BURNS' PEDIATRIC PRIMARY CARE
8TH EDITION
Author(s)Dawn Lee Garzon, Mary Dirks, Martha Driessnack,
Karen G. Duderstadt, Nan M. Gaylord
TEST BANK
Chapter 1 — Pediatric Primary Care
Ques on 1
Clinical Scenario:
A 4-year-old child presents to a pediatric primary care clinic for a rou ne health visit. The child
has no acute complaints. The PNP reviews growth, development, nutri on, immuniza on
status, oral health, sleep, safety prac ces, and family concerns. The parent asks, “Why do we
need all of these assessments when my child isn't sick?”
Ques on:
Which response by the PNP best describes the purpose of pediatric primary care?
A. “The primary purpose is to iden fy illnesses before they require hospitaliza on.”
B. “Primary care focuses primarily on trea ng acute condi ons in otherwise healthy children.”
,C. “Primary care integrates health promo on, disease preven on, developmental surveillance,
and management of health concerns.”
D. “The main purpose is to ensure children receive all recommended immuniza ons.”
Correct Answer:
C. “Primary care integrates health promo on, disease preven on, developmental surveillance,
and management of health concerns.”
Ra onale:
Pediatric primary care is comprehensive and includes health promo on, preven ve services,
developmental assessment, an cipatory guidance, screening, diagnosis and management of
illness, and coordina on of care. Acute illness management is important but represents only
one component. Immuniza ons are an important preven ve interven on but do not
encompass the en re scope of primary care. The goal is broader than merely preven ng
hospitaliza on.
Clinical Pearl:
Pediatric primary care addresses the child's current health, future health, development,
preven on needs, and family context.
Tested Concept:
Scope and purpose of pediatric primary care
Cogni ve Level:
Applica on
Ques on 2
Clinical Scenario:
A healthy 7-year-old is seen for a preven ve visit. The PNP reviews the child's diet, physical
ac vity, sleep, school performance, dental care, emo onal well-being, injury preven on, and
immuniza ons. No disease is iden fied.
,Ques on:
Which interven on most directly represents primary preven on?
A. Ordering laboratory tes ng to evaluate unexplained fa gue
B. Counseling the family about bicycle helmet use before an injury occurs
C. Referring a child with developmental delay for specialist evalua on
D. Trea ng o s media with an appropriate an bio c
Correct Answer:
B. Counseling the family about bicycle helmet use before an injury occurs
Ra onale:
Primary preven on seeks to prevent disease, injury, or health problems before they occur.
Safety counseling, immuniza on, healthy nutri on, physical ac vity promo on, and an cipatory
guidance are examples. Diagnos c tes ng evaluates an exis ng concern, referral addresses an
iden fied problem, and an bio c treatment manages an established illness.
Clinical Pearl:
Think “prevent before it happens” when iden fying primary preven on.
Tested Concept:
Primary preven on versus disease evalua on and treatment
Cogni ve Level:
Applica on
Ques on 3
Clinical Scenario:
A 15-year-old adolescent presents for a rou ne examina on accompanied by a parent. The
parent answers every ques on and asks the PNP not to discuss sensi ve subjects with the
adolescent because “I know everything that is going on.”
, Ques on:
What is the most appropriate approach by the PNP?
A. Conduct the en re visit with the parent because the adolescent is a minor
B. Ask the adolescent to leave and obtain all informa on exclusively from the parent
C. Establish developmentally appropriate private me with the adolescent while maintaining
appropriate communica on with the parent
D. Avoid sensi ve health ques ons unless the adolescent independently raises them
Correct Answer:
C. Establish developmentally appropriate private me with the adolescent while maintaining
appropriate communica on with the parent
Ra onale:
Adolescent primary care should incorporate confiden al, developmentally appropriate
communica on and private me with the adolescent. This supports honest discussion of health
behaviors, psychosocial concerns, safety, and other sensi ve issues. Parents remain important
par cipants in pediatric care, but exclusive reliance on parental repor ng can prevent
iden fica on of important health concerns.
Clinical Pearl:
Private adolescent me is an important component of comprehensive pediatric primary care.
