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 provider is planning services for a
community clinic. Which activity best reflects the concept of
primary care rather than primary prevention?
A. Administering routine childhood immunizations
B. Providing comprehensive, continuous health supervision
visits
,C. Educating families about injury prevention
D. Screening for developmental delays
Correct Answer: B
Rationale:
Primary care encompasses comprehensive, continuous, and
coordinated care including diagnosis, management, and follow-
up across time. Immunizations, education, and screening are
examples of primary prevention activities. Option B reflects the
broader scope of primary care beyond prevention alone.
Source: Burns’ Pediatric Primary Care, 8th Edition – Chapter 1
Question 2
A nurse practitioner is explaining the difference between
primary prevention and primary care to a parent. Which
statement indicates correct understanding?
A. “Primary care only focuses on preventing disease.”
B. “Primary prevention includes treatment of chronic illnesses.”
C. “Primary prevention aims to prevent disease before it
occurs.”
D. “Primary care is limited to immunizations and screenings.”
Correct Answer: C
Rationale:
Primary prevention focuses on preventing disease before it
develops, such as through immunizations and anticipatory
,guidance. Primary care includes prevention but also diagnosis,
treatment, and long-term management. Options A, B, and D
incorrectly limit or misdefine these concepts.
Source: Burns’ Pediatric Primary Care, 8th Edition – Chapter 1
Question 3
Which characteristic best defines a pediatric primary care
provider?
A. Provides episodic care only during illness
B. Focuses exclusively on hospital-based treatment
C. Delivers continuous, family-centered, and comprehensive
care
D. Specializes only in acute pediatric emergencies
Correct Answer: C
Rationale:
Pediatric primary care providers deliver continuous,
comprehensive, and family-centered care across
developmental stages. Options A, B, and D describe limited or
specialty care rather than primary care.
Source: Burns’ Pediatric Primary Care, 8th Edition – Chapter 1
Question 4
A pediatric nurse practitioner considers the concept of the
“dual patient.” Which scenario best reflects this concept?
, A. Treating only the child’s acute illness
B. Addressing both the child’s health and the caregiver’s well-
being
C. Focusing solely on parental concerns
D. Prioritizing community health over individual care
Correct Answer: B
Rationale:
The dual patient concept recognizes that pediatric care involves
both the child and the caregiver, as caregiver health and
behavior directly influence child outcomes. Options A, C, and D
fail to address both members of the dyad.
Source: Burns’ Pediatric Primary Care, 8th Edition – Chapter 1
Question 5
During a well-child visit, a provider screens for adverse
childhood experiences (ACEs). What is the primary purpose of
this screening?
A. To diagnose mental illness
B. To predict academic performance only
C. To identify risk factors that impact lifelong health outcomes
D. To determine immediate need for hospitalization
Correct Answer: C
Rationale:
ACEs are associated with long-term physical and mental health