ESSENTIALS OF PEDIATRIC
NURSING
5TH EDITION
• AUTHOR(S)TERRI KYLE; SUSAN
CARMAN
TEST BANK
1
Reference: Ch. 1 — Philosophy of Pediatric Nursing — Family-
Centered Care
Stem: A 3-year-old toddler with newly diagnosed asthma will be
discharged tomorrow. The mother expresses anxiety and asks
the nurse to show her inhaler technique and how to use the
spacer with the child. The toddler is clingy but calms when
mother holds her. What is the best nursing action?
A. Demonstrate inhaler and spacer use to the mother while the
,toddler watches.
B. Explain steps verbally to the mother and give a brochure for
later review.
C. Ask the mother to demonstrate using a return-demonstration
with the toddler present.
D. Leave the inhaler with the mother and schedule a teaching
call after discharge.
Correct Answer: C
Rationale — Correct (C): Return-demonstration confirms
caregiver competence and retention. Including the toddler
allows practice in a safe setting and supports family-centered
care. It addresses safety by ensuring correct technique before
discharge.
Rationale — Incorrect:
A. Demonstration alone may not confirm caregiver skill.
B. Verbal instructions and brochures are insufficient for hands-
on skills.
D. Delaying verification risks medication errors and unsafe
home use.
Teaching Point: Use return-demonstration to confirm caregiver
competence before discharge.
Citation: Kyle, T., & Carman, S. (2023). Essentials of Pediatric
Nursing (5th ed.). Ch. 1.
2
,Reference: Ch. 1 — Pediatric Nursing — Atraumatic Care
Principles
Stem: A 9-month-old infant requires a scheduled immunization.
The parent requests measures to reduce pain and distress.
Which nursing action best follows atraumatic care?
A. Offer a pacifier with sucrose and hold the infant during the
injection.
B. Explain the procedure in detail to the infant before injection.
C. Restrain the infant tightly to prevent movement during
injection.
D. Administer the injection without explanation to speed the
process.
Correct Answer: A
Rationale — Correct (A): Sucrose and parental holding reduce
pain and distress in infants and align with atraumatic care.
These measures are developmentally appropriate and
evidence-based.
Rationale — Incorrect:
B. Infants cannot understand verbal explanations; this is
developmentally inappropriate.
C. Restraint increases trauma and should be avoided unless
necessary and authorized.
D. Speed without comfort measures increases distress and is
not atraumatic.
Teaching Point: Use nonpharmacologic comfort (sucrose, skin-
to-skin, holding) for infant procedures.
Citation: Kyle & Carman. Ch. 1.
, 3
Reference: Ch. 1 — Federal Legislation Affecting Child Health —
Access to Services
Stem: A 2-year-old with developmental delay is referred for
early intervention. The parents are unaware of available
programs. As the pediatric nurse, which action best facilitates
access to federally supported early intervention?
A. Tell the parents to call their pediatrician for more
information.
B. Provide contact information for the local early intervention
program and assist with referral paperwork.
C. Advise waiting 6 months to see if delays resolve.
D. Recommend private therapy without discussing community
resources.
Correct Answer: B
Rationale — Correct (B): Nurses advocate and coordinate care
by connecting families with early intervention resources and
assisting referrals, improving timely access under federal
programs.
Rationale — Incorrect:
A. Delegating back to the pediatrician delays care coordination.
C. Waiting risks missed early intervention opportunities.
D. Recommending private therapy without resources may limit
access for families.
Teaching Point: Proactively connect families to early
NURSING
5TH EDITION
• AUTHOR(S)TERRI KYLE; SUSAN
CARMAN
TEST BANK
1
Reference: Ch. 1 — Philosophy of Pediatric Nursing — Family-
Centered Care
Stem: A 3-year-old toddler with newly diagnosed asthma will be
discharged tomorrow. The mother expresses anxiety and asks
the nurse to show her inhaler technique and how to use the
spacer with the child. The toddler is clingy but calms when
mother holds her. What is the best nursing action?
A. Demonstrate inhaler and spacer use to the mother while the
,toddler watches.
B. Explain steps verbally to the mother and give a brochure for
later review.
C. Ask the mother to demonstrate using a return-demonstration
with the toddler present.
D. Leave the inhaler with the mother and schedule a teaching
call after discharge.
Correct Answer: C
Rationale — Correct (C): Return-demonstration confirms
caregiver competence and retention. Including the toddler
allows practice in a safe setting and supports family-centered
care. It addresses safety by ensuring correct technique before
discharge.
Rationale — Incorrect:
A. Demonstration alone may not confirm caregiver skill.
B. Verbal instructions and brochures are insufficient for hands-
on skills.
D. Delaying verification risks medication errors and unsafe
home use.
Teaching Point: Use return-demonstration to confirm caregiver
competence before discharge.
Citation: Kyle, T., & Carman, S. (2023). Essentials of Pediatric
Nursing (5th ed.). Ch. 1.
2
,Reference: Ch. 1 — Pediatric Nursing — Atraumatic Care
Principles
Stem: A 9-month-old infant requires a scheduled immunization.
The parent requests measures to reduce pain and distress.
Which nursing action best follows atraumatic care?
A. Offer a pacifier with sucrose and hold the infant during the
injection.
B. Explain the procedure in detail to the infant before injection.
C. Restrain the infant tightly to prevent movement during
injection.
D. Administer the injection without explanation to speed the
process.
Correct Answer: A
Rationale — Correct (A): Sucrose and parental holding reduce
pain and distress in infants and align with atraumatic care.
These measures are developmentally appropriate and
evidence-based.
Rationale — Incorrect:
B. Infants cannot understand verbal explanations; this is
developmentally inappropriate.
C. Restraint increases trauma and should be avoided unless
necessary and authorized.
D. Speed without comfort measures increases distress and is
not atraumatic.
Teaching Point: Use nonpharmacologic comfort (sucrose, skin-
to-skin, holding) for infant procedures.
Citation: Kyle & Carman. Ch. 1.
, 3
Reference: Ch. 1 — Federal Legislation Affecting Child Health —
Access to Services
Stem: A 2-year-old with developmental delay is referred for
early intervention. The parents are unaware of available
programs. As the pediatric nurse, which action best facilitates
access to federally supported early intervention?
A. Tell the parents to call their pediatrician for more
information.
B. Provide contact information for the local early intervention
program and assist with referral paperwork.
C. Advise waiting 6 months to see if delays resolve.
D. Recommend private therapy without discussing community
resources.
Correct Answer: B
Rationale — Correct (B): Nurses advocate and coordinate care
by connecting families with early intervention resources and
assisting referrals, improving timely access under federal
programs.
Rationale — Incorrect:
A. Delegating back to the pediatrician delays care coordination.
C. Waiting risks missed early intervention opportunities.
D. Recommending private therapy without resources may limit
access for families.
Teaching Point: Proactively connect families to early
