Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Question Stem
A 9-month-old infant arrives for a well visit. The parent asks
whether the visit is primarily to treat illness or to prevent future
problems. Which explanation best distinguishes “primary care”
from “primary prevention” for this family?
Options
A. Primary care focuses on urgent illnesses; primary prevention
is only done by public health agencies.
B. Primary care provides ongoing, whole-child services including
prevention; primary prevention specifically reduces occurrence
of disease (e.g., immunizations).
C. Primary care is only physical exams and sick visits; primary
prevention includes screening tests performed at specialty
clinics.
D. Primary care does not include counseling; primary
prevention is counseling only.
,Correct Answer
B
Rationales
Correct option: Primary care in pediatrics is continuous,
comprehensive health services that include prevention, health
promotion, and treatment; primary prevention are actions (like
immunizations, safety counseling) to prevent disease
occurrence.
Incorrect A: Incorrect — primary prevention is not restricted to
public health agencies; primary care providers deliver many
preventive services.
Incorrect C: Incorrect — primary care encompasses more than
physical exams/sick visits and often performs screening.
Incorrect D: Incorrect — primary care includes counseling and
anticipatory guidance; primary prevention is broader than
counseling alone.
Teaching Point
Primary care integrates treatment, prevention, and health
promotion.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
,Reference
Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
Question Stem
During a 2-year well visit, the provider notices the toddler’s
immunizations are delayed. The parent asks whether focusing
on catch-up vaccines is part of primary care or primary
prevention. Which action best demonstrates the provider
practicing primary prevention within primary care?
Options
A. Scheduling the next sick-visit appointment.
B. Providing catch-up immunizations and counseling on vaccine
schedule.
C. Referring the family to an infectious disease clinic for future
vaccines.
D. Documenting the delay and waiting until the next year’s visit.
Correct Answer
B
Rationales
Correct option: Administering catch-up immunizations and
counseling are direct primary prevention activities delivered in
the primary care setting to reduce disease risk.
Incorrect A: Incorrect — scheduling a sick-visit is not vaccination
or preventive counseling.
Incorrect C: Incorrect — unnecessary referral delays prevention;
primary care should provide routine immunizations.
, Incorrect D: Incorrect — deferring immunizations misses an
opportunity for primary prevention now.
Teaching Point
Primary prevention (e.g., immunizations) is often delivered
directly in primary care.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
Question Stem
A 14-year-old with asthma needs ongoing follow-up. The family
asks whether a pediatric nurse practitioner (PNP), physician
assistant (PA), or pediatrician is appropriate for routine
management. Which explanation best reflects the role of PNPs
and PAs in pediatric primary care?
Options
A. PNPs and PAs cannot manage chronic pediatric conditions;
only pediatricians can.
B. PNPs and PAs provide comprehensive primary care, including
chronic disease management, with collaborative or supervisory
physician relationships as required.
C. PNPs and PAs only provide immunizations and well checks,
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Question Stem
A 9-month-old infant arrives for a well visit. The parent asks
whether the visit is primarily to treat illness or to prevent future
problems. Which explanation best distinguishes “primary care”
from “primary prevention” for this family?
Options
A. Primary care focuses on urgent illnesses; primary prevention
is only done by public health agencies.
B. Primary care provides ongoing, whole-child services including
prevention; primary prevention specifically reduces occurrence
of disease (e.g., immunizations).
C. Primary care is only physical exams and sick visits; primary
prevention includes screening tests performed at specialty
clinics.
D. Primary care does not include counseling; primary
prevention is counseling only.
,Correct Answer
B
Rationales
Correct option: Primary care in pediatrics is continuous,
comprehensive health services that include prevention, health
promotion, and treatment; primary prevention are actions (like
immunizations, safety counseling) to prevent disease
occurrence.
Incorrect A: Incorrect — primary prevention is not restricted to
public health agencies; primary care providers deliver many
preventive services.
Incorrect C: Incorrect — primary care encompasses more than
physical exams/sick visits and often performs screening.
Incorrect D: Incorrect — primary care includes counseling and
anticipatory guidance; primary prevention is broader than
counseling alone.
Teaching Point
Primary care integrates treatment, prevention, and health
promotion.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
,Reference
Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
Question Stem
During a 2-year well visit, the provider notices the toddler’s
immunizations are delayed. The parent asks whether focusing
on catch-up vaccines is part of primary care or primary
prevention. Which action best demonstrates the provider
practicing primary prevention within primary care?
Options
A. Scheduling the next sick-visit appointment.
B. Providing catch-up immunizations and counseling on vaccine
schedule.
C. Referring the family to an infectious disease clinic for future
vaccines.
D. Documenting the delay and waiting until the next year’s visit.
Correct Answer
B
Rationales
Correct option: Administering catch-up immunizations and
counseling are direct primary prevention activities delivered in
the primary care setting to reduce disease risk.
Incorrect A: Incorrect — scheduling a sick-visit is not vaccination
or preventive counseling.
Incorrect C: Incorrect — unnecessary referral delays prevention;
primary care should provide routine immunizations.
, Incorrect D: Incorrect — deferring immunizations misses an
opportunity for primary prevention now.
Teaching Point
Primary prevention (e.g., immunizations) is often delivered
directly in primary care.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
Question Stem
A 14-year-old with asthma needs ongoing follow-up. The family
asks whether a pediatric nurse practitioner (PNP), physician
assistant (PA), or pediatrician is appropriate for routine
management. Which explanation best reflects the role of PNPs
and PAs in pediatric primary care?
Options
A. PNPs and PAs cannot manage chronic pediatric conditions;
only pediatricians can.
B. PNPs and PAs provide comprehensive primary care, including
chronic disease management, with collaborative or supervisory
physician relationships as required.
C. PNPs and PAs only provide immunizations and well checks,
