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 6-month-old infant presents for a well-child visit. The parent
asks whether the visit is primarily for illness care because the
child seems well. Which response best explains the primary
purpose of this visit in pediatric primary care?
Options
A. “This visit is for episodic care only; we’ll treat problems if
they arise.”
B. “This visit focuses on prevention, developmental
surveillance, and anticipatory guidance to reduce future illness
and injury.”
C. “We primarily provide vaccinations today; other issues can
wait until the next sick visit.”
,D. “We’ll mainly screen for chronic diseases that usually present
at school age.”
Correct Answer
B
Rationales
Correct: Well-child visits emphasize primary prevention,
developmental surveillance, and anticipatory guidance to
prevent problems and promote healthy development. This
aligns with the preventive focus of pediatric primary care.
A: Incorrect — episodic care is part of primary care but not the
primary focus of well-child visits.
C: Incorrect — vaccinations are important but the visit also
includes counseling, screening, and surveillance.
D: Incorrect — chronic disease screening may occur, but well-
child care targets age-appropriate prevention and development
now.
Teaching Point
Well-child visits prioritize prevention, surveillance, and
guidance to promote health.
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 requests to see a pediatric nurse practitioner (PNP)
rather than a pediatrician for routine care because they prefer
advanced practice nursing. Which statement best describes the
PNP’s role in primary pediatric care when addressing the
family’s request?
Options
A. PNPs only provide health education and must refer all
medical decisions to a pediatrician.
B. PNPs deliver comprehensive primary care, including
assessment, diagnosis, treatment, and health promotion, often
within collaborative practice models.
C. PNPs are limited to immunization administration and basic
screenings.
D. PNPs do not perform pediatric physical exams but coordinate
care with physicians who do.
Correct Answer
B
Rationales
Correct: Pediatric nurse practitioners provide full-spectrum
primary care—assessment, diagnosis, treatment, counseling,
and health promotion—often working collaboratively with
physicians.
, A: Incorrect — PNPs have independent clinical roles and make
medical decisions within scope and collaborative agreements.
C: Incorrect — care by PNPs extends far beyond immunizations
and screenings.
D: Incorrect — PNPs perform comprehensive physical exams
and clinical management.
Teaching Point
PNPs provide comprehensive, evidence-based pediatric primary
care within collaborative models.
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
An 18-month-old is brought for delayed language noted by
daycare staff. Parents are worried. As a primary-care provider,
which initial approach best addresses this unique pediatric
issue?
Options
A. Reassure the parents that language delays are normal and
schedule a routine follow-up in 6 months.
B. Perform developmental surveillance, document concerns,
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 6-month-old infant presents for a well-child visit. The parent
asks whether the visit is primarily for illness care because the
child seems well. Which response best explains the primary
purpose of this visit in pediatric primary care?
Options
A. “This visit is for episodic care only; we’ll treat problems if
they arise.”
B. “This visit focuses on prevention, developmental
surveillance, and anticipatory guidance to reduce future illness
and injury.”
C. “We primarily provide vaccinations today; other issues can
wait until the next sick visit.”
,D. “We’ll mainly screen for chronic diseases that usually present
at school age.”
Correct Answer
B
Rationales
Correct: Well-child visits emphasize primary prevention,
developmental surveillance, and anticipatory guidance to
prevent problems and promote healthy development. This
aligns with the preventive focus of pediatric primary care.
A: Incorrect — episodic care is part of primary care but not the
primary focus of well-child visits.
C: Incorrect — vaccinations are important but the visit also
includes counseling, screening, and surveillance.
D: Incorrect — chronic disease screening may occur, but well-
child care targets age-appropriate prevention and development
now.
Teaching Point
Well-child visits prioritize prevention, surveillance, and
guidance to promote health.
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 requests to see a pediatric nurse practitioner (PNP)
rather than a pediatrician for routine care because they prefer
advanced practice nursing. Which statement best describes the
PNP’s role in primary pediatric care when addressing the
family’s request?
Options
A. PNPs only provide health education and must refer all
medical decisions to a pediatrician.
B. PNPs deliver comprehensive primary care, including
assessment, diagnosis, treatment, and health promotion, often
within collaborative practice models.
C. PNPs are limited to immunization administration and basic
screenings.
D. PNPs do not perform pediatric physical exams but coordinate
care with physicians who do.
Correct Answer
B
Rationales
Correct: Pediatric nurse practitioners provide full-spectrum
primary care—assessment, diagnosis, treatment, counseling,
and health promotion—often working collaboratively with
physicians.
, A: Incorrect — PNPs have independent clinical roles and make
medical decisions within scope and collaborative agreements.
C: Incorrect — care by PNPs extends far beyond immunizations
and screenings.
D: Incorrect — PNPs perform comprehensive physical exams
and clinical management.
Teaching Point
PNPs provide comprehensive, evidence-based pediatric primary
care within collaborative models.
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
An 18-month-old is brought for delayed language noted by
daycare staff. Parents are worried. As a primary-care provider,
which initial approach best addresses this unique pediatric
issue?
Options
A. Reassure the parents that language delays are normal and
schedule a routine follow-up in 6 months.
B. Perform developmental surveillance, document concerns,
