• 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
21. The nurse is caring for a 12-year-old child who is on fall precautions secondary to seizures. What interventions
should be included in the child's care plan? (Select all that apply.)
a. Place a call light and desired items within reach.
b. Keep the bed in the highest position with the two side rails up.
c. Turn off the lights and television at night.
P 1
, • Pediatric Nursing 09/16/2026
Exam
d. Keep personal belongings and clutter contained in one area of the floor.
e. Have the child wear an appropriate-size gown and nonskid footwear.
- Correct Answer :ANS: A, E
Prevention of falls requires alterations in the environment, including keeping call light and desired items within
reach and having the child wear appropriate-size gowns and nonskid footwear. The bed should be in the lowest
position possible with all the side rails up: at least a dim light should be left on at night: and personal belongings
and clutter should not be on the floor—they should be in a cabinet.
DIF: Cognitive Level: Applying TOP: Nursing Process: Planning MSC: Client Needs: Physiological Integrity
22. What methods should the nurse use to measure compliance to a treatment plan? (Select all that apply.)
a. Pill counts
b. Chemical assays
c. Direct observation
d. Third-party reporting
e. Monitoring therapeutic response - Correct Answer :ANS: A, B, C, E
Assessment of compliance must include direct measurement techniques. Pill counts, chemical assays, direct
observation, and monitoring therapeutic response are direct measurement techniques. Third- party reporting
would not always be available and would not be a method to measure compliance.
DIF: Cognitive Level: Applying TOP: Nursing Process: Planning
MSC: Client Needs: Physiological Integrity
23. What interventions should the nurse implement to prevent a pressure ulcer in a critically ill child? (Select all
that apply.)
a. Nutrition consults
b. Using skin moisturizers
c. Turning the child every 2 hr
d. Using plastic disposable underpads
e. Using draw sheets to minimize shear - Correct Answer :ANS: A, B, C, E
P 2
, • Pediatric Nursing 09/16/2026
Exam
Interventions found to prevent pressure ulcers in critically ill children include nutrition consults, using skin
moisturizers, turning the child every 2 hr, and using draw sheets to minimize shear. Dry-weave underpads, not
underpads with plastic, should be used to reduce moisture.
DIF: Cognitive Level: Applying TOP: Nursing Process: Implementation MSC: Client Needs: Physiological Integrity
24. The nurse is preparing to obtain a nasal washing from a child. What equipment should the nurse gather for
the procedure? (Select all that apply.)
a. Sterile water
b. A sterile swab
c. Syringe with tubing
d. Sterile normal saline
e. Tracheal suction catheter - Correct Answer :ANS: C, D
Nasal washings may be obtained to identify viral pathogens and guide therapy in some respiratory conditions.
The child is placed supine, and 1 to 3 mL of sterile normal saline is instilled with a sterile syringe (without a
needle) into one nostril. The contents are aspirated with a syringe with 5 cm (2 inches) of 18- to 20-gauge tubing.
The saline is quickly instilled and then aspirated to recover the nasal specimen. A tracheal suction catheter would
not trap the mucus. Normal saline is used, not sterile water. A sterile swab is used for a throat culture, not for
nasal washings.
DIF: Cognitive Level: Applying TOP: Nursing Process: Implementation MSC: Client Needs: Physiological Integrity
25. The clinic nurse is teaching parents about when to call the office immediately for a child with a fever. What
should the nurse include in the teaching session? (Select all that apply.)
a. The child has a stiff neck.
b. The fever is over 40° C (104° F).
c. The child is younger than 3 months.
d. The fever has lasted for more than 3 days.
e. The fever went away for more than 24 hr and then returned. - Correct Answer :ANS: A, B, C
Parents should call the office immediately if a child has a fever over 40° C (104° F), the child is younger than 3
months, or the child has a stiff neck. Parents are to call within 24 hr if the fever went away for more than 24 hr
and then returned or the fever has lasted for more than 3 days.
DIF: Cognitive Level: Applying TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion
and Maintenance
P 3
, • Pediatric Nursing 09/16/2026
Exam
26. What strategies should the nurse implement to assist in feeding a sick child? (Select all that apply.)
a. Serve large portions.
b. Make mealtimes pleasant.
c. Avoid foods that are highly seasoned.
d. Provide finger foods for young children.
e. Ensure a variety of foods, textures, and colors. - Correct Answer :ANS: B, C, D, E
To assist in feeding a sick child mealtimes should be pleasant: highly seasoned foods should be avoided: finger
foods should be provided for young children: and a variety of foods, textures, and colors should be ensured.
Small portions, not large, should be served.
DIF: Cognitive Level: Applying TOP: Nursing Process: Implementation MSC: Client Needs: Physiological Integrity
27. What disease processes require contact isolation? (Select all that apply.)
a. Rotavirus
b. Hepatitis A
c. Streptococcal pharyngitis
d. Mycoplasmal pneumonia
e. Respiratory syncytial virus - Correct Answer :ANS: A, B, E
In addition to Standard Precautions, use contact precautions for patients known or suspected to have serious
illnesses easily transmitted by direct patient contact or by contact with items in the patient's environment.
Examples of such illnesses include rotavirus, hepatitis A, and respiratory syncytial virus. Streptococcal pharyngitis
and mycoplasmal pneumonia require droplet precautions.
