• Pediatric Nursing 09/16/2026
Exam
Test Bank for Essentials of Pediatric Nursing,
5th Edition by Kyle & Carman | Complete
Chapters with Verified Answers | Latest
Updated Edition 2026
Question: Why is it important to teach parents not to "sneak out" while their toddler sleeps in the hospital?
A. The child might report the parent missing
B. It helps the child learn to be more independent
C. Waking up alone without warning can increase fear and break trust
D. The parent may forget to leave contact information
P 1
, • Pediatric Nursing 09/16/2026
Exam
C – Waking up alone without warning can increase fear and break trust
Rationale:
● Clear, honest preparation supports emotional safety and reduces anxiety.
These either miss the core developmental issue or are secondary concerns
The nurse is developing a care plan for a hospitalized 9-year-old. Which strategies will best support emotional
adjustment and coping? (Select all that apply.)
A. Encourage schoolwork or creative projects to maintain a sense of achievement
B. Discourage regression behaviors to avoid reinforcing them
C. Allow use of FaceTime or phone calls with friends and family
D. Explain medical procedures using accurate, age-appropriate terms
E. Minimize structure to reduce the child’s stress
A, C, D
Rationale:
● This supports Erikson’s Industry vs. Inferiority stage—children need to feel productive.
● Regression is developmentally normal and should be approached with understanding, not correction.
● Social connection reduces isolation and anxiety.
● Honest, simplified explanations reduce fear and build trust.
● Predictable routines increase security and resilience.
A 7-year-old is hospitalized for an appendectomy. The parent reports their child has started wetting the bed at
night again. The nurse also notes that the child appears withdrawn when alone and asks for their parent
frequently.
What actions should the nurse take to support this child’s emotional well-being? (Select all that apply.)
A. Reassure the parent that regression is a common response to stress
B. Encourage the child to draw or write about their experience
P 2
, • Pediatric Nursing 09/16/2026
Exam
C. Minimize social interaction to prevent overstimulation
D. Explain that the hospital stay is temporary, and they are safe
E. Engage the child in age-appropriate play or academic activities
A, B, D, E
Rationale:
● A: Explains regression as normal and temporary.
● B: Drawing or storytelling supports emotional processing.
● C: Isolation may worsen stress and delay adjustment.
● D: Predictability and reassurance reduce fear.
● E: Play and productivity support coping and self-esteem.
Which developmental factor most influences how adolescents perceive illness?
A. Their ability to think in concrete terms
B. Their need for total dependence on adults
C. Their concern with physical appearance and peer approval
D. Their inability to understand medical information
C – Their concern with physical appearance and peer approval
Rationale:
● Adolescents often evaluate illness based on how it impacts their appearance and social status.
A 16-year-old is admitted for a chronic illness flare-up. The teen wears heavy makeup and dark clothing and has
placed posters on the hospital windows. They ask if a friend can visit for pizza. The parent disapproves of their
style and asks the nurse to remove the posters.
What actions should the nurse take to support the adolescent’s emotional well-being? (Select all that apply.)
A. Allow the posters if hospital policy permits
B. Support the teen’s self-expression without judgment
C. Explain to the parent that this is a form of self-expression and developmentally appropriate
D. Deny the visit request to maintain structure and prevent overstimulation
P 3
, • Pediatric Nursing 09/16/2026
Exam
E. Encourage private time with peers to reduce isolation
A, B, C, E
Rationale:
● Validates that autonomy, identity, and social needs are critical during adolescence.
Which pain scale is most appropriate for a neonate?
A. N-PASS
B. FLACC scale
C. Grimace pain scale
D. FACES scale
E. Numeric scale
A. Neonatal Pain, Agitation, and Sedation Scale N-PASS (newborns to approx. 100 days of life)
•Face, Legs, Activity, Cry, Consolability Scale FLACC scale (2 months-7 years)
•Wong-Baker FACES Pain Rating Scale (3 yrs.-teens)
•Numeric scale (ages 9 years-adult)
Grimace pain scale used for cats, not humans
Rationale: Know them all
A nurse is assessing the growth of a 12-month-old who weighed 6 pounds at birth. Based on expected
developmental patterns, what should the nurse anticipate the child's current weight to be?
A. 9 pounds
B. 12 pounds
C. 15 pounds
D. 18 pounds
Correct Answer: D – 18 pounds
Rationale:
● At birth: 6 pounds
● By 6 months: weight should double → 12 pounds
By 12 months: weight should triple→18 pounds
A nurse is reviewing the 12-month growth assessment of an infant who was 21 inches long at birth. Based on
expected developmental patterns, what length should the nurse anticipate at the 1-year visit?
