Burns' Pediatric Primary Care NP Mastery: Ultimate Test Bank (Ch. 15-21) – From Palliative Care to Genitourinary Expertise

Burns' Pediatric Primary Care NP Mastery: Ultimate Test
Bank (Ch. 15-21) – From Palliative Care to Genitourinary
Expertise




Burns’ Pediatric Primary Care, 8th Edition
Authored by Dawn Lee Garzon, Mary Dirks, Martha
Driessnack, Karen G. Duderstadt, and Nan M. Gaylord
ISBN: 9780323882316
Chapters 15-21with:
1. 15-20 multiple-choice questions (with 4 answer options each)
2. 3-5 case-based scenario questions with multiple parts
3. 2-3 short answer questions
4. 1-2 critical thinking application questions




Chapter 15: Pediatric Palliative Care Test Bank
15.1
Question: Which of the following best describes the primary
goal of pediatric palliative care?
A. To cure the underlying illness
B. To provide comfort and improve quality of life

,C. To aggressively extend life at all costs
D. To minimize family involvement in care decisions
Correct Answer: B
Rationale: Pediatric palliative care emphasizes relief from
symptoms, enhancing comfort, and improving quality of life for
both the child and family.
 A: Incorrect because cure is not the focus of palliative care.
 C: Incorrect as aggressive interventions may not align with
comfort-focused care.
 D: Incorrect because family involvement is a cornerstone
of pediatric palliative care.
Tags: Palliative Care; Quality of Life; Family-Centered
Care
Difficulty: Basic
Reference: Page 345


15.2
Question: Which of the following interventions is most
appropriate for managing breakthrough pain in a pediatric
palliative care patient?
A. Scheduled long-acting opioid administration only
B. Immediate-release opioids as needed
C. Non-pharmacologic interventions only
D. Delay treatment until pain is severe
Correct Answer: B
Rationale: Immediate-release opioids are typically used to

,manage breakthrough pain, complementing long-acting
regimens.
 A: Incorrect because scheduled dosing alone may not
address sudden pain spikes.
 C: Incorrect since non-pharmacologic interventions are
supportive but not sufficient alone for breakthrough pain.
 D: Incorrect because delaying treatment can result in
unnecessary suffering.
Tags: Pain Management; Pharmacology; Symptom Control
Difficulty: Intermediate
Reference: Page 348


15.3
Question: In pediatric palliative care, which approach is most
effective in ensuring care aligns with family values and cultural
beliefs?
A. A one-size-fits-all protocol
B. Interdisciplinary team meetings with family inclusion
C. Sole reliance on the physician’s expertise
D. Immediate initiation of aggressive treatment
Correct Answer: B
Rationale: Interdisciplinary team meetings that actively involve
family members help tailor care to cultural values and beliefs.
 A: Incorrect because individualization is key in palliative
care.

,  C: Incorrect since collaborative decision-making is
preferred.
 D: Incorrect because aggressive treatment may conflict
with family goals of comfort and quality of life.
Tags: Cultural Considerations; Family-Centered Care;
Interdisciplinary Practice
Difficulty: Intermediate
Reference: Page 350


15.4
Question: What is the most critical component of an effective
pediatric palliative care plan?
A. A focus solely on symptom management
B. A strict adherence to standardized protocols without
modification
C. Comprehensive assessment including physical, emotional,
and psychosocial needs
D. Minimizing communication with the family to reduce distress
Correct Answer: C
Rationale: An effective plan must address the full spectrum of
the child’s needs—physical, emotional, psychosocial, and
spiritual—through a comprehensive assessment.
 A: Incorrect because symptom management is important
but not the only focus.
 B: Incorrect because flexibility is needed to meet individual
patient and family needs.