• Pediatric Nursing 09/16/2026
Exam
Test Bank 4 for Essentials of Pediatric Nursing,
5th Edition by Kyle & Carman | Complete
Chapters with Verified Answers | Latest
Updated Edition 2026
A nurse is reinforcing teaching to the parents of a child who has cystic fibrosis and has a prescription for
pancrelipase (Pancrease) capsules. Which of the following should the nurse include in the teaching?
A. Administer the medication with meals and snacks.
B. Capsules must be taken whole.
P 1
, • Pediatric Nursing 09/16/2026
Exam
C. This medication may be discontinued when symptoms diminish.
D. This medication may cause a diarrhea.
A. Administer the medication with meals and snacks.
Rationale: Pancrelipase is a digestive enzyme that must be administered with all snacks or meals in order for the
food to be properly digested.
A nurse is collecting data from an 11-month-old infant. Which of the following clinical manifestations is suggestive
of a central nervous system infection?
A. Oliguria
B. Bulging fontanel
C. Negative Brudzinski sign
D. Jaundice
B. Bulging fontanel
Rationale: A central nervous system infection causes increased intracranial pressure. Therefore, bulging
fontanels are a clinical manifestation of a central nervous system infection.
A nurse is reinforcing teaching to an adolescent client regarding administration of Gardasil
vaccine. For which of the following sexually transmitted infections does the vaccine provide immunity?
A. Human papillomavirus (HPV)
B. Herpes simplex virus (HSV-2)
C. Chlamydia trachomatis
D. Gonorrhea
A. Human papillomavirus (HPV)
Rationale: Gardasil is the only HPV vaccine that helps provide immunity against 4 types of HPV. These include
type 6, 11, 16, and 18. The immunization schedule for Gardasil is 3 injections over a 6 month period. Clients should
receive this vaccine between the ages of 9 and 26.
A nurse is caring for a toddler who has a fractured right femur and is in Bryant's traction. When monitoring to
determine if the traction is appropriately assembled, the nurse expects to observe which of the following?
A. Skin straps maintain the leg in an extended position.
B. Weights attached to a pin that is inserted in the femur.
C. A padded sling under the knee of the affected leg.
D. The buttocks elevated slightly off of the bed.
D. The buttocks elevated slightly off of the bed.
P 2
, • Pediatric Nursing 09/16/2026
Exam
Rationale: The buttocks elevated slightly off of the bed is appropriate for Bryant traction. The child's hips are
flexed at a 90-degree angle with the legs suspended by pulleys and weights.
A nurse is caring for a toddler whose parent states while bathing the child she noticed a mass in his abdominal
area and his urine is a pink color. Which of the following is the priority action the
nurse should take?
A. Schedule the child for an abdominal ultrasound.
B. Instruct the parent to avoid pressing on the abdominal area.
C. Determine if the child is having pain.
D. Obtain a urine specimen for a urinalysis.
B. Instruct the parent to avoid pressing on the abdominal area.
Rationale: The priority action by the nurse is to instruct the parent to avoid pressing on the child's abdominal.
These symptoms are associated with Wilm's tumor, and trauma to the mass should be avoided to prevent entry
of cancer cells into other sites.
A nurse is caring for a preterm newborn who is in an incubator. The nurse should make sure that the maximum
oxygen concentration to deliver to this client is:
A. 30%
B. 40%
C. 50%
D. 60%
B. 40%.
Rationale: Oxygen concentrations higher than 40% can cause retinal damage and visual impairment. This is the
maximum concentration to deliver.
A nurse is reinforcing teaching to a parent and a school-age child following application of a fiberglass cast for a
radius fracture. Which of the following statements by the parent or child indicates the need for further teaching?
A. "I will try not to move my fingers very much while I have the cast on."
B. "I will have my arm in a sling whenever I am walking around."
C. "I will keep an ice bag on my son's cast to decrease swelling."
D. "I will notify the provider if I notice any discoloration of my son's fingers."
A. "I will try not to move my fingers very much while I have the cast on."
Rationale: The child should move his fingers
A nurse is caring for an infant who has a tracheoesophageal fistula. Which of the
following findings are associated with this diagnosis? (Select all that apply.)
