Burns' Pediatric Primary Care
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Pediatric Primary Care — 20 NCLEX-Style Mixed MCQs
Question 1
Question: A parent brings a healthy 4-year-old child to the pediatric
primary care clinic for a scheduled well-child visit. The child has no
acute complaints. Which activity best demonstrates the primary
purpose of primary prevention?
A. Identifying hypertension through routine blood pressure screening
B. Counseling the family about appropriate nutrition and physical
activity
C. Evaluating a child after a suspected concussion
D. Monitoring a child with asthma for medication effectiveness
Correct Answer: B. Counseling the family about appropriate nutrition
and physical activity
Rationale: Primary prevention focuses on preventing disease or injury
before it develops. Counseling families about healthy nutrition and
physical activity can reduce the risk of obesity and related chronic
conditions. Screening identifies disease earlier and represents
secondary prevention, while managing established conditions is tertiary
prevention.
Why the Other Options Are Incorrect:
A. Blood pressure screening is intended to detect an existing condition
at an early stage and is therefore a secondary prevention activity.
B. This is correct because promoting healthy behaviors before disease
develops is a primary prevention strategy.
, C. Evaluating an injury after it occurs is not primary prevention because
the adverse event has already happened.
D. Adjusting asthma management addresses an established chronic
condition and represents ongoing disease management rather than
primary prevention.
Question 2
Question: During a well-child visit, a pediatric primary care provider
identifies that a 7-year-old child has difficulty hearing the teacher and
frequently asks for directions to be repeated. Which action is most
appropriate?
A. Reassure the parent that this is a normal school-age behavior
B. Wait until the next annual visit before addressing the concern
C. Perform or arrange an age-appropriate hearing evaluation
D. Refer the child immediately for specialized developmental testing
Correct Answer: C. Perform or arrange an age-appropriate hearing
evaluation
Rationale: Hearing concerns can affect language, academic
performance, behavior, and social development. The provider should
investigate the concern with appropriate hearing assessment rather
than assuming it is behavioral or waiting for the problem to resolve.
Early identification supports timely intervention.
Why the Other Options Are Incorrect:
A. Repeatedly not hearing instructions can indicate hearing impairment
and should not automatically be dismissed as typical behavior.
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Pediatric Primary Care — 20 NCLEX-Style Mixed MCQs
Question 1
Question: A parent brings a healthy 4-year-old child to the pediatric
primary care clinic for a scheduled well-child visit. The child has no
acute complaints. Which activity best demonstrates the primary
purpose of primary prevention?
A. Identifying hypertension through routine blood pressure screening
B. Counseling the family about appropriate nutrition and physical
activity
C. Evaluating a child after a suspected concussion
D. Monitoring a child with asthma for medication effectiveness
Correct Answer: B. Counseling the family about appropriate nutrition
and physical activity
Rationale: Primary prevention focuses on preventing disease or injury
before it develops. Counseling families about healthy nutrition and
physical activity can reduce the risk of obesity and related chronic
conditions. Screening identifies disease earlier and represents
secondary prevention, while managing established conditions is tertiary
prevention.
Why the Other Options Are Incorrect:
A. Blood pressure screening is intended to detect an existing condition
at an early stage and is therefore a secondary prevention activity.
B. This is correct because promoting healthy behaviors before disease
develops is a primary prevention strategy.
, C. Evaluating an injury after it occurs is not primary prevention because
the adverse event has already happened.
D. Adjusting asthma management addresses an established chronic
condition and represents ongoing disease management rather than
primary prevention.
Question 2
Question: During a well-child visit, a pediatric primary care provider
identifies that a 7-year-old child has difficulty hearing the teacher and
frequently asks for directions to be repeated. Which action is most
appropriate?
A. Reassure the parent that this is a normal school-age behavior
B. Wait until the next annual visit before addressing the concern
C. Perform or arrange an age-appropriate hearing evaluation
D. Refer the child immediately for specialized developmental testing
Correct Answer: C. Perform or arrange an age-appropriate hearing
evaluation
Rationale: Hearing concerns can affect language, academic
performance, behavior, and social development. The provider should
investigate the concern with appropriate hearing assessment rather
than assuming it is behavioral or waiting for the problem to resolve.
Early identification supports timely intervention.
Why the Other Options Are Incorrect:
A. Repeatedly not hearing instructions can indicate hearing impairment
and should not automatically be dismissed as typical behavior.
