Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
1. Question Stem
A 6-month-old infant presents for a well-child visit. The
mother asks why the visit is necessary if vaccinations are
given elsewhere. Which statement best explains the
distinct role of primary care beyond primary prevention?
Options
A. Primary care focuses exclusively on treating acute illnesses
while primary prevention focuses on vaccines.
B. Primary care provides longitudinal, family-centered
surveillance, anticipatory guidance, and care coordination
beyond single preventive acts.
C. Primary care and primary prevention are synonymous and
interchangeable terms in pediatrics.
,D. Primary care's main role is administrative – documenting
immunizations and referrals.
Correct Answer
B
Rationales
Correct: Primary care in pediatrics includes ongoing surveillance
of growth and development, anticipatory guidance,
management of acute and chronic conditions, and coordination
with community resources — roles that extend well beyond
single preventive measures like vaccinations.
A: Incorrect — Primary care is not limited to treating acute
illness; it includes prevention, surveillance, and family support.
C: Incorrect — The terms are related but not synonymous;
primary prevention (e.g., vaccines) is one component of
broader primary care.
D: Incorrect — Administrative tasks occur, but they are not the
central purpose of primary care, which is clinical and relational.
Teaching Point
Primary care is longitudinal, preventive, and family-centered,
not just single preventive acts.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
,Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
2) Question Stem
During a clinic quality review, nurse-practitioner colleagues
discuss reducing emergency visits for asthma exacerbations.
Which primary-prevention strategy best fits the team’s goal?
Options
A. Increasing same-day acute visits for children with wheeze.
B. Implementing home-environment triggers education and
routine controller therapy adherence counseling.
C. Telling families to avoid exercise to prevent symptoms.
D. Referring all children with wheeze to the emergency
department for baseline spirometry.
Correct Answer
B
Rationales
Correct: Reducing exacerbations is best addressed by primary-
prevention strategies that include environmental trigger
reduction education and ensuring adherence to controller
therapy — both proactive, evidence-based measures.
A: Incorrect — Same-day acute care addresses events after they
occur rather than preventing exacerbations.
C: Incorrect — Avoiding exercise is not appropriate; rather,
trigger management and proper medication optimize activity
tolerance.
D: Incorrect — Emergency referrals for baseline testing are
, unnecessary and reactive; spirometry is usually arranged in
outpatient pulmonary follow-up.
Teaching Point
Preventing exacerbations requires proactive education and
consistent controller therapy adherence.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
3) Question Stem
A 2-year-old with recurrent otitis media is seen in a clinic staffed
by a pediatrician, family NP, social worker, and a lactation
consultant. The family reports transportation barriers and
missed specialist appointments. Which team role is most
appropriate to address access and follow-up?
Options
A. Pediatrician – provide all referrals and expect the family to
arrange transportation.
B. Social worker – assess social determinants, connect to
community resources, and assist with care coordination.
C. Lactation consultant – arrange specialist visits and manage
transportation logistics.
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
1. Question Stem
A 6-month-old infant presents for a well-child visit. The
mother asks why the visit is necessary if vaccinations are
given elsewhere. Which statement best explains the
distinct role of primary care beyond primary prevention?
Options
A. Primary care focuses exclusively on treating acute illnesses
while primary prevention focuses on vaccines.
B. Primary care provides longitudinal, family-centered
surveillance, anticipatory guidance, and care coordination
beyond single preventive acts.
C. Primary care and primary prevention are synonymous and
interchangeable terms in pediatrics.
,D. Primary care's main role is administrative – documenting
immunizations and referrals.
Correct Answer
B
Rationales
Correct: Primary care in pediatrics includes ongoing surveillance
of growth and development, anticipatory guidance,
management of acute and chronic conditions, and coordination
with community resources — roles that extend well beyond
single preventive measures like vaccinations.
A: Incorrect — Primary care is not limited to treating acute
illness; it includes prevention, surveillance, and family support.
C: Incorrect — The terms are related but not synonymous;
primary prevention (e.g., vaccines) is one component of
broader primary care.
D: Incorrect — Administrative tasks occur, but they are not the
central purpose of primary care, which is clinical and relational.
Teaching Point
Primary care is longitudinal, preventive, and family-centered,
not just single preventive acts.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
,Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
2) Question Stem
During a clinic quality review, nurse-practitioner colleagues
discuss reducing emergency visits for asthma exacerbations.
Which primary-prevention strategy best fits the team’s goal?
Options
A. Increasing same-day acute visits for children with wheeze.
B. Implementing home-environment triggers education and
routine controller therapy adherence counseling.
C. Telling families to avoid exercise to prevent symptoms.
D. Referring all children with wheeze to the emergency
department for baseline spirometry.
Correct Answer
B
Rationales
Correct: Reducing exacerbations is best addressed by primary-
prevention strategies that include environmental trigger
reduction education and ensuring adherence to controller
therapy — both proactive, evidence-based measures.
A: Incorrect — Same-day acute care addresses events after they
occur rather than preventing exacerbations.
C: Incorrect — Avoiding exercise is not appropriate; rather,
trigger management and proper medication optimize activity
tolerance.
D: Incorrect — Emergency referrals for baseline testing are
, unnecessary and reactive; spirometry is usually arranged in
outpatient pulmonary follow-up.
Teaching Point
Preventing exacerbations requires proactive education and
consistent controller therapy adherence.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
3) Question Stem
A 2-year-old with recurrent otitis media is seen in a clinic staffed
by a pediatrician, family NP, social worker, and a lactation
consultant. The family reports transportation barriers and
missed specialist appointments. Which team role is most
appropriate to address access and follow-up?
Options
A. Pediatrician – provide all referrals and expect the family to
arrange transportation.
B. Social worker – assess social determinants, connect to
community resources, and assist with care coordination.
C. Lactation consultant – arrange specialist visits and manage
transportation logistics.
