Essentials of Pediatric Nursing
5th Edition
Terri Kyle & Susan Carman
Original Textbook-Aligned Companion Test Bank
Clinical Scenarios • Nursing Judgment • Answer After Every Item • Detailed Rationales
Content
Topic / chapter area
Chapter 9: Health Supervision
Chapter 13: Key Pediatric Nursing Interventions
Chapter 3: Growth and Development of the Newborn and Infant
Chapter 4: Growth and Development of the Toddler
Chapter 5: Growth and Development of the Preschooler
Chapter 6: Growth and Development of the School-Age Child
Chapter 7: Growth and Development of the Adolescent
Chapter 8: Atraumatic Care of Children and Families
Chapter 14: Pain Assessment and Management
Chapter 13: Key Pediatric Nursing Interventions
Chapter 15: Nursing Care of the Child with an Infection
Chapter 18: Respiratory Disorder
Chapter 18: Respiratory Disorder
Chapter 18: Respiratory Disorder
Chapter 18: Respiratory Disorder
,Chapter 18: Respiratory Disorder
Chapter 19: Cardiovascular Disorder
Chapter 19: Cardiovascular Disorder
Chapter 19: Cardiovascular Disorder
Chapter 19: Cardiovascular Disorder
Chapter 20: Gastrointestinal Disorder
Chapter 20: Gastrointestinal Disorder
Chapter 20: Gastrointestinal Disorder
Chapter 20: Gastrointestinal Disorder
Chapter 20: Gastrointestinal Disorder
Chapter 20: Gastrointestinal Disorder
Chapter 21: Genitourinary Disorder
Chapter 21: Genitourinary Disorder
Chapter 21: Genitourinary Disorder
Chapter 26: Endocrine Disorder
Chapter 26: Endocrine Disorder
Chapter 9: Health Supervision
Chapter 16: Neurologic Disorder
Chapter 16: Neurologic Disorder
Chapter 16: Neurologic Disorder
Chapter 16: Neurologic Disorder
,Chapter 22: Neuromuscular or Musculoskeletal Disorder
Chapter 22: Neuromuscular or Musculoskeletal Disorder
Chapter 22: Neuromuscular or Musculoskeletal Disorder
Chapter 22: Neuromuscular or Musculoskeletal Disorder
Chapter 23: Integumentary Disorder
Chapter 23: Integumentary Disorder
Chapter 23: Integumentary Disorder
Chapter 24: Hematologic or Neoplastic Disorder
Chapter 24: Hematologic or Neoplastic Disorder
Chapter 24: Hematologic or Neoplastic Disorder
Chapter 24: Hematologic or Neoplastic Disorder
Chapter 25: Immunologic Disorder
Chapter 28: Behavior, Cognition, or Development
Chapter 28: Behavior, Cognition, or Development
Question 1
Chapter 9: Health Supervision
The nurse is updating the surveillance plan for an infant being prepared for sleep. Which
monitoring action is most appropriate for Infant Safe Sleep? The nurse has just assumed
responsibility for the patient and is validating the current plan.
A. Teach caregivers to use a separate approved sleep surface in the caregiver’s room
B. Place the infant supine on a firm, flat sleep surface with no loose bedding
C. Monitor caregivers’ return demonstration of safe sleep positioning
D. Place the infant prone after feeding to reduce aspiration
Answer: C. Monitor caregivers’ return demonstration of safe sleep positioning
, Rationale: Monitor caregivers’ return demonstration of safe sleep positioning is the most useful
monitoring plan because Supine sleep on a firm, uncluttered surface lowers sleep-related risk;
prone positioning is not recommended for routine sleep. The priority action is appropriate for
acute deterioration and the teaching action supports self-management, but neither replaces serial
assessment. Place the infant prone after feeding to reduce aspiration is not a safe surveillance
strategy. This prioritization keeps the nurse focused on the most relevant risk in newborn/infant
care rather than selecting an action simply because it is generally helpful. In this Infant Safe
Sleep case, the contextual cue is that the nurse has just assumed responsibility for the patient and
is validating the current plan.
Question 2
Chapter 9: Health Supervision
At change of shift, the nurse receives report about an infant being prepared for sleep.
Given the patient/caregiver is asking what to do next, which nursing action has the highest
priority? The patient was reassessed after a change in symptoms, and the nurse is
comparing the findings with baseline.
A. Place the infant supine on a firm, flat sleep surface with no loose bedding
B. Place the infant prone after feeding to reduce aspiration
C. Monitor caregivers’ return demonstration of safe sleep positioning
D. Teach caregivers to use a separate approved sleep surface in the caregiver’s room
Answer: A. Place the infant supine on a firm, flat sleep surface with no loose bedding
Rationale: The best first step is Place the infant supine on a firm, flat sleep surface with no loose
bedding. The defining safety principle is that Supine sleep on a firm, uncluttered surface lowers
sleep-related risk; prone positioning is not recommended for routine sleep. The other appropriate
actions belong later in the sequence, whereas Place the infant prone after feeding to reduce
aspiration conflicts with safe management. The scenario therefore tests clinical judgment about
timing and safety, not simple recall of a definition. In this Infant Safe Sleep case, the contextual
cue is that the patient was reassessed after a change in symptoms, and the nurse is comparing the
findings with baseline.
