Burns’ Pediatric Primary Care 8th Ed Test Bank — Full-Text MCQs (20/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
1)
Reference: Ch. 1 — Pediatric Primary Care — Primary Care
Versus Primary Prevention
Question Stem: A 2-week-old infant arrives for the first primary
care visit. The nurse recognizes that administering
recommended immunizations at the correct schedule is an
example of which role of pediatric primary care?
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
D. Episodic acute care
Correct Answer: B
Rationales:

, • Correct (B): Primary prevention aims to stop disease
before it starts (e.g., immunizations), which is a
foundational role of pediatric primary care.
• A: Secondary prevention targets early disease detection
(screening), not preventing initial disease occurrence.
• C: Tertiary prevention focuses on reducing disability from
established disease, not routine immunization.
• D: Episodic acute care treats immediate illness, not
preventive immunization services.
Teaching Point: Immunizations are primary prevention—
prevent disease before onset.
Citation: Garzon et al. (2023). Burns’ Pediatric Primary Care (8th
Ed.). Ch. 1 — Primary Care Versus Primary Prevention.


2)
Reference: Ch. 1 — Pediatric Primary Care — Pediatric Primary
Care Providers
Question Stem: A 4-year-old with complex asthma needs
follow-up. Which action best reflects the pediatric primary care
provider’s role in optimizing care for this child?
A. Prescribe specialist medications and discharge follow-up
entirely to subspecialist
B. Coordinate care, implement an asthma action plan, and
arrange community resources

,C. Refer to emergency department for routine asthma
management
D. Limit visits to acute episodes and avoid long-term care
planning
Correct Answer: B
Rationales:
• Correct (B): Primary care providers are responsible for care
coordination, implementing individualized action plans,
and connecting families to community resources for
chronic conditions.
• A: Delegating all management to subspecialists neglects
the medical-home role of the primary care provider.
• C: ED referral for routine management is inappropriate and
fragments care.
• D: Avoiding long-term planning fails to provide continuity
and comprehensive care expected in primary care.
Teaching Point: Primary care coordinates chronic-condition
management and links families to resources.
Citation: Garzon et al. (2023). Burns’ Pediatric Primary Care (8th
Ed.). Ch. 1 — Pediatric Primary Care Providers.


3)
Reference: Ch. 1 — Pediatric Primary Care — Unique Issues in
Pediatrics

, Question Stem: A toddler presents with cough and is prescribed
oral liquid medication. Which practice best reduces risk of a
pediatric medication error?
A. Instruct caregiver to estimate dose using a household spoon
B. Provide weight-based dose in mg and a calibrated oral
syringe with demonstrations
C. Advise dosing every 6–8 hours without specifying weight or
amount
D. Recommend mixing medication in food without measuring
Correct Answer: B
Rationales:
• Correct (B): Giving a weight-based dose in mg and
providing/teaching use of a calibrated syringe reduces
dosing errors — a key pediatric safety issue.
• A: Household spoons vary widely and are a common
source of dosing error.
• C: Frequency without amount or weight increases the risk
of under- or overdosing.
• D: Mixing without measuring can lead to inaccurate dosing
and is unsafe.
Teaching Point: Use weight-based dosing and teach use of
calibrated syringes for safety.
Citation: Garzon et al. (2023). Burns’ Pediatric Primary Care (8th
Ed.). Ch. 1 — Unique Issues in Pediatrics.