8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Burns' Pediatric Primary Care, 8th Edition
Chapter 1 — Pediatric Primary Care
Original NCLEX-Style Mixed MCQ Bank | 20 Questions
Scope: Primary Care Versus Primary Prevention • Pediatric Primary Care
Providers • Unique Issues in Pediatrics
Question 1
Question: A parent asks why a healthy 5-year-old needs regular pediatric
primary care visits. Which response best explains the role of pediatric
primary care?
A. It is mainly used to treat illnesses after symptoms appear.
B. It combines ongoing health supervision, prevention, assessment,
treatment, and coordination of care.
C. It primarily provides vaccinations and laboratory screening.
D. It is needed only when a child has a chronic medical condition.
Correct Answer: B. It combines ongoing health supervision, prevention,
assessment, treatment, and coordination of care.
Rationale: Pediatric primary care is broader than episodic treatment or
prevention alone. It provides first-contact, continuous, comprehensive,
and coordinated services across health promotion, surveillance,
screening, diagnosis, treatment, and referral, while taking the child and
, family context into account. This is why a well-child encounter has value
even when no illness is present. [1,2]
Why the Other Options Are Incorrect:
A. Primary care is not limited to treating problems after they occur;
prevention and health supervision are central components.
C. Vaccination and screening are important parts of primary care, but
they do not encompass its full scope.
D. Children with acute, preventive, developmental, and chronic-care
needs can all benefit from primary care.
Question 2
Question: A pediatric nurse practitioner is reviewing clinic services.
Which activity is the clearest example of primary prevention rather than
the broader function of primary care?
A. Evaluating a child with recurrent wheezing and adjusting the
management plan.
B. Giving an age-appropriate vaccine to prevent an infection before
exposure occurs.
C. Reviewing growth measurements to identify a child who may be falling
off the expected trajectory.
D. Coordinating a subspecialty referral for a child with a newly diagnosed
congenital condition.
Correct Answer: B. Giving an age-appropriate vaccine to prevent an
infection before exposure occurs.