• Pediatric Nursing 09/16/2026
Exam
Test Bank 3 for Essentials of Pediatric Nursing,
5th Edition by Kyle & Carman | Complete
Chapters with Verified Answers | Latest
Updated Edition 2026
1. A 16-year-old boy with a chronic illness has recently become rebellious and is taking risks such as missing doses
of his medication. What should the nurse explain to his parents?
a. That he needs more discipline.
b. That this is a normal part of adolescence.
P 1
, • Pediatric Nursing 09/16/2026
Exam
.c. That he needs more socialization with peers.
d. That this is how he is asking for more parental control. - Correct Answer :ANS: B
Risk taking, rebelliousness, and lack of cooperation are normal parts of adolescence, during which young adults
are establishing independence. If the parents increase the amount of discipline, he will most likely be more
rebellious. More socialization with peers does not address the problem of risk- taking behavior.
DIF: Cognitive Level: Applying TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion
and Maintenance
2. What nursing intervention is most appropriate in promoting normalization in a school-age child with a chronic
illness?
a. Give the child as much control as possible.
b. Ask the child's peer to make the child feel normal.
c. Convince the child that nothing is wrong with him or her.
d. Explain to parents that family rules for the child do not need to be the same as for healthy siblings.
- Correct Answer :ANS: A
The school-age child who is ill may be forced into a period of dependency. To foster normalcy, the child should
be given as much control as possible. It is unrealistic for one individual to make the child feel normal. The child
has a chronic illness, so it would be unacceptable to convince the child that nothing is wrong. The family rules
should be similar for each of the children in a family. Resentment and hostility can arise if different standards are
applied to each child.
DIF: Cognitive Level: Applying TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity
3. The nurse observes that a seriously ill child passively accepts all painful procedures. The nurse should
recognize that this is most likely an indication that the child is experiencing what emotional response?
a. Hopefulness
b. Chronic sorrow
c. Belief that procedures are a deserved punishment
d. Understanding that procedures indicate impending death - Correct Answer :ANS: C
P 2
, • Pediatric Nursing 09/16/2026
Exam
The nurse should be particularly alert to a child who withdraws and passively accepts all painful procedures. This
child may believe that such acts are inflicted as deserved punishment for being less worthy. A child who is
hopeful is mobilized into goal-directed actions. This child would actively participate in care. Chronic sorrow is the
feeling of sorrow and loss that recurs in waves over time. It is usually evident in the parents, not in the child. The
seriously ill child would actively participate in care. Nursing interventions should be used to minimize the pain.
DIF: Cognitive Level: Analyzing TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
4. The parents of a child born with disabilities ask the nurse for advice about discipline. The nurse's response
should be based on remembering that discipline is which?
Essential for the child
b. Not needed unless the child's behavior becomes problematic
c. Best achieved with punishment for misbehavior
d. Too difficult to implement with a special needs child - Correct Answer :ANS: A
Discipline is essential for the child. It provides boundaries on which she can test out her behavior and teaches her
socially acceptable behaviors. The nurse should teach the parents ways to manage the child's behavior before it
becomes problematic. Punishment is not effective in managing behavior.
DIF: Cognitive Level: Applying TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion
and Maintenance
5. Parents ask for help for their other children to cope with the changes in the family resulting from the special
needs of their sibling. What strategy does the nurse recommend?
a. Explain to the siblings that embarrassment is unhealthy.
b. Encourage the parents not to expect siblings to help them care for the child with special needs.
c. Provide information to the siblings about the child's condition only as requested.
d. Invite the siblings to attend meetings to develop plans for the child with special needs. - Correct Answer
:ANS: D
Siblings should be invited to attend meeting to be part of the care team for the child. They can learn about an
individualized education plan and help design strategies that will work at home.
Embarrassment may be associated with having a sibling with a chronic illness or disability. Parents must be able
to respond in an appropriate manner without punishing the sibling. The parents may need assistance with the
care of the child. Most siblings are positive about the extra responsibilities. Parents need to inform the siblings
about the child's condition before a non-family member does so. The parents do not want the siblings to
fantasize about what is wrong with the child.
