Essentials Of Pediatric Nursing 5th
Edition ALL CHAPTERS 1-29 Brand
New 2026
Many different factors affect growth and development. For example, why does Mary have blonde hair
and blue eyes while John has brown hair and green eyes?
Genetic inheritance
Using Erikson's theory, which of the following activities would the nurse use to provide a sense of
fulfillment and purpose in later adulthood?
Reminiscing about life events
A nurse is asked when to teach children about oral health. Based on Piaget's theory, at what age
would the nurse suggest?
Third and fourth graders
Using Erikson's theory, a nurse asks a young adult questions about family, friends, and support
systems. Why is this important during assessments of adolescents?
Fear of commitments may lead to loneliness and isolation.
A nursing student realizes that which of the following is true about Kohlberg's theory of moral
development?
At age 2 to 3 years, the child determines right or wrong by the physical consequence of a
particular act.
A nurse sees a brother and sister, both 12 years old, in back-to-back physical examinations. The girl is
adopted, whereas the boy is biologically related to their parents. The girl has clearly begun her growth
spurt, and in the past 6 months has grown 3 inches, overtaking her brother in height. Based on
experience, however, the nurse expects that the boy will begin his growth spurt in the coming year.
The nurse recognizes that which factor best explains the difference in onset of growth spurts in these
two children?
Gender
An 8-year-old boy is looking at his father's razor and shaving cream in the bathroom medicine cabinet.
He watches his father shave daily and asks his father when he will need to start shaving. This child is
demonstrating characteristics common during which of Freud's psychoanalytic developmental stages?
Latency stage
,Like many 4-year-olds, Ethan is constantly seeking out and exploring new experiences and repeatedly
asking his parents why-type questions. Ethan's behavior suggests that he is successfully navigating an
important developmental task within the developmental theory of:
Erikson
A 2-year-old wants to feed herself and becomes agitated when the nurse attempts to feed her. What
does the nurse understand is the developmental age of this child according to Erikson?
Autonomy vs doubt and shame
Kohlberg's theory is frequently challenged as being male-oriented because his original research was
conducted entirely with boys.
True
The 7-year-old child is joining a dance class. The child insists the parent stay in the dance room,
frequently requests to use the bathroom, and doesn't join in the actual dance activity until the last 5
minutes of the class. The behavior is characteristic of which temperament style?
Slow-to-warm-up child
Erik Erikson described human psychosocial development as a series of tasks that must be mastered
before moving on to the next task. The stage in which the child is more assertive and starts to accept
punishment for doing wrong is which stage?
Initiative vs. guilt
A 10-year-old girl is excited when she receives the "most improved player" award on her softball
team. Although she was not the strongest player on the team, she always tried to perform at her best
level and never gave up on practicing her skills. What stage of psychosocial development according to
Erik Erikson is this child demonstrating?
Industry versus inferiority
The mother of a 2-year-old coming for a well checkup at the new clinic is embarrassed when the child
voids on the examining table, soiling the exam table cover. Which response by the nurse should be
given to the mother?
"Toilet training accidents can occur with all children."
The nursing instructor is leading a discussion on the theories of Sigmund Freud with a group of nursing
students. The instructor determines the session is successful when the students correctly choose
which example as indicating a child is in the anal stage of development?
Has a desire to mold and control the environment
The nurse is caring for a hospitalized 8-year-old child whose parents have been divorced. Which of the
following is most important for the nurse to do for this child?
The nurse should have clear information about who may contact the child.
,What is the appropriate time when children should be taught genitalia terminology and about
personal privacy?
Early childhood
Which statement by a school-aged child demonstrates Erikson's psychosocial stage of industry versus
inferiority?
"I have friends and I succeed" versus "I have no friends and am incapable."
According to Kohlberg, which of the following considerations is central to human development?
Morality
A homeless mother arrives in the emergency department with her 5-year-old son who appears to
have the mumps. During assessment, the nurse discovers the child is behind on his immunization
schedule. Which information should the nurse prioritize for this family?
A list of organizations that assist families to get food, shelter, and medical benefits
Genetics have an influence on many aspects of growth and development. The genetic influence that
has to do with the way a person thinks, behaves, and reacts is referred to as:
Temperament
A pediatric nurse practitioner is assessing the development of a child. The nurse's assessment of
development will focus on which of the following?
Changes in thoughts, feelings, and behaviors
A nursing instructor teaching about normal growth and development identifies a need for further
instruction when the student makes which of the following statements?
"A growth chart is the best tool to diagnose growth problems."
A nurse is working with a new mother and her infant daughter. The mother appears exhausted and
distraught. She explains that her daughter wakes up at a different time each night, making it difficult
for the mother to develop a sleep routine and get enough sleep. Which would be the best nursing
diagnosis for the mother?
