Emerging Innovations in Pediatric Primary Care: A
Comprehensive Test Bank
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 29-35 with:
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 29: Pediatric Palliative Care
A. Multiple-Choice Questions
1. Question 1:
A 10-year-old patient with a life-limiting illness is
experiencing uncontrolled pain. Which intervention is most
appropriate for immediate relief?
o A. Increase the non-opioid analgesic dosage
o B. Administer a rapid-onset opioid medication
(Correct Answer)
o C. Recommend cognitive-behavioral therapy only
o D. Schedule the next routine pain assessment
,Rationale: Rapid-onset opioids are indicated for breakthrough
pain in pediatric palliative care when non-opioid measures are
insufficient. Option A does not address breakthrough pain,
option C is supportive but not immediate, and option D delays
necessary treatment.
Tags: Pediatric pain management; pharmacology; palliative care
Difficulty: Intermediate
Reference: p. 732–734
2. Question 2:
Which of the following is the most critical component in
developing a pediatric palliative care plan?
o A. Focusing solely on symptom relief
o B. Coordinating interdisciplinary care (Correct
Answer)
o C. Prioritizing curative treatments
o D. Relying exclusively on family input
Rationale: Interdisciplinary care ensures that all aspects
(physical, psychosocial, spiritual) are addressed, making it a
cornerstone of pediatric palliative care. The other options
represent incomplete approaches.
Tags: Interdisciplinary care; holistic management; care planning
Difficulty: Basic
Reference: p. 735–737
3. Question 3:
In pediatric palliative care, the family’s role is best
described as:
, o A. Passive observers in the treatment process
o B. Sole decision-makers without professional input
o C. Collaborative partners in care (Correct Answer)
o D. Responsible only for home care
Rationale: Families are essential partners and should be
involved in every decision-making process. Options A, B, and D
misrepresent the collaborative model endorsed in current
practice guidelines.
Tags: Family-centered care; shared decision-making; ethics
Difficulty: Basic
Reference: p. 738–739
4. Question 4:
Which ethical principle is most challenged when balancing
pain relief and sedation in pediatric patients?
o A. Autonomy
o B. Justice
o C. Beneficence (Correct Answer)
o D. Nonmaleficence
Rationale: Beneficence, or acting in the patient’s best interest,
is key when ensuring that pain relief does not lead to excessive
sedation that might diminish quality of life.
Tags: Ethics; beneficence; pediatric sedation
Difficulty: Intermediate
Reference: p. 740–741
, 5. Question 5:
A nurse practitioner observes cultural differences impacting
palliative care decisions. Which is the best approach?
o A. Apply a standardized care protocol to all families
o B. Educate the family on the dominant cultural
perspective
o C. Adapt care plans to respect the family’s cultural
beliefs (Correct Answer)
o D. Delegate cultural concerns to a social worker only
Rationale: Culturally sensitive care requires adapting plans to
respect individual family values, rather than imposing uniform
protocols or solely transferring responsibility.
Tags: Cultural competence; individualized care; ethics
Difficulty: Advanced
Reference: p. 742–744
6. Question 6:
What is a key indicator for initiating palliative care services
in pediatric patients?
o A. A new diagnosis of a non-life-threatening condition
o B. Frequent hospital readmissions related to disease
complications (Correct Answer)
o C. A single episode of mild discomfort
o D. Stable vital signs during follow-up
Rationale: Frequent hospitalizations signal disease progression
and complications that benefit from a palliative approach. The
Comprehensive Test Bank
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 29-35 with:
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 29: Pediatric Palliative Care
A. Multiple-Choice Questions
1. Question 1:
A 10-year-old patient with a life-limiting illness is
experiencing uncontrolled pain. Which intervention is most
appropriate for immediate relief?
o A. Increase the non-opioid analgesic dosage
o B. Administer a rapid-onset opioid medication
(Correct Answer)
o C. Recommend cognitive-behavioral therapy only
o D. Schedule the next routine pain assessment
,Rationale: Rapid-onset opioids are indicated for breakthrough
pain in pediatric palliative care when non-opioid measures are
insufficient. Option A does not address breakthrough pain,
option C is supportive but not immediate, and option D delays
necessary treatment.
Tags: Pediatric pain management; pharmacology; palliative care
Difficulty: Intermediate
Reference: p. 732–734
2. Question 2:
Which of the following is the most critical component in
developing a pediatric palliative care plan?
o A. Focusing solely on symptom relief
o B. Coordinating interdisciplinary care (Correct
Answer)
o C. Prioritizing curative treatments
o D. Relying exclusively on family input
Rationale: Interdisciplinary care ensures that all aspects
(physical, psychosocial, spiritual) are addressed, making it a
cornerstone of pediatric palliative care. The other options
represent incomplete approaches.
Tags: Interdisciplinary care; holistic management; care planning
Difficulty: Basic
Reference: p. 735–737
3. Question 3:
In pediatric palliative care, the family’s role is best
described as:
, o A. Passive observers in the treatment process
o B. Sole decision-makers without professional input
o C. Collaborative partners in care (Correct Answer)
o D. Responsible only for home care
Rationale: Families are essential partners and should be
involved in every decision-making process. Options A, B, and D
misrepresent the collaborative model endorsed in current
practice guidelines.
Tags: Family-centered care; shared decision-making; ethics
Difficulty: Basic
Reference: p. 738–739
4. Question 4:
Which ethical principle is most challenged when balancing
pain relief and sedation in pediatric patients?
o A. Autonomy
o B. Justice
o C. Beneficence (Correct Answer)
o D. Nonmaleficence
Rationale: Beneficence, or acting in the patient’s best interest,
is key when ensuring that pain relief does not lead to excessive
sedation that might diminish quality of life.
Tags: Ethics; beneficence; pediatric sedation
Difficulty: Intermediate
Reference: p. 740–741
, 5. Question 5:
A nurse practitioner observes cultural differences impacting
palliative care decisions. Which is the best approach?
o A. Apply a standardized care protocol to all families
o B. Educate the family on the dominant cultural
perspective
o C. Adapt care plans to respect the family’s cultural
beliefs (Correct Answer)
o D. Delegate cultural concerns to a social worker only
Rationale: Culturally sensitive care requires adapting plans to
respect individual family values, rather than imposing uniform
protocols or solely transferring responsibility.
Tags: Cultural competence; individualized care; ethics
Difficulty: Advanced
Reference: p. 742–744
6. Question 6:
What is a key indicator for initiating palliative care services
in pediatric patients?
o A. A new diagnosis of a non-life-threatening condition
o B. Frequent hospital readmissions related to disease
complications (Correct Answer)
o C. A single episode of mild discomfort
o D. Stable vital signs during follow-up
Rationale: Frequent hospitalizations signal disease progression
and complications that benefit from a palliative approach. The
