Burns' Pediatric Primary Care
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Question: A pediatric primary care nurse practitioner (PNP) sees a
healthy 4-year-old for a routine visit. Which activity most clearly
represents primary prevention rather than the broader function of
primary care?
A. Evaluating a new heart murmur and arranging cardiology
consultation.
B. Administering an age-appropriate vaccine to reduce the child's risk of
infection.
C. Managing persistent asthma symptoms with a revised treatment
plan.
D. Reviewing laboratory results obtained to evaluate unexplained
fatigue.
Correct Answer: B. Administering an age-appropriate vaccine to reduce
the child's risk of infection.
Rationale: Primary prevention aims to prevent a disease or health
problem from occurring. Immunization is a classic primary-prevention
intervention. Pediatric primary care is broader: it includes prevention
but also health supervision, diagnosis and treatment, screening,
coordination, and follow-up across time. [1] [2]
Why the Other Options Are Incorrect:
A. This is diagnostic evaluation and referral for an existing finding, not
prevention of disease before it occurs.
, C. This manages an established chronic condition, which falls within
primary care but is not primary prevention.
D. Laboratory evaluation is being used to investigate a current
symptom, making it diagnostic rather than primary prevention.
Question 2
Question: A parent asks why a child who appears healthy still needs
periodic primary care visits. Which response by the PNP is best?
A. "The main purpose is to document that your child is meeting legal
school requirements."
B. "Routine visits allow us to diagnose illness only after symptoms
become noticeable."
C. "Primary care combines health supervision, prevention, screening,
development monitoring, and ongoing management when needed."
D. "Well visits mainly provide a place to treat minor acute illnesses
before they require emergency care."
Correct Answer: C. "Primary care combines health supervision,
prevention, screening, development monitoring, and ongoing
management when needed."
Rationale: Pediatric primary care is not limited to treating illness. AAP
describes it as comprehensive, continuous, coordinated care that
includes health supervision, anticipatory guidance, growth and
development monitoring, screening, and management of acute and
chronic conditions. [2] [3]
Why the Other Options Are Incorrect:
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Question: A pediatric primary care nurse practitioner (PNP) sees a
healthy 4-year-old for a routine visit. Which activity most clearly
represents primary prevention rather than the broader function of
primary care?
A. Evaluating a new heart murmur and arranging cardiology
consultation.
B. Administering an age-appropriate vaccine to reduce the child's risk of
infection.
C. Managing persistent asthma symptoms with a revised treatment
plan.
D. Reviewing laboratory results obtained to evaluate unexplained
fatigue.
Correct Answer: B. Administering an age-appropriate vaccine to reduce
the child's risk of infection.
Rationale: Primary prevention aims to prevent a disease or health
problem from occurring. Immunization is a classic primary-prevention
intervention. Pediatric primary care is broader: it includes prevention
but also health supervision, diagnosis and treatment, screening,
coordination, and follow-up across time. [1] [2]
Why the Other Options Are Incorrect:
A. This is diagnostic evaluation and referral for an existing finding, not
prevention of disease before it occurs.
, C. This manages an established chronic condition, which falls within
primary care but is not primary prevention.
D. Laboratory evaluation is being used to investigate a current
symptom, making it diagnostic rather than primary prevention.
Question 2
Question: A parent asks why a child who appears healthy still needs
periodic primary care visits. Which response by the PNP is best?
A. "The main purpose is to document that your child is meeting legal
school requirements."
B. "Routine visits allow us to diagnose illness only after symptoms
become noticeable."
C. "Primary care combines health supervision, prevention, screening,
development monitoring, and ongoing management when needed."
D. "Well visits mainly provide a place to treat minor acute illnesses
before they require emergency care."
Correct Answer: C. "Primary care combines health supervision,
prevention, screening, development monitoring, and ongoing
management when needed."
Rationale: Pediatric primary care is not limited to treating illness. AAP
describes it as comprehensive, continuous, coordinated care that
includes health supervision, anticipatory guidance, growth and
development monitoring, screening, and management of acute and
chronic conditions. [2] [3]
Why the Other Options Are Incorrect:
