ESSENTIALS OF PEDIATRIC
NURSING
5TH EDITION
• AUTHOR(S)TERRI KYLE; SUSAN
CARMAN
TEST BANK
1
Reference: Ch. 1 — Introduction to Child Health and Pediatric
Nursing — Measurement of Children’s Health Status
Stem: A 4-year-old preschooler arrives for a well-child visit. The
mother is concerned because the child's height percentile
dropped from the 60th at age 2 to the 25th now. The pediatric
nurse’s first action is to:
A. Reweigh and remeasure the child using calibrated equipment
,and correct technique.
B. Explain to the mother that percentiles normally vary and
schedule a follow-up in 6 months.
C. Order laboratory tests to evaluate for endocrine causes of
growth failure.
D. Refer immediately to pediatric endocrinology.
Correct answer: A
Rationales:
• Correct (A): Measurement error is a common reason for
apparent percentile shifts. Repeating measurement with
standardized technique and calibrated tools confirms true
change before further workup. This is efficient,
noninvasive, and aligns with accurate assessment
principles.
• Incorrect (B): Waiting without confirming measurements
risks missing true growth faltering and delays intervention.
• Incorrect (C): Labs may be indicated after confirming
persistent, true growth decline and relevant history/exam
findings; ordering them first is premature.
• Incorrect (D): Immediate specialty referral is unnecessary
until measurement accuracy and trend are established.
Teaching point: Confirm measurement accuracy before
diagnostic escalation.
Citation: Kyle, T., & Carman, S. (2023). Essentials of
Pediatric Nursing (5th ed.). Ch. 1.
,2
Reference: Ch. 1 — Introduction to Child Health and Pediatric
Nursing — Federal Legislation Affecting Child Health
Stem: A school nurse is planning a vaccination clinic in a public
elementary school. Which federal requirement must the nurse
prioritize when documenting immunizations?
A. Maintain records that allow parental review while protecting
student confidentiality.
B. Publish individual student immunization status on the school
website for transparency.
C. Post names of unvaccinated children in the school office.
D. Share complete immunization details with unrelated
community organizations.
Correct answer: A
Rationales:
• Correct (A): Federal laws (FERPA and public health
reporting requirements) require accurate records while
protecting student privacy and allowing parental access as
appropriate. The nurse must balance documentation and
confidentiality.
• Incorrect (B): Publicly posting individual health data
violates confidentiality protections.
• Incorrect (C): Listing unvaccinated children in public areas
breaches privacy and may stigmatize families.
, • Incorrect (D): Sharing health data with unrelated groups
violates privacy laws without explicit consent.
Teaching point: Protect student health records; allow
parental access while safeguarding confidentiality.
Citation: Kyle, T., & Carman, S. (2023). Essentials of
Pediatric Nursing (5th ed.). Ch. 1.
3
Reference: Ch. 1 — History of Child Health and Child Health
Care — Evolution of Pediatric Nursing
Stem: A newly hired pediatric nurse manager is creating
orientation content about the evolution of pediatric nursing.
Which historical shift should the manager emphasize as most
influential to current family-centered care?
A. Movement from hospital-centered, physician-directed care
to inclusion of family in decision-making.
B. Replacement of nurses by lay caregivers in pediatric wards.
C. Elimination of outpatient pediatric services in favor of
inpatient care.
D. Exclusive use of paternal decision-making in pediatric care.
Correct answer: A
Rationales:
• Correct (A): Pediatric nursing historically moved toward
recognizing family as central to the child’s care; this
underpins family-centered practice today. Emphasizing this
NURSING
5TH EDITION
• AUTHOR(S)TERRI KYLE; SUSAN
CARMAN
TEST BANK
1
Reference: Ch. 1 — Introduction to Child Health and Pediatric
Nursing — Measurement of Children’s Health Status
Stem: A 4-year-old preschooler arrives for a well-child visit. The
mother is concerned because the child's height percentile
dropped from the 60th at age 2 to the 25th now. The pediatric
nurse’s first action is to:
A. Reweigh and remeasure the child using calibrated equipment
,and correct technique.
B. Explain to the mother that percentiles normally vary and
schedule a follow-up in 6 months.
C. Order laboratory tests to evaluate for endocrine causes of
growth failure.
D. Refer immediately to pediatric endocrinology.
Correct answer: A
Rationales:
• Correct (A): Measurement error is a common reason for
apparent percentile shifts. Repeating measurement with
standardized technique and calibrated tools confirms true
change before further workup. This is efficient,
noninvasive, and aligns with accurate assessment
principles.
• Incorrect (B): Waiting without confirming measurements
risks missing true growth faltering and delays intervention.
• Incorrect (C): Labs may be indicated after confirming
persistent, true growth decline and relevant history/exam
findings; ordering them first is premature.
• Incorrect (D): Immediate specialty referral is unnecessary
until measurement accuracy and trend are established.
Teaching point: Confirm measurement accuracy before
diagnostic escalation.
Citation: Kyle, T., & Carman, S. (2023). Essentials of
Pediatric Nursing (5th ed.). Ch. 1.
,2
Reference: Ch. 1 — Introduction to Child Health and Pediatric
Nursing — Federal Legislation Affecting Child Health
Stem: A school nurse is planning a vaccination clinic in a public
elementary school. Which federal requirement must the nurse
prioritize when documenting immunizations?
A. Maintain records that allow parental review while protecting
student confidentiality.
B. Publish individual student immunization status on the school
website for transparency.
C. Post names of unvaccinated children in the school office.
D. Share complete immunization details with unrelated
community organizations.
Correct answer: A
Rationales:
• Correct (A): Federal laws (FERPA and public health
reporting requirements) require accurate records while
protecting student privacy and allowing parental access as
appropriate. The nurse must balance documentation and
confidentiality.
• Incorrect (B): Publicly posting individual health data
violates confidentiality protections.
• Incorrect (C): Listing unvaccinated children in public areas
breaches privacy and may stigmatize families.
, • Incorrect (D): Sharing health data with unrelated groups
violates privacy laws without explicit consent.
Teaching point: Protect student health records; allow
parental access while safeguarding confidentiality.
Citation: Kyle, T., & Carman, S. (2023). Essentials of
Pediatric Nursing (5th ed.). Ch. 1.
3
Reference: Ch. 1 — History of Child Health and Child Health
Care — Evolution of Pediatric Nursing
Stem: A newly hired pediatric nurse manager is creating
orientation content about the evolution of pediatric nursing.
Which historical shift should the manager emphasize as most
influential to current family-centered care?
A. Movement from hospital-centered, physician-directed care
to inclusion of family in decision-making.
B. Replacement of nurses by lay caregivers in pediatric wards.
C. Elimination of outpatient pediatric services in favor of
inpatient care.
D. Exclusive use of paternal decision-making in pediatric care.
Correct answer: A
Rationales:
• Correct (A): Pediatric nursing historically moved toward
recognizing family as central to the child’s care; this
underpins family-centered practice today. Emphasizing this
