Burns' Pediatric Primary Care
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Pediatric Primary Care — NCLEX-Style Mixed MCQ Bank
Question 1
Question: A pediatric primary care provider is explaining the difference
between primary care and primary prevention to a group of nursing
students. Which example best represents primary prevention?
A. Evaluating a child with persistent wheezing to determine whether
asthma is present
B. Administering an age-appropriate immunization to a healthy child
C. Monitoring a child with diabetes for evidence of complications
D. Referring a child with delayed speech for a developmental evaluation
Correct Answer: B. Administering an age-appropriate immunization to
a healthy child
Rationale: Primary prevention aims to prevent disease or injury before
it occurs. Immunization of a healthy child reduces the likelihood of
developing vaccine-preventable disease and is therefore a classic
primary prevention intervention. Primary care is broader and includes
preventive services, health promotion, assessment, diagnosis,
treatment, and ongoing management.
Why the Other Options Are Incorrect:
A. Evaluating persistent wheezing is a diagnostic primary care activity
directed at an existing problem rather than prevention before disease
occurs.
C. Monitoring a child with diabetes for complications involves ongoing
management of an established condition and is not primary prevention.
, D. Referral for suspected developmental delay is evaluation and early
intervention for an identified concern rather than prevention of the
initial problem.
Question 2
Question: Which statement best describes the role of a pediatric
primary care provider?
A. The provider primarily treats acute illnesses and does not routinely
address preventive care.
B. The provider focuses only on the child and excludes family factors
from clinical decision-making.
C. The provider integrates health promotion, disease prevention,
assessment, treatment, and longitudinal care.
D. The provider transfers responsibility for developmental and
behavioral concerns to specialists.
Correct Answer: C. The provider integrates health promotion, disease
prevention, assessment, treatment, and longitudinal care.
Rationale: Pediatric primary care is comprehensive and longitudinal.
The primary care provider addresses the child's physical,
developmental, behavioral, emotional, and social health while
coordinating care when specialty services are needed.
Why the Other Options Are Incorrect:
A. Preventive care is a major component of pediatric primary care,
including screening, immunizations, anticipatory guidance, and health
promotion.
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Pediatric Primary Care — NCLEX-Style Mixed MCQ Bank
Question 1
Question: A pediatric primary care provider is explaining the difference
between primary care and primary prevention to a group of nursing
students. Which example best represents primary prevention?
A. Evaluating a child with persistent wheezing to determine whether
asthma is present
B. Administering an age-appropriate immunization to a healthy child
C. Monitoring a child with diabetes for evidence of complications
D. Referring a child with delayed speech for a developmental evaluation
Correct Answer: B. Administering an age-appropriate immunization to
a healthy child
Rationale: Primary prevention aims to prevent disease or injury before
it occurs. Immunization of a healthy child reduces the likelihood of
developing vaccine-preventable disease and is therefore a classic
primary prevention intervention. Primary care is broader and includes
preventive services, health promotion, assessment, diagnosis,
treatment, and ongoing management.
Why the Other Options Are Incorrect:
A. Evaluating persistent wheezing is a diagnostic primary care activity
directed at an existing problem rather than prevention before disease
occurs.
C. Monitoring a child with diabetes for complications involves ongoing
management of an established condition and is not primary prevention.
, D. Referral for suspected developmental delay is evaluation and early
intervention for an identified concern rather than prevention of the
initial problem.
Question 2
Question: Which statement best describes the role of a pediatric
primary care provider?
A. The provider primarily treats acute illnesses and does not routinely
address preventive care.
B. The provider focuses only on the child and excludes family factors
from clinical decision-making.
C. The provider integrates health promotion, disease prevention,
assessment, treatment, and longitudinal care.
D. The provider transfers responsibility for developmental and
behavioral concerns to specialists.
Correct Answer: C. The provider integrates health promotion, disease
prevention, assessment, treatment, and longitudinal care.
Rationale: Pediatric primary care is comprehensive and longitudinal.
The primary care provider addresses the child's physical,
developmental, behavioral, emotional, and social health while
coordinating care when specialty services are needed.
Why the Other Options Are Incorrect:
A. Preventive care is a major component of pediatric primary care,
including screening, immunizations, anticipatory guidance, and health
promotion.
