Test Bank for Essentials of Pediatric Nursing, 5th Edition by
Kyle & Carman Practice Questions And Correct Answers
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1. Which principle is most important when providing family-
centered pediatric nursing care?
,A. The nurse makes all decisions for the child.
B. Parents should be excluded during procedures.
C. The family is considered an integral part of the child's care.
D. Children should receive care independently of their caregivers.
Rationale: Family-centered care recognizes parents and caregivers as
essential partners in planning, implementing, and evaluating
pediatric care.
2. Which characteristic distinguishes pediatric nursing from adult
nursing?
A. Children rarely experience pain.
B. Growth and development influence assessment and care.
C. Children do not require health education.
D. Parents should not participate in care.
Rationale: Pediatric assessment and interventions must account for
the child's developmental stage and changing physiologic needs.
3. Which action best demonstrates atraumatic care?
A. Performing procedures without explanation
B. Separating the child from the parents
C. Minimizing physical and psychological distress
D. Avoiding parental participation
Rationale: Atraumatic care aims to minimize or eliminate physical
and psychological stress experienced by children and families.
4. Which nursing intervention is most appropriate for reducing a
hospitalized child's anxiety?
A. Use unfamiliar medical terminology.
B. Restrict parental visits.
C. Allow the child to participate in age-appropriate choices.
D. Avoid explaining procedures.
,Rationale: Appropriate choices provide children with a sense of
control and can reduce anxiety.
5. A nurse is preparing a preschooler for an injection. Which
approach is best?
A. Give a detailed pathophysiologic explanation.
B. Tell the child the injection will not hurt.
C. Use simple language and explain what the child will experience.
D. Avoid discussing the injection until it occurs.
Rationale: Preschoolers benefit from concrete, simple explanations
that prepare them for sensory experiences.
6. Which behavior is most characteristic of a hospitalized toddler
experiencing separation anxiety?
A. Increased independence
B. Crying and protesting when the caregiver leaves
C. Complete indifference
D. Advanced reasoning
Rationale: Toddlers commonly respond to separation with protest,
despair, and sometimes detachment.
7. Which intervention is appropriate when caring for a hospitalized
infant?
A. Change caregivers frequently.
B. Maintain familiar routines when possible.
C. Avoid holding the infant.
D. Keep the infant isolated.
Rationale: Familiar routines, consistent caregivers, and comforting
contact promote security.
8. Which factor is especially important when communicating with
children?
, A. Chronologic age alone
B. Diagnosis alone
C. Developmental level
D. Parent's educational level
Rationale: Communication should be adapted to the child's cognitive,
language, emotional, and social development.
9. A nurse wants to obtain information from a school-age child.
Which technique is most appropriate?
A. Speak only with the parent.
B. Use infant-directed speech.
C. Ask clear, direct questions and allow time for responses.
D. Use complex medical terminology.
Rationale: School-age children generally understand direct questions
and can provide meaningful health information.
10. Which statement best reflects culturally responsive pediatric
care?
A. All families should receive identical interventions.
B. Cultural practices should be ignored.
C. The nurse should explore the family's beliefs and preferences.
D. The nurse should assume cultural practices from ethnicity.
Rationale: Cultural humility requires individualized assessment rather
than assumptions based on group identity.
Growth and Development
11. Which developmental principle should guide pediatric nursing
assessment?
A. All children develop at exactly the same rate.
B. Development occurs randomly.
Kyle & Carman Practice Questions And Correct Answers
(Verified Answers) Plus Rationale 2026 Q&A| Instant
Download Pdf
1. Which principle is most important when providing family-
centered pediatric nursing care?
,A. The nurse makes all decisions for the child.
B. Parents should be excluded during procedures.
C. The family is considered an integral part of the child's care.
D. Children should receive care independently of their caregivers.
Rationale: Family-centered care recognizes parents and caregivers as
essential partners in planning, implementing, and evaluating
pediatric care.
2. Which characteristic distinguishes pediatric nursing from adult
nursing?
A. Children rarely experience pain.
B. Growth and development influence assessment and care.
C. Children do not require health education.
D. Parents should not participate in care.
Rationale: Pediatric assessment and interventions must account for
the child's developmental stage and changing physiologic needs.
3. Which action best demonstrates atraumatic care?
A. Performing procedures without explanation
B. Separating the child from the parents
C. Minimizing physical and psychological distress
D. Avoiding parental participation
Rationale: Atraumatic care aims to minimize or eliminate physical
and psychological stress experienced by children and families.
4. Which nursing intervention is most appropriate for reducing a
hospitalized child's anxiety?
A. Use unfamiliar medical terminology.
B. Restrict parental visits.
C. Allow the child to participate in age-appropriate choices.
D. Avoid explaining procedures.
,Rationale: Appropriate choices provide children with a sense of
control and can reduce anxiety.
5. A nurse is preparing a preschooler for an injection. Which
approach is best?
A. Give a detailed pathophysiologic explanation.
B. Tell the child the injection will not hurt.
C. Use simple language and explain what the child will experience.
D. Avoid discussing the injection until it occurs.
Rationale: Preschoolers benefit from concrete, simple explanations
that prepare them for sensory experiences.
6. Which behavior is most characteristic of a hospitalized toddler
experiencing separation anxiety?
A. Increased independence
B. Crying and protesting when the caregiver leaves
C. Complete indifference
D. Advanced reasoning
Rationale: Toddlers commonly respond to separation with protest,
despair, and sometimes detachment.
7. Which intervention is appropriate when caring for a hospitalized
infant?
A. Change caregivers frequently.
B. Maintain familiar routines when possible.
C. Avoid holding the infant.
D. Keep the infant isolated.
Rationale: Familiar routines, consistent caregivers, and comforting
contact promote security.
8. Which factor is especially important when communicating with
children?
, A. Chronologic age alone
B. Diagnosis alone
C. Developmental level
D. Parent's educational level
Rationale: Communication should be adapted to the child's cognitive,
language, emotional, and social development.
9. A nurse wants to obtain information from a school-age child.
Which technique is most appropriate?
A. Speak only with the parent.
B. Use infant-directed speech.
C. Ask clear, direct questions and allow time for responses.
D. Use complex medical terminology.
Rationale: School-age children generally understand direct questions
and can provide meaningful health information.
10. Which statement best reflects culturally responsive pediatric
care?
A. All families should receive identical interventions.
B. Cultural practices should be ignored.
C. The nurse should explore the family's beliefs and preferences.
D. The nurse should assume cultural practices from ethnicity.
Rationale: Cultural humility requires individualized assessment rather
than assumptions based on group identity.
Growth and Development
11. Which developmental principle should guide pediatric nursing
assessment?
A. All children develop at exactly the same rate.
B. Development occurs randomly.
