8th Edition
Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G.
Duderstadt, Nan M. Gaylord
TEST BANK
Question 1
A pediatric primary care nurse practitioner (PNP) is planning
care for a healthy 6-year-old during a routine visit. Which action
best reflects the concept of pediatric primary care?
A. Managing acute illness only when symptoms arise
B. Providing comprehensive, continuous, and coordinated care
,C. Referring all preventive services to specialists
D. Limiting care to immunization administration
Correct Answer: B
Rationale:
Pediatric primary care is defined by comprehensive,
continuous, coordinated, and family-centered care across the
lifespan.
• A: Incorrect—primary care is not limited to episodic illness.
• C: Incorrect—preventive services are core to primary care.
• D: Incorrect—immunizations are only one component.
Source:
Burns’ Pediatric Primary Care, 8th Edition – Chapter 1: Pediatric
Primary Care
Question 2
Which scenario best represents primary prevention in pediatric
care?
A. Screening for anemia at 12 months
B. Counseling parents on car seat safety
C. Treating otitis media with antibiotics
D. Managing asthma with inhaled corticosteroids
Correct Answer: B
,Rationale:
Primary prevention aims to prevent disease or injury before it
occurs. Anticipatory guidance like car seat safety is a classic
example.
• A: Secondary prevention (screening).
• C: Tertiary care (treatment).
• D: Chronic disease management (tertiary).
Source:
Burns’ Pediatric Primary Care, 8th Edition – Chapter 1
Question 3
A caregiver asks what distinguishes pediatric care from adult
care. What is the most accurate response?
A. Pediatric care focuses only on acute illness
B. Children are treated as independent decision-makers
C. Growth, development, and family context are central
D. Pediatric care excludes preventive services
Correct Answer: C
Rationale:
Pediatric care uniquely emphasizes growth, development, and
family-centered context.
• A: Incorrect—preventive care is essential.
• B: Incorrect—decision-making involves caregivers.
, • D: Incorrect—prevention is foundational.
Source:
Burns’ Pediatric Primary Care, 8th Edition – Chapter 1
Question 4
A PNP is applying the two-generation approach during a visit.
Which action best reflects this model?
A. Focusing only on the child’s physical exam
B. Assessing caregiver mental health and stress
C. Referring the child to a specialist
D. Limiting discussion to immunizations
Correct Answer: B
Rationale:
The two-generation approach addresses both child and
caregiver factors, recognizing their interdependence.
• A, D: Too narrow.
• C: Does not reflect family-centered care.
Source:
Burns’ Pediatric Primary Care, 8th Edition – Chapter 1
Question 5
Which situation best demonstrates the impact of adverse
childhood experiences (ACEs)?