Burns’ Pediatric Primary Care — 8th Ed Test Bank | Full-Text Coverage, 20 MCQs/Chapter + Answers & Rationales

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: A 4-year-old girl presents for a well-child visit. Her
mother asks whether the visit is “medical care” or “prevention.”
Which explanation most accurately distinguishes primary care
from primary prevention for this pediatric visit?
A. Primary care focuses on illness treatment; primary
prevention focuses only on vaccines.
B. Primary care includes ongoing health management and
prevention; primary prevention specifically reduces initial
disease risk.
C. Primary care is provided only in hospitals; primary prevention
occurs only in community programs.
D. Primary care is episodic sick visits; primary prevention

,requires referral to public health.
Correct Answer: B
Rationales:
• B (correct): Primary care spans continuous health
promotion, surveillance, and management, while primary
prevention targets actions to prevent initial occurrence of
disease (e.g., immunizations, safety counseling).
• A: Incorrect — primary prevention is broader than vaccines
and primary care is not limited to illness treatment.
• C: Incorrect — both primary care and prevention can occur
across settings, not strictly hospital vs community.
• D: Incorrect — primary care includes preventive counseling
within routine visits; prevention is not solely by referral.
Teaching Point: Primary care integrates ongoing health
management; primary prevention stops disease before it
starts.
Citation: Garzon et al. (2023). Burns’ Pediatric Primary
Care (8th Ed.). Ch. 1.


2
Reference: Ch. 1 — Primary Care Versus Primary Prevention
Question: During a 15-month visit, the nurse must choose
topics for anticipatory guidance that represent primary
prevention. Which topic is the best example of primary
prevention?

,A. Teaching parents how to treat fever at home.
B. Counseling on car-seat installation and use.
C. Referring to a specialist for recurrent otitis media.
D. Screening developmental milestones and referring if delayed.
Correct Answer: B
Rationales:
• B (correct): Car-seat counseling aims to prevent injury
occurrence — a classic primary prevention strategy.
• A: Incorrect — fever treatment is secondary/tertiary care
for an existing symptom rather than prevention.
• C: Incorrect — specialist referral manages existing disease
(not primary prevention).
• D: Incorrect — developmental screening identifies existing
or emerging problems (secondary prevention) rather than
preventing initial occurrence.
Teaching Point: Primary prevention actively reduces initial
injury/disease risk (e.g., car-seat safety).
Citation: Garzon et al. (2023). Burns’ Pediatric Primary
Care (8th Ed.). Ch. 1.


3
Reference: Ch. 1 — Pediatric Primary Care Providers
Question: A clinic is redesigning workflows to increase access
for complex pediatric patients. Which staffing change most
directly improves family-centered care and continuity in

, primary care?
A. Adding a rotating pool of nurse practitioners who see walk-
ins only.
B. Hiring a dedicated care coordinator who follows high-risk
families.
C. Increasing the number of temporary pediatricians for sick
visits.
D. Outsourcing chronic care management to an external
telehealth vendor.
Correct Answer: B
Rationales:
• B (correct): A dedicated care coordinator enhances
continuity, family-centered planning, and coordination for
complex needs.
• A: Incorrect — rotating providers can reduce continuity
and family-centered relationships.
• C: Incorrect — more temporary clinicians may increase
access for sick visits but not continuity for complex
patients.
• D: Incorrect — outsourcing may fragment care and reduce
integrated family-centered coordination.
Teaching Point: Care coordinators improve continuity and
family-centered management for complex pediatric
patients.
Citation: Garzon et al. (2023). Burns’ Pediatric Primary
Care (8th Ed.). Ch. 1.