DIF: Cognitive Level: Analyzing TOP: Nursing Process: Assessment MSC: Client Needs: Safe and Effective Care
Environment
28. What disease processes require airborne precautions? (Select all that apply.)
a. Measles
b. Varicella
c. Pertussis
d. Meningitis
P 4
Exam
Test Bank for Essentials of Pediatric Nursing,
5th Edition by Kyle & Carman | Complete
Chapters with Verified Answers | Latest
Updated Edition 2026
21. The nurse is caring for a 12-year-old child who is on fall precautions secondary to seizures. What interventions
should be included in the child's care plan? (Select all that apply.)
a. Place a call light and desired items within reach.
b. Keep the bed in the highest position with the two side rails up.
c. Turn off the lights and television at night.
P 1
, • Pediatric Nursing 09/16/2026
Exam
d. Keep personal belongings and clutter contained in one area of the floor.
e. Have the child wear an appropriate-size gown and nonskid footwear.
- Correct Answer :ANS: A, E
Prevention of falls requires alterations in the environment, including keeping call light and desired items within
reach and having the child wear appropriate-size gowns and nonskid footwear. The bed should be in the lowest
position possible with all the side rails up: at least a dim light should be left on at night: and personal belongings
and clutter should not be on the floor—they should be in a cabinet.
DIF: Cognitive Level: Applying TOP: Nursing Process: Planning MSC: Client Needs: Physiological Integrity
22. What methods should the nurse use to measure compliance to a treatment plan? (Select all that apply.)
a. Pill counts
b. Chemical assays
c. Direct observation
d. Third-party reporting
e. Monitoring therapeutic response - Correct Answer :ANS: A, B, C, E
Assessment of compliance must include direct measurement techniques. Pill counts, chemical assays, direct
observation, and monitoring therapeutic response are direct measurement techniques. Third- party reporting
would not always be available and would not be a method to measure compliance.
DIF: Cognitive Level: Applying TOP: Nursing Process: Planning
MSC: Client Needs: Physiological Integrity
23. What interventions should the nurse implement to prevent a pressure ulcer in a critically ill child? (Select all
that apply.)
a. Nutrition consults
b. Using skin moisturizers
c. Turning the child every 2 hr
d. Using plastic disposable underpads
e. Using draw sheets to minimize shear - Correct Answer :ANS: A, B, C, E
P 2
, • Pediatric Nursing 09/16/2026
Exam
Interventions found to prevent pressure ulcers in critically ill children include nutrition consults, using skin
moisturizers, turning the child every 2 hr, and using draw sheets to minimize shear. Dry-weave underpads, not
underpads with plastic, should be used to reduce moisture.
DIF: Cognitive Level: Applying TOP: Nursing Process: Implementation MSC: Client Needs: Physiological Integrity
24. The nurse is preparing to obtain a nasal washing from a child. What equipment should the nurse gather for
the procedure? (Select all that apply.)
a. Sterile water
b. A sterile swab
c. Syringe with tubing
d. Sterile normal saline
e. Tracheal suction catheter - Correct Answer :ANS: C, D
Nasal washings may be obtained to identify viral pathogens and guide therapy in some respiratory conditions.
The child is placed supine, and 1 to 3 mL of sterile normal saline is instilled with a sterile syringe (without a
needle) into one nostril. The contents are aspirated with a syringe with 5 cm (2 inches) of 18- to 20-gauge tubing.
The saline is quickly instilled and then aspirated to recover the nasal specimen. A tracheal suction catheter would
not trap the mucus. Normal saline is used, not sterile water. A sterile swab is used for a throat culture, not for
nasal washings.
DIF: Cognitive Level: Applying TOP: Nursing Process: Implementation MSC: Client Needs: Physiological Integrity
25. The clinic nurse is teaching parents about when to call the office immediately for a child with a fever. What
should the nurse include in the teaching session? (Select all that apply.)
a. The child has a stiff neck.
b. The fever is over 40° C (104° F).
c. The child is younger than 3 months.
d. The fever has lasted for more than 3 days.
e. The fever went away for more than 24 hr and then returned. - Correct Answer :ANS: A, B, C
Parents should call the office immediately if a child has a fever over 40° C (104° F), the child is younger than 3
months, or the child has a stiff neck. Parents are to call within 24 hr if the fever went away for more than 24 hr
and then returned or the fever has lasted for more than 3 days.
DIF: Cognitive Level: Applying TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion
and Maintenance
P 3
, • Pediatric Nursing 09/16/2026
Exam
26. What strategies should the nurse implement to assist in feeding a sick child? (Select all that apply.)
a. Serve large portions.
b. Make mealtimes pleasant.
c. Avoid foods that are highly seasoned.
d. Provide finger foods for young children.
e. Ensure a variety of foods, textures, and colors. - Correct Answer :ANS: B, C, D, E
To assist in feeding a sick child mealtimes should be pleasant: highly seasoned foods should be avoided: finger
foods should be provided for young children: and a variety of foods, textures, and colors should be ensured.
Small portions, not large, should be served.
DIF: Cognitive Level: Applying TOP: Nursing Process: Implementation MSC: Client Needs: Physiological Integrity
27. What disease processes require contact isolation? (Select all that apply.)
a. Rotavirus
b. Hepatitis A
c. Streptococcal pharyngitis
d. Mycoplasmal pneumonia
e. Respiratory syncytial virus - Correct Answer :ANS: A, B, E
In addition to Standard Precautions, use contact precautions for patients known or suspected to have serious
illnesses easily transmitted by direct patient contact or by contact with items in the patient's environment.
Examples of such illnesses include rotavirus, hepatitis A, and respiratory syncytial virus. Streptococcal pharyngitis
and mycoplasmal pneumonia require droplet precautions.
DIF: Cognitive Level: Analyzing TOP: Nursing Process: Assessment MSC: Client Needs: Safe and Effective Care
Environment
28. What disease processes require airborne precautions? (Select all that apply.)
a. Measles
b. Varicella
c. Pertussis
d. Meningitis
P 4
