Burns' Pediatric Primary Care 8th Ed — Complete Test Bank | 20 MCQs/Chapter for PNP, FNP & NCLEX Prep

BURNS' PEDIATRIC PRIMARY CARE
8TH EDITION
• AUTHOR(S)DAWN LEE GARZON, MARY
DIRKS, MARTHA DRIESSNACK, KAREN
G. DUDERSTADT, NAN M. GAYLORD


TEST BANK
1
Reference — Ch. 1 — Pediatric Primary Care
Question Stem — A 4-year-old presents for a well visit. The
parent asks whether the visit is necessary because the child
seems healthy. Which response best explains the primary
purpose of pediatric primary care?
A. "Primary care focuses only on acute illnesses and treating
symptoms."
B. "Primary care combines preventive services, developmental
surveillance, and family education."
C. "Primary care is mainly for scheduling specialist referrals
when needed."
D. "Primary care is optional if a child appears well and
immunizations are up to date."

,Correct Answer — B
Rationales —
• B (Correct): Pediatric primary care includes preventive
services, growth/development surveillance, anticipatory
guidance, and family education—core functions of well
visits.
• A: Incorrect—primary care is not limited to acute
treatment; it emphasizes prevention and longitudinal care.
• C: Incorrect—while referrals are part of care, they are not
the main focus of primary care.
• D: Incorrect—well visits are recommended even for
apparently healthy children to provide prevention and
surveillance.
Teaching Point — Primary care integrates prevention,
developmental surveillance, and family-centered guidance.
Citation — Garzon et al. (2023). Burns’ Pediatric Primary
Care (8th Ed.). Ch. 1.


2
Reference — Ch. 1 — Primary Care Versus Primary Prevention
Question Stem — During anticipatory guidance, a nurse
practitioner emphasizes helmet use for a 7-year-old who bikes
daily. Which concept best classifies helmet counseling?
A. Primary care only
B. Primary prevention

,C. Secondary prevention
D. Tertiary prevention
Correct Answer — B
Rationales —
• B (Correct): Helmet counseling is a primary prevention
strategy aimed at preventing injury before it occurs.
• A: Incorrect—while delivered in primary care, helmet
counseling is specifically an example of primary
prevention.
• C: Incorrect—secondary prevention involves early
detection or screening to reduce severity after
injury/disease onset.
• D: Incorrect—tertiary prevention focuses on reducing
disability after an established injury or disease.
Teaching Point — Primary prevention prevents
injury/disease before onset (e.g., helmet use counseling).
Citation — Garzon et al. (2023). Burns’ Pediatric Primary
Care (8th Ed.). Ch. 1.


3
Reference — Ch. 1 — Pediatric Primary Care Providers
Question Stem — A clinic must decide whether to hire a
pediatric nurse practitioner (PNP) or a family nurse practitioner
(FNP) to lead well-child visits up to adolescence. Which decision
best reflects workforce alignment with pediatric primary care

, principles?
A. Hire FNP because their training replaces need for pediatric
specialization.
B. Hire PNP because they have focused pediatric development
and family-centered training.
C. Hire either—training differences are negligible for pediatric
well visits.
D. Hire neither; rely solely on pediatricians for all well visits.
Correct Answer — B
Rationales —
• B (Correct): PNPs receive specialized pediatric
developmental, assessment, and family-centered training
aligning with pediatric primary care needs.
• A: Incorrect—FNPs can provide primary care across the
lifespan but may lack focused pediatric developmental
training.
• C: Incorrect—there are meaningful differences in pediatric
training that affect care for children.
• D: Incorrect—limiting care to pediatricians may reduce
access and isn't necessary if qualified PNPs are available.
Teaching Point — PNPs have focused pediatric training for
child development and family-centered care.
Citation — Garzon et al. (2023). Burns’ Pediatric Primary
Care (8th Ed.). Ch. 1.