Burns' Pediatric Primary Care
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks, Martha
Driessnack, Karen G. Duderstadt, Nan M. Gaylord
Burns Pediatric Primary Care 8th Edition
MCQ Study Guide & Practice Test Bank
A 2-week-old infant is seen for a well-newborn visit. The family
asks whether primary care is the same as primary prevention.
Which statement best explains the difference?
A. Primary care is solely treatment of acute illness; primary
prevention is health education.
B. Primary care is longitudinal, comprehensive health services
including prevention; primary prevention specifically refers to
actions that prevent disease before it occurs.
C. Primary care replaces public health services; primary
,prevention is the same as screening.
D. Primary care is limited to immunizations; primary prevention
is all other services.
Correct Answer: B
Rationale: Primary care in pediatrics includes longitudinal,
family-centered services (health promotion, surveillance, care
coordination) and incorporates preventive services. Primary
prevention specifically means preventing disease or injury
before it occurs (e.g., immunizations, anticipatory guidance). A,
C, and D are incorrect because they oversimplify or
mischaracterize roles of primary care and prevention.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
2
During a clinic orientation, a new nurse asks which provider(s)
typically deliver pediatric primary care in outpatient settings.
Which answer is most accurate?
A. Only pediatricians provide primary care for children.
B. Pediatric primary care is provided by pediatricians, family
nurse practitioners, pediatric nurse practitioners, and family
physicians.
C. Only subspecialists manage primary pediatric health needs.
D. Emergency department providers are responsible for routine
primary care in children.
Correct Answer: B
Rationale: Pediatric primary care is team-based and can be
,provided by pediatricians, family physicians, and nurse
practitioners trained in pediatric primary care. Answers A, C,
and D are incorrect because they exclude appropriate primary
care providers or confuse settings.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
3
A 6-month-old is prescribed an oral medication. Which
pediatric-specific safety principle should the clinician prioritize
when calculating the dose?
A. Use adult fixed-dose tables.
B. Calculate dose using the child’s weight (mg/kg) and verify
appropriate concentration/volume.
C. Always round the dose up to nearest adult tablet.
D. Give the same dose used for siblings of similar age.
Correct Answer: B
Rationale: Pediatric dosing requires weight-based calculations
(mg/kg), careful verification of concentration and volume, and
parental teaching for accurate administration. A, C, and D are
unsafe because they risk under- or overdosing.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
4
A 4-month-old’s mother screens positive for depressive
symptoms during a well visit. Which action best demonstrates
, the “two-generation” (dual-patient) approach?
A. Focus only on the infant’s immunizations and ignore parental
health.
B. Document maternal screening results and initiate referral and
resources for maternal mental health while continuing infant
care.
C. Ask the mother to return only when she feels better; do
nothing else today.
D. Immediately discharge the family from the practice.
Correct Answer: B
Rationale: The two-generation approach recognizes caregiver
health directly affects the child. Appropriate response is to
address both—document, assess safety, offer referral/resources
for the caregiver, and continue infant care. A, C, D are
inappropriate and neglect caregiver or child needs.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
5
A primary care clinician learns that an adolescent has multiple
adverse childhood experiences (ACEs). What is the most
important immediate clinical priority?
A. Provide anticipatory guidance only; delay mental health
referral.
B. Assess current safety and risk (self-harm, abuse), provide
support, and arrange timely referrals.
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks, Martha
Driessnack, Karen G. Duderstadt, Nan M. Gaylord
Burns Pediatric Primary Care 8th Edition
MCQ Study Guide & Practice Test Bank
A 2-week-old infant is seen for a well-newborn visit. The family
asks whether primary care is the same as primary prevention.
Which statement best explains the difference?
A. Primary care is solely treatment of acute illness; primary
prevention is health education.
B. Primary care is longitudinal, comprehensive health services
including prevention; primary prevention specifically refers to
actions that prevent disease before it occurs.
C. Primary care replaces public health services; primary
,prevention is the same as screening.
D. Primary care is limited to immunizations; primary prevention
is all other services.
Correct Answer: B
Rationale: Primary care in pediatrics includes longitudinal,
family-centered services (health promotion, surveillance, care
coordination) and incorporates preventive services. Primary
prevention specifically means preventing disease or injury
before it occurs (e.g., immunizations, anticipatory guidance). A,
C, and D are incorrect because they oversimplify or
mischaracterize roles of primary care and prevention.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
2
During a clinic orientation, a new nurse asks which provider(s)
typically deliver pediatric primary care in outpatient settings.
Which answer is most accurate?
A. Only pediatricians provide primary care for children.
B. Pediatric primary care is provided by pediatricians, family
nurse practitioners, pediatric nurse practitioners, and family
physicians.
C. Only subspecialists manage primary pediatric health needs.
D. Emergency department providers are responsible for routine
primary care in children.
Correct Answer: B
Rationale: Pediatric primary care is team-based and can be
,provided by pediatricians, family physicians, and nurse
practitioners trained in pediatric primary care. Answers A, C,
and D are incorrect because they exclude appropriate primary
care providers or confuse settings.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
3
A 6-month-old is prescribed an oral medication. Which
pediatric-specific safety principle should the clinician prioritize
when calculating the dose?
A. Use adult fixed-dose tables.
B. Calculate dose using the child’s weight (mg/kg) and verify
appropriate concentration/volume.
C. Always round the dose up to nearest adult tablet.
D. Give the same dose used for siblings of similar age.
Correct Answer: B
Rationale: Pediatric dosing requires weight-based calculations
(mg/kg), careful verification of concentration and volume, and
parental teaching for accurate administration. A, C, and D are
unsafe because they risk under- or overdosing.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
4
A 4-month-old’s mother screens positive for depressive
symptoms during a well visit. Which action best demonstrates
, the “two-generation” (dual-patient) approach?
A. Focus only on the infant’s immunizations and ignore parental
health.
B. Document maternal screening results and initiate referral and
resources for maternal mental health while continuing infant
care.
C. Ask the mother to return only when she feels better; do
nothing else today.
D. Immediately discharge the family from the practice.
Correct Answer: B
Rationale: The two-generation approach recognizes caregiver
health directly affects the child. Appropriate response is to
address both—document, assess safety, offer referral/resources
for the caregiver, and continue infant care. A, C, D are
inappropriate and neglect caregiver or child needs.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
5
A primary care clinician learns that an adolescent has multiple
adverse childhood experiences (ACEs). What is the most
important immediate clinical priority?
A. Provide anticipatory guidance only; delay mental health
referral.
B. Assess current safety and risk (self-harm, abuse), provide
support, and arrange timely referrals.
