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 — Primary Care
Versus Primary Prevention
Question Stem: A 6-week-old infant presents for the first well-
child visit. The family asks how primary care differs from
primary prevention. Which nurse-practitioner action best
illustrates the primary care role rather than primary prevention?
A. Administering recommended immunizations at the visit.
B. Counseling the parents on safe sleep to reduce SIDS risk.
C. Performing growth and developmental surveillance and
coordinating follow-up for parental concerns.
D. Referring the family to a community breastfeeding support
group.
,Correct Answer: C
Rationales:
• Correct (C): Primary care emphasizes ongoing assessment,
continuity, and coordination of individualized care
(surveillance and follow-up), distinguishing it from single
preventive interventions.
• A: Immunizations are primary prevention (disease
prevention), not the core continuity/coordination function
of primary care.
• B: Safe-sleep counseling is preventive education (primary
prevention).
• D: Referral to community support is an important
preventive resource but is a specific prevention/health-
promotion action rather than the continuous coordination
role of primary care.
Teaching Point: Primary care centers on continuous
assessment, coordination, and management across health
needs.
Citation (simplified APA): Garzon et al. (2023). Burns’ Pediatric
Primary Care (8th Ed.). Ch. 1.
2
Reference: Ch. 1 — Pediatric Primary Care — Pediatric Primary
Care Providers
,Question Stem: A clinic uses a team approach including PNPs,
RNs, MDs, and community health workers. A 14-year-old with
poorly controlled asthma misses multiple follow-ups. Which
team member should the NP delegate to contact the family for
scheduling, social needs screening, and transportation
assistance while the NP prioritizes care plan changes?
A. Community health worker.
B. Registered nurse.
C. Medical doctor (MD).
D. Clinic medical assistant.
Correct Answer: A
Rationales:
• Correct (A): Community health workers are well suited for
outreach, social needs screening, and connecting families
to resources, allowing the NP to focus on clinical
management.
• B: RNs can perform outreach and education, but
community health workers often have stronger role in
addressing social determinants and resource linkage in
team-based care.
• C: MD involvement is not efficient for scheduling/resource
linkage; their time is reserved for advanced clinical
decision-making.
, • D: Medical assistants can help with scheduling, but they
typically lack the training/role for social-needs screening
and resource navigation.
Teaching Point: Use team roles: community health workers lead
social-needs outreach; clinicians focus on clinical care.
Citation (simplified APA): Garzon et al. (2023). Burns’ Pediatric
Primary Care (8th Ed.). Ch. 1.
3
Reference: Ch. 1 — Pediatric Primary Care — Unique Issues in
Pediatrics
Question Stem: During a well visit, a 2-year-old’s parent reports
the child resists eating new foods and tends to gag. The NP
recognizes this as a common developmental feeding behavior.
Which action best applies pediatric developmental
understanding to management?
A. Prescribe an appetite stimulant.
B. Recommend repeated neutral exposure and family mealtime
modeling.
C. Refer immediately for upper GI motility testing.
D. Advise a strict schedule of three bites of every offered food.
Correct Answer: B
Rationales:
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 — Primary Care
Versus Primary Prevention
Question Stem: A 6-week-old infant presents for the first well-
child visit. The family asks how primary care differs from
primary prevention. Which nurse-practitioner action best
illustrates the primary care role rather than primary prevention?
A. Administering recommended immunizations at the visit.
B. Counseling the parents on safe sleep to reduce SIDS risk.
C. Performing growth and developmental surveillance and
coordinating follow-up for parental concerns.
D. Referring the family to a community breastfeeding support
group.
,Correct Answer: C
Rationales:
• Correct (C): Primary care emphasizes ongoing assessment,
continuity, and coordination of individualized care
(surveillance and follow-up), distinguishing it from single
preventive interventions.
• A: Immunizations are primary prevention (disease
prevention), not the core continuity/coordination function
of primary care.
• B: Safe-sleep counseling is preventive education (primary
prevention).
• D: Referral to community support is an important
preventive resource but is a specific prevention/health-
promotion action rather than the continuous coordination
role of primary care.
Teaching Point: Primary care centers on continuous
assessment, coordination, and management across health
needs.
Citation (simplified APA): Garzon et al. (2023). Burns’ Pediatric
Primary Care (8th Ed.). Ch. 1.
2
Reference: Ch. 1 — Pediatric Primary Care — Pediatric Primary
Care Providers
,Question Stem: A clinic uses a team approach including PNPs,
RNs, MDs, and community health workers. A 14-year-old with
poorly controlled asthma misses multiple follow-ups. Which
team member should the NP delegate to contact the family for
scheduling, social needs screening, and transportation
assistance while the NP prioritizes care plan changes?
A. Community health worker.
B. Registered nurse.
C. Medical doctor (MD).
D. Clinic medical assistant.
Correct Answer: A
Rationales:
• Correct (A): Community health workers are well suited for
outreach, social needs screening, and connecting families
to resources, allowing the NP to focus on clinical
management.
• B: RNs can perform outreach and education, but
community health workers often have stronger role in
addressing social determinants and resource linkage in
team-based care.
• C: MD involvement is not efficient for scheduling/resource
linkage; their time is reserved for advanced clinical
decision-making.
, • D: Medical assistants can help with scheduling, but they
typically lack the training/role for social-needs screening
and resource navigation.
Teaching Point: Use team roles: community health workers lead
social-needs outreach; clinicians focus on clinical care.
Citation (simplified APA): Garzon et al. (2023). Burns’ Pediatric
Primary Care (8th Ed.). Ch. 1.
3
Reference: Ch. 1 — Pediatric Primary Care — Unique Issues in
Pediatrics
Question Stem: During a well visit, a 2-year-old’s parent reports
the child resists eating new foods and tends to gag. The NP
recognizes this as a common developmental feeding behavior.
Which action best applies pediatric developmental
understanding to management?
A. Prescribe an appetite stimulant.
B. Recommend repeated neutral exposure and family mealtime
modeling.
C. Refer immediately for upper GI motility testing.
D. Advise a strict schedule of three bites of every offered food.
Correct Answer: B
Rationales:
