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Essentials of Pediatric Nursing 4th Edition by Theresa Kyle questions and answers verified 2025

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Essentials Of Pediatric Nursing 4th Edition
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Test Bank – Essentials of Pediatric Nursing (4th Edition) by Kyle and Carman 1




Test Bank
Essentials of Pediatric Nursing
4th Edition

By Terri Kyle and Susan Carman




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Test Bank – Essentials of Pediatric Nursing (4th Edition) by Kyle and Carman 2



Contents
Chapter 1- Introduction to Child Health and Pediatric Nursing..................................................................................... 3
Chapter 2- Factors Influencing Child Health ................................................................................................................. 8
Chapter 3- Growth and Development of the Newborn and Infant ................................................................................ 13
Chapter 4- Growth and Development of the Toddler ................................................................................................... 19
Chapter 5- Growth and Development of the Preschooler ............................................................................................. 25
Chapter 6- Growth and Development of the School-Age Child ................................................................................... 32
Chapter 7- Growth and Development of the Adolescent .............................................................................................. 39
Chapter 8- Atraumatic Care of Children and Families ................................................................................................. 46
Chapter 9- Health Supervision...................................................................................................................................... 51
Chapter 10- Health Assessment of Children ................................................................................................................. 58
Chapter 11- Caring for Children in Diverse Settings .................................................................................................... 65
Chapter 12- Caring for the Special Needs Child ........................................................................................................... 72
Chapter 13- Key Pediatric Nursing Interventions ......................................................................................................... 78
Chapter 14- Nursing Care of the Child With an Alteration in Comfort–Pain Assessment and Management ............. 85
Chapter 15- Nursing Care of the Child With an Infection ............................................................................................ 92
Chapter 16- Nursing Care of the Child With an Alteration in Intracranial Regulation / Neurologic Disorder ............. 99
Chapter 17- Nursing Care of the Child With an Alteration in Sensory Perception / Disorder of the Eyes or Ears ..... 106
Chapter 18- Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder ........................ 113
Chapter 19- Nursing Care of the Child With an Alteration in Perfusion / Cardiovascular Disorder .......................... 119
Chapter 20- Nursing Care of the Child With an Alteration in Bowel Elimination / Gastrointestinal Disorder .......... 125
Chapter 21- Nursing Care of the Child With an Alteration in Urinary Elimination / Genitourinary Disorder ........... 132
Chapter 22- Nursing Care of the Child With an Alteration in Mobility / Neuromuscular or Musculoskeletal Disorder
.................................................................................................................................................................................... 139
Extra Questions: Musculoskeletal Disorder ........................................................................................................... 145
Chapter 23- Nursing Care of the Child With an Alteration in Tissue Integrity / Integumentary Disorder.................. 152
Chapter 24- Nursing Care of the Child With an Alteration in Cellular Regulation / Hematologic or Neoplastic
Disorder ...................................................................................................................................................................... 158
Extra Questions: Neoplastic Disorder .................................................................................................................... 165
Chapter 25- Nursing Care of the Child With an Alteration in Immunity or Immunologic Disorder .......................... 171
Chapter 26- Nursing Care of the Child With an Alteration in Metabolism / Endocrine Disorder .............................. 178
Chapter 27- Nursing Care of the Child With an Alteration in Genetics...................................................................... 185
Chapter 28- Nursing Care of the Child With an Alteration in Behavior, Cognition, or Development ....................... 192
Chapter 29- Nursing Care During a Pediatric Emergency .......................................................................................... 199




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Test Bank – Essentials of Pediatric Nursing (4th Edition) by Kyle and Carman 3




Chapter 1- Introduction to Child Health and Pediatric Nursing
1. The United States ranks 50th in the world for maternal mortality and 41st among
industrialized nations for infant mortality rate. When developing programs to assist in decreasing
these rates, which factor would most likely need to be addressed as having the greatest impact?
A) Resolving all language and cultural differences
B) Assuring early and adequate prenatal care
C) Providing more extensive women’s shelters
D) Encouraging all women to eat a balanced diet

2. When integrating the principles of family-centered care, the nurse would include which of the
following?
A) Childbirth is viewed as a procedural event
B) Families are unable to make informed choices
C) Childbirth results in changes in relationships
D) Families require little information to make appropriate decisions

3. When preparing a teaching plan for a group of first-time pregnant women, the nurse expects to
review how maternity care has changed over the years. Which of the following would the nurse
include when discussing events of the 20th century?
A) Epidemics of puerperal fever
B) Performance of the first cesarean birth
C) Development of the x-ray to assess pelvic size
D) Creation of free-standing birth centers

4. After teaching a group of students about pregnancy-related mortality, the instructor determines
that additional teaching is needed when the students identify which condition as a leading cause?
A) Hemorrhage
B) Embolism
C) Obstructed labor
D) Infection

5. The nurse is working with a group of community health members to develop a plan to address
the special health needs of women. Which of the following conditions would the group address
as the major problem?
A) Smoking
B) Heart disease
C) Diabetes
D) Cancer

6. When assessing a family for possible barriers to health care, the nurse would consider which
factor to be most important?
A) Language
B) Health care workers’ attitudes
C) Transportation




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Test Bank – Essentials of Pediatric Nursing (4th Edition) by Kyle and Carman 4



D) Finances

7. After teaching a group of nursing students about the issue of informed consent. Which of the
following, if identified by the student, would indicate an understanding of a violation of
informed consent?
A) Performing a procedure on a 15-year-old without consent
B) Serving as a witness to the signature process
C) Asking whether the client understands what she is signing
D) Getting verbal consent over the phone for emergency procedures

8. The nurse is trying to get consent to care for an 11-year-old boy with diabetic ketoacidosis.
His parents are out of town on vacation, and the child is staying with a neighbor. Which action
would be the priority?
A) Getting telephone consent with two people listening to the verbal consent
B) Providing emergency care without parental consent
C) Contacting the child’s aunt or uncle to obtain their consent
D) Advocating for termination of parental rights for this situation

9. After teaching nursing students about the basic concepts of family-centered care, the instructor
determines that the teaching was successful when the students state which of the following?
A) “Childbirth affects the entire family, and relationships will change.”
B) “Families are not capable of making health care decisions for themselves.”
C) “Mothers are the family members affected by childbirth.”
D) “Childbirth is a medical procedure.”

10. A nursing instructor is preparing a class discussion on the trends in health care and health
care delivery over the past several centuries. When discussing the changes during the past
century, which of the following would the instructor be least likely to include?
A) Disease prevention
B) Health promotion
C) Wellness
D) Analysis of morbidity and mortality

11. A nurse is assigned to care for an Asian American client. The nurse develops a plan of care
with the understanding that based on this client’s cultural background, the client most likely
views illness as which of the following?
A) Caused by supernatural forces.
B) A punishment for sins.
C) Due to spirits or demons.
D) From an imbalance of yin and yang

12. A nurse is developing a plan of care for a woman to ensure continuity of care during
pregnancy, labor, and childbirth. Which of the following would be most important for the nurse
to incorporate into that plan?
A) Adhering to strict, specific routines
B) Involving a pediatric physician
C) Educating the client about the importance of a support person




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