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
During a 9-month well-child visit the caregiver asks what to
expect next for feeding and safety. Which action best
demonstrates anticipatory guidance (primary prevention) by
the primary care provider?
Options
A. Order a metabolic panel to screen for iron deficiency.
B. Discuss expected developmental feeding milestones and
strategies for choking prevention.
C. Refer to a pediatric gastroenterologist for possible allergy
,testing.
D. Schedule a diagnostic swallowing study.
Correct Answer
B
Rationales
Correct: Anticipatory guidance involves counseling families
about upcoming developmental stages and safety strategies
(e.g., feeding milestones, choking prevention).
A: Ordering a metabolic panel is a diagnostic screening, not
anticipatory counseling.
C: Referral to a specialist is for suspected pathology and not
routine prevention/counseling.
D: A swallowing study is a diagnostic test for suspected
dysfunction, not preventive guidance.
Teaching Point
Anticipatory guidance teaches predictable developmental and
safety needs before they occur.
Citation
Garzon et al. (2024). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
2
Reference
Ch. 1 — Pediatric Primary Care Providers
,Question Stem
A 14-year-old with asthma needs ongoing management. The
family asks which provider will most effectively coordinate care
over time. Which statement by the nurse practitioner best
describes the role of primary care?
Options
A. “Primary care arranges episodic specialty visits but does not
manage long-term conditions.”
B. “Primary care provides continuous, comprehensive
management and coordinates specialty care as needed.”
C. “Primary care only gives vaccinations and growth charts at
well visits.”
D. “Primary care treats acute issues; specialists manage chronic
conditions entirely.”
Correct Answer
B
Rationales
Correct: Primary care provides continuous, comprehensive
management including coordination of specialty care for
chronic pediatric conditions.
A: Incorrect — primary care does manage long-term conditions,
not only arrange visits.
C: Incorrect — primary care includes much more than
preventive services.
D: Incorrect — specialists do not exclusively manage chronic
conditions; primary care remains central.
, Teaching Point
Primary care = continuous, comprehensive, coordinated care
across childhood.
Citation
Garzon et al. (2024). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
3
Reference
Ch. 1 — Unique Issues in Pediatrics
Question Stem
A 6-month-old infant born preterm had prolonged NICU care. At
a routine visit, which priority action reflects the nurse
practitioner's awareness of unique pediatric issues?
Options
A. Provide only standard immunizations and dismiss concerns
about development.
B. Perform enhanced developmental surveillance and arrange
early intervention referral if delays suspected.
C. Delay developmental screening until 18 months to avoid
family worry.
D. Refer family to adult primary care for caregiver education.
Correct Answer
B
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
During a 9-month well-child visit the caregiver asks what to
expect next for feeding and safety. Which action best
demonstrates anticipatory guidance (primary prevention) by
the primary care provider?
Options
A. Order a metabolic panel to screen for iron deficiency.
B. Discuss expected developmental feeding milestones and
strategies for choking prevention.
C. Refer to a pediatric gastroenterologist for possible allergy
,testing.
D. Schedule a diagnostic swallowing study.
Correct Answer
B
Rationales
Correct: Anticipatory guidance involves counseling families
about upcoming developmental stages and safety strategies
(e.g., feeding milestones, choking prevention).
A: Ordering a metabolic panel is a diagnostic screening, not
anticipatory counseling.
C: Referral to a specialist is for suspected pathology and not
routine prevention/counseling.
D: A swallowing study is a diagnostic test for suspected
dysfunction, not preventive guidance.
Teaching Point
Anticipatory guidance teaches predictable developmental and
safety needs before they occur.
Citation
Garzon et al. (2024). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
2
Reference
Ch. 1 — Pediatric Primary Care Providers
,Question Stem
A 14-year-old with asthma needs ongoing management. The
family asks which provider will most effectively coordinate care
over time. Which statement by the nurse practitioner best
describes the role of primary care?
Options
A. “Primary care arranges episodic specialty visits but does not
manage long-term conditions.”
B. “Primary care provides continuous, comprehensive
management and coordinates specialty care as needed.”
C. “Primary care only gives vaccinations and growth charts at
well visits.”
D. “Primary care treats acute issues; specialists manage chronic
conditions entirely.”
Correct Answer
B
Rationales
Correct: Primary care provides continuous, comprehensive
management including coordination of specialty care for
chronic pediatric conditions.
A: Incorrect — primary care does manage long-term conditions,
not only arrange visits.
C: Incorrect — primary care includes much more than
preventive services.
D: Incorrect — specialists do not exclusively manage chronic
conditions; primary care remains central.
, Teaching Point
Primary care = continuous, comprehensive, coordinated care
across childhood.
Citation
Garzon et al. (2024). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
3
Reference
Ch. 1 — Unique Issues in Pediatrics
Question Stem
A 6-month-old infant born preterm had prolonged NICU care. At
a routine visit, which priority action reflects the nurse
practitioner's awareness of unique pediatric issues?
Options
A. Provide only standard immunizations and dismiss concerns
about development.
B. Perform enhanced developmental surveillance and arrange
early intervention referral if delays suspected.
C. Delay developmental screening until 18 months to avoid
family worry.
D. Refer family to adult primary care for caregiver education.
Correct Answer
B
