Burns' Pediatric Primary Care 8th Ed. — Complete Test Bank (20 MCQs/Chapter) for PNP, FNP, 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 2-week-old infant is brought for a scheduled
well-child visit. The parent asks why primary care visits focus on
growth, family needs, and immunizations rather than only
preventing disease. Which explanation best reflects the
pediatric primary care model?
A. Pediatric primary care centers primarily on disease
prevention and immunizations.
B. Pediatric primary care integrates health promotion, disease
prevention, and family-centered developmental surveillance.
C. Pediatric primary care is needed only until the child begins
school.
D. Pediatric primary care focuses mainly on treating acute
illnesses as they arise.

,Correct Answer: B
Rationales — Correct: Pediatric primary care is a continuous,
preventive, and developmental approach that combines health
promotion, anticipatory guidance, and surveillance of growth
and development within a family-centered context. This
integrated model goes beyond single interventions like
immunizations.
Rationales — Incorrect: A: Overemphasizes prevention only and
misses developmental and family-centered components.
C: Incorrect—care is continuous throughout childhood and
adolescence, not only until school entry.
D: Incorrect—acute care is part of primary care but not its
primary organizing principle in pediatrics.
Teaching Point: Pediatric primary care integrates promotion,
prevention, and family-centered developmental surveillance.
Garzon et al. (2023). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1 — Pediatric Primary Care.


Reference — Ch. 1 — Primary Care Versus Primary Prevention
Question Stem: A clinic is redesigning services to reduce
childhood obesity. Which initiative best exemplifies primary
prevention rather than routine primary care?
A. Scheduling annual well visits with BMI tracking.
B. Providing motivational counseling to an obese child for
weight loss.
C. Implementing a community program to increase safe

,playgrounds and healthy food access.
D. Referring an obese teen to a weight-management specialist.
Correct Answer: C
Rationales — Correct: Primary prevention acts at the
population or community level to reduce risk before disease
develops; improving access to safe play and healthy foods
reduces obesity risk across the community.
Rationales — Incorrect: A: Routine primary care activity
(surveillance) but not community-level primary prevention.
B: This is secondary prevention/individual clinical intervention
for an existing condition.
D: Referral is tertiary/secondary care for management, not
upstream primary prevention.
Teaching Point: Primary prevention acts upstream at
community/population levels to reduce risk.
Garzon et al. (2023). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1 — Primary Care Versus Primary Prevention.


Reference — Ch. 1 — Pediatric Primary Care Providers
Question Stem: A 4-year-old with complex medical needs
requires coordination of multiple specialists, school
communication, and family education. Which provider role best
describes the ideal single point of accountability within the
primary care medical home?
A. Emergency department physician
B. Nurse care coordinator embedded in primary care

, C. Specialist with the most frequent appointments
D. School nurse who manages the child’s medications at school
Correct Answer: B
Rationales — Correct: A nurse care coordinator embedded in
primary care supports the medical-home model by coordinating
referrals, facilitating communication with schools and
specialists, and providing family education—ensuring continuity
and accountability.
Rationales — Incorrect: A: ED physicians provide episodic care
and are not accountable for longitudinal coordination.
C: Specialists provide focused care but typically lack
responsibility for whole-child coordination across settings.
D: School nurses manage in-school care but are not the primary
medical-home coordinator for community healthcare.
Teaching Point: The medical home requires a primary-care–
based coordinator for continuity and family support.
Garzon et al. (2023). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1 — Pediatric Primary Care Providers.


Reference — Ch. 1 — Unique Issues in Pediatrics
Question Stem: A 6-month-old infant with new onset vomiting
and weight loss presents for evaluation. Which pediatric
pharmacologic consideration is most important when selecting
an antiemetic?
A. Adults’ doses can be safely halved for infants.
B. Infants have higher gastric pH and different drug metabolism;