Burns' Pediatric Primary Care
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks, Martha
Driessnack, Karen G. Duderstadt, Nan M. Gaylord
Burns Pediatric Primary Care 8th Edition
MCQ Study Guide & Practice Test Bank
1. A 4-month-old infant is brought for a well-child visit. The
family expresses concern about nutrition and asks whether
the visit is considered preventive care or primary care.
Which statement best differentiates “primary prevention”
from “primary care” in pediatric practice?
A. Primary prevention focuses on managing chronic
illnesses; primary care focuses on acute illness
management.
B. Primary prevention aims to prevent disease before it
, occurs; primary care provides comprehensive, continuous
care including prevention, acute, and chronic care.
C. Primary prevention is only performed by public health
agencies; primary care is only delivered in clinics.
D. Primary prevention refers exclusively to immunizations;
primary care excludes immunizations.
Correct Answer: B
Rationale: Primary prevention prevents disease onset (e.g.,
immunizations, anticipatory guidance). Primary care is
broader—comprehensive, continuous services including
prevention, diagnosis, and management. A is incorrect
(primary prevention is not chronic disease management). C
is incorrect (both can be provided in clinical and public
health settings). D is incorrect (immunizations are a
component of both prevention and primary care).
Citation: Burns’ Pediatric Primary Care, 8th Edition —
Chapter 1: Pediatric Primary Care
2. A pediatric nurse practitioner (PNP) is designing a practice
model that emphasizes family-centered care. Which action
best reflects family-centered pediatric primary care?
A. Making all care decisions based on clinician judgment to
ensure best outcomes.
B. Providing education and involving the family in shared
decision-making about the child’s care.
C. Limiting parental involvement during examinations to
improve efficiency.
D. Transferring responsibility for care planning exclusively
, to social services.
Correct Answer: B
Rationale: Family-centered care includes partnering with
families, shared decision-making, and education. A is
paternalistic. C undermines family-centered principles. D
inappropriately removes family engagement and clinician
responsibility.
Citation: Burns’ Pediatric Primary Care, 8th Edition —
Chapter 1: Pediatric Primary Care
3. During a clinic visit, a parent reports that a 10-year-old was
exposed to intimate partner violence (IPV) at home.
According to the chapter’s discussion of adverse
experiences, what is the most appropriate immediate role
of the primary care clinician?
A. Minimize the report to avoid upsetting the child.
B. Screen for injury, provide support, assess safety, and
connect the family with resources.
C. Wait until multiple exposures are documented before
intervening.
D. Only document the report in the chart without further
action due to confidentiality concerns.
Correct Answer: B
Rationale: Clinicians should assess safety, screen for injury,
provide trauma-informed support, and connect families to
resources. A is dismissive; C delays necessary intervention;
D is inadequate—documentation alone is insufficient.
, Citation: Burns’ Pediatric Primary Care, 8th Edition —
Chapter 1: Pediatric Primary Care
4. A 15-year-old with a chronic metabolic disorder is
preparing to transition to adult care. Which step best
supports a successful transfer of care?
A. Discharge the youth at 18 without prior transition
planning.
B. Start transition planning early, assess self-management
skills, and coordinate with adult providers.
C. Expect the family to arrange adult specialists
independently with no clinician involvement.
D. Delay discussing transition until the patient expresses
readiness.
Correct Answer: B
Rationale: Effective transition requires early, structured
planning, skills assessment, and care coordination. A is
abrupt and poor practice. C abdicates clinician
responsibility. D risks missed opportunities—clinicians
should proactively facilitate transition.
Citation: Burns’ Pediatric Primary Care, 8th Edition —
Chapter 1: Pediatric Primary Care
5. A mother brings her newborn for the first primary care
visit and reports postpartum depression symptoms. Which
concept from the “two-generation” or “dual patient”
approach should guide the clinician’s response?
A. Focus only on the infant’s physical exam; maternal
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks, Martha
Driessnack, Karen G. Duderstadt, Nan M. Gaylord
Burns Pediatric Primary Care 8th Edition
MCQ Study Guide & Practice Test Bank
1. A 4-month-old infant is brought for a well-child visit. The
family expresses concern about nutrition and asks whether
the visit is considered preventive care or primary care.
Which statement best differentiates “primary prevention”
from “primary care” in pediatric practice?
A. Primary prevention focuses on managing chronic
illnesses; primary care focuses on acute illness
management.
B. Primary prevention aims to prevent disease before it
, occurs; primary care provides comprehensive, continuous
care including prevention, acute, and chronic care.
C. Primary prevention is only performed by public health
agencies; primary care is only delivered in clinics.
D. Primary prevention refers exclusively to immunizations;
primary care excludes immunizations.
Correct Answer: B
Rationale: Primary prevention prevents disease onset (e.g.,
immunizations, anticipatory guidance). Primary care is
broader—comprehensive, continuous services including
prevention, diagnosis, and management. A is incorrect
(primary prevention is not chronic disease management). C
is incorrect (both can be provided in clinical and public
health settings). D is incorrect (immunizations are a
component of both prevention and primary care).
Citation: Burns’ Pediatric Primary Care, 8th Edition —
Chapter 1: Pediatric Primary Care
2. A pediatric nurse practitioner (PNP) is designing a practice
model that emphasizes family-centered care. Which action
best reflects family-centered pediatric primary care?
A. Making all care decisions based on clinician judgment to
ensure best outcomes.
B. Providing education and involving the family in shared
decision-making about the child’s care.
C. Limiting parental involvement during examinations to
improve efficiency.
D. Transferring responsibility for care planning exclusively
, to social services.
Correct Answer: B
Rationale: Family-centered care includes partnering with
families, shared decision-making, and education. A is
paternalistic. C undermines family-centered principles. D
inappropriately removes family engagement and clinician
responsibility.
Citation: Burns’ Pediatric Primary Care, 8th Edition —
Chapter 1: Pediatric Primary Care
3. During a clinic visit, a parent reports that a 10-year-old was
exposed to intimate partner violence (IPV) at home.
According to the chapter’s discussion of adverse
experiences, what is the most appropriate immediate role
of the primary care clinician?
A. Minimize the report to avoid upsetting the child.
B. Screen for injury, provide support, assess safety, and
connect the family with resources.
C. Wait until multiple exposures are documented before
intervening.
D. Only document the report in the chart without further
action due to confidentiality concerns.
Correct Answer: B
Rationale: Clinicians should assess safety, screen for injury,
provide trauma-informed support, and connect families to
resources. A is dismissive; C delays necessary intervention;
D is inadequate—documentation alone is insufficient.
, Citation: Burns’ Pediatric Primary Care, 8th Edition —
Chapter 1: Pediatric Primary Care
4. A 15-year-old with a chronic metabolic disorder is
preparing to transition to adult care. Which step best
supports a successful transfer of care?
A. Discharge the youth at 18 without prior transition
planning.
B. Start transition planning early, assess self-management
skills, and coordinate with adult providers.
C. Expect the family to arrange adult specialists
independently with no clinician involvement.
D. Delay discussing transition until the patient expresses
readiness.
Correct Answer: B
Rationale: Effective transition requires early, structured
planning, skills assessment, and care coordination. A is
abrupt and poor practice. C abdicates clinician
responsibility. D risks missed opportunities—clinicians
should proactively facilitate transition.
Citation: Burns’ Pediatric Primary Care, 8th Edition —
Chapter 1: Pediatric Primary Care
5. A mother brings her newborn for the first primary care
visit and reports postpartum depression symptoms. Which
concept from the “two-generation” or “dual patient”
approach should guide the clinician’s response?
A. Focus only on the infant’s physical exam; maternal
