevention focuses on
actions to prevent disease before it occurs.
C. Primary care is only delivered in hospitals; primary
prevention is community-based.
D. Primary care excludes health promotion; primary prevention
includes diagnosis and chronic disease management.
,Correct Answer
B
Rationales
Correct (B): Primary care in pediatrics offers continuous,
comprehensive services (well visits, surveillance, coordination)
and includes preventive services; primary prevention
specifically refers to actions taken to prevent the onset of
disease (e.g., immunizations, anticipatory guidance).
Incorrect (A): Primary care is not limited to treating acute
illnesses; it also encompasses preventive and developmental
services.
Incorrect (C): Primary care is not confined to hospitals; it is
often delivered in outpatient settings and includes both clinical
and community linkages.
Incorrect (D): Primary care includes health promotion; primary
prevention does not typically manage existing chronic disease.
Teaching Point
Primary care = continuous comprehensive care; primary
prevention = actions preventing disease onset.
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 2-year visit, a toddler’s parent asks about lead
exposure prevention. The nurse practitioner frames this as
which type of prevention and chooses the best action to
implement during the visit. Which is the best action?
Options
A. Label lead counseling as tertiary prevention and refer to
specialty care.
B. Provide anticipatory guidance about preventing lead
exposure and screen as indicated — primary prevention.
C. Wait until laboratory results show elevated lead to counsel —
secondary prevention.
D. Focus on treating developmental delay rather than
prevention — quaternary prevention.
Correct Answer
B
Rationales
Correct (B): Counseling on environmental risks and screening as
indicated are primary prevention strategies to prevent exposure
and early harm.
Incorrect (A): Tertiary prevention focuses on reducing impact of
established disease; lead exposure counseling before harm is
primary prevention.
, Incorrect (C): Waiting for elevated lead levels is reactive
(secondary/tertiary), missing the preventive opportunity.
Incorrect (D): Focusing solely on treating delay ignores the
prevention strategy; quaternary prevention is not applicable
here.
Teaching Point
Anticipatory guidance and targeted screening are primary
prevention in pediatrics.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
3)
Reference
Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
Question Stem
A clinic develops a program to promote breastfeeding, safe
sleep, and immunization adherence. Which evaluation metric
best assesses whether the program achieved primary
prevention goals?
Options
A. Reduction in clinic wait times for sick visits.
B. Increased initiation and exclusive breastfeeding rates at 3
months and decreased infant sleep-related injuries.