Question 3
Chapter 9: Health Supervision
5th Edition
Terri Kyle & Susan Carman
Original Textbook-Aligned Companion Test Bank
Clinical Scenarios • Nursing Judgment • Answer After Every Item • Detailed Rationales
Content
Topic / chapter area
Chapter 9: Health Supervision
Chapter 13: Key Pediatric Nursing Interventions
Chapter 3: Growth and Development of the Newborn and Infant
Chapter 4: Growth and Development of the Toddler
Chapter 5: Growth and Development of the Preschooler
Chapter 6: Growth and Development of the School-Age Child
Chapter 7: Growth and Development of the Adolescent
Chapter 8: Atraumatic Care of Children and Families
Chapter 14: Pain Assessment and Management
Chapter 13: Key Pediatric Nursing Interventions
Chapter 15: Nursing Care of the Child with an Infection
Chapter 18: Respiratory Disorder
Chapter 18: Respiratory Disorder
Chapter 18: Respiratory Disorder
Chapter 18: Respiratory Disorder
,Chapter 18: Respiratory Disorder
Chapter 19: Cardiovascular Disorder
Chapter 19: Cardiovascular Disorder
Chapter 19: Cardiovascular Disorder
Chapter 19: Cardiovascular Disorder
Chapter 20: Gastrointestinal Disorder
Chapter 20: Gastrointestinal Disorder
Chapter 20: Gastrointestinal Disorder
Chapter 20: Gastrointestinal Disorder
Chapter 20: Gastrointestinal Disorder
Chapter 20: Gastrointestinal Disorder
Chapter 21: Genitourinary Disorder
Chapter 21: Genitourinary Disorder
Chapter 21: Genitourinary Disorder
Chapter 26: Endocrine Disorder
Chapter 26: Endocrine Disorder
Chapter 9: Health Supervision
Chapter 16: Neurologic Disorder
Chapter 16: Neurologic Disorder
Chapter 16: Neurologic Disorder
Chapter 16: Neurologic Disorder
,Chapter 22: Neuromuscular or Musculoskeletal Disorder
Chapter 22: Neuromuscular or Musculoskeletal Disorder
Chapter 22: Neuromuscular or Musculoskeletal Disorder
Chapter 22: Neuromuscular or Musculoskeletal Disorder
Chapter 23: Integumentary Disorder
Chapter 23: Integumentary Disorder
Chapter 23: Integumentary Disorder
Chapter 24: Hematologic or Neoplastic Disorder
Chapter 24: Hematologic or Neoplastic Disorder
Chapter 24: Hematologic or Neoplastic Disorder
Chapter 24: Hematologic or Neoplastic Disorder
Chapter 25: Immunologic Disorder
Chapter 28: Behavior, Cognition, or Development
Chapter 28: Behavior, Cognition, or Development
Question 1
Chapter 9: Health Supervision
The nurse is updating the surveillance plan for an infant being prepared for sleep. Which
monitoring action is most appropriate for Infant Safe Sleep? The nurse has just assumed
responsibility for the patient and is validating the current plan.
A. Teach caregivers to use a separate approved sleep surface in the caregiver’s room
B. Place the infant supine on a firm, flat sleep surface with no loose bedding
C. Monitor caregivers’ return demonstration of safe sleep positioning
D. Place the infant prone after feeding to reduce aspiration
Answer: C. Monitor caregivers’ return demonstration of safe sleep positioning
, Rationale: Monitor caregivers’ return demonstration of safe sleep positioning is the most useful
monitoring plan because Supine sleep on a firm, uncluttered surface lowers sleep-related risk;
prone positioning is not recommended for routine sleep. The priority action is appropriate for
acute deterioration and the teaching action supports self-management, but neither replaces serial
assessment. Place the infant prone after feeding to reduce aspiration is not a safe surveillance
strategy. This prioritization keeps the nurse focused on the most relevant risk in newborn/infant
care rather than selecting an action simply because it is generally helpful. In this Infant Safe
Sleep case, the contextual cue is that the nurse has just assumed responsibility for the patient and
is validating the current plan.
Question 2
Chapter 9: Health Supervision
At change of shift, the nurse receives report about an infant being prepared for sleep.
Given the patient/caregiver is asking what to do next, which nursing action has the highest
priority? The patient was reassessed after a change in symptoms, and the nurse is
comparing the findings with baseline.
A. Place the infant supine on a firm, flat sleep surface with no loose bedding
B. Place the infant prone after feeding to reduce aspiration
C. Monitor caregivers’ return demonstration of safe sleep positioning
D. Teach caregivers to use a separate approved sleep surface in the caregiver’s room
Answer: A. Place the infant supine on a firm, flat sleep surface with no loose bedding
Rationale: The best first step is Place the infant supine on a firm, flat sleep surface with no loose
bedding. The defining safety principle is that Supine sleep on a firm, uncluttered surface lowers
sleep-related risk; prone positioning is not recommended for routine sleep. The other appropriate
actions belong later in the sequence, whereas Place the infant prone after feeding to reduce
aspiration conflicts with safe management. The scenario therefore tests clinical judgment about
timing and safety, not simple recall of a definition. In this Infant Safe Sleep case, the contextual
cue is that the patient was reassessed after a change in symptoms, and the nurse is comparing the
findings with baseline.
Question 3
Chapter 9: Health Supervision