P 3
, • Pediatric Nursing 09/16/2026
Exam
A. Coughing
B. Apnea
C. Sunken abdomen
D. Cyanosis
E. Frothy saliva
A. Coughing
B. Apnea
D. Cyanosis
E. Frothy saliva
Rationale: Coughing is correct. Coughing is a finding associated with a tracheoesophageal fistula. Apnea is
correct. Apnea is a finding associated with a tracheoesophageal fistula. Sunken abdomen is incorrect. Abdominal
distension, not a sunken abdomen, is a finding associated with a tracheoesophageal fistula.
Cyanosis is correct. Cyanosis is a finding associated with a
tracheoesophageal fistula. Frothy saliva is correct. Frothy saliva is a finding associated with a tracheoesophageal
fistula.
A nurse is caring for a child with acute glomerulonephritis. Which of the following should be the first action by
the nurse?
A. Place the child on a no-salt-added diet.
B. Check the child's daily weight.
C. Educate the parents about potential complications.
D. Maintain a saline-lock.
B. Check the child's daily weight.
Rationale: The first action the nurse should take using the nursing process is to collect data from the client;
therefore, checking the child's daily weight should be the first action the nurse takes.
A nurse is assisting with the discharge of a child with sickle cell anemia after an acute crisis episode. Which of the
following should the nurse reinforce with the child's parents?
A. Monitor the child's temperature daily.
B. Restrict outdoor play activity to 1 hr per day.
C. Encourage the child to drink lots of fluids.
D. Have the child eat a high-protein diet.
C. Encourage the child to drink lots of fluids.
Rationale: Preventing dehydration is an important step in preventing a sickle cell crisis. The nurse should give the
parents a specific amount of fluid to make should the child drinks each day.
A nurse is collecting data regarding the pain level of a 4-year-old client on the second postoperative day. Which
of the following actions should the nurse take?
P 4
Exam
Test Bank 4 for Essentials of Pediatric Nursing,
5th Edition by Kyle & Carman | Complete
Chapters with Verified Answers | Latest
Updated Edition 2026
A nurse is reinforcing teaching to the parents of a child who has cystic fibrosis and has a prescription for
pancrelipase (Pancrease) capsules. Which of the following should the nurse include in the teaching?
A. Administer the medication with meals and snacks.
B. Capsules must be taken whole.
P 1
, • Pediatric Nursing 09/16/2026
Exam
C. This medication may be discontinued when symptoms diminish.
D. This medication may cause a diarrhea.
A. Administer the medication with meals and snacks.
Rationale: Pancrelipase is a digestive enzyme that must be administered with all snacks or meals in order for the
food to be properly digested.
A nurse is collecting data from an 11-month-old infant. Which of the following clinical manifestations is suggestive
of a central nervous system infection?
A. Oliguria
B. Bulging fontanel
C. Negative Brudzinski sign
D. Jaundice
B. Bulging fontanel
Rationale: A central nervous system infection causes increased intracranial pressure. Therefore, bulging
fontanels are a clinical manifestation of a central nervous system infection.
A nurse is reinforcing teaching to an adolescent client regarding administration of Gardasil
vaccine. For which of the following sexually transmitted infections does the vaccine provide immunity?
A. Human papillomavirus (HPV)
B. Herpes simplex virus (HSV-2)
C. Chlamydia trachomatis
D. Gonorrhea
A. Human papillomavirus (HPV)
Rationale: Gardasil is the only HPV vaccine that helps provide immunity against 4 types of HPV. These include
type 6, 11, 16, and 18. The immunization schedule for Gardasil is 3 injections over a 6 month period. Clients should
receive this vaccine between the ages of 9 and 26.
A nurse is caring for a toddler who has a fractured right femur and is in Bryant's traction. When monitoring to
determine if the traction is appropriately assembled, the nurse expects to observe which of the following?
