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 3-year-old child presents for a well-child visit. The nurse
practitioner (NP) plans immunizations, developmental
screening, and anticipatory guidance. Which action best
exemplifies primary prevention in this visit?
Options
A. Screening for developmental delay using a validated tool.
B. Administering recommended vaccinations per schedule.
C. Referring the family to early intervention after abnormal
,screen.
D. Teaching parenting techniques after identification of
behavior concerns.
Correct Answer
B
Rationales
• Correct (B): Administering vaccines prevents disease
occurrence before exposure, which is the core of primary
prevention as described in pediatric primary care.
• Incorrect (A): Developmental screening is secondary
prevention—early identification rather than preventing the
condition.
• Incorrect (C): Referral after an abnormal screen is tertiary
or secondary care (intervention/management), not
primary prevention.
• Incorrect (D): Teaching parenting after problems arise is
secondary/tertiary—aimed at managing or mitigating
identified issues, not primary prevention.
Teaching Point
Primary prevention prevents onset (e.g., immunizations, safety
counseling).
Citation
Garzon et al. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
,2)
Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
Question Stem
A 14-year-old with type 1 diabetes wants to switch from a
pediatric primary care clinician to an adult primary care clinic.
As the pediatric NP, which action best supports an effective
transition to adult care?
Options
A. Discharge the patient once they turn 18 with no follow-up
plan.
B. Provide a single-page summary of medical history and insulin
regimen on request.
C. Begin transition planning at age 14, include self-management
goals and transfer timeline.
D. Refer the patient to adult care at age 16 regardless of
readiness.
Correct Answer
C
Rationales
• Correct (C): Early, structured transition planning with goal
setting and timeline aligns with best practices for
transitioning adolescents to adult care.
, • Incorrect (A): Abrupt discharge without planning
undermines continuity and is unsafe.
• Incorrect (B): A one-time summary is helpful but
insufficient; comprehensive, staged planning is required.
• Incorrect (D): Age alone doesn’t determine readiness—
transition should be individualized, not automatic at 16.
Teaching Point
Start transition planning early and individualize based on
readiness and self-management skills.
Citation
Garzon et al. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
3)
Reference
Ch. 1 — Pediatric Primary Care — Unique Issues in Pediatrics
Question Stem
A 6-month-old infant arrives with recurrent bronchiolitis. The
parents ask how exposures at home might affect long-term
health. Which response best reflects the pediatric primary care
emphasis on unique pediatric issues?
Options
A. “Only genetics determine long-term respiratory health, not
the home environment.”
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 3-year-old child presents for a well-child visit. The nurse
practitioner (NP) plans immunizations, developmental
screening, and anticipatory guidance. Which action best
exemplifies primary prevention in this visit?
Options
A. Screening for developmental delay using a validated tool.
B. Administering recommended vaccinations per schedule.
C. Referring the family to early intervention after abnormal
,screen.
D. Teaching parenting techniques after identification of
behavior concerns.
Correct Answer
B
Rationales
• Correct (B): Administering vaccines prevents disease
occurrence before exposure, which is the core of primary
prevention as described in pediatric primary care.
• Incorrect (A): Developmental screening is secondary
prevention—early identification rather than preventing the
condition.
• Incorrect (C): Referral after an abnormal screen is tertiary
or secondary care (intervention/management), not
primary prevention.
• Incorrect (D): Teaching parenting after problems arise is
secondary/tertiary—aimed at managing or mitigating
identified issues, not primary prevention.
Teaching Point
Primary prevention prevents onset (e.g., immunizations, safety
counseling).
Citation
Garzon et al. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
,2)
Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
Question Stem
A 14-year-old with type 1 diabetes wants to switch from a
pediatric primary care clinician to an adult primary care clinic.
As the pediatric NP, which action best supports an effective
transition to adult care?
Options
A. Discharge the patient once they turn 18 with no follow-up
plan.
B. Provide a single-page summary of medical history and insulin
regimen on request.
C. Begin transition planning at age 14, include self-management
goals and transfer timeline.
D. Refer the patient to adult care at age 16 regardless of
readiness.
Correct Answer
C
Rationales
• Correct (C): Early, structured transition planning with goal
setting and timeline aligns with best practices for
transitioning adolescents to adult care.
, • Incorrect (A): Abrupt discharge without planning
undermines continuity and is unsafe.
• Incorrect (B): A one-time summary is helpful but
insufficient; comprehensive, staged planning is required.
• Incorrect (D): Age alone doesn’t determine readiness—
transition should be individualized, not automatic at 16.
Teaching Point
Start transition planning early and individualize based on
readiness and self-management skills.
Citation
Garzon et al. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
3)
Reference
Ch. 1 — Pediatric Primary Care — Unique Issues in Pediatrics
Question Stem
A 6-month-old infant arrives with recurrent bronchiolitis. The
parents ask how exposures at home might affect long-term
health. Which response best reflects the pediatric primary care
emphasis on unique pediatric issues?
Options
A. “Only genetics determine long-term respiratory health, not
the home environment.”