Sleep deprivation related to lack of rhythmicity in the infant
The nurse is assessing a 10-year-old child who has come to the clinic with a caregiver and three other
children. Which question would be most appropriate for the nurse to ask to clarify the family
structure?
"Who all lives in your home?"
A school-aged child always follows the rules and obeys traffic lights when crossing the street. Based
on Kohlberg's theory, what type of development is being demonstrated?
Moral
, The nursing instructor is leading a discussion on the theories of growth and development as described
by Piaget. The instructor determines the session is successful when the students correctly choose
which action as an example of the sensorimotor phase?
Developing an understanding of cause and effect
According to Freud, which of the following influences is the primary force that drives an individual's
development?
Sexuality
The nurse is caring for a young client who was admitted to the hospital. The nurse concludes this
client is in Erikson's developmental stage of industry based on which action by the child?
Is seeking interaction and competition with others on the unit
All humans learn from both formal and informal experiences. What orderly pattern of changes results
in part from learning?
Development
A 14-year-old boy presents to the emergency department alone with facial lacerations and a fractured
left arm. Assessment reveals blue hair, several body piercings, homemade tattoos, scars on his arms
that appear to be track marks, evasive answers when questioned about where he lives, and responses
indicating that he has no parents when contact information is requested. In addition to being treated
for the fracture and lacerations, what additional care would be the highest priority for this child?
An HIV test and counseling would be done.
The parents of a 6-year-old boy express frustration and worry that he doesn't seem to be developing a
sense of responsibility. For example, he recently drew on the walls of his room and was told he had to
clean the walls by dinnertime. Although he agreed and was shown how to do it and was provided
cleaning materials, he had not even started when the deadline arrived. What aspect of child
development should the nurse prioritize to explain to the parents how best to handle similar
situations?
The boy has not yet developed a sense of time
The mother of a 5-year-old girl expresses concern over the fact that her daughter is not nearly as
verbal as her older two children when they were at that age. She wonders about the reason for this
difference. Which factor is most likely to account for this difference?
Ordinal position in the family
An infant who is 4 months old continues to be seen at doctor visits for illness prevention. What would
be the next scheduled appointment that this infant should attend to be evaluated?
The next visit would be at 6 months.
What position is the infant placed in for "tummy time"?
The infant is placed on the floor on their tummy.
Edition ALL CHAPTERS 1-29 Brand
New 2026
Many different factors affect growth and development. For example, why does Mary have blonde hair
and blue eyes while John has brown hair and green eyes?
Genetic inheritance
Using Erikson's theory, which of the following activities would the nurse use to provide a sense of
fulfillment and purpose in later adulthood?
Reminiscing about life events
A nurse is asked when to teach children about oral health. Based on Piaget's theory, at what age
would the nurse suggest?
Third and fourth graders
Using Erikson's theory, a nurse asks a young adult questions about family, friends, and support
systems. Why is this important during assessments of adolescents?
Fear of commitments may lead to loneliness and isolation.
A nursing student realizes that which of the following is true about Kohlberg's theory of moral
development?
At age 2 to 3 years, the child determines right or wrong by the physical consequence of a
particular act.
A nurse sees a brother and sister, both 12 years old, in back-to-back physical examinations. The girl is
adopted, whereas the boy is biologically related to their parents. The girl has clearly begun her growth
spurt, and in the past 6 months has grown 3 inches, overtaking her brother in height. Based on
experience, however, the nurse expects that the boy will begin his growth spurt in the coming year.
The nurse recognizes that which factor best explains the difference in onset of growth spurts in these
two children?
Gender
An 8-year-old boy is looking at his father's razor and shaving cream in the bathroom medicine cabinet.
He watches his father shave daily and asks his father when he will need to start shaving. This child is
demonstrating characteristics common during which of Freud's psychoanalytic developmental stages?
Latency stage
,Like many 4-year-olds, Ethan is constantly seeking out and exploring new experiences and repeatedly
asking his parents why-type questions. Ethan's behavior suggests that he is successfully navigating an
important developmental task within the developmental theory of:
Erikson
A 2-year-old wants to feed herself and becomes agitated when the nurse attempts to feed her. What
does the nurse understand is the developmental age of this child according to Erikson?
Autonomy vs doubt and shame
Kohlberg's theory is frequently challenged as being male-oriented because his original research was
conducted entirely with boys.
True
The 7-year-old child is joining a dance class. The child insists the parent stay in the dance room,
frequently requests to use the bathroom, and doesn't join in the actual dance activity until the last 5
minutes of the class. The behavior is characteristic of which temperament style?
