ESSENTIALS OF PEDIATRIC
NURSING
5TH EDITION
• AUTHOR(S)TERRI KYLE; SUSAN
CARMAN
TEST BANK
Reference: Ch. 1 — Introduction to Child Health and Pediatric
Nursing — Measurement of Children’s Health Status
Stem: A 6-month-old infant arrives for a well-child check. The
mother reports the infant has not regained birth weight by 2
weeks of age and seems less active. Which nursing action best
evaluates the infant’s health status?
A. Ask the mother to describe daily feeding and output
patterns.
B. Schedule routine immunizations and advise return in one
month.
,C. Reassure the mother that infants often vary in weight gain.
D. Refer to social services immediately for suspected neglect.
Correct Answer: A
Rationale — Correct: Asking about feeding and output gathers
essential data on nutrition, hydration, and growth trends —
immediate, developmentally appropriate assessment to identify
causes of poor weight gain. This information guides further
interventions.
Rationale — Incorrect: B delays assessment of a potential
problem. C minimizes a possible red flag. D is premature
without assessment and corroborating evidence.
Teaching Point: Start with targeted history and growth data
before escalation.
Citation: Kyle, T., & Carman, S. (2023). Essentials of Pediatric
Nursing (5th ed.). Ch. 1.
2
Reference: Ch. 1 — Introduction → Child Health →
Measurement of Children’s Health Status
Stem: A school-age (8-year-old) child with asthma has been
absent frequently from school. As the pediatric nurse reviewing
community health indicators, which measure best informs
whether school absenteeism is a public-health issue?
A. Individual child’s peak flow readings.
B. School district absenteeism rates for respiratory diagnoses.
C. National prevalence of asthma in school-age children.
,D. Parent satisfaction scores about school nurses.
Correct Answer: B
Rationale — Correct: District-level absenteeism for respiratory
diagnoses is a population measure that identifies local trends
and need for targeted interventions in the community.
Rationale — Incorrect: A is individual-level and not population
surveillance. C is too broad and may not reflect local patterns. D
is a process measure, not a health-status indicator.
Teaching Point: Use local population-based data to detect
community health problems.
Citation: Kyle, T., & Carman, S. (2023). Essentials of Pediatric
Nursing (5th ed.). Ch. 1.
3
Reference: Ch. 1 — History of Child Health and Child Health
Care
Stem: A nursing student is preparing a presentation on the
evolution of pediatric care. Which historical change most
directly influenced the shift from infectious-disease focus to
chronic-condition management in children?
A. Development of family-centered care models.
B. Advances in immunizations and reduced infant mortality.
C. Increased hospital-based pediatric surgical services.
D. Growth of home-visiting nursing programs.
Correct Answer: B
Rationale — Correct: Widespread immunizations and reduced
, infant/child mortality shifted disease burden from acute
infectious causes to survival with chronic conditions, changing
pediatric practice focus.
Rationale — Incorrect: A, C, and D influenced care delivery but
were not the primary driver of the epidemiologic shift.
Teaching Point: Reduced infectious mortality shifted pediatric
needs toward chronic care.
Citation: Kyle, T., & Carman, S. (2023). Essentials of Pediatric
Nursing (5th ed.). Ch. 1.
4
Reference: Ch. 1 — Pediatric Nursing — Role of the Pediatric
Nurse
Stem: A 3-year-old admitted for dehydration is fearful of
needles. The pediatric nurse plans care. Which action best
reflects the nurse’s role in promoting atraumatic care?
A. Restrain the child for IV placement to speed treatment.
B. Allow parents to remain present and use distraction
techniques.
C. Tell the child that the procedure won’t hurt to avoid more
crying.
D. Perform venipuncture without explanation to reduce anxiety.
Correct Answer: B
Rationale — Correct: Allowing parental presence and using age-
appropriate distraction supports atraumatic, family-centered
care, reduces distress, and improves cooperation.
NURSING
5TH EDITION
• AUTHOR(S)TERRI KYLE; SUSAN
CARMAN
TEST BANK
Reference: Ch. 1 — Introduction to Child Health and Pediatric
Nursing — Measurement of Children’s Health Status
Stem: A 6-month-old infant arrives for a well-child check. The
mother reports the infant has not regained birth weight by 2
weeks of age and seems less active. Which nursing action best
evaluates the infant’s health status?
A. Ask the mother to describe daily feeding and output
patterns.
B. Schedule routine immunizations and advise return in one
month.
,C. Reassure the mother that infants often vary in weight gain.
D. Refer to social services immediately for suspected neglect.
Correct Answer: A
Rationale — Correct: Asking about feeding and output gathers
essential data on nutrition, hydration, and growth trends —
immediate, developmentally appropriate assessment to identify
causes of poor weight gain. This information guides further
interventions.
Rationale — Incorrect: B delays assessment of a potential
problem. C minimizes a possible red flag. D is premature
without assessment and corroborating evidence.
Teaching Point: Start with targeted history and growth data
before escalation.
Citation: Kyle, T., & Carman, S. (2023). Essentials of Pediatric
Nursing (5th ed.). Ch. 1.
2
Reference: Ch. 1 — Introduction → Child Health →
Measurement of Children’s Health Status
Stem: A school-age (8-year-old) child with asthma has been
absent frequently from school. As the pediatric nurse reviewing
community health indicators, which measure best informs
whether school absenteeism is a public-health issue?
A. Individual child’s peak flow readings.
B. School district absenteeism rates for respiratory diagnoses.
C. National prevalence of asthma in school-age children.
,D. Parent satisfaction scores about school nurses.
Correct Answer: B
Rationale — Correct: District-level absenteeism for respiratory
diagnoses is a population measure that identifies local trends
and need for targeted interventions in the community.
Rationale — Incorrect: A is individual-level and not population
surveillance. C is too broad and may not reflect local patterns. D
is a process measure, not a health-status indicator.
Teaching Point: Use local population-based data to detect
community health problems.
Citation: Kyle, T., & Carman, S. (2023). Essentials of Pediatric
Nursing (5th ed.). Ch. 1.
3
Reference: Ch. 1 — History of Child Health and Child Health
Care
Stem: A nursing student is preparing a presentation on the
evolution of pediatric care. Which historical change most
directly influenced the shift from infectious-disease focus to
chronic-condition management in children?
A. Development of family-centered care models.
B. Advances in immunizations and reduced infant mortality.
C. Increased hospital-based pediatric surgical services.
D. Growth of home-visiting nursing programs.
Correct Answer: B
Rationale — Correct: Widespread immunizations and reduced
, infant/child mortality shifted disease burden from acute
infectious causes to survival with chronic conditions, changing
pediatric practice focus.
Rationale — Incorrect: A, C, and D influenced care delivery but
were not the primary driver of the epidemiologic shift.
Teaching Point: Reduced infectious mortality shifted pediatric
needs toward chronic care.
Citation: Kyle, T., & Carman, S. (2023). Essentials of Pediatric
Nursing (5th ed.). Ch. 1.
4
Reference: Ch. 1 — Pediatric Nursing — Role of the Pediatric
Nurse
Stem: A 3-year-old admitted for dehydration is fearful of
needles. The pediatric nurse plans care. Which action best
reflects the nurse’s role in promoting atraumatic care?
A. Restrain the child for IV placement to speed treatment.
B. Allow parents to remain present and use distraction
techniques.
C. Tell the child that the procedure won’t hurt to avoid more
crying.
D. Perform venipuncture without explanation to reduce anxiety.
Correct Answer: B
Rationale — Correct: Allowing parental presence and using age-
appropriate distraction supports atraumatic, family-centered
care, reduces distress, and improves cooperation.
