Burns' Pediatric Primary Care
8th Edition
Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G.
Duderstadt, Nan M. Gaylord
TEST BANK
Question 1
A pediatric primary care nurse practitioner (PNP) is explaining
the scope of pediatric primary care to a new graduate nurse.
Which statement best reflects pediatric primary care?
A. Focuses primarily on treatment of acute illnesses in
hospitalized children
B. Emphasizes continuous, comprehensive, family-centered
care across development
,C. Limits care to immunizations and routine screenings
D. Focuses only on disease prevention in healthy children
Correct Answer: B
Rationale:
Pediatric primary care is comprehensive, continuous, and
family-centered, addressing health promotion, disease
prevention, and management across developmental stages.
A is incorrect because it reflects acute care.
C is incorrect because care extends beyond screenings.
D is incorrect because management of illness is also included.
Source: Burns’ Pediatric Primary Care, 8th Edition – Chapter 1
Question 2
A caregiver asks the PNP to explain the difference between
primary care and primary prevention. Which response is most
accurate?
A. Primary care focuses only on prevention, while primary
prevention treats disease
B. Primary prevention is one component within the broader
scope of primary care
C. Primary care and primary prevention are interchangeable
terms
D. Primary prevention includes only tertiary interventions
Correct Answer: B
,Rationale:
Primary prevention (e.g., immunizations, anticipatory guidance)
is a component of pediatric primary care, which also includes
diagnosis and management.
A and C are incorrect due to misinterpretation.
D is incorrect because tertiary prevention involves managing
established disease.
Source: Burns’ Pediatric Primary Care, 8th Edition – Chapter 1
Question 3
A PNP is providing care to a child and their caregiver. Which
concept best reflects the “two-generation” approach?
A. Treating siblings simultaneously
B. Addressing both the child’s and caregiver’s health and well-
being
C. Prioritizing parental needs over the child’s
D. Limiting care to genetic conditions
Correct Answer: B
Rationale:
The two-generation approach recognizes that caregiver health
and environment directly influence child outcomes.
A is incorrect; it is not about siblings.
C is incorrect because care is balanced.
D is incorrect as the concept is broader than genetics.
Source: Burns’ Pediatric Primary Care, 8th Edition – Chapter 1
, Question 4
During a well-child visit, the PNP incorporates anticipatory
guidance. This intervention is best categorized as:
A. Secondary prevention
B. Tertiary prevention
C. Primary prevention
D. Acute care management
Correct Answer: C
Rationale:
Anticipatory guidance prevents potential health issues before
they occur, aligning with primary prevention.
Secondary prevention involves early detection.
Tertiary focuses on managing disease.
Acute care is unrelated.
Source: Burns’ Pediatric Primary Care, 8th Edition – Chapter 1
Question 5
A PNP evaluates a child exposed to chronic household stress.
Which concept explains the long-term health risks associated
with this exposure?
A. Genetic predisposition
B. Adverse Childhood Experiences (ACEs)
8th Edition
Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G.
Duderstadt, Nan M. Gaylord
TEST BANK
Question 1
A pediatric primary care nurse practitioner (PNP) is explaining
the scope of pediatric primary care to a new graduate nurse.
Which statement best reflects pediatric primary care?
A. Focuses primarily on treatment of acute illnesses in
hospitalized children
B. Emphasizes continuous, comprehensive, family-centered
care across development
,C. Limits care to immunizations and routine screenings
D. Focuses only on disease prevention in healthy children
Correct Answer: B
Rationale:
Pediatric primary care is comprehensive, continuous, and
family-centered, addressing health promotion, disease
prevention, and management across developmental stages.
A is incorrect because it reflects acute care.
C is incorrect because care extends beyond screenings.
D is incorrect because management of illness is also included.
Source: Burns’ Pediatric Primary Care, 8th Edition – Chapter 1
Question 2
A caregiver asks the PNP to explain the difference between
primary care and primary prevention. Which response is most
accurate?
A. Primary care focuses only on prevention, while primary
prevention treats disease
B. Primary prevention is one component within the broader
scope of primary care
C. Primary care and primary prevention are interchangeable
terms
D. Primary prevention includes only tertiary interventions
Correct Answer: B
,Rationale:
Primary prevention (e.g., immunizations, anticipatory guidance)
is a component of pediatric primary care, which also includes
diagnosis and management.
A and C are incorrect due to misinterpretation.
D is incorrect because tertiary prevention involves managing
established disease.
Source: Burns’ Pediatric Primary Care, 8th Edition – Chapter 1
Question 3
A PNP is providing care to a child and their caregiver. Which
concept best reflects the “two-generation” approach?
A. Treating siblings simultaneously
B. Addressing both the child’s and caregiver’s health and well-
being
C. Prioritizing parental needs over the child’s
D. Limiting care to genetic conditions
Correct Answer: B
Rationale:
The two-generation approach recognizes that caregiver health
and environment directly influence child outcomes.
A is incorrect; it is not about siblings.
C is incorrect because care is balanced.
D is incorrect as the concept is broader than genetics.
Source: Burns’ Pediatric Primary Care, 8th Edition – Chapter 1
, Question 4
During a well-child visit, the PNP incorporates anticipatory
guidance. This intervention is best categorized as:
A. Secondary prevention
B. Tertiary prevention
C. Primary prevention
D. Acute care management
Correct Answer: C
Rationale:
Anticipatory guidance prevents potential health issues before
they occur, aligning with primary prevention.
Secondary prevention involves early detection.
Tertiary focuses on managing disease.
Acute care is unrelated.
Source: Burns’ Pediatric Primary Care, 8th Edition – Chapter 1
Question 5
A PNP evaluates a child exposed to chronic household stress.
Which concept explains the long-term health risks associated
with this exposure?
A. Genetic predisposition
B. Adverse Childhood Experiences (ACEs)
