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) explains the
scope of pediatric primary care to a new parent. Which
statement best reflects pediatric primary care?
A. It focuses only on treating acute illnesses in children
B. It includes health promotion, disease prevention, and
management of common conditions
,C. It is limited to immunizations and screening tests
D. It is primarily hospital-based care for complex illnesses
Correct Answer: B
Rationale:
Pediatric primary care encompasses comprehensive care
including health promotion, disease prevention, surveillance,
and management of acute and chronic conditions. It is not
limited to illness treatment or hospital care.
A is incorrect because care extends beyond acute illness.
C is incorrect because it includes more than screenings and
immunizations.
D is incorrect as primary care is largely outpatient and
community-based.
Source:
Burns’ Pediatric Primary Care, 8th Edition – Chapter 1
Question 2
A caregiver asks about the difference between primary care
and primary prevention. Which response by the PNP is most
accurate?
A. Primary prevention focuses on managing chronic illness
B. Primary care is limited to disease prevention activities
C. Primary prevention aims to prevent disease before it occurs
D. Primary care only includes treatment after diagnosis
Correct Answer: C
,Rationale:
Primary prevention includes interventions such as
immunizations and anticipatory guidance to prevent disease
before onset. Primary care is broader and includes prevention,
diagnosis, and management.
A is incorrect because chronic illness management is
secondary/tertiary care.
B is incorrect because primary care includes more than
prevention.
D is incorrect because primary care includes prevention and
early detection.
Source:
Burns’ Pediatric Primary Care, 8th Edition – Chapter 1
Question 3
During a well-child visit, the PNP emphasizes a family-centered
approach. Which action best demonstrates this principle?
A. Directing all communication only to the child
B. Including caregivers in decision-making and care planning
C. Prioritizing provider preferences over family beliefs
D. Limiting discussion to medical concerns only
Correct Answer: B
Rationale:
Family-centered care involves collaboration with caregivers,
respecting their values, and including them in decisions.
, A is incorrect because both child and family should be engaged.
C is incorrect as care should respect family values.
D is incorrect because holistic care includes psychosocial
aspects.
Source:
Burns’ Pediatric Primary Care, 8th Edition – Chapter 1
Question 4
A PNP is discussing the concept of the “two-generation”
approach. What is the primary focus of this model?
A. Treating siblings simultaneously
B. Addressing both the child’s and caregiver’s health and well-
being
C. Providing care only during infancy and adolescence
D. Managing genetic conditions across generations
Correct Answer: B
Rationale:
The two-generation approach recognizes that caregiver health,
environment, and well-being directly affect child outcomes.
A is incorrect as it is not limited to siblings.
C is incorrect because it applies across all ages.
D is incorrect as it is broader than genetics.
Source:
Burns’ Pediatric Primary Care, 8th Edition – Chapter 1