• 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
A nurse is reinforcing teaching a parent of a child who has a fracture of the epiphyseal plate. Which of the
following is an appropriate statement by the nurse?
A. "The blood supply to the bone is disrupted."
B. "Normal bone growth can be affected."
P 1
, • Pediatric Nursing 09/16/2026
Exam
C. "Bone marrow can be lost though the fracture."
D. "The healing process will take longer."
B. "Normal bone growth can be affected."
Rationale: A fracture of the epiphyseal plate can affect growth in a child. Therefore, it needs to be detected and
treated rapidly.
A nurse is planning to speak to a group of adolescents about toxic shock syndrome (TSS). The nurse knows that
TSS is commonly associated with which of the following?
A. High-absorbency tampons
B. Mosquito bites
C. International travel
D. Multiple sexual partners
A. High-absorbency tampons
Rationale: Toxic shock syndrome, a severe disease caused by a toxin made by Staphylococcus aureus, is
characterized by shock and multiple organ dysfunction. It most often affects menstruating women who use
highly absorbent tampons.
A nurse is collecting data from a 9-month-old infant. Which of the following findings would require further
intervention?
A. Positive Babinski reflex
B. Positive Moro reflex
C. Negative Doll's eye reflex
D. Negative Crawl reflex
B. Positive Moro reflex
Rationale: The Moro reflex disappears approximately at 3-4 months of age. Therefore, a 9- month-old infant with
a positive Moro reflex is a finding that requires further intervention
A nurse is collecting data from an infant. Which of the following is a clinical manifestation of pyloric stenosis?
A. Absent bowel sounds
B. Increased sodium level
C. Projectile vomiting after feedings
D. Golf ball-sized mass over the left quadrant
C. Projectile vomiting after feedings
Rationale: Pyloric stenosis is a narrowing and thickening of the pyloric canal between the stomach and the
duodenum, resulting in projectile vomiting.
P 2
, • Pediatric Nursing 09/16/2026
Exam
A nurse is planning care for a child who has juvenile rheumatoid arthritis. Which of the following is an appropriate
action for the nurse to take?
A. Administer opioids on a schedule
B. Schedule prolonged periods of complete joint immobilization daily
C. Apply cool compresses for 20 minutes every hour
D. Maintain night splints to the affected joint.
D. Maintain night splints to the affected joint.
Rationale: Maintaining night splints to the affected joints will assist in the range of motion. Therefore, this is an
appropriate action for the nurse to take.
A nurse is caring for a school-age child who has mild persistent asthma. Which of the following is an expected
finding? (Select all that apply.)
A. Symptoms are continuous throughout the day.
B. Daytime symptoms occur more than twice a week.
C. Nighttime symptoms occur approximately twice a month.
D. Minor limitations occur with normal activity.
E. Peak expiratory flow (PEF) is greater than or equal to 80% of the predicted value.
B. Daytime symptoms occur more than twice a week.
D. Minor limitations occur with normal activity.
E. Peak expiratory flow (PEF) is greater than or equal to 80% of the predicted value.
A nurse working in a pediatric clinic is collecting data on a preschool-age child who has a rash on his arm. The
mother reports that the child was recently exposed to impetigo contagiosa. Which of the following
manifestations should the nurse expect to find with this skin infection?
A. Scaling patches that are clear in the center.
B. Honey-colored crusts caused by dried exudate.
C. Firm papules with a roughened, finely papillomatous texture.
D. Lines of small blisters surrounding one large blister.
B. Honey-colored crusts caused by dried exudate.
Rationale: This finding is associated with impetigo contagiosa. Honey-colored crusts
During a routine well child check-up, a nurse is reinforcing teaching to a parent who reports having difficulty
getting a preschool-age child to go to bed. Which of the following statements
indicates to the nurse that the parent understands how to foster a consistent bedtime for the preschooler?
A. "I will allow my child to cry himself to sleep each night."
B. "I will let my child fall asleep with me, and then move him to his own bed."
P 3
, • Pediatric Nursing 09/16/2026
Exam
C. "I will make sure the room is dark when placing my child in bed."
D. "I will encourage my child to fall sleep with his favorite toy."
D. "I will encourage my child to fall sleep with his favorite toy."
Rationale: Transitional objects, such as a blanket or toy, will provide a sense of comfort and allow the child to fall
asleep more quickly.
A nurse is collecting data about a 6-year-old client. Which statement by the client's parent should concern the
nurse?
A. "The teacher says my child has to squint to see the board."
B. "My child has recently lost both front top teeth."
C. "My child often cheats when we play board games."
D. "Sometimes my child acts bossy with his friends."
A. "The teacher says my child has to squint to see the board."
Rationale: Squinting to see the board may indicate a vision problem. It is essential to check children for hearing
and vision problems. If not identified and corrected early, they lead to frustration and a decreased ability to
learn.
A parent expresses concern to the nurse about his 5-year-old child's stuttering. Which of the following
statements is an appropriate nursing response?
A. "Look directly at your son when he is speaking."
B. "Try encouraging your son to begin saying the word again."
C. "Many children his age have problems with stuttering."
D. "Be sure to correct the child's speech gently and without judgement."
A. "Look directly at your son when he is speaking."
Rationale: Taking time to listen attentively to a child who stutters is an appropriate recommendation.
A nurse is talking to a parent who is concerned about her hospitalized 5-year-old child's behavior and asks the
nurse if it is "normal." The nurse explains that regression is common in hospitalized children and may manifest by
which of the following?
