Burns’ Pediatric Primary Care — 8th Ed. Complete Test Bank | 20 MCQs/Chapter + Expert Rationales — PNP & NCLEX Prep

BURNS' PEDIATRIC PRIMARY CARE
8TH EDITION
• AUTHOR(S)DAWN LEE GARZON, MARY
DIRKS, MARTHA DRIESSNACK, KAREN
G. DUDERSTADT, NAN M. GAYLORD


TEST BANK
Reference
Ch. 1 — Pediatric Primary Care
Question Stem
A 9-month-old infant presents for a routine well visit;
immunizations are current, weight gain is appropriate, and the
parent asks whether the visit is necessary given the child
appears healthy. Which response best reflects the primary goals
of pediatric primary care?
Options
A. Emphasize that visits are mainly for immunization delivery
and can be skipped when vaccines are up to date.
B. Explain that visits focus on surveillance, anticipatory
guidance, and detection of developmental or social concerns.
C. Advise that visits are primarily for acute illness care and

,should occur only when the child is sick.
D. Recommend scheduling visits only when the parent feels
there is a concern to reduce healthcare costs.
Correct Answer
B
Rationales
Correct: Routine pediatric primary care includes preventive
surveillance, developmental screening, anticipatory guidance,
and early identification of problems. These visits do more than
deliver vaccines.
A: Incorrect — Immunizations are important, but primary care
also emphasizes development, prevention, and family support.
C: Incorrect — Primary care is preventive and proactive, not
solely reactive to illness.
D: Incorrect — Waiting for parental concern risks missing
asymptomatic developmental, behavioral, or social issues.
Teaching Point
Primary care combines prevention, surveillance, screening, and
anticipatory guidance for healthy development.
Citation
Garzon et al. (2023). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1 — Pediatric Primary Care.


2.

,Reference
Ch. 1 — Primary Care Versus Primary Prevention
Question Stem
A clinic is designing a program to reduce pediatric obesity
prevalence. Which intervention best exemplifies primary
prevention as distinct from primary care activities?
Options
A. Screening all children for BMI percentiles during well visits.
B. Providing a community-wide campaign promoting healthy
school lunch policies.
C. Counseling an overweight adolescent during a clinic visit
about weight loss.
D. Referring a child with obesity to a multidisciplinary weight
management clinic.
Correct Answer
B
Rationales
Correct: Primary prevention aims to prevent disease at the
population level (e.g., policy or environmental changes such as
healthier school lunches).
A: Incorrect — Screening is a primary care activity to identify
risk, not population-level prevention.
C: Incorrect — Individual counseling is primary care/secondary
prevention rather than primary prevention.
D: Incorrect — Referral and treatment address existing disease
(tertiary/secondary prevention), not primary prevention.

, Teaching Point
Primary prevention targets population-level changes to prevent
disease before it starts.
Citation
Garzon et al. (2023). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1 — Primary Care Versus Primary Prevention.


3.
Reference
Ch. 1 — Pediatric Primary Care Providers
Question Stem
A 4-year-old with well-controlled asthma is transferring care
when the family moves. The parent asks which provider is best
suited for routine management and long-term care
coordination. Which provider should you recommend as the
primary medical home?
Options
A. Pediatric primary care provider (pediatrician/NP) who
manages preventive care, chronic disease, and referrals.
B. Emergency department physicians for episodic urgent
asthma needs.
C. A subspecialty pulmonologist without an identified primary
care provider.
D. School nurse who manages daily inhaler use and school-
related issues.