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 infant presents for a routine
well-child visit. The parent asks whether the visit is “just for
vaccines” or if there are other goals. Which statement best
reflects the distinction between primary care and primary
prevention in pediatric practice?
A. Primary care focuses only on acute illness, while primary
prevention focuses on vaccinations.
B. Primary care provides longitudinal, family-centered care
including anticipatory guidance; primary prevention targets
actions that prevent disease before onset.
C. Primary care is provided only by pediatricians; primary
prevention is offered by public health agencies.
D. Primary care is episodic treatment of illness, and primary
prevention is only community education.
Correct Answer: B
Rationales:
, • Correct (B): Primary care in pediatrics is longitudinal and
family-centered, encompassing assessment, anticipatory
guidance, and care coordination; primary prevention refers
to actions (e.g., immunizations, safety counseling) that
prevent disease before it occurs. This distinction clarifies
the well-child visit’s broad goals.
• Incorrect (A): Incorrect — primary care includes both
acute and preventive services, not “only” acute illness;
primary prevention is broader than vaccines.
• Incorrect (C): Incorrect — primary care is delivered by a
team of providers (NPs, PAs, physicians) and primary
prevention is implemented across healthcare and public
health settings.
• Incorrect (D): Incorrect — primary care is not merely
episodic; it includes preventive services and ongoing
relationships.
Teaching Point: Well-child visits combine longitudinal primary
care with primary prevention actions.
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 15-month well visit a parent reports
their toddler frequently falls from furniture. Which intervention
best represents primary prevention rather than primary care
monitoring?
A. Scheduling a follow-up to reassess gait and balance.
B. Recommending parental use of safety gates and secure
furniture anchors.
C. Performing a focused neurological exam today.
D. Referring to physical therapy for balance evaluation.
Correct Answer: B
Rationales:
• Correct (B): Recommending environmental safety
measures (gates, anchors) actively prevents injuries before
they occur and is a classic primary prevention intervention
during anticipatory guidance.
• Incorrect (A): Incorrect — scheduling reassessment is part
of ongoing primary care monitoring, not a preventive
action that reduces immediate risk.
• Incorrect (C): Incorrect — performing an exam is
assessment within primary care to identify problems, not a
preventive environmental intervention.
• Incorrect (D): Incorrect — referral is management for
suspected impairment, not the immediate preventive step
the parent requested.
, Teaching Point: Anticipatory guidance that modifies the
environment is primary prevention.
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 2-year-old with mild asthma needs routine
follow-up and medication adjustment. The family sees an
experienced pediatric nurse practitioner (PNP) in a community
clinic. Which statement best describes the PNP’s role in
pediatric primary care?
A. PNPs provide only health promotion and must refer all
chronic disease management to pediatricians.
B. PNPs provide comprehensive primary care including
assessment, management, counseling, and coordination of
referrals.
C. PNPs perform vaccinations but are not qualified to prescribe
or adjust medications.
D. PNPs replace specialists and should independently manage
complex tertiary care.
Correct Answer: B
Rationales:
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 infant presents for a routine
well-child visit. The parent asks whether the visit is “just for
vaccines” or if there are other goals. Which statement best
reflects the distinction between primary care and primary
prevention in pediatric practice?
A. Primary care focuses only on acute illness, while primary
prevention focuses on vaccinations.
B. Primary care provides longitudinal, family-centered care
including anticipatory guidance; primary prevention targets
actions that prevent disease before onset.
C. Primary care is provided only by pediatricians; primary
prevention is offered by public health agencies.
D. Primary care is episodic treatment of illness, and primary
prevention is only community education.
Correct Answer: B
Rationales:
, • Correct (B): Primary care in pediatrics is longitudinal and
family-centered, encompassing assessment, anticipatory
guidance, and care coordination; primary prevention refers
to actions (e.g., immunizations, safety counseling) that
prevent disease before it occurs. This distinction clarifies
the well-child visit’s broad goals.
• Incorrect (A): Incorrect — primary care includes both
acute and preventive services, not “only” acute illness;
primary prevention is broader than vaccines.
• Incorrect (C): Incorrect — primary care is delivered by a
team of providers (NPs, PAs, physicians) and primary
prevention is implemented across healthcare and public
health settings.
• Incorrect (D): Incorrect — primary care is not merely
episodic; it includes preventive services and ongoing
relationships.
Teaching Point: Well-child visits combine longitudinal primary
care with primary prevention actions.
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 15-month well visit a parent reports
their toddler frequently falls from furniture. Which intervention
best represents primary prevention rather than primary care
monitoring?
A. Scheduling a follow-up to reassess gait and balance.
B. Recommending parental use of safety gates and secure
furniture anchors.
C. Performing a focused neurological exam today.
D. Referring to physical therapy for balance evaluation.
Correct Answer: B
Rationales:
• Correct (B): Recommending environmental safety
measures (gates, anchors) actively prevents injuries before
they occur and is a classic primary prevention intervention
during anticipatory guidance.
• Incorrect (A): Incorrect — scheduling reassessment is part
of ongoing primary care monitoring, not a preventive
action that reduces immediate risk.
• Incorrect (C): Incorrect — performing an exam is
assessment within primary care to identify problems, not a
preventive environmental intervention.
• Incorrect (D): Incorrect — referral is management for
suspected impairment, not the immediate preventive step
the parent requested.
, Teaching Point: Anticipatory guidance that modifies the
environment is primary prevention.
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 2-year-old with mild asthma needs routine
follow-up and medication adjustment. The family sees an
experienced pediatric nurse practitioner (PNP) in a community
clinic. Which statement best describes the PNP’s role in
pediatric primary care?
A. PNPs provide only health promotion and must refer all
chronic disease management to pediatricians.
B. PNPs provide comprehensive primary care including
assessment, management, counseling, and coordination of
referrals.
C. PNPs perform vaccinations but are not qualified to prescribe
or adjust medications.
D. PNPs replace specialists and should independently manage
complex tertiary care.
Correct Answer: B
Rationales:
