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 planning
care for a healthy 6-month-old infant. Which action best
reflects the concept of pediatric primary care?
A. Managing only acute illnesses during clinic visits
B. Providing continuous, comprehensive, and family-centered
care
C. Referring all preventive care needs to specialists
D. Focusing exclusively on disease treatment
,Correct Answer: B
Rationale:
Pediatric primary care emphasizes continuous, comprehensive,
coordinated, and family-centered care, including prevention,
health maintenance, and management of acute and chronic
conditions.
A is incorrect because care extends beyond acute illness.
C is incorrect because primary care providers deliver preventive
care.
D is incorrect because care includes prevention and health
promotion, not just treatment.
Source: Burns’ Pediatric Primary Care, 8th Edition – Chapter 1
Pediatric Primary Care
Question 2
Which activity is an example of primary prevention in pediatric
primary care?
A. Screening for anemia at 12 months
B. Administering routine immunizations
C. Treating otitis media
D. Monitoring growth charts
Correct Answer: B
Rationale:
Primary prevention aims to prevent disease before it occurs;
immunizations are a key example.
,A and D are secondary prevention (screening/early detection).
C is tertiary care (treatment of illness).
Source: Burns’ Pediatric Primary Care, 8th Edition – Chapter 1
Pediatric Primary Care
Question 3
A PNP is counseling a family about social determinants of
health. Which statement best reflects pediatric primary care
principles?
A. Health is determined primarily by genetics
B. Environmental and social factors significantly influence child
health
C. Only medical interventions affect outcomes
D. Social factors are outside the scope of primary care
Correct Answer: B
Rationale:
Pediatric primary care recognizes the major impact of social,
environmental, and economic factors on health outcomes.
A and C are incorrect because they ignore broader influences.
D is incorrect because addressing these factors is part of
comprehensive care.
Source: Burns’ Pediatric Primary Care, 8th Edition – Chapter 1
Pediatric Primary Care
, Question 4
Which provider is appropriately functioning within pediatric
primary care?
A. A specialist managing only rare diseases
B. A provider offering first-contact, continuous care
C. A surgeon performing elective procedures
D. A hospitalist providing inpatient care only
Correct Answer: B
Rationale:
Primary care providers deliver first-contact, accessible,
continuous, and comprehensive care.
A, C, and D represent specialized or episodic care, not primary
care.
Source: Burns’ Pediatric Primary Care, 8th Edition – Chapter 1
Pediatric Primary Care
Question 5
A PNP considers the “two-generation” approach when caring
for a child. What is the best example of this concept?
A. Focusing only on the child’s physical health
B. Addressing parental mental health and child well-being
together
C. Treating the parent instead of the child
D. Ignoring family dynamics during visits