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
Burns’ Pediatric Primary Care, 8th Edition
Chapter 1 — Pediatric Primary Care
20 Original NCLEX-Style Mixed MCQs
Scope: Pediatric primary care; primary care vs. primary prevention;
pediatric primary care providers; unique issues in pediatrics.
Questions
Question 1
A 7-year-old child presents to a pediatric clinic for a cough that began 3
days ago. During the same visit, the clinician reviews immunization
status, growth, school functioning, family concerns, and environmental
risks. Which description best captures the role of pediatric primary care
illustrated by this encounter?
A. It is limited to treating the child’s presenting symptom.
B. It combines first-contact evaluation with prevention, health
supervision, and ongoing coordination of care.
C. It is primarily a public-health activity delivered outside clinical care.
D. It is synonymous with primary prevention because the visit includes
anticipatory guidance.
Correct Answer: B. It combines first-contact evaluation with prevention,
health supervision, and ongoing coordination of care.
, Rationale: Pediatric primary health care is broader than treating the
complaint that brings a child to the office. It includes first-contact care,
health supervision, prevention and screening, diagnosis and treatment
of acute and chronic problems, anticipatory guidance, and coordination
or referral when additional services are needed. The AAP describes
pediatric primary health care as continuous, comprehensive,
coordinated, accessible, and family-centered across childhood and
adolescence.[1]
Why the Other Options Are Incorrect:
A. Primary care is not restricted to the chief complaint; preventive and
developmental issues are routinely incorporated into care.
C. Public-health activities can support primary care, but pediatric primary
care occurs within clinical settings and includes individual diagnosis and
treatment.
D. Primary care and primary prevention overlap, but they are not
synonymous. Primary prevention is a specific prevention level, whereas
primary care is a broad model of health-care delivery.
Question 2
Which intervention performed during a routine pediatric visit is the
clearest example of primary prevention?
A. Administering an age-appropriate vaccine to an eligible child
B. Performing a vision screening to detect an unrecognized deficit
C. Confirming a previously diagnosed asthma condition by spirometry
D. Referring a child with persistent developmental concerns for specialist
evaluation
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
20 Original NCLEX-Style Mixed MCQs
Scope: Pediatric primary care; primary care vs. primary prevention;
pediatric primary care providers; unique issues in pediatrics.
Questions
Question 1
A 7-year-old child presents to a pediatric clinic for a cough that began 3
days ago. During the same visit, the clinician reviews immunization
status, growth, school functioning, family concerns, and environmental
risks. Which description best captures the role of pediatric primary care
illustrated by this encounter?
A. It is limited to treating the child’s presenting symptom.
B. It combines first-contact evaluation with prevention, health
supervision, and ongoing coordination of care.
C. It is primarily a public-health activity delivered outside clinical care.
D. It is synonymous with primary prevention because the visit includes
anticipatory guidance.
Correct Answer: B. It combines first-contact evaluation with prevention,
health supervision, and ongoing coordination of care.
, Rationale: Pediatric primary health care is broader than treating the
complaint that brings a child to the office. It includes first-contact care,
health supervision, prevention and screening, diagnosis and treatment
of acute and chronic problems, anticipatory guidance, and coordination
or referral when additional services are needed. The AAP describes
pediatric primary health care as continuous, comprehensive,
coordinated, accessible, and family-centered across childhood and
adolescence.[1]
Why the Other Options Are Incorrect:
A. Primary care is not restricted to the chief complaint; preventive and
developmental issues are routinely incorporated into care.
C. Public-health activities can support primary care, but pediatric primary
care occurs within clinical settings and includes individual diagnosis and
treatment.
D. Primary care and primary prevention overlap, but they are not
synonymous. Primary prevention is a specific prevention level, whereas
primary care is a broad model of health-care delivery.
Question 2
Which intervention performed during a routine pediatric visit is the
clearest example of primary prevention?
A. Administering an age-appropriate vaccine to an eligible child
B. Performing a vision screening to detect an unrecognized deficit
C. Confirming a previously diagnosed asthma condition by spirometry
D. Referring a child with persistent developmental concerns for specialist
evaluation