A. Skin straps maintain the leg in an extended position.
B. Weights attached to a pin that is inserted in the femur.
C. A padded sling under the knee of the affected leg.
D. The buttocks elevated slightly off of the bed.
D. The buttocks elevated slightly off of the bed.
P 2
, • Pediatric Nursing 09/16/2026
Exam
Rationale: The buttocks elevated slightly off of the bed is appropriate for Bryant traction. The child's hips are
flexed at a 90-degree angle with the legs suspended by pulleys and weights.
A nurse is caring for a toddler whose parent states while bathing the child she noticed a mass in his abdominal
area and his urine is a pink color. Which of the following is the priority action the
nurse should take?
A. Schedule the child for an abdominal ultrasound.
B. Instruct the parent to avoid pressing on the abdominal area.
C. Determine if the child is having pain.
D. Obtain a urine specimen for a urinalysis.
B. Instruct the parent to avoid pressing on the abdominal area.
Rationale: The priority action by the nurse is to instruct the parent to avoid pressing on the child's abdominal.
These symptoms are associated with Wilm's tumor, and trauma to the mass should be avoided to prevent entry
of cancer cells into other sites.
A nurse is caring for a preterm newborn who is in an incubator. The nurse should make sure that the maximum
oxygen concentration to deliver to this client is:
A. 30%
B. 40%
C. 50%
D. 60%
B. 40%.
Rationale: Oxygen concentrations higher than 40% can cause retinal damage and visual impairment. This is the
maximum concentration to deliver.
A nurse is reinforcing teaching to a parent and a school-age child following application of a fiberglass cast for a
radius fracture. Which of the following statements by the parent or child indicates the need for further teaching?
A. "I will try not to move my fingers very much while I have the cast on."
B. "I will have my arm in a sling whenever I am walking around."
C. "I will keep an ice bag on my son's cast to decrease swelling."
D. "I will notify the provider if I notice any discoloration of my son's fingers."
A. "I will try not to move my fingers very much while I have the cast on."
Rationale: The child should move his fingers
A nurse is caring for an infant who has a tracheoesophageal fistula. Which of the
following findings are associated with this diagnosis? (Select all that apply.)
P 3
, • Pediatric Nursing 09/16/2026
Exam
A. Coughing
B. Apnea
C. Sunken abdomen
D. Cyanosis
E. Frothy saliva
A. Coughing
B. Apnea
D. Cyanosis
E. Frothy saliva
Rationale: Coughing is correct. Coughing is a finding associated with a tracheoesophageal fistula. Apnea is
correct. Apnea is a finding associated with a tracheoesophageal fistula. Sunken abdomen is incorrect. Abdominal
distension, not a sunken abdomen, is a finding associated with a tracheoesophageal fistula.
Cyanosis is correct. Cyanosis is a finding associated with a
tracheoesophageal fistula. Frothy saliva is correct. Frothy saliva is a finding associated with a tracheoesophageal
fistula.
A nurse is caring for a child with acute glomerulonephritis. Which of the following should be the first action by
the nurse?
A. Place the child on a no-salt-added diet.
B. Check the child's daily weight.
C. Educate the parents about potential complications.
D. Maintain a saline-lock.
B. Check the child's daily weight.
Rationale: The first action the nurse should take using the nursing process is to collect data from the client;
therefore, checking the child's daily weight should be the first action the nurse takes.
A nurse is assisting with the discharge of a child with sickle cell anemia after an acute crisis episode. Which of the
following should the nurse reinforce with the child's parents?
A. Monitor the child's temperature daily.
B. Restrict outdoor play activity to 1 hr per day.
C. Encourage the child to drink lots of fluids.
D. Have the child eat a high-protein diet.
C. Encourage the child to drink lots of fluids.
Rationale: Preventing dehydration is an important step in preventing a sickle cell crisis. The nurse should give the
parents a specific amount of fluid to make should the child drinks each day.
A nurse is collecting data regarding the pain level of a 4-year-old client on the second postoperative day. Which
of the following actions should the nurse take?
P 4
