BURNS' PEDIATRIC PRIMARY CARE
8TH EDITION
• AUTHOR(S)DAWN LEE GARZON, MARY
DIRKS, MARTHA DRIESSNACK, KAREN
G. DUDERSTADT, NAN M. GAYLORD
TEST BANK
1. Reference
Ch. 1 — Primary Care Versus Primary Prevention
Question Stem
A 14-month-old toddler lives in an older rental house with
peeling paint. The family asks what action in primary care best
reduces the child’s future risk of lead poisoning. Which action is
the most appropriate primary prevention strategy?
Options
A. Order a capillary blood lead level at the 12-month visit.
B. Provide education and coordinate remediation of peeling
paint and household hazards.
C. Begin chelation therapy if the child has any elevated venous
lead level.
,D. Enroll the child in developmental surveillance only and
recheck at the next well visit.
Correct Answer
B
Rationales
A. Incorrect — Screening (blood lead testing) is secondary
prevention; it detects exposure but does not prevent
environmental hazard.
B. Correct — Primary prevention removes or reduces exposure
sources (home remediation/education) to prevent lead
absorption before exposure occurs.
C. Incorrect — Chelation is tertiary care for established
significant lead poisoning, not a preventive measure.
D. Incorrect — Surveillance alone does not prevent exposure
and misses the opportunity for upstream hazard remediation.
Teaching Point
Primary prevention eliminates exposure sources (e.g., lead
remediation), not just screening or treatment.
Citation
Garzon et al. (2023). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1. Primary Care Versus Primary Prevention
2. Reference
Ch. 1 — Pediatric Primary Care Providers
,Question Stem
A rural clinic has one pediatrician, one pediatric nurse
practitioner (PNP), and several RNs. A 6-year-old with newly
diagnosed type 1 diabetes needs ongoing care coordination,
insulin titration education, and school planning. Who on the
primary care team is best positioned to function as the medical
home coordinator for this child?
Options
A. The pediatrician as the primary care provider coordinating
specialty care and school planning.
B. The PNP only, because RNs cannot coordinate complex care.
C. The RN, because nurses provide all medical decision-making
for chronic diseases.
D. Referral to endocrinology will replace the need for a primary
care coordinator.
Correct Answer
A
Rationales
A. Correct — The primary care provider (often the pediatrician)
leads the medical home, coordinates specialty care, patient
education, and school health plans.
B. Incorrect — PNPs can coordinate care, but the question asks
for the best-positioned team member in a traditional medical
home: the PCP with oversight responsibilities.
C. Incorrect — RNs play vital roles in education and follow-up
but do not replace the primary care provider’s coordination and
, medical oversight.
D. Incorrect — Specialty referral complements but does not
substitute the primary care medical home’s central coordination
role.
Teaching Point
The primary care provider leads the medical home,
coordinating specialty care, education, and school supports.
Citation
Garzon et al. (2023). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1. Pediatric Primary Care Providers
3. Reference
Ch. 1 — Unique Issues in Pediatrics
Question Stem
A 15-kg toddler is prescribed amoxicillin 40 mg/kg/day divided
every 8 hours for acute otitis media. What is the per-dose
amount the nurse should teach the parent to administer?
(Show dose in mg per dose.)
Options
A. 100 mg per dose
B. 150 mg per dose
C. 200 mg per dose
D. 300 mg per dose
Correct Answer
C
8TH EDITION
• AUTHOR(S)DAWN LEE GARZON, MARY
DIRKS, MARTHA DRIESSNACK, KAREN
G. DUDERSTADT, NAN M. GAYLORD
TEST BANK
1. Reference
Ch. 1 — Primary Care Versus Primary Prevention
Question Stem
A 14-month-old toddler lives in an older rental house with
peeling paint. The family asks what action in primary care best
reduces the child’s future risk of lead poisoning. Which action is
the most appropriate primary prevention strategy?
Options
A. Order a capillary blood lead level at the 12-month visit.
B. Provide education and coordinate remediation of peeling
paint and household hazards.
C. Begin chelation therapy if the child has any elevated venous
lead level.
,D. Enroll the child in developmental surveillance only and
recheck at the next well visit.
Correct Answer
B
Rationales
A. Incorrect — Screening (blood lead testing) is secondary
prevention; it detects exposure but does not prevent
environmental hazard.
B. Correct — Primary prevention removes or reduces exposure
sources (home remediation/education) to prevent lead
absorption before exposure occurs.
C. Incorrect — Chelation is tertiary care for established
significant lead poisoning, not a preventive measure.
D. Incorrect — Surveillance alone does not prevent exposure
and misses the opportunity for upstream hazard remediation.
Teaching Point
Primary prevention eliminates exposure sources (e.g., lead
remediation), not just screening or treatment.
Citation
Garzon et al. (2023). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1. Primary Care Versus Primary Prevention
2. Reference
Ch. 1 — Pediatric Primary Care Providers
,Question Stem
A rural clinic has one pediatrician, one pediatric nurse
practitioner (PNP), and several RNs. A 6-year-old with newly
diagnosed type 1 diabetes needs ongoing care coordination,
insulin titration education, and school planning. Who on the
primary care team is best positioned to function as the medical
home coordinator for this child?
Options
A. The pediatrician as the primary care provider coordinating
specialty care and school planning.
B. The PNP only, because RNs cannot coordinate complex care.
C. The RN, because nurses provide all medical decision-making
for chronic diseases.
D. Referral to endocrinology will replace the need for a primary
care coordinator.
Correct Answer
A
Rationales
A. Correct — The primary care provider (often the pediatrician)
leads the medical home, coordinates specialty care, patient
education, and school health plans.
B. Incorrect — PNPs can coordinate care, but the question asks
for the best-positioned team member in a traditional medical
home: the PCP with oversight responsibilities.
C. Incorrect — RNs play vital roles in education and follow-up
but do not replace the primary care provider’s coordination and
, medical oversight.
D. Incorrect — Specialty referral complements but does not
substitute the primary care medical home’s central coordination
role.
Teaching Point
The primary care provider leads the medical home,
coordinating specialty care, education, and school supports.
Citation
Garzon et al. (2023). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1. Pediatric Primary Care Providers
3. Reference
Ch. 1 — Unique Issues in Pediatrics
Question Stem
A 15-kg toddler is prescribed amoxicillin 40 mg/kg/day divided
every 8 hours for acute otitis media. What is the per-dose
amount the nurse should teach the parent to administer?
(Show dose in mg per dose.)
Options
A. 100 mg per dose
B. 150 mg per dose
C. 200 mg per dose
D. 300 mg per dose
Correct Answer
C