P 3
, • Pediatric Nursing 09/16/2026
Exam
DIF: Cognitive Level: Analyzing TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity
6. What manifestation observed by the nurse is suggestive of parental overprotection?
a. Gives inconsistent discipline.
b. Facilitates the child's responsibility for self-care of illness.
c. Persuades the child to take on activities of daily living even when not able.
d. Encourages social and educational activities not appropriate to the child's level of capability. - Correct Answer
:ANS: A
Parental overprotection is manifested when the parents fear letting the child achieve any new skill, avoid all
discipline, and cater to every desire to prevent frustration. Overprotective parents do not allow the child to
assume responsibility for self-care of the illness. The parents prefer to remain in the role of total caregiver. The
parents do not encourage the child to participate in social and educational activities.
DIF: Cognitive Level: Analyzing TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
A 5-year-old child will be starting kindergarten next month. She has cerebral palsy, and it has been determined
that she needs to be in a special education classroom. Her parents are tearful when telling the nurse about this
and state that they did not realize her disability was so severe. What is the best interpretation of this situation?
a. This is a sign the parents are in denial.
b. This is a normal anticipated time of parental stress.
c. The parents need to learn more about cerebral palsy.
d. The parents' expectations are too high. - Correct Answer :ANS: B
Parenting a child with a chronic illness can be stressful. At certain anticipated times, parental stress increases.
One of these identified times is when the child begins school. Nurses can help parents recognize and plan
interventions to work through these stressful periods. The parents are not in denial: rather, they are responding
to the child's placement in school. The parents are not exhibiting signs of a remembering deficit: this is their first
interaction with the school system with this child.
DIF: Cognitive Level: Analyzing TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
8. The nurse is talking to the parent of a child with special needs. The parent has expressed worry about how to
support the siblings at home. What suggestion is appropriate for the nurse to give to the parent?
P 4
Exam
Test Bank 3 for Essentials of Pediatric Nursing,
5th Edition by Kyle & Carman | Complete
Chapters with Verified Answers | Latest
Updated Edition 2026
1. A 16-year-old boy with a chronic illness has recently become rebellious and is taking risks such as missing doses
of his medication. What should the nurse explain to his parents?
a. That he needs more discipline.
b. That this is a normal part of adolescence.
P 1
, • Pediatric Nursing 09/16/2026
Exam
.c. That he needs more socialization with peers.
d. That this is how he is asking for more parental control. - Correct Answer :ANS: B
Risk taking, rebelliousness, and lack of cooperation are normal parts of adolescence, during which young adults
are establishing independence. If the parents increase the amount of discipline, he will most likely be more
rebellious. More socialization with peers does not address the problem of risk- taking behavior.
DIF: Cognitive Level: Applying TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion
and Maintenance
2. What nursing intervention is most appropriate in promoting normalization in a school-age child with a chronic
illness?
a. Give the child as much control as possible.
b. Ask the child's peer to make the child feel normal.
c. Convince the child that nothing is wrong with him or her.
d. Explain to parents that family rules for the child do not need to be the same as for healthy siblings.
- Correct Answer :ANS: A
The school-age child who is ill may be forced into a period of dependency. To foster normalcy, the child should
be given as much control as possible. It is unrealistic for one individual to make the child feel normal. The child
has a chronic illness, so it would be unacceptable to convince the child that nothing is wrong. The family rules
should be similar for each of the children in a family. Resentment and hostility can arise if different standards are
applied to each child.
