TEST BANK
Essentials of Pediatric Nursing 4th Edition Theresa Kyle, and Susan
Carman
,TABLE OF CONTENT
Chapter 1, Introduction to Child Health and Pediatric Nursing .................................................................................... 3
Chapter 2, Factors Influencing Child Health .............................................................................................................. 19
Chapter 3, Growth and Development of the Newborn and Infant .............................................................................. 33
Chapter 4, Growth and Development of the Toddler ................................................................................................. 47
Chapter 5, Growth and Development of the Preschooler ........................................................................................... 60
Chapter 6, Growth and Development of the School-Age Child ................................................................................. 74
Chapter 7, Growth and Development of the Adolescent ............................................................................................ 88
Chapter 8, Atraumatic Care of Children and Families ............................................................................................. 101
Chapter 9, Health Supervision ................................................................................................................................. 114
Chapter 10, Health Assessment of Children ............................................................................................................. 128
Chapter 11, Caring for Children in Diverse Settings ................................................................................................ 141
Chapter 12, Caring for the Special Needs Child....................................................................................................... 154
Chapter 13, Key Pediatric Nursing Interventions ..................................................................................................... 168
Chapter 14, Nursing Care of the Child With an Alteration in Comfort–Pain Assessment and Management .......... 182
Chapter 15, Nursing Care of the Child With an Infection ........................................................................................ 195
Chapter 16, Nursing Care of the Child With an Alteration in Intracranial Regulation/Neurologic Disorder .......... 208
Chapter 17, Nursing Care of the Child With an Alteration in Sensory Perception/Disorder of the Eyes or Ears ... 221
Chapter 18, Nursing Care of the Child With an Alteration in Gas Exchange/Respiratory Disorder ....................... 233
Chapter 19, Nursing Care of the Child With an Alteration in Perfusion/Cardiovascular Disorder.......................... 246
Chapter 20, Nursing Care of the Child With an Alteration in Bowel Elimination/Gastrointestinal Disorder ......... 258
Chapter 21, Nursing Care of the Child With an Alteration in Urinary Elimination/Genitourinary Disorder .......... 271
Chapter 22, Nursing Care of the Child With an Alteration in Mobility/Neuromuscular or Musculoskeletal Disorder
................................................................................................................................................................................. 283
Chapter 23, Nursing Care of the Child With an Alteration in Tissue Integrity/Integumentary Disorder ................ 301
Chapter 24, Nursing Care of the Child With an Alteration in Cellular Regulation/Hematologic or Neoplastic Disorder
................................................................................................................................................................................. 314
Chapter 25, Nursing Care of the Child With an Alteration in Immunity or Immunologic Disorder ....................... 335
Chapter 26, Nursing Care of the Child With an Alteration in Metabolism/Endocrine Disorder.............................. 348
Chapter 27, Nursing Care of the Child With an Alteration in Genetics.................................................................... 361
Chapter 28, Nursing Care of the Child With an Alteration in Behavior, Cognition, or Development ..................... 374
Chapter 29, Nursing Care During a Pediatric Emergency ........................................................................................ 387
,Chapter 1, Introduction to Child Health and Pediatric Nursing
1. The nurse providing family-centered care in a hospital setting reflects on the focus of the
health care provided in today’s society. Which statement best describes the current
definition of health?
a. Health is described as “an absence of disease.”
b. Health is measured by monitoring mortality and morbidity of a group.
c. Health is a state of complete physical, mental, and social well-being.
d. Technologic gains made in health care are shared equally among all children.
ANS: C
Feedback:
In the past, health was defined simply as the absence of disease; health was measured by
monitoring the mortality and morbidity of a group. Over the past century, however, the
focus of health has shifted to disease prevention, health promotion, and wellness. The World
Health Organization (2018) defines health as “a state of complete physical, mental, and
social well-being, and not merely the absence of disease or infirmity.” The gains in child
health have been huge, but, unfortunately, these gains are not shared equally among all
children.
PTS: 1 REF: p. 6, Child Health
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Understand NOT: Multiple Choice
2. The student nurse is learning about the history of child health and health care in the United
States. Which statement accurately reflects the condition of health care in the past and
current centuries?
a. In past centuries in the United States, the health of the country was better than it is
today due to the simpler style of living.
b. In the current century, mortality rates are high, but life expectancy has increased
due to technologic advances.
c. In the late 18th and early 19th centuries, urban public health improvements made
cities healthier places for growing children.
d. By the late 20th century, unintentional injuries rather than infectious diseases had
become the leading cause of death for children older than 1 year old.
ANS: D
Feedback:
In past centuries in the United States, the health of the country was poorer than it is today;
mortality rates were high and life expectancy was short. Over the years, the health of
children received more and more attention, leading to a better understanding of sources of
illness and improvements in sanitation, water, and nutrition. As a result, by the late 20th
century, unintentional injuries rather than infectious diseases had become the leading cause
of death for children older than 1 year old.