Slow-to-warm-up child
Erik Erikson described human psychosocial development as a series of tasks that must be mastered
before moving on to the next task. The stage in which the child is more assertive and starts to accept
punishment for doing wrong is which stage?
Initiative vs. guilt
A 10-year-old girl is excited when she receives the "most improved player" award on her softball
team. Although she was not the strongest player on the team, she always tried to perform at her best
level and never gave up on practicing her skills. What stage of psychosocial development according to
Erik Erikson is this child demonstrating?
Industry versus inferiority
The mother of a 2-year-old coming for a well checkup at the new clinic is embarrassed when the child
voids on the examining table, soiling the exam table cover. Which response by the nurse should be
given to the mother?
"Toilet training accidents can occur with all children."
The nursing instructor is leading a discussion on the theories of Sigmund Freud with a group of nursing
students. The instructor determines the session is successful when the students correctly choose
which example as indicating a child is in the anal stage of development?
Has a desire to mold and control the environment
The nurse is caring for a hospitalized 8-year-old child whose parents have been divorced. Which of the
following is most important for the nurse to do for this child?
The nurse should have clear information about who may contact the child.
,What is the appropriate time when children should be taught genitalia terminology and about
personal privacy?
Early childhood
Which statement by a school-aged child demonstrates Erikson's psychosocial stage of industry versus
inferiority?
"I have friends and I succeed" versus "I have no friends and am incapable."
According to Kohlberg, which of the following considerations is central to human development?
Morality
A homeless mother arrives in the emergency department with her 5-year-old son who appears to
have the mumps. During assessment, the nurse discovers the child is behind on his immunization
schedule. Which information should the nurse prioritize for this family?
A list of organizations that assist families to get food, shelter, and medical benefits
Genetics have an influence on many aspects of growth and development. The genetic influence that
has to do with the way a person thinks, behaves, and reacts is referred to as:
Temperament
A pediatric nurse practitioner is assessing the development of a child. The nurse's assessment of
development will focus on which of the following?
Changes in thoughts, feelings, and behaviors
A nursing instructor teaching about normal growth and development identifies a need for further
instruction when the student makes which of the following statements?
"A growth chart is the best tool to diagnose growth problems."
A nurse is working with a new mother and her infant daughter. The mother appears exhausted and
distraught. She explains that her daughter wakes up at a different time each night, making it difficult
for the mother to develop a sleep routine and get enough sleep. Which would be the best nursing
diagnosis for the mother?
Sleep deprivation related to lack of rhythmicity in the infant
The nurse is assessing a 10-year-old child who has come to the clinic with a caregiver and three other
children. Which question would be most appropriate for the nurse to ask to clarify the family
structure?
"Who all lives in your home?"
A school-aged child always follows the rules and obeys traffic lights when crossing the street. Based
on Kohlberg's theory, what type of development is being demonstrated?
Moral
, The nursing instructor is leading a discussion on the theories of growth and development as described
by Piaget. The instructor determines the session is successful when the students correctly choose
which action as an example of the sensorimotor phase?
Developing an understanding of cause and effect
According to Freud, which of the following influences is the primary force that drives an individual's
development?
Sexuality
The nurse is caring for a young client who was admitted to the hospital. The nurse concludes this
client is in Erikson's developmental stage of industry based on which action by the child?
Is seeking interaction and competition with others on the unit
All humans learn from both formal and informal experiences. What orderly pattern of changes results
in part from learning?
Development
A 14-year-old boy presents to the emergency department alone with facial lacerations and a fractured
left arm. Assessment reveals blue hair, several body piercings, homemade tattoos, scars on his arms
that appear to be track marks, evasive answers when questioned about where he lives, and responses
indicating that he has no parents when contact information is requested. In addition to being treated
for the fracture and lacerations, what additional care would be the highest priority for this child?
An HIV test and counseling would be done.
The parents of a 6-year-old boy express frustration and worry that he doesn't seem to be developing a
sense of responsibility. For example, he recently drew on the walls of his room and was told he had to
clean the walls by dinnertime. Although he agreed and was shown how to do it and was provided
cleaning materials, he had not even started when the deadline arrived. What aspect of child
development should the nurse prioritize to explain to the parents how best to handle similar
situations?
The boy has not yet developed a sense of time
The mother of a 5-year-old girl expresses concern over the fact that her daughter is not nearly as
verbal as her older two children when they were at that age. She wonders about the reason for this
difference. Which factor is most likely to account for this difference?
Ordinal position in the family
An infant who is 4 months old continues to be seen at doctor visits for illness prevention. What would
be the next scheduled appointment that this infant should attend to be evaluated?
The next visit would be at 6 months.
What position is the infant placed in for "tummy time"?
The infant is placed on the floor on their tummy.
