ESSENTIALS OF PEDIATRIC
NURSING
5TH EDITION
• AUTHOR(S)TERRI KYLE; SUSAN
CARMAN
TEST BANK
1)
Reference: Ch. 1 — Introduction to Child Health — Child Health
& Population Measures
Stem: A 6-year-old is brought for a well-child visit. The clinic
nurse notes the child’s BMI is at the 95th percentile for age. The
parent asks whether the child is “overweight.” Which nursing
response best uses population health measurement to guide
family teaching?
Options:
,A. “Ignore BMI; focus only on growth trends on the child’s
individual growth curve.”
B. “A BMI at the 95th percentile indicates obesity; we’ll assess
diet, activity, and set family goals.”
C. “Percentiles are not useful — give the child a low-fat diet
immediately.”
D. “Refer to endocrinology now because percentile alone means
endocrine disease.”
Correct Answer: B
Rationales:
• Correct (B): BMI ≥95th percentile denotes obesity risk in
children; the nurse should assess caloric intake, activity,
and collaborate on family-centered, developmentally
appropriate interventions. This integrates population-level
measurement with individualized care.
• A: Incorrect — growth trends matter, but BMI percentiles
are a validated screening tool and should not be ignored.
• C: Incorrect — recommending a specific restrictive diet
without assessment is premature and may be
developmentally inappropriate.
• D: Incorrect — immediate endocrine referral is
unnecessary unless assessment reveals signs of pathologic
causes; primary nursing interventions come first.
Teaching Point: Use BMI percentiles to screen and guide
family-centered lifestyle interventions.
, Citation: Kyle, T., & Carman, S. (2023). Essentials of
Pediatric Nursing (5th ed.). Ch. 1.
2)
Reference: Ch. 1 — Measurement of Children’s Health Status —
Growth Charts
Stem: A 2-month-old infant’s weight has crossed from the 60th
to the 10th percentile since birth. The nurse notes decreased
feeding frequency and fewer wet diapers. What is the nurse’s
priority action?
Options:
A. Reassure parents this is normal and schedule the next
routine visit.
B. Assess feeding technique, frequency, and hydration; observe
a feeding if possible.
C. Start supplementary solids to increase caloric intake.
D. Immediately notify child protective services for neglect.
Correct Answer: B
Rationales:
• Correct (B): Rapid downward crossing of percentiles plus
decreased intake and urine output suggests inadequate
intake/dehydration; nurse should assess feeding and
hydration and provide immediate support or escalate.
Observation of a feeding identifies technique issues.
• A: Incorrect — not safe given the concerning signs.
, • C: Incorrect — solids are not appropriate for a 2-month-old
and could be harmful.
• D: Incorrect — while neglect is considered if intentional
inadequate care is suspected, immediate assessment and
family support are the priority before reporting unless
safety is evident.
Teaching Point: Downward crossing of growth percentiles
+ decreased intake is an early red flag—assess
feeding/hydration.
Citation: Kyle & Carman (2023). Ch. 1.
3)
Reference: Ch. 1 — The History of Child Health — Evolution of
Pediatric Care
Stem: A nursing student is preparing a presentation on how
pediatric nursing has changed over time. Which historical point
should the student highlight as most influential to modern
family-centered pediatric care?
Options:
A. Early hospital policies that prohibited parental presence
during inpatient stays.
B. The introduction of neonatal intensive care units (NICUs) and
family integration initiatives.
C. The 19th-century focus on infectious disease isolation only.
D. The removal of playrooms from hospitals to reduce cross-
infection.
NURSING
5TH EDITION
• AUTHOR(S)TERRI KYLE; SUSAN
CARMAN
TEST BANK
1)
Reference: Ch. 1 — Introduction to Child Health — Child Health
& Population Measures
Stem: A 6-year-old is brought for a well-child visit. The clinic
nurse notes the child’s BMI is at the 95th percentile for age. The
parent asks whether the child is “overweight.” Which nursing
response best uses population health measurement to guide
family teaching?
Options:
,A. “Ignore BMI; focus only on growth trends on the child’s
individual growth curve.”
B. “A BMI at the 95th percentile indicates obesity; we’ll assess
diet, activity, and set family goals.”
C. “Percentiles are not useful — give the child a low-fat diet
immediately.”
D. “Refer to endocrinology now because percentile alone means
endocrine disease.”
Correct Answer: B
Rationales:
• Correct (B): BMI ≥95th percentile denotes obesity risk in
children; the nurse should assess caloric intake, activity,
and collaborate on family-centered, developmentally
appropriate interventions. This integrates population-level
measurement with individualized care.
• A: Incorrect — growth trends matter, but BMI percentiles
are a validated screening tool and should not be ignored.
• C: Incorrect — recommending a specific restrictive diet
without assessment is premature and may be
developmentally inappropriate.
• D: Incorrect — immediate endocrine referral is
unnecessary unless assessment reveals signs of pathologic
causes; primary nursing interventions come first.
Teaching Point: Use BMI percentiles to screen and guide
family-centered lifestyle interventions.
, Citation: Kyle, T., & Carman, S. (2023). Essentials of
Pediatric Nursing (5th ed.). Ch. 1.
2)
Reference: Ch. 1 — Measurement of Children’s Health Status —
Growth Charts
Stem: A 2-month-old infant’s weight has crossed from the 60th
to the 10th percentile since birth. The nurse notes decreased
feeding frequency and fewer wet diapers. What is the nurse’s
priority action?
Options:
A. Reassure parents this is normal and schedule the next
routine visit.
B. Assess feeding technique, frequency, and hydration; observe
a feeding if possible.
C. Start supplementary solids to increase caloric intake.
D. Immediately notify child protective services for neglect.
Correct Answer: B
Rationales:
• Correct (B): Rapid downward crossing of percentiles plus
decreased intake and urine output suggests inadequate
intake/dehydration; nurse should assess feeding and
hydration and provide immediate support or escalate.
Observation of a feeding identifies technique issues.
• A: Incorrect — not safe given the concerning signs.
, • C: Incorrect — solids are not appropriate for a 2-month-old
and could be harmful.
• D: Incorrect — while neglect is considered if intentional
inadequate care is suspected, immediate assessment and
family support are the priority before reporting unless
safety is evident.
Teaching Point: Downward crossing of growth percentiles
+ decreased intake is an early red flag—assess
feeding/hydration.
Citation: Kyle & Carman (2023). Ch. 1.
3)
Reference: Ch. 1 — The History of Child Health — Evolution of
Pediatric Care
Stem: A nursing student is preparing a presentation on how
pediatric nursing has changed over time. Which historical point
should the student highlight as most influential to modern
family-centered pediatric care?
Options:
A. Early hospital policies that prohibited parental presence
during inpatient stays.
B. The introduction of neonatal intensive care units (NICUs) and
family integration initiatives.
C. The 19th-century focus on infectious disease isolation only.
D. The removal of playrooms from hospitals to reduce cross-
infection.