PTS: 1 REF: p. 6, The History of Child Health and Child Health Care
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Understand NOT: Multiple Choice
, 3. The nurse is administering a number of therapeutic interventions for neonates, infants, and
children on the pediatric unit. Which intervention contributes to an increase in chronic
illness seen in early childhood?
a. Administering antibiotics to prevent lethal infections
b. Vaccinating children to prevent childhood diseases
c. Using mechanical ventilation for premature infants
d. Using corticosteroids as a treatment for asthma
ANS: C
Feedback:
Using mechanical ventilation and medications to foster lung development in premature
infants increases their survival rate. Yet the infants who survive are often faced with myriad
chronic illnesses. Administering antibiotics to prevent lethal infections, vaccinating children
to prevent childhood diseases, and using corticosteroids as a treatment for asthma may cause
side effects, but do not contribute to chronic illness in children.
PTS: 1 REF: p. 6, The History of Child Health and Child Health Care
NAT: Client Needs: Health Promotion and Maintenance
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
4. The nurse is reviewing a copy of the U.S. Surgeon General’s Report, Healthy People.
Which nursing action best reflects the nurse fostering this healthcare agenda?
a. The nurse signs up for classes to obtain an advanced degree in nursing.
b. The nurse volunteers at a local healthcare clinic providing free vaccinations for
low-income populations.
c. The nurse performs an in-service on basic hospital equipment for student nurses.
d. The nurse compiles nursing articles on evidence-based practices in nursing to
present at a hospital training seminar.
ANS: B
Feedback:
Healthy People is a comprehensive health promotion and disease prevention agenda that is
working toward improving the quantity and quality of life for all Americans (U.S.
Department of Health and Human Services, 2019). Overarching goals are obtain healthy,
thriving lives, to eliminate preventable disease, disability, injury, and premature death;
achieve health equity, eliminate disparities, and attain health literacy to improve the health
of all groups; create physical, economic and social environments that promote good health;
and well-being for all; promote healthy development and behaviors across every stage of
life; and engage leadership, the public, and key constituents to take action and develop
policies that will improve the health and well-being of all. Volunteering at a local healthcare
clinic directly reflects the goal of improving the health of all groups of people. Signing up
for classes, performing in-services on equipment, and compiling nursing articles on
evidence-based practices in nursing are all worthwhile activities that foster healthcare
delivery, but are not as directly linked to the agenda of promoting health in the community.
PTS: 1 REF: p. 7, Measurement of Children’s Health Status
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
Essentials of Pediatric Nursing 4th Edition Theresa Kyle, and Susan
Carman
,TABLE OF CONTENT
Chapter 1, Introduction to Child Health and Pediatric Nursing .................................................................................... 3
Chapter 2, Factors Influencing Child Health .............................................................................................................. 19
Chapter 3, Growth and Development of the Newborn and Infant .............................................................................. 33
Chapter 4, Growth and Development of the Toddler ................................................................................................. 47
Chapter 5, Growth and Development of the Preschooler ........................................................................................... 60
Chapter 6, Growth and Development of the School-Age Child ................................................................................. 74
Chapter 7, Growth and Development of the Adolescent ............................................................................................ 88
Chapter 8, Atraumatic Care of Children and Families ............................................................................................. 101
Chapter 9, Health Supervision ................................................................................................................................. 114
Chapter 10, Health Assessment of Children ............................................................................................................. 128
Chapter 11, Caring for Children in Diverse Settings ................................................................................................ 141
Chapter 12, Caring for the Special Needs Child....................................................................................................... 154
Chapter 13, Key Pediatric Nursing Interventions ..................................................................................................... 168
Chapter 14, Nursing Care of the Child With an Alteration in Comfort–Pain Assessment and Management .......... 182
Chapter 15, Nursing Care of the Child With an Infection ........................................................................................ 195
Chapter 16, Nursing Care of the Child With an Alteration in Intracranial Regulation/Neurologic Disorder .......... 208
Chapter 17, Nursing Care of the Child With an Alteration in Sensory Perception/Disorder of the Eyes or Ears ... 221
Chapter 18, Nursing Care of the Child With an Alteration in Gas Exchange/Respiratory Disorder ....................... 233
Chapter 19, Nursing Care of the Child With an Alteration in Perfusion/Cardiovascular Disorder.......................... 246
Chapter 20, Nursing Care of the Child With an Alteration in Bowel Elimination/Gastrointestinal Disorder ......... 258
Chapter 21, Nursing Care of the Child With an Alteration in Urinary Elimination/Genitourinary Disorder .......... 271
Chapter 22, Nursing Care of the Child With an Alteration in Mobility/Neuromuscular or Musculoskeletal Disorder
................................................................................................................................................................................. 283
Chapter 23, Nursing Care of the Child With an Alteration in Tissue Integrity/Integumentary Disorder ................ 301
Chapter 24, Nursing Care of the Child With an Alteration in Cellular Regulation/Hematologic or Neoplastic Disorder
................................................................................................................................................................................. 314
Chapter 25, Nursing Care of the Child With an Alteration in Immunity or Immunologic Disorder ....................... 335
Chapter 26, Nursing Care of the Child With an Alteration in Metabolism/Endocrine Disorder.............................. 348
Chapter 27, Nursing Care of the Child With an Alteration in Genetics.................................................................... 361
Chapter 28, Nursing Care of the Child With an Alteration in Behavior, Cognition, or Development ..................... 374
Chapter 29, Nursing Care During a Pediatric Emergency ........................................................................................ 387
,Chapter 1, Introduction to Child Health and Pediatric Nursing
1. The nurse providing family-centered care in a hospital setting reflects on the focus of the
health care provided in today’s society. Which statement best describes the current
definition of health?
