by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Reference
Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
Question Stem
A 2-week-old infant presents for a routine well visit. The parent
asks whether immunizations are part of "primary care" or
"primary prevention." How should the nurse practitioner frame
the explanation to emphasize clinical and public-health
benefits?
Options
A. “Primary care focuses on treatment; immunizations are
considered separate public-health interventions.”
B. “Immunizations are a component of primary prevention
within primary care because they prevent disease before it
occurs.”
C. “Primary prevention only applies to adult screening
programs, not pediatric immunizations.”
,D. “Primary care providers usually refer immunizations to
public-health clinics, so they are not part of primary care.”
Correct Answer
B
Rationales
• Correct (B): Immunizations are classic primary prevention
activities delivered within primary care to prevent disease
before onset—aligning clinical care with population health.
• Incorrect (A): Incorrect—primary care includes preventive
services; it is not limited to treatment.
• Incorrect (C): Incorrect—primary prevention applies to all
ages; pediatric immunizations are a core example.
• Incorrect (D): Incorrect—while referrals may occur, most
primary care providers administer immunizations directly.
Teaching Point
Primary care delivers primary prevention (e.g., immunizations)
to prevent disease 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 is choosing between a pediatrician and a family nurse
practitioner for ongoing well-child care for their 6-month-old.
Which statement best helps them understand differences
relevant to access and continuity of care?
Options
A. “Pediatricians exclusively manage children; other providers
cannot provide equivalent preventative care.”
B. “Both pediatricians and primary care nurse practitioners
provide evidence-based pediatric preventive care; choice often
depends on local access and continuity.”
C. “Family providers are not trained in pediatric growth and
development and should only provide urgent care.”
D. “Choosing a specialist is required for well visits after the
neonatal period.”
Correct Answer
B
Rationales
• Correct (B): Both provider types deliver preventive
pediatric care using evidence-based guidelines; practical
differences often relate to availability and continuity.
, • Incorrect (A): Incorrect—other primary care clinicians are
trained to provide high-quality pediatric preventive
services.
• Incorrect (C): Incorrect—family providers do receive
pediatric training and commonly provide well-child care.
• Incorrect (D): Incorrect—specialists are not required for
routine well-child visits.
Teaching Point
Multiple provider types deliver evidence-based pediatric
primary care; access and continuity matter.
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 9-month visit, a parent reports frequent choking
episodes during solid feeding. Which unique pediatric issue
should guide the clinician’s immediate assessment and
management?
Options
A. Assume normal gag reflex development and advise thicker