8th Edition
Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G.
Duderstadt, Nan M. Gaylord
TEST BANK
Question 1
A pediatric primary care nurse practitioner explains the role of
primary care to a group of parents. Which statement best
describes pediatric primary care?
A. Care focused only on treatment of acute illness in
hospitalized children
B. Comprehensive, continuous care emphasizing prevention,
health promotion, and management of common conditions
,C. Emergency stabilization provided in urgent care settings only
D. Specialty care directed toward rare pediatric diseases
Correct Answer: B
Rationale:
Pediatric primary care includes comprehensive, continuous,
family-centered care that emphasizes health promotion,
disease prevention, early identification of problems, and
management of common acute and chronic conditions.
• Option A is incorrect because pediatric primary care is not
limited to hospitalized children.
• Option C is incorrect because emergency stabilization
alone does not define primary care.
• Option D is incorrect because specialty care differs from
primary care services.
Source:
Burns’ Pediatric Primary Care, 8th Edition – Chapter 1: Pediatric
Primary Care
Question 2
A nurse practitioner discusses primary prevention with parents
during a well-child visit. Which intervention is an example of
primary prevention?
A. Referral for speech therapy after language delay is identified
B. Lead screening at 12 months of age
,C. Administration of routine childhood immunizations
D. Audiology testing for a child with hearing concerns
Correct Answer: C
Rationale:
Primary prevention aims to prevent disease before it occurs.
Immunizations are a classic example of primary prevention.
• Option A is incorrect because therapy after identification
of a problem is tertiary intervention.
• Option B is incorrect because screening represents
secondary prevention.
• Option D is incorrect because diagnostic evaluation occurs
after concern is identified.
Source:
Burns’ Pediatric Primary Care, 8th Edition – Chapter 1: Pediatric
Primary Care
Question 3
During a clinic orientation, a student asks what distinguishes
pediatric care from adult care. Which response by the
preceptor is most accurate?
A. Children are able to make independent healthcare decisions
earlier than adults
B. Pediatric care focuses primarily on episodic illness
management
, C. Growth and developmental changes significantly influence
assessment and management
D. Pediatric care rarely involves caregiver participation
Correct Answer: C
Rationale:
Children undergo rapid developmental and physiologic changes
that directly affect assessment findings, communication,
medication dosing, and anticipatory guidance.
• Option A is incorrect because minors usually require
caregiver involvement in healthcare decisions.
• Option B is incorrect because pediatric care emphasizes
prevention and development, not only episodic illness.
• Option D is incorrect because caregiver participation is
central to pediatric care.
Source:
Burns’ Pediatric Primary Care, 8th Edition – Chapter 1: Pediatric
Primary Care
Question 4
A pediatric nurse practitioner incorporates family-centered care
into practice. Which action best reflects this approach?
A. Limiting caregiver involvement to reduce interference with
care
B. Making decisions independently to improve efficiency