ESSENTIALS OF PEDIATRIC
NURSING
5TH EDITION
• AUTHOR(S)TERRI KYLE; SUSAN
CARMAN
TEST BANK
1
Reference: Ch. 1 — Introduction to Child Health and Pediatric
Nursing — Child Health / Measurement of Children’s Health
Status
Stem: A 6-year-old in early school age is admitted after an
asthma exacerbation. The parent asks how the nurse will
measure the child’s health progress during the hospital stay and
after discharge. Which nursing response best reflects
,appropriate measurement of a child’s health status?
A. “We’ll track only your child’s peak flow readings to measure
improvement.”
B. “We’ll use growth percentiles, symptom frequency, activity
tolerance, and school attendance trends.”
C. “We’ll rely on your child’s self-report of symptoms since
children are accurate reporters.”
D. “We’ll measure oxygen saturations and ignore other
functional indicators.”
Correct Answer: B
Rationale — Correct: Tracking growth percentiles, symptom
frequency, activity tolerance, and school attendance integrates
physiologic, functional, and social indicators of child health and
aligns with comprehensive pediatric measurement. It reflects
family-centered outcomes and longitudinal health surveillance.
Rationale — A: Overemphasis on peak flow alone is
reductionist and misses developmental and psychosocial
outcomes.
Rationale — C: Younger school-age children may provide useful
information, but self-report alone is insufficient and must be
combined with objective and family-reported data.
Rationale — D: Oxygen saturation is important acutely but
ignoring broader functional indicators neglects recovery and
quality-of-life measures.
Teaching Point: Measure child health using physiologic,
developmental, and functional indicators.
,Citation: Kyle, T., & Carman, S. (2023). Essentials of Pediatric
Nursing (5th ed.). Ch. 1.
2
Reference: Ch. 1 — Introduction to Child Health and Pediatric
Nursing — The History of Child Health and Child Health Care
Stem: A student nurse prepares a presentation on how
historical changes shaped pediatric nursing roles. Which point
should the student emphasize to explain the evolution of
pediatric nursing practice?
A. Pediatric nursing roles have always been identical to adult
nursing roles.
B. Advances in public health and federal legislation led to
expanded community and preventive roles for pediatric nurses.
C. Pediatric nursing evolved only after the 21st century with
modern technology.
D. History is irrelevant to current pediatric practice.
Correct Answer: B
Rationale — Correct: Public health developments and
legislation (e.g., immunization programs, maternal-child health
laws) expanded preventive, community, and advocacy roles for
pediatric nurses; historical context explains role diversification.
Rationale — A: Pediatric roles differ from adult nursing
historically and clinically, so equating them is inaccurate.
Rationale — C: Pediatric nursing evolved across centuries, not
only since 2000; ignoring earlier developments is incorrect.
, Rationale — D: Historical understanding informs current
practice and policy advocacy; it is relevant.
Teaching Point: Historical public health initiatives shaped
modern pediatric nursing roles.
Citation: Kyle, T., & Carman, S. (2023). Essentials of Pediatric
Nursing (5th ed.). Ch. 1.
3
Reference: Ch. 1 — Introduction to Child Health and Pediatric
Nursing — Federal Legislation Affecting Child Health
Stem: During discharge teaching, a nurse explains state early
intervention services to the parent of a 14-month-old with
delays. Which statement best reflects the nurse’s understanding
of federal legislation affecting child health?
A. “Only private clinics provide early intervention; the state has
no role.”
B. “Federal legislation supports early identification and services
for children with developmental delays, often coordinated
through state programs.”
C. “Early intervention is unnecessary before age 3, so we will
wait.”
D. “Federal laws prohibit sharing developmental information
with community agencies.”
Correct Answer: B
Rationale — Correct: Federal legislation (e.g., IDEA Part C)
mandates early identification and provision of services for
NURSING
5TH EDITION
• AUTHOR(S)TERRI KYLE; SUSAN
CARMAN
TEST BANK
1
Reference: Ch. 1 — Introduction to Child Health and Pediatric
Nursing — Child Health / Measurement of Children’s Health
Status
Stem: A 6-year-old in early school age is admitted after an
asthma exacerbation. The parent asks how the nurse will
measure the child’s health progress during the hospital stay and
after discharge. Which nursing response best reflects
,appropriate measurement of a child’s health status?
A. “We’ll track only your child’s peak flow readings to measure
improvement.”
B. “We’ll use growth percentiles, symptom frequency, activity
tolerance, and school attendance trends.”
C. “We’ll rely on your child’s self-report of symptoms since
children are accurate reporters.”
D. “We’ll measure oxygen saturations and ignore other
functional indicators.”
Correct Answer: B
Rationale — Correct: Tracking growth percentiles, symptom
frequency, activity tolerance, and school attendance integrates
physiologic, functional, and social indicators of child health and
aligns with comprehensive pediatric measurement. It reflects
family-centered outcomes and longitudinal health surveillance.
Rationale — A: Overemphasis on peak flow alone is
reductionist and misses developmental and psychosocial
outcomes.
Rationale — C: Younger school-age children may provide useful
information, but self-report alone is insufficient and must be
combined with objective and family-reported data.
Rationale — D: Oxygen saturation is important acutely but
ignoring broader functional indicators neglects recovery and
quality-of-life measures.
Teaching Point: Measure child health using physiologic,
developmental, and functional indicators.
,Citation: Kyle, T., & Carman, S. (2023). Essentials of Pediatric
Nursing (5th ed.). Ch. 1.
2
Reference: Ch. 1 — Introduction to Child Health and Pediatric
Nursing — The History of Child Health and Child Health Care
Stem: A student nurse prepares a presentation on how
historical changes shaped pediatric nursing roles. Which point
should the student emphasize to explain the evolution of
pediatric nursing practice?
A. Pediatric nursing roles have always been identical to adult
nursing roles.
B. Advances in public health and federal legislation led to
expanded community and preventive roles for pediatric nurses.
C. Pediatric nursing evolved only after the 21st century with
modern technology.
D. History is irrelevant to current pediatric practice.
Correct Answer: B
Rationale — Correct: Public health developments and
legislation (e.g., immunization programs, maternal-child health
laws) expanded preventive, community, and advocacy roles for
pediatric nurses; historical context explains role diversification.
Rationale — A: Pediatric roles differ from adult nursing
historically and clinically, so equating them is inaccurate.
Rationale — C: Pediatric nursing evolved across centuries, not
only since 2000; ignoring earlier developments is incorrect.
, Rationale — D: Historical understanding informs current
practice and policy advocacy; it is relevant.
Teaching Point: Historical public health initiatives shaped
modern pediatric nursing roles.
Citation: Kyle, T., & Carman, S. (2023). Essentials of Pediatric
Nursing (5th ed.). Ch. 1.
3
Reference: Ch. 1 — Introduction to Child Health and Pediatric
Nursing — Federal Legislation Affecting Child Health
Stem: During discharge teaching, a nurse explains state early
intervention services to the parent of a 14-month-old with
delays. Which statement best reflects the nurse’s understanding
of federal legislation affecting child health?
A. “Only private clinics provide early intervention; the state has
no role.”
B. “Federal legislation supports early identification and services
for children with developmental delays, often coordinated
through state programs.”
C. “Early intervention is unnecessary before age 3, so we will
wait.”
D. “Federal laws prohibit sharing developmental information
with community agencies.”
Correct Answer: B
Rationale — Correct: Federal legislation (e.g., IDEA Part C)
mandates early identification and provision of services for