A. 26 inches
P 4
Exam
Test Bank for Essentials of Pediatric Nursing,
5th Edition by Kyle & Carman | Complete
Chapters with Verified Answers | Latest
Updated Edition 2026
Question: Why is it important to teach parents not to "sneak out" while their toddler sleeps in the hospital?
A. The child might report the parent missing
B. It helps the child learn to be more independent
C. Waking up alone without warning can increase fear and break trust
D. The parent may forget to leave contact information
P 1
, • Pediatric Nursing 09/16/2026
Exam
C – Waking up alone without warning can increase fear and break trust
Rationale:
● Clear, honest preparation supports emotional safety and reduces anxiety.
These either miss the core developmental issue or are secondary concerns
The nurse is developing a care plan for a hospitalized 9-year-old. Which strategies will best support emotional
adjustment and coping? (Select all that apply.)
A. Encourage schoolwork or creative projects to maintain a sense of achievement
B. Discourage regression behaviors to avoid reinforcing them
C. Allow use of FaceTime or phone calls with friends and family
D. Explain medical procedures using accurate, age-appropriate terms
E. Minimize structure to reduce the child’s stress
A, C, D
Rationale:
● This supports Erikson’s Industry vs. Inferiority stage—children need to feel productive.
● Regression is developmentally normal and should be approached with understanding, not correction.
● Social connection reduces isolation and anxiety.
● Honest, simplified explanations reduce fear and build trust.
● Predictable routines increase security and resilience.
A 7-year-old is hospitalized for an appendectomy. The parent reports their child has started wetting the bed at
night again. The nurse also notes that the child appears withdrawn when alone and asks for their parent
frequently.
What actions should the nurse take to support this child’s emotional well-being? (Select all that apply.)
A. Reassure the parent that regression is a common response to stress
B. Encourage the child to draw or write about their experience
P 2
, • Pediatric Nursing 09/16/2026
Exam
C. Minimize social interaction to prevent overstimulation
D. Explain that the hospital stay is temporary, and they are safe
E. Engage the child in age-appropriate play or academic activities
A, B, D, E
Rationale:
● A: Explains regression as normal and temporary.
● B: Drawing or storytelling supports emotional processing.
● C: Isolation may worsen stress and delay adjustment.
● D: Predictability and reassurance reduce fear.
● E: Play and productivity support coping and self-esteem.
Which developmental factor most influences how adolescents perceive illness?
A. Their ability to think in concrete terms
B. Their need for total dependence on adults
C. Their concern with physical appearance and peer approval
D. Their inability to understand medical information
C – Their concern with physical appearance and peer approval
Rationale:
● Adolescents often evaluate illness based on how it impacts their appearance and social status.
A 16-year-old is admitted for a chronic illness flare-up. The teen wears heavy makeup and dark clothing and has
placed posters on the hospital windows. They ask if a friend can visit for pizza. The parent disapproves of their
style and asks the nurse to remove the posters.
What actions should the nurse take to support the adolescent’s emotional well-being? (Select all that apply.)
A. Allow the posters if hospital policy permits
B. Support the teen’s self-expression without judgment
C. Explain to the parent that this is a form of self-expression and developmentally appropriate
D. Deny the visit request to maintain structure and prevent overstimulation
P 3
, • Pediatric Nursing 09/16/2026
Exam
E. Encourage private time with peers to reduce isolation
A, B, C, E
Rationale:
● Validates that autonomy, identity, and social needs are critical during adolescence.
Which pain scale is most appropriate for a neonate?
A. N-PASS
B. FLACC scale
C. Grimace pain scale
D. FACES scale
E. Numeric scale
A. Neonatal Pain, Agitation, and Sedation Scale N-PASS (newborns to approx. 100 days of life)
•Face, Legs, Activity, Cry, Consolability Scale FLACC scale (2 months-7 years)
•Wong-Baker FACES Pain Rating Scale (3 yrs.-teens)
•Numeric scale (ages 9 years-adult)
Grimace pain scale used for cats, not humans
Rationale: Know them all
A nurse is assessing the growth of a 12-month-old who weighed 6 pounds at birth. Based on expected
developmental patterns, what should the nurse anticipate the child's current weight to be?
A. 9 pounds
B. 12 pounds
C. 15 pounds
D. 18 pounds
Correct Answer: D – 18 pounds
Rationale:
● At birth: 6 pounds
● By 6 months: weight should double → 12 pounds
By 12 months: weight should triple→18 pounds
A nurse is reviewing the 12-month growth assessment of an infant who was 21 inches long at birth. Based on
expected developmental patterns, what length should the nurse anticipate at the 1-year visit?
A. 26 inches
P 4
