Exam Questions – Kyle & Carman (Ch. 1–29)
with Rationales
ESSENTIALS OF PEDIATRIC NURSING – 5TH EDITION
Kyle & Carman | Chapters 1–29 | MCQ Exam with RATIONALE
CHAPTER 1 – Introduction to Child Health and Pediatric Nursing
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Q1. The nurse is reviewing the history of pediatric nursing. Which philosopher is
credited with being among the first to recognize childhood as a distinct period of
life?
A. Sigmund Freud
B. John Locke
C. Jean Piaget
D. Abraham Maslow
E. Erik Erikson
CORRECT ANSWER: B. John Locke
RATIONALE: John Locke was among the first philosophers to recognize childhood
as a unique and distinct period of human development, describing the child's mind as a
,"blank slate" shaped by experience. This philosophical shift laid the groundwork for
recognizing children's unique needs in health care.
Q2. A nurse is explaining the concept of morbidity to a student nurse. Which of
the following BEST defines morbidity in the context of child health?
A. The number of deaths in a given population
B. The rate of disability resulting from illness
C. The incidence and prevalence of disease in a population
D. The number of children born alive per 1,000 population
E. The statistical average of children discharged from hospital
CORRECT ANSWER: C. The incidence and prevalence of disease in a population
RATIONALE: Morbidity refers to the incidence and prevalence of disease or illness
within a population. It is distinct from mortality, which refers to death rates.
Understanding morbidity helps nurses plan health promotion and disease prevention
strategies for children.
Q3. A nurse understands that the infant mortality rate is defined as the number of
deaths per:
A. 1,000 live births in the first month of life
, B. 10,000 live births in the first year of life
C. 1,000 live births in the first year of life
D. 100,000 live births in the first two years of life
E. 1,000 live births in the first 28 days of life
CORRECT ANSWER: C. 1,000 live births in the first year of life
RATIONALE: The infant mortality rate is calculated as the number of deaths per
1,000 live births occurring within the first year of life. It is a key indicator used globally to
assess the health status of a nation's children and the quality of health care provided.
Q4. Which of the following BEST reflects the role of the pediatric nurse as an
advocate?
A. Administering medications safely and on time
B. Educating parents about disease prevention
C. Speaking up for the rights and needs of the child and family
D. Documenting all nursing interventions accurately
, E. Performing physical assessments every shift
CORRECT ANSWER: C. Speaking up for the rights and needs of the child and
family
RATIONALE: Advocacy is a core role of the pediatric nurse. It involves speaking
on behalf of the child and family, ensuring their rights are respected, their voices are
heard, and their needs are addressed within the healthcare system, especially when
they cannot advocate for themselves.
Q5. A pediatric nurse recalls that family-centered care is based on which primary
principle?
A. The nurse is the primary decision-maker for the child
B. The family is the constant in the child's life and central to care
C. Parents should be excluded during painful procedures
D. The physician leads all aspects of the child's care
E. Children should be treated separately from their families
CORRECT ANSWER: B. The family is the constant in the child's life and central to
care
RATIONALE: Family-centered care recognizes that the family is the constant in a
child's life and that they are essential partners in health care. Nurses support families by