Tested Concept:
Unique issues in pediatric primary care and adolescent care
Cogni ve Level:
Clinical Judgment
Ques on 4
Clinical Scenario:
A PNP is caring for a 6-year-old child with poorly controlled asthma. During the visit, the child's
8TH EDITION
Author(s)Dawn Lee Garzon, Mary Dirks, Martha Driessnack,
Karen G. Duderstadt, Nan M. Gaylord
TEST BANK
Chapter 1 — Pediatric Primary Care
Ques on 1
Clinical Scenario:
A 4-year-old child presents to a pediatric primary care clinic for a rou ne health visit. The child
has no acute complaints. The PNP reviews growth, development, nutri on, immuniza on
status, oral health, sleep, safety prac ces, and family concerns. The parent asks, “Why do we
need all of these assessments when my child isn't sick?”
Ques on:
Which response by the PNP best describes the purpose of pediatric primary care?
A. “The primary purpose is to iden fy illnesses before they require hospitaliza on.”
B. “Primary care focuses primarily on trea ng acute condi ons in otherwise healthy children.”
,C. “Primary care integrates health promo on, disease preven on, developmental surveillance,
and management of health concerns.”
D. “The main purpose is to ensure children receive all recommended immuniza ons.”
Correct Answer:
C. “Primary care integrates health promo on, disease preven on, developmental surveillance,
and management of health concerns.”
Ra onale:
Pediatric primary care is comprehensive and includes health promo on, preven ve services,
developmental assessment, an cipatory guidance, screening, diagnosis and management of
illness, and coordina on of care. Acute illness management is important but represents only
one component. Immuniza ons are an important preven ve interven on but do not
encompass the en re scope of primary care. The goal is broader than merely preven ng
hospitaliza on.
Clinical Pearl:
Pediatric primary care addresses the child's current health, future health, development,
preven on needs, and family context.
Tested Concept:
Scope and purpose of pediatric primary care
Cogni ve Level:
Applica on
Ques on 2
Clinical Scenario:
A healthy 7-year-old is seen for a preven ve visit. The PNP reviews the child's diet, physical
ac vity, sleep, school performance, dental care, emo onal well-being, injury preven on, and
immuniza ons. No disease is iden fied.
,Ques on:
Which interven on most directly represents primary preven on?
A. Ordering laboratory tes ng to evaluate unexplained fa gue
B. Counseling the family about bicycle helmet use before an injury occurs
C. Referring a child with developmental delay for specialist evalua on
D. Trea ng o s media with an appropriate an bio c
Correct Answer:
B. Counseling the family about bicycle helmet use before an injury occurs
Ra onale:
Primary preven on seeks to prevent disease, injury, or health problems before they occur.
Safety counseling, immuniza on, healthy nutri on, physical ac vity promo on, and an cipatory
guidance are examples. Diagnos c tes ng evaluates an exis ng concern, referral addresses an
iden fied problem, and an bio c treatment manages an established illness.
Clinical Pearl:
Think “prevent before it happens” when iden fying primary preven on.
Tested Concept:
Primary preven on versus disease evalua on and treatment
Cogni ve Level:
Applica on
Ques on 3
Clinical Scenario:
A 15-year-old adolescent presents for a rou ne examina on accompanied by a parent. The
parent answers every ques on and asks the PNP not to discuss sensi ve subjects with the
adolescent because “I know everything that is going on.”
, Ques on:
What is the most appropriate approach by the PNP?
A. Conduct the en re visit with the parent because the adolescent is a minor
B. Ask the adolescent to leave and obtain all informa on exclusively from the parent
C. Establish developmentally appropriate private me with the adolescent while maintaining
appropriate communica on with the parent
D. Avoid sensi ve health ques ons unless the adolescent independently raises them
Correct Answer:
C. Establish developmentally appropriate private me with the adolescent while maintaining
appropriate communica on with the parent
Ra onale:
Adolescent primary care should incorporate confiden al, developmentally appropriate
communica on and private me with the adolescent. This supports honest discussion of health
behaviors, psychosocial concerns, safety, and other sensi ve issues. Parents remain important
par cipants in pediatric care, but exclusive reliance on parental repor ng can prevent
iden fica on of important health concerns.
Clinical Pearl:
Private adolescent me is an important component of comprehensive pediatric primary care.
Tested Concept:
Unique issues in pediatric primary care and adolescent care
Cogni ve Level:
Clinical Judgment
Ques on 4
Clinical Scenario:
A PNP is caring for a 6-year-old child with poorly controlled asthma. During the visit, the child's