DIF: Cognitive Level: Applying TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity
3. The nurse observes that a seriously ill child passively accepts all painful procedures. The nurse should
recognize that this is most likely an indication that the child is experiencing what emotional response?
a. Hopefulness
b. Chronic sorrow
c. Belief that procedures are a deserved punishment
d. Understanding that procedures indicate impending death - Correct Answer :ANS: C
P 2
, • Pediatric Nursing 09/16/2026
Exam
The nurse should be particularly alert to a child who withdraws and passively accepts all painful procedures. This
child may believe that such acts are inflicted as deserved punishment for being less worthy. A child who is
hopeful is mobilized into goal-directed actions. This child would actively participate in care. Chronic sorrow is the
feeling of sorrow and loss that recurs in waves over time. It is usually evident in the parents, not in the child. The
seriously ill child would actively participate in care. Nursing interventions should be used to minimize the pain.
DIF: Cognitive Level: Analyzing TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
4. The parents of a child born with disabilities ask the nurse for advice about discipline. The nurse's response
should be based on remembering that discipline is which?
Essential for the child
b. Not needed unless the child's behavior becomes problematic
c. Best achieved with punishment for misbehavior
d. Too difficult to implement with a special needs child - Correct Answer :ANS: A
Discipline is essential for the child. It provides boundaries on which she can test out her behavior and teaches her
socially acceptable behaviors. The nurse should teach the parents ways to manage the child's behavior before it
becomes problematic. Punishment is not effective in managing behavior.
DIF: Cognitive Level: Applying TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion
and Maintenance
5. Parents ask for help for their other children to cope with the changes in the family resulting from the special
needs of their sibling. What strategy does the nurse recommend?
a. Explain to the siblings that embarrassment is unhealthy.
b. Encourage the parents not to expect siblings to help them care for the child with special needs.
c. Provide information to the siblings about the child's condition only as requested.
d. Invite the siblings to attend meetings to develop plans for the child with special needs. - Correct Answer
:ANS: D
Siblings should be invited to attend meeting to be part of the care team for the child. They can learn about an
individualized education plan and help design strategies that will work at home.
Embarrassment may be associated with having a sibling with a chronic illness or disability. Parents must be able
to respond in an appropriate manner without punishing the sibling. The parents may need assistance with the
care of the child. Most siblings are positive about the extra responsibilities. Parents need to inform the siblings
about the child's condition before a non-family member does so. The parents do not want the siblings to
fantasize about what is wrong with the child.
P 3
, • Pediatric Nursing 09/16/2026
Exam
DIF: Cognitive Level: Analyzing TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity
6. What manifestation observed by the nurse is suggestive of parental overprotection?
a. Gives inconsistent discipline.
b. Facilitates the child's responsibility for self-care of illness.
c. Persuades the child to take on activities of daily living even when not able.
d. Encourages social and educational activities not appropriate to the child's level of capability. - Correct Answer
:ANS: A
Parental overprotection is manifested when the parents fear letting the child achieve any new skill, avoid all
discipline, and cater to every desire to prevent frustration. Overprotective parents do not allow the child to
assume responsibility for self-care of the illness. The parents prefer to remain in the role of total caregiver. The
parents do not encourage the child to participate in social and educational activities.
DIF: Cognitive Level: Analyzing TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
A 5-year-old child will be starting kindergarten next month. She has cerebral palsy, and it has been determined
that she needs to be in a special education classroom. Her parents are tearful when telling the nurse about this
and state that they did not realize her disability was so severe. What is the best interpretation of this situation?
a. This is a sign the parents are in denial.
b. This is a normal anticipated time of parental stress.
c. The parents need to learn more about cerebral palsy.
d. The parents' expectations are too high. - Correct Answer :ANS: B
Parenting a child with a chronic illness can be stressful. At certain anticipated times, parental stress increases.
One of these identified times is when the child begins school. Nurses can help parents recognize and plan
interventions to work through these stressful periods. The parents are not in denial: rather, they are responding
to the child's placement in school. The parents are not exhibiting signs of a remembering deficit: this is their first
interaction with the school system with this child.
DIF: Cognitive Level: Analyzing TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
8. The nurse is talking to the parent of a child with special needs. The parent has expressed worry about how to
support the siblings at home. What suggestion is appropriate for the nurse to give to the parent?
P 4
