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 — Pediatric Primary Care — Pediatric Primary
Care
Question stem: A 6-week-old infant is brought for a well visit;
the parent reports intermittent fever and decreased feeding. As
the pediatric primary care clinician, which action best balances
timely acute assessment with preventive care responsibilities?
A. Defer the well-visit components and perform only an urgent
illness evaluation today.
B. Complete the full well-visit including all anticipatory
guidance, then evaluate the fever.
C. Prioritize urgent assessment for fever, address immediate
,concerns, and reschedule remaining preventive tasks.
D. Ask the parent to monitor symptoms at home and return if
the fever persists for 48 hours.
Correct answer: C
Rationales:
• C (Correct): Prioritizing acute assessment (fever
evaluation) while arranging timely completion of
preventive services preserves safety and continuity of
care—appropriate triage in pediatric primary care.
• A: Deferring all preventive care unnecessarily delays
important screenings and immunizations; not balanced
care.
• B: Completing all well-visit tasks before addressing the
acute concern risks missing serious illness signs and delays
urgent evaluation.
• D: Advising home observation without immediate
assessment may jeopardize the infant if the fever reflects a
serious condition.
Teaching point: Triage acute pediatric concerns first; complete
preventive services promptly thereafter.
Citation: Garzon et al. (2023). Burns’ Pediatric Primary Care (8th
Ed.). Ch. 1.
2)
,Reference: Ch. 1 — Pediatric Primary Care — Primary Care
Versus Primary Prevention
Question stem: A 9-month-old begins crawling and the parent
asks which safety steps will prevent injuries. Which
recommendation primarily represents primary prevention?
A. Teach the infant to avoid stairs by modeling behavior.
B. Install gates at the top and bottom of stairs and secure heavy
furniture.
C. Enroll the family in a first-aid course after an injury occurs.
D. Advise the parent to use time-out for unsafe behavior.
Correct answer: B
Rationales:
• B (Correct): Installing safety devices (gates, securing
furniture) reduces exposure to hazards—classic primary
prevention.
• A: Modeling behavior is important but less effective than
environmental modifications for an infant who cannot
follow instructions.
• C: First-aid training is a secondary/tertiary response after
an event occurs, not primary prevention.
• D: Time-out is a behavioral strategy for older children and
not an effective primary prevention for infants.
Teaching point: Primary prevention focuses on environmental
changes that reduce risk before harm occurs.
, Citation: Garzon et al. (2023). Burns’ Pediatric Primary Care (8th
Ed.). Ch. 1.
3)
Reference: Ch. 1 — Pediatric Primary Care — Pediatric Primary
Care Providers
Question stem: A 14-year-old with asthma is seen in a busy
clinic. The pediatrician delegates inhaler technique
reinforcement to an experienced RN. Which factor best
supports safe delegation?
A. The RN has demonstrated competency and the task is within
nursing scope.
B. Delegation is acceptable only if the RN documents the
encounter.
C. The pediatrician can delegate all aspects of asthma education
to the RN.
D. Delegation removes the pediatrician’s responsibility for
follow-up.
Correct answer: A
Rationales:
• A (Correct): Safe delegation requires the delegatee’s
competency and that the task is within their scope of
practice—this ensures quality care.
8TH EDITION
• AUTHOR(S)DAWN LEE GARZON, MARY
DIRKS, MARTHA DRIESSNACK, KAREN
G. DUDERSTADT, NAN M. GAYLORD
TEST BANK
1)
Reference: Ch. 1 — Pediatric Primary Care — Pediatric Primary
Care
Question stem: A 6-week-old infant is brought for a well visit;
the parent reports intermittent fever and decreased feeding. As
the pediatric primary care clinician, which action best balances
timely acute assessment with preventive care responsibilities?
A. Defer the well-visit components and perform only an urgent
illness evaluation today.
B. Complete the full well-visit including all anticipatory
guidance, then evaluate the fever.
C. Prioritize urgent assessment for fever, address immediate
,concerns, and reschedule remaining preventive tasks.
D. Ask the parent to monitor symptoms at home and return if
the fever persists for 48 hours.
Correct answer: C
Rationales:
• C (Correct): Prioritizing acute assessment (fever
evaluation) while arranging timely completion of
preventive services preserves safety and continuity of
care—appropriate triage in pediatric primary care.
• A: Deferring all preventive care unnecessarily delays
important screenings and immunizations; not balanced
care.
• B: Completing all well-visit tasks before addressing the
acute concern risks missing serious illness signs and delays
urgent evaluation.
• D: Advising home observation without immediate
assessment may jeopardize the infant if the fever reflects a
serious condition.
Teaching point: Triage acute pediatric concerns first; complete
preventive services promptly thereafter.
Citation: Garzon et al. (2023). Burns’ Pediatric Primary Care (8th
Ed.). Ch. 1.
2)
,Reference: Ch. 1 — Pediatric Primary Care — Primary Care
Versus Primary Prevention
Question stem: A 9-month-old begins crawling and the parent
asks which safety steps will prevent injuries. Which
recommendation primarily represents primary prevention?
A. Teach the infant to avoid stairs by modeling behavior.
B. Install gates at the top and bottom of stairs and secure heavy
furniture.
C. Enroll the family in a first-aid course after an injury occurs.
D. Advise the parent to use time-out for unsafe behavior.
Correct answer: B
Rationales:
• B (Correct): Installing safety devices (gates, securing
furniture) reduces exposure to hazards—classic primary
prevention.
• A: Modeling behavior is important but less effective than
environmental modifications for an infant who cannot
follow instructions.
• C: First-aid training is a secondary/tertiary response after
an event occurs, not primary prevention.
• D: Time-out is a behavioral strategy for older children and
not an effective primary prevention for infants.
Teaching point: Primary prevention focuses on environmental
changes that reduce risk before harm occurs.
, Citation: Garzon et al. (2023). Burns’ Pediatric Primary Care (8th
Ed.). Ch. 1.
3)
Reference: Ch. 1 — Pediatric Primary Care — Pediatric Primary
Care Providers
Question stem: A 14-year-old with asthma is seen in a busy
clinic. The pediatrician delegates inhaler technique
reinforcement to an experienced RN. Which factor best
supports safe delegation?
A. The RN has demonstrated competency and the task is within
nursing scope.
B. Delegation is acceptable only if the RN documents the
encounter.
C. The pediatrician can delegate all aspects of asthma education
to the RN.
D. Delegation removes the pediatrician’s responsibility for
follow-up.
Correct answer: A
Rationales:
• A (Correct): Safe delegation requires the delegatee’s
competency and that the task is within their scope of
practice—this ensures quality care.
