Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Chapter 1: Pediatric Primary Care
Chapter 1 – Primary Care versus Primary Prevention
Stem: A 2-month-old infant presents for a well-child visit. The
nurse practitioner anticipates administering DTaP and IPV per
schedule and also reviews car-seat safety with the parents.
Which action is the best example of primary prevention?
A. Screening developmental milestones with an age-appropriate
tool
B. Administering DTaP and IPV vaccines per schedule
C. Referring to early intervention for suspected delay
D. Ordering hearing screening after NICU admission
Correct answer: B
Rationale (correct): Administering recommended
immunizations prevents disease before it occurs and is a classic
primary prevention strategy. This aligns with Burns’ description
,of preventive services performed at well-child visits. Google
Books CDC
Distractors:
A. Screening is secondary prevention (early detection). It
identifies problems but does not prevent initial disease
occurrence.
C. Referral for suspected delay is tertiary/secondary care
(management of identified problems).
D. Post-NICU hearing screening is surveillance/screening
(secondary prevention) rather than primary prevention.
Teaching Point: Vaccination at well visits is primary
prevention—stop disease before it occurs.
Q2
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care:
Primary Care vs Primary Prevention
Stem: During a 4-year well child visit the parent asks why
anticipatory guidance matters. Which nurse response best
describes the role of anticipatory guidance in primary care?
A. “It identifies developmental delays requiring referral.”
B. “It provides education to prevent common injuries and
problems.”
C. “It documents vaccinations to satisfy legal requirements.”
D. “It prescribes medications to treat chronic illnesses.”
Correct answer: B
,Rationale (correct): Anticipatory guidance is education given to
families to prevent injuries, illness, and developmental
problems—central to pediatric primary care. Burns emphasizes
counseling and anticipatory guidance as a core preventive
activity. Google Books
Distractors:
A. Identification of delays is screening, not anticipatory
guidance.
C. While documentation is important, anticipatory guidance’s
purpose is preventive education, not legal paperwork.
D. Prescribing treats conditions (tertiary care) rather than
preventing them.
Teaching Point: Anticipatory guidance equips families to
prevent injuries and promote healthy development.
Q3
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care: Unique
Issues in Pediatrics
Stem: A 7-year-old with intermittent abdominal pain has
normal vitals and exam. The NP recognizes that children's
symptom expression can be influenced by developmental stage.
Which assessment approach is most developmentally
appropriate?
A. Use complex medical terminology to encourage accurate
reporting
, B. Ask the child open-ended questions using simple concrete
language
C. Only rely on the parent’s history; children are unreliable
reporters
D. Delay assessment until the child is older and can describe
symptoms fully
Correct answer: B
Rationale (correct): Pediatric assessment must be tailored to
the child’s developmental level—simple, concrete, open
questions help elicit symptoms. Burns highlights developmental
considerations in pediatric assessment and communication.
Google Books
Distractors:
A. Complex terminology confuses the child and reduces valid
responses.
C. Children can provide useful information; excluding them risks
missing important data.
D. Delaying assessment risks missing treatable conditions and
undermines family-centered care.
Teaching Point: Tailor questions to the child’s developmental
level for accurate assessment.
Q4
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care: Unique
Issues in Pediatrics
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Chapter 1: Pediatric Primary Care
Chapter 1 – Primary Care versus Primary Prevention
Stem: A 2-month-old infant presents for a well-child visit. The
nurse practitioner anticipates administering DTaP and IPV per
schedule and also reviews car-seat safety with the parents.
Which action is the best example of primary prevention?
A. Screening developmental milestones with an age-appropriate
tool
B. Administering DTaP and IPV vaccines per schedule
C. Referring to early intervention for suspected delay
D. Ordering hearing screening after NICU admission
Correct answer: B
Rationale (correct): Administering recommended
immunizations prevents disease before it occurs and is a classic
primary prevention strategy. This aligns with Burns’ description
,of preventive services performed at well-child visits. Google
Books CDC
Distractors:
A. Screening is secondary prevention (early detection). It
identifies problems but does not prevent initial disease
occurrence.
C. Referral for suspected delay is tertiary/secondary care
(management of identified problems).
D. Post-NICU hearing screening is surveillance/screening
(secondary prevention) rather than primary prevention.
Teaching Point: Vaccination at well visits is primary
prevention—stop disease before it occurs.
Q2
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care:
Primary Care vs Primary Prevention
Stem: During a 4-year well child visit the parent asks why
anticipatory guidance matters. Which nurse response best
describes the role of anticipatory guidance in primary care?
A. “It identifies developmental delays requiring referral.”
B. “It provides education to prevent common injuries and
problems.”
C. “It documents vaccinations to satisfy legal requirements.”
D. “It prescribes medications to treat chronic illnesses.”
Correct answer: B
,Rationale (correct): Anticipatory guidance is education given to
families to prevent injuries, illness, and developmental
problems—central to pediatric primary care. Burns emphasizes
counseling and anticipatory guidance as a core preventive
activity. Google Books
Distractors:
A. Identification of delays is screening, not anticipatory
guidance.
C. While documentation is important, anticipatory guidance’s
purpose is preventive education, not legal paperwork.
D. Prescribing treats conditions (tertiary care) rather than
preventing them.
Teaching Point: Anticipatory guidance equips families to
prevent injuries and promote healthy development.
Q3
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care: Unique
Issues in Pediatrics
Stem: A 7-year-old with intermittent abdominal pain has
normal vitals and exam. The NP recognizes that children's
symptom expression can be influenced by developmental stage.
Which assessment approach is most developmentally
appropriate?
A. Use complex medical terminology to encourage accurate
reporting
, B. Ask the child open-ended questions using simple concrete
language
C. Only rely on the parent’s history; children are unreliable
reporters
D. Delay assessment until the child is older and can describe
symptoms fully
Correct answer: B
Rationale (correct): Pediatric assessment must be tailored to
the child’s developmental level—simple, concrete, open
questions help elicit symptoms. Burns highlights developmental
considerations in pediatric assessment and communication.
Google Books
Distractors:
A. Complex terminology confuses the child and reduces valid
responses.
C. Children can provide useful information; excluding them risks
missing important data.
D. Delaying assessment risks missing treatable conditions and
undermines family-centered care.
Teaching Point: Tailor questions to the child’s developmental
level for accurate assessment.
Q4
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care: Unique
Issues in Pediatrics