a. Health is described as “an absence of disease.”
b. Health is measured by monitoring mortality and morbidity of a group.
c. Health is a state of complete physical, mental, and social well-being.
d. Technologic gains made in health care are shared equally among all children.
ANS: C
Feedback:
In the past, health was defined simply as the absence of disease; health was measured by
monitoring the mortality and morbidity of a group. Over the past century, however, the
focus of health has shifted to disease prevention, health promotion, and wellness. The World
Health Organization (2018) defines health as “a state of complete physical, mental, and
social well-being, and not merely the absence of disease or infirmity.” The gains in child
health have been huge, but, unfortunately, these gains are not shared equally among all
children.
PTS: 1 REF: p. 6, Child Health
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Understand NOT: Multiple Choice
2. The student nurse is learning about the history of child health and health care in the United
States. Which statement accurately reflects the condition of health care in the past and
current centuries?
a. In past centuries in the United States, the health of the country was better than it is
today due to the simpler style of living.
b. In the current century, mortality rates are high, but life expectancy has increased
due to technologic advances.
c. In the late 18th and early 19th centuries, urban public health improvements made
cities healthier places for growing children.
d. By the late 20th century, unintentional injuries rather than infectious diseases had
become the leading cause of death for children older than 1 year old.
ANS: D
Feedback:
In past centuries in the United States, the health of the country was poorer than it is today;
mortality rates were high and life expectancy was short. Over the years, the health of
children received more and more attention, leading to a better understanding of sources of
illness and improvements in sanitation, water, and nutrition. As a result, by the late 20th
century, unintentional injuries rather than infectious diseases had become the leading cause
of death for children older than 1 year old.
PTS: 1 REF: p. 6, The History of Child Health and Child Health Care
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Understand NOT: Multiple Choice
, 3. The nurse is administering a number of therapeutic interventions for neonates, infants, and
children on the pediatric unit. Which intervention contributes to an increase in chronic
illness seen in early childhood?
a. Administering antibiotics to prevent lethal infections
b. Vaccinating children to prevent childhood diseases
c. Using mechanical ventilation for premature infants
d. Using corticosteroids as a treatment for asthma
ANS: C
Feedback:
Using mechanical ventilation and medications to foster lung development in premature
infants increases their survival rate. Yet the infants who survive are often faced with myriad
chronic illnesses. Administering antibiotics to prevent lethal infections, vaccinating children
to prevent childhood diseases, and using corticosteroids as a treatment for asthma may cause
side effects, but do not contribute to chronic illness in children.
PTS: 1 REF: p. 6, The History of Child Health and Child Health Care
NAT: Client Needs: Health Promotion and Maintenance
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
4. The nurse is reviewing a copy of the U.S. Surgeon General’s Report, Healthy People.
Which nursing action best reflects the nurse fostering this healthcare agenda?
a. The nurse signs up for classes to obtain an advanced degree in nursing.
b. The nurse volunteers at a local healthcare clinic providing free vaccinations for
low-income populations.
c. The nurse performs an in-service on basic hospital equipment for student nurses.
d. The nurse compiles nursing articles on evidence-based practices in nursing to
present at a hospital training seminar.
ANS: B
Feedback:
Healthy People is a comprehensive health promotion and disease prevention agenda that is
working toward improving the quantity and quality of life for all Americans (U.S.
Department of Health and Human Services, 2019). Overarching goals are obtain healthy,
thriving lives, to eliminate preventable disease, disability, injury, and premature death;
achieve health equity, eliminate disparities, and attain health literacy to improve the health
of all groups; create physical, economic and social environments that promote good health;
and well-being for all; promote healthy development and behaviors across every stage of
life; and engage leadership, the public, and key constituents to take action and develop
policies that will improve the health and well-being of all. Volunteering at a local healthcare
clinic directly reflects the goal of improving the health of all groups of people. Signing up
for classes, performing in-services on equipment, and compiling nursing articles on
evidence-based practices in nursing are all worthwhile activities that foster healthcare
delivery, but are not as directly linked to the agenda of promoting health in the community.
PTS: 1 REF: p. 7, Measurement of Children’s Health Status
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
