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 — Family-centered care and role of the pediatric nurse
Stem: A 3-year-old toddler with newly diagnosed asthma is
admitted for frequent wheeze. The parents want to stay with
their child and participate in care, but the unit policy limits
visitors. As the pediatric nurse, which action best reflects
family-centered care?
A. Explain the unit policy and ask the parents to limit visits to
,scheduled times.
B. Arrange for the parents to stay at bedside, involve them in
medication teaching, and negotiate visitation with the unit
manager.
C. Request the parents wait in the family room and bring them
in only for rounds.
D. Tell the parents that medical staff must make all treatment
decisions to ensure safety.
Correct answer: B
Rationale — Correct: Involving parents in bedside care and
education while negotiating policy demonstrates family-
centered practice, respects parent expertise, and promotes
safer transition to home. This prioritizes child well-being and
parental partnership, core pediatric nursing roles.
Rationale — A: Enforcing policy without negotiation disregards
family-centered principles and may increase parental anxiety.
Rationale — C: Restricting parental presence to rounds limits
involvement and can impede teaching and attachment.
Rationale — D: Excluding parents from decisions is paternalistic
and undermines family-centered care.
Teaching point: Prioritize parent partnership—collaborate and
negotiate unit policies for child safety.
Citation: Kyle, T., & Carman, S. (2023). Essentials of Pediatric
Nursing (5th ed.). Ch. 1.
2
,Reference: Ch. 1 — Measurement of Children’s Health Status —
Population health indicators
Stem: A community pediatric nurse is asked to explain why
hospital readmission rates for children with complex chronic
conditions are monitored. Which statement best explains the
purpose of that measurement?
A. Readmission rates show family satisfaction with hospital food
and amenities.
B. Readmission rates reflect quality of care, discharge planning
effectiveness, and access to follow-up.
C. Readmission rates only indicate disease severity and are not
influenced by nursing care.
D. Readmission rates measure only the availability of private
insurance in a community.
Correct answer: B
Rationale — Correct: Readmission rates are a population and
quality metric that reflect discharge teaching, care
coordination, and access to outpatient resources—all areas
nurses influence.
Rationale — A: Food/amenities do not drive readmissions—this
is not a valid interpretation.
Rationale — C: Nursing care and discharge planning
significantly influence readmission risk.
Rationale — D: Insurance is a factor but not the sole
determinant; readmissions are multifactorial.
Teaching point: Readmission rates signal care coordination and
quality of discharge planning.
, Citation: Kyle, T., & Carman, S. (2023). Essentials of Pediatric
Nursing (5th ed.). Ch. 1.
3
Reference: Ch. 1 — Ethical and Legal Issues — Informed
consent and assent
Stem: A 15-year-old adolescent requires a lumbar puncture for
suspected meningitis. The parents consent, but the adolescent
is anxious and asks that the procedure be postponed. What is
the nurse’s best next action?
A. Honor the adolescent’s wish and delay the procedure despite
clinical risk.
B. Explain the procedure again to the adolescent, assess
understanding, and facilitate assent while preparing for urgent
care.
C. Proceed without discussing further because parents gave
consent.
D. Tell the adolescent that their opinion doesn’t matter in
medical decisions.
Correct answer: B
Rationale — Correct: Adolescents should be given age-
appropriate information and their assent sought; if urgent, the
nurse clarifies benefits/risks, supports the youth emotionally,
and proceeds per parental consent and clinical urgency. This
balances legal consent with ethical respect for developing
autonomy.
NURSING
5TH EDITION
• AUTHOR(S)TERRI KYLE; SUSAN
CARMAN
TEST BANK
1
Reference: Ch. 1 — Introduction to Child Health and Pediatric
Nursing — Family-centered care and role of the pediatric nurse
Stem: A 3-year-old toddler with newly diagnosed asthma is
admitted for frequent wheeze. The parents want to stay with
their child and participate in care, but the unit policy limits
visitors. As the pediatric nurse, which action best reflects
family-centered care?
A. Explain the unit policy and ask the parents to limit visits to
,scheduled times.
B. Arrange for the parents to stay at bedside, involve them in
medication teaching, and negotiate visitation with the unit
manager.
C. Request the parents wait in the family room and bring them
in only for rounds.
D. Tell the parents that medical staff must make all treatment
decisions to ensure safety.
Correct answer: B
Rationale — Correct: Involving parents in bedside care and
education while negotiating policy demonstrates family-
centered practice, respects parent expertise, and promotes
safer transition to home. This prioritizes child well-being and
parental partnership, core pediatric nursing roles.
Rationale — A: Enforcing policy without negotiation disregards
family-centered principles and may increase parental anxiety.
Rationale — C: Restricting parental presence to rounds limits
involvement and can impede teaching and attachment.
Rationale — D: Excluding parents from decisions is paternalistic
and undermines family-centered care.
Teaching point: Prioritize parent partnership—collaborate and
negotiate unit policies for child safety.
Citation: Kyle, T., & Carman, S. (2023). Essentials of Pediatric
Nursing (5th ed.). Ch. 1.
2
,Reference: Ch. 1 — Measurement of Children’s Health Status —
Population health indicators
Stem: A community pediatric nurse is asked to explain why
hospital readmission rates for children with complex chronic
conditions are monitored. Which statement best explains the
purpose of that measurement?
A. Readmission rates show family satisfaction with hospital food
and amenities.
B. Readmission rates reflect quality of care, discharge planning
effectiveness, and access to follow-up.
C. Readmission rates only indicate disease severity and are not
influenced by nursing care.
D. Readmission rates measure only the availability of private
insurance in a community.
Correct answer: B
Rationale — Correct: Readmission rates are a population and
quality metric that reflect discharge teaching, care
coordination, and access to outpatient resources—all areas
nurses influence.
Rationale — A: Food/amenities do not drive readmissions—this
is not a valid interpretation.
Rationale — C: Nursing care and discharge planning
significantly influence readmission risk.
Rationale — D: Insurance is a factor but not the sole
determinant; readmissions are multifactorial.
Teaching point: Readmission rates signal care coordination and
quality of discharge planning.
, Citation: Kyle, T., & Carman, S. (2023). Essentials of Pediatric
Nursing (5th ed.). Ch. 1.
3
Reference: Ch. 1 — Ethical and Legal Issues — Informed
consent and assent
Stem: A 15-year-old adolescent requires a lumbar puncture for
suspected meningitis. The parents consent, but the adolescent
is anxious and asks that the procedure be postponed. What is
the nurse’s best next action?
A. Honor the adolescent’s wish and delay the procedure despite
clinical risk.
B. Explain the procedure again to the adolescent, assess
understanding, and facilitate assent while preparing for urgent
care.
C. Proceed without discussing further because parents gave
consent.
D. Tell the adolescent that their opinion doesn’t matter in
medical decisions.
Correct answer: B
Rationale — Correct: Adolescents should be given age-
appropriate information and their assent sought; if urgent, the
nurse clarifies benefits/risks, supports the youth emotionally,
and proceeds per parental consent and clinical urgency. This
balances legal consent with ethical respect for developing
autonomy.