A. Bedwetting several times a day
B. Crying when the parent leaves
C. Eating only food from home
D. Cuddling a threadbare blanket at bedtime
P 4
Exam
Test Bank for Essentials of Pediatric Nursing,
5th Edition by Kyle & Carman | Complete
Chapters with Verified Answers | Latest
Updated Edition 2026
A nurse is reinforcing teaching a parent of a child who has a fracture of the epiphyseal plate. Which of the
following is an appropriate statement by the nurse?
A. "The blood supply to the bone is disrupted."
B. "Normal bone growth can be affected."
P 1
, • Pediatric Nursing 09/16/2026
Exam
C. "Bone marrow can be lost though the fracture."
D. "The healing process will take longer."
B. "Normal bone growth can be affected."
Rationale: A fracture of the epiphyseal plate can affect growth in a child. Therefore, it needs to be detected and
treated rapidly.
A nurse is planning to speak to a group of adolescents about toxic shock syndrome (TSS). The nurse knows that
TSS is commonly associated with which of the following?
A. High-absorbency tampons
B. Mosquito bites
C. International travel
D. Multiple sexual partners
A. High-absorbency tampons
Rationale: Toxic shock syndrome, a severe disease caused by a toxin made by Staphylococcus aureus, is
characterized by shock and multiple organ dysfunction. It most often affects menstruating women who use
highly absorbent tampons.
A nurse is collecting data from a 9-month-old infant. Which of the following findings would require further
intervention?
A. Positive Babinski reflex
B. Positive Moro reflex
C. Negative Doll's eye reflex
D. Negative Crawl reflex
B. Positive Moro reflex
Rationale: The Moro reflex disappears approximately at 3-4 months of age. Therefore, a 9- month-old infant with
a positive Moro reflex is a finding that requires further intervention
A nurse is collecting data from an infant. Which of the following is a clinical manifestation of pyloric stenosis?
A. Absent bowel sounds
B. Increased sodium level
C. Projectile vomiting after feedings
D. Golf ball-sized mass over the left quadrant
C. Projectile vomiting after feedings
Rationale: Pyloric stenosis is a narrowing and thickening of the pyloric canal between the stomach and the
duodenum, resulting in projectile vomiting.
P 2
, • Pediatric Nursing 09/16/2026
Exam
A nurse is planning care for a child who has juvenile rheumatoid arthritis. Which of the following is an appropriate
action for the nurse to take?
A. Administer opioids on a schedule
B. Schedule prolonged periods of complete joint immobilization daily
C. Apply cool compresses for 20 minutes every hour
D. Maintain night splints to the affected joint.
D. Maintain night splints to the affected joint.
Rationale: Maintaining night splints to the affected joints will assist in the range of motion. Therefore, this is an
appropriate action for the nurse to take.
A nurse is caring for a school-age child who has mild persistent asthma. Which of the following is an expected
finding? (Select all that apply.)
A. Symptoms are continuous throughout the day.
B. Daytime symptoms occur more than twice a week.
C. Nighttime symptoms occur approximately twice a month.
D. Minor limitations occur with normal activity.
E. Peak expiratory flow (PEF) is greater than or equal to 80% of the predicted value.
B. Daytime symptoms occur more than twice a week.
D. Minor limitations occur with normal activity.
E. Peak expiratory flow (PEF) is greater than or equal to 80% of the predicted value.
A nurse working in a pediatric clinic is collecting data on a preschool-age child who has a rash on his arm. The
mother reports that the child was recently exposed to impetigo contagiosa. Which of the following
manifestations should the nurse expect to find with this skin infection?
A. Scaling patches that are clear in the center.
B. Honey-colored crusts caused by dried exudate.
C. Firm papules with a roughened, finely papillomatous texture.
D. Lines of small blisters surrounding one large blister.
B. Honey-colored crusts caused by dried exudate.
Rationale: This finding is associated with impetigo contagiosa. Honey-colored crusts
During a routine well child check-up, a nurse is reinforcing teaching to a parent who reports having difficulty
getting a preschool-age child to go to bed. Which of the following statements
indicates to the nurse that the parent understands how to foster a consistent bedtime for the preschooler?
A. "I will allow my child to cry himself to sleep each night."
B. "I will let my child fall asleep with me, and then move him to his own bed."
P 3
, • Pediatric Nursing 09/16/2026
Exam
C. "I will make sure the room is dark when placing my child in bed."
D. "I will encourage my child to fall sleep with his favorite toy."
D. "I will encourage my child to fall sleep with his favorite toy."
Rationale: Transitional objects, such as a blanket or toy, will provide a sense of comfort and allow the child to fall
asleep more quickly.
A nurse is collecting data about a 6-year-old client. Which statement by the client's parent should concern the
nurse?
A. "The teacher says my child has to squint to see the board."
B. "My child has recently lost both front top teeth."
C. "My child often cheats when we play board games."
D. "Sometimes my child acts bossy with his friends."
A. "The teacher says my child has to squint to see the board."
Rationale: Squinting to see the board may indicate a vision problem. It is essential to check children for hearing
and vision problems. If not identified and corrected early, they lead to frustration and a decreased ability to
learn.
A parent expresses concern to the nurse about his 5-year-old child's stuttering. Which of the following
statements is an appropriate nursing response?
A. "Look directly at your son when he is speaking."
B. "Try encouraging your son to begin saying the word again."
C. "Many children his age have problems with stuttering."
D. "Be sure to correct the child's speech gently and without judgement."
A. "Look directly at your son when he is speaking."
Rationale: Taking time to listen attentively to a child who stutters is an appropriate recommendation.
A nurse is talking to a parent who is concerned about her hospitalized 5-year-old child's behavior and asks the
nurse if it is "normal." The nurse explains that regression is common in hospitalized children and may manifest by
which of the following?
A. Bedwetting several times a day
B. Crying when the parent leaves
C. Eating only food from home
D. Cuddling a threadbare blanket at bedtime
P 4
