Test Bank: Essentials of Pediatric Nursing 5th Edition by
Terri Kyle & Susan Carman (Chapters 1–29 Complete)
Q1. By the late 20th century, what had become the leading cause of death for
children older than 1 year of age?
A) Infectious diseases
B) Congenital anomalies
C) Unintentional injuries
D) Malignant neoplasms
*Rationale: By the late 20th century, unintentional injuries rather than infectious
diseases had become the leading cause of death for children older than 1 year of age.
This shift reflects improvements in sanitation, water, nutrition, and a better
understanding of illness sources .
Q2. The leading cause of death in children ages 1-4 years in the United States is:
A) Congenital anomalies
B) Malignant neoplasms
C) Unintentional injuries (accidents)
D) Heart disease
*Rationale: Unintentional injuries (motor vehicle accidents, drowning, burns, falls,
poisoning) are the leading cause of death in children ages 1-4 years. Congenital
anomalies are the leading cause of death in infants under 1 year of age .
Q3. Which of the following best describes the role of the pediatric nurse as a
collaborator?
A) Providing direct care to the child independently
B) Working with the child, family, and healthcare team to coordinate care
C) Making all medical decisions for the child
D) Focusing solely on administering medications
*Rationale: The pediatric nurse serves as a collaborator, care coordinator, and
advocate, working with the child, family, and interdisciplinary healthcare team to
provide comprehensive, family-centered care .
,Q4. What is the primary goal of family-centered care in pediatric nursing?
A) To ensure the child receives all necessary medical treatments
B) To include the family as active participants in the child's care
C) To reduce healthcare costs
D) To minimize the number of healthcare providers involved
*Rationale: Family-centered care recognizes the family as the constant in the child's
life and includes them as active participants in all aspects of care, decision-making,
and planning .
Q5. The nurse is providing care to a hospitalized child. Which action best
demonstrates atraumatic care?
A) Performing all procedures quickly to minimize time
B) Allowing the child to make all healthcare decisions
C) Using age-appropriate explanations and minimizing painful procedures
D) Restraining the child during procedures for safety
*Rationale: Atraumatic care involves using therapeutic communication, age-
appropriate explanations, and minimizing painful or distressing procedures to reduce
the physical and psychological stress of hospitalization on the child and family .
Q6. A nurse is preparing to administer medications to a child. What is the most
important safety consideration?
A) The child's weight and age for accurate dosing
B) The child's favorite color of medication
C) The time of day
D) The child's preference for oral vs. injectable medication
*Rationale: Pediatric medication dosing is based on the child's weight and age to
ensure safety and effectiveness. This is a critical safety consideration in pediatric
nursing .
,Q7. A 2-month-old infant is admitted with bronchiolitis. The parents ask what
the pediatric nurse does that differs from other nurses. Which response best
captures the pediatric nurse's role?
A) "I only administer medications and document vitals."
B) "I coordinate care including developmental support, family education, and
infant-specific safety measures."
C) "I refer all family questions to the pediatrician."
D) "I limit family involvement to avoid infection risks."
*Rationale: This response highlights the core pediatric nursing roles of coordination,
developmental support, family-centered education, and safety. Option A is too narrow;
Option C is an inappropriate delegation; Option D contradicts family-centered care
principles .
Q8. The nurse providing family-centered care reflects on the focus of healthcare
provided in today's society. Which statement best describes the current
definition of health?
A) Health is measured by monitoring mortality and morbidity of a group.
B) *Health is a state of complete physical, mental, and social well-being. *
C) Technologic gains made in health care are shared equally among all children.
D) Health is defined simply as the absence of disease.
*Rationale: The World Health Organization defines health as "a state of complete
physical, mental, and social well-being, and not merely the absence of disease or
infirmity." In the past, health was defined simply as the absence of disease .
Q9. Which statement accurately reflects the condition of child health care in
past centuries compared to today?
A) Health in past centuries was better due to simpler lifestyles
B) Mortality rates are high today, but life expectancy has increased
C) Urban public health improvements in the late 18th and early 19th centuries made
cities healthier for children
D) Health in past centuries was poorer, with high mortality rates and short life
expectancy
, *Rationale: In past centuries, 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 attention, leading to improvements in sanitation, water, and
nutrition .
Q10. 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, 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) *Health in past centuries was poorer, with high mortality rates and short life
expectancy. *
D) Urban public health improvements in the late 18th and early 19th centuries made
cities healthier for children.
*Rationale: In past centuries, health was poorer than today; mortality rates were high
and life expectancy was short. Over the years, the health of children received more
attention, leading to improvements in sanitation, water, and nutrition .
Q11. What is the most important factor in establishing a therapeutic
relationship with a child?
A) The child's age
B) Trust
C) The child's diagnosis
D) The nurse's experience
*Rationale: Trust is the foundation of a therapeutic relationship with a child and
family. Without trust, communication and cooperation are compromised.
