ESSENTIALS OF PEDIATRIC NURSING 5TH
EDITION KYLE CARMAN TEST BANK
NCLEX QUESTIONS WITH RATIONALES
This comprehensive premium test bank for the 5th edition of
Essentials of Pediatric Nursing features NCLEX-style multiple-
choice questions with verified answers and detailed rationales.
Expertly covering complete textbook chapters, it focuses on high-
yield clinical judgment scenarios, growth milestones, and pediatric
pathophysiology. It is an invaluable study aid designed to help
nursing students ace their classroom exams and confidently
master core pediatric concepts for licensing preparation.
Unit 1: Foundations of Pediatric Nursing
(Questions 1–10)
1. A nurse is reviewing pediatric mortality data.
Which age group should the nurse identify as
having the highest rate of injury-related
mortality?
o A. Infants under 1 year
o B. Toddlers aged 1 to 3 years
o C. Children aged 5 to 9 years
o D. Adolescents aged 15 to 19 years
o Correct Answer: D. Adolescents aged 15 to
19 years
, o Rationale: Motor vehicle accidents,
homicide, and suicide are the leading
causes of death in adolescents, giving
them the highest injury-related mortality
rate.
2. Which statement by a new pediatric nurse
indicates a correct understanding of family-
centered care?
o A. "I should make all clinical decisions and
inform the family later."
o B. "The family is the constant in the child's
life and an essential care partner."
o C. "Parents should leave the room during
painful procedures to reduce anxiety."
o D. "Rooming-in should be discouraged to
ensure parents get adequate rest."
o Correct Answer: B. "The family is the
constant in the child's life and an essential
care partner."
o Rationale: Family-centered care
recognizes the family as the primary
source of strength and support for the
, child, requiring collaboration in all
aspects of care.
3. A nurse is preparing to perform a physical
assessment on a 2-year-old child. Which action
should the nurse perform first?
o A. Examine the child’s ears and throat with
an otoscope.
o B. Auscultate the child's heart and lungs
while the child is quiet.
o C. Measure the child's blood pressure using
a pediatric cuff.
o D. Palpate the abdomen for masses or
tenderness.
o Correct Answer: B. Auscultate the child's
heart and lungs while the child is quiet.
o Rationale: In toddlers, invasive or
distressing procedures like otoscopic
exams should be done last. Auscultation
should be done first while the child is
calm and cooperative.
4. A nurse is assessing an 8-month-old infant.
Which primitive reflex would the nurse consider
an abnormal finding if still present?
, o A. Babinski reflex
o B. Moro reflex
o C. Plantar grasp reflex
o D. Parachute reflex
o Correct Answer: B. Moro reflex
o Rationale: The Moro (startle) reflex
normally disappears by 4 to 6 months of
age. Its persistence at 8 months indicates
potential neurological dysfunction.
5. When obtaining a health history from the parent
of a preschool child, which communication
technique is most effective?
o A. Ask structured, closed-ended questions
to save time.
o B. Use professional medical jargon to
establish authority.
o C. Use open-ended questions to allow
parents to describe behaviors fully.
o D. Direct all complex clinical questions to the
child instead of the parent.
EDITION KYLE CARMAN TEST BANK
NCLEX QUESTIONS WITH RATIONALES
This comprehensive premium test bank for the 5th edition of
Essentials of Pediatric Nursing features NCLEX-style multiple-
choice questions with verified answers and detailed rationales.
Expertly covering complete textbook chapters, it focuses on high-
yield clinical judgment scenarios, growth milestones, and pediatric
pathophysiology. It is an invaluable study aid designed to help
nursing students ace their classroom exams and confidently
master core pediatric concepts for licensing preparation.
Unit 1: Foundations of Pediatric Nursing
(Questions 1–10)
1. A nurse is reviewing pediatric mortality data.
Which age group should the nurse identify as
having the highest rate of injury-related
mortality?
o A. Infants under 1 year
o B. Toddlers aged 1 to 3 years
o C. Children aged 5 to 9 years
o D. Adolescents aged 15 to 19 years
o Correct Answer: D. Adolescents aged 15 to
19 years
, o Rationale: Motor vehicle accidents,
homicide, and suicide are the leading
causes of death in adolescents, giving
them the highest injury-related mortality
rate.
2. Which statement by a new pediatric nurse
indicates a correct understanding of family-
centered care?
o A. "I should make all clinical decisions and
inform the family later."
o B. "The family is the constant in the child's
life and an essential care partner."
o C. "Parents should leave the room during
painful procedures to reduce anxiety."
o D. "Rooming-in should be discouraged to
ensure parents get adequate rest."
o Correct Answer: B. "The family is the
constant in the child's life and an essential
care partner."
o Rationale: Family-centered care
recognizes the family as the primary
source of strength and support for the
, child, requiring collaboration in all
aspects of care.
3. A nurse is preparing to perform a physical
assessment on a 2-year-old child. Which action
should the nurse perform first?
o A. Examine the child’s ears and throat with
an otoscope.
o B. Auscultate the child's heart and lungs
while the child is quiet.
o C. Measure the child's blood pressure using
a pediatric cuff.
o D. Palpate the abdomen for masses or
tenderness.
o Correct Answer: B. Auscultate the child's
heart and lungs while the child is quiet.
o Rationale: In toddlers, invasive or
distressing procedures like otoscopic
exams should be done last. Auscultation
should be done first while the child is
calm and cooperative.
4. A nurse is assessing an 8-month-old infant.
Which primitive reflex would the nurse consider
an abnormal finding if still present?
, o A. Babinski reflex
o B. Moro reflex
o C. Plantar grasp reflex
o D. Parachute reflex
o Correct Answer: B. Moro reflex
o Rationale: The Moro (startle) reflex
normally disappears by 4 to 6 months of
age. Its persistence at 8 months indicates
potential neurological dysfunction.
5. When obtaining a health history from the parent
of a preschool child, which communication
technique is most effective?
o A. Ask structured, closed-ended questions
to save time.
o B. Use professional medical jargon to
establish authority.
o C. Use open-ended questions to allow
parents to describe behaviors fully.
o D. Direct all complex clinical questions to the
child instead of the parent.