Q12. The nurse suspects that a child is being physically abused. The legally
required action is to:
Terri Kyle & Susan Carman (Chapters 1–29 Complete)
Q1. By the late 20th century, what had become the leading cause of death for
children older than 1 year of age?
A) Infectious diseases
B) Congenital anomalies
C) Unintentional injuries
D) Malignant neoplasms
*Rationale: By the late 20th century, unintentional injuries rather than infectious
diseases had become the leading cause of death for children older than 1 year of age.
This shift reflects improvements in sanitation, water, nutrition, and a better
understanding of illness sources .
Q2. The leading cause of death in children ages 1-4 years in the United States is:
A) Congenital anomalies
B) Malignant neoplasms
C) Unintentional injuries (accidents)
D) Heart disease
*Rationale: Unintentional injuries (motor vehicle accidents, drowning, burns, falls,
poisoning) are the leading cause of death in children ages 1-4 years. Congenital
anomalies are the leading cause of death in infants under 1 year of age .
Q3. Which of the following best describes the role of the pediatric nurse as a
collaborator?
A) Providing direct care to the child independently
B) Working with the child, family, and healthcare team to coordinate care
C) Making all medical decisions for the child
D) Focusing solely on administering medications
*Rationale: The pediatric nurse serves as a collaborator, care coordinator, and
advocate, working with the child, family, and interdisciplinary healthcare team to
provide comprehensive, family-centered care .
,Q4. What is the primary goal of family-centered care in pediatric nursing?
A) To ensure the child receives all necessary medical treatments
B) To include the family as active participants in the child's care
C) To reduce healthcare costs
D) To minimize the number of healthcare providers involved
*Rationale: Family-centered care recognizes the family as the constant in the child's
life and includes them as active participants in all aspects of care, decision-making,
and planning .
Q5. The nurse is providing care to a hospitalized child. Which action best
demonstrates atraumatic care?
A) Performing all procedures quickly to minimize time
B) Allowing the child to make all healthcare decisions
C) Using age-appropriate explanations and minimizing painful procedures
D) Restraining the child during procedures for safety
*Rationale: Atraumatic care involves using therapeutic communication, age-
appropriate explanations, and minimizing painful or distressing procedures to reduce
the physical and psychological stress of hospitalization on the child and family .
Q6. A nurse is preparing to administer medications to a child. What is the most
important safety consideration?
A) The child's weight and age for accurate dosing
B) The child's favorite color of medication
C) The time of day
D) The child's preference for oral vs. injectable medication
*Rationale: Pediatric medication dosing is based on the child's weight and age to
ensure safety and effectiveness. This is a critical safety consideration in pediatric
nursing .
,Q7. A 2-month-old infant is admitted with bronchiolitis. The parents ask what
the pediatric nurse does that differs from other nurses. Which response best
captures the pediatric nurse's role?
A) "I only administer medications and document vitals."
B) "I coordinate care including developmental support, family education, and
infant-specific safety measures."
C) "I refer all family questions to the pediatrician."
D) "I limit family involvement to avoid infection risks."
*Rationale: This response highlights the core pediatric nursing roles of coordination,
developmental support, family-centered education, and safety. Option A is too narrow;
Option C is an inappropriate delegation; Option D contradicts family-centered care
principles .
Q8. The nurse providing family-centered care reflects on the focus of healthcare
provided in today's society. Which statement best describes the current
definition of health?
A) Health is measured by monitoring mortality and morbidity of a group.
B) *Health is a state of complete physical, mental, and social well-being. *
C) Technologic gains made in health care are shared equally among all children.
D) Health is defined simply as the absence of disease.
*Rationale: The World Health Organization defines health as "a state of complete
physical, mental, and social well-being, and not merely the absence of disease or
infirmity." In the past, health was defined simply as the absence of disease .
Q9. Which statement accurately reflects the condition of child health care in
past centuries compared to today?
A) Health in past centuries was better due to simpler lifestyles
B) Mortality rates are high today, but life expectancy has increased
C) Urban public health improvements in the late 18th and early 19th centuries made
cities healthier for children
D) Health in past centuries was poorer, with high mortality rates and short life
expectancy
, *Rationale: In past centuries, 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 attention, leading to improvements in sanitation, water, and
nutrition .
Q10. 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, 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) *Health in past centuries was poorer, with high mortality rates and short life
expectancy. *
D) Urban public health improvements in the late 18th and early 19th centuries made
cities healthier for children.
*Rationale: In past centuries, health was poorer than today; mortality rates were high
and life expectancy was short. Over the years, the health of children received more
attention, leading to improvements in sanitation, water, and nutrition .
Q11. What is the most important factor in establishing a therapeutic
relationship with a child?
A) The child's age
B) Trust
C) The child's diagnosis
D) The nurse's experience
*Rationale: Trust is the foundation of a therapeutic relationship with a child and
family. Without trust, communication and cooperation are compromised.
Q12. The nurse suspects that a child is being physically abused. The legally
required action is to:
