Essentials of Pediatric Nursing 5th Edition Exam Prep 2026 |
200 Practice Questions & Detailed Answers | Kyle & Carman
Chapters 129 | Rationales Included | Verified Solutions
UNIT I: FOUNDATIONS OF PEDIATRIC NURSING
Chapter 1: Introduction to Child Health and Pediatric Nursing (Questions 110)
Question 1
By the late 20th century, what had become the leading cause of death for children older than 1 year of
age?
A) Infectious diseases
B) Congenital anomalies
C) Unintentional injuries
D) Malignant neoplasms
Answer: C) Unintentional injuries
Rationale: By the late 20th century, unintentional injuries rather than infectious diseases had become
the leading cause of death for children older than 1 year of age. This shift reflects improvements in
sanitation, water, nutrition, and a better understanding of illness sources.
Question 2
Which of the following best describes the role of the pediatric nurse as a collaborator?
A) Providing direct care to the child independently
B) Working with the child, family, and healthcare team to coordinate care
C) Making all medical decisions for the child
D) Focusing solely on administering medications
,Answer: B) Working with the child, family, and healthcare team to coordinate care
Rationale: The pediatric nurse serves as a collaborator, care coordinator, and advocate, working with
the child, family, and interdisciplinary healthcare team to provide comprehensive, familycentered care.
Question 3
A nurse is caring for a child with a chronic illness. The nurse recognizes that the priority of pediatric
nursing is to:
A) Cure the child's illness
B) Provide atraumatic care and support the family
C) Follow the physician's orders without question
D) Minimize hospital stays
Answer: B) Provide atraumatic care and support the family
Rationale: Pediatric nursing focuses on directing students toward a profound comprehension of critical
concepts, emphasizing familycentered care and atraumatic care. The unique intricacies of caring for
children require understanding simpler, fundamental concepts that pave the way toward mastering
more complex problemsolving scenarios.
Question 4
What is the primary goal of familycentered care in pediatric nursing?
A) To ensure the child receives all necessary medical treatments
B) To include the family as active participants in the child's care
C) To reduce healthcare costs
D) To minimize the number of healthcare providers involved
,Answer: B) To include the family as active participants in the child's care
Rationale: Familycentered care recognizes the family as the constant in the child's life and includes them
as active participants in all aspects of care, decisionmaking, and planning.
Question 5
A nurse is preparing to administer medications to a child. What is the most important safety
consideration?
A) The child's weight and age for accurate dosing
B) The child's favorite color of medication
C) The time of day
D) The child's preference for oral vs. injectable medication
Answer: A) The child's weight and age for accurate dosing
Rationale: Pediatric medication dosing is based on the child's weight and age to ensure safety and
effectiveness. This is a critical safety consideration in pediatric nursing.
Question 6
Which statement accurately reflects the condition of child health care in past centuries compared to
today?
A) Health in past centuries was better due to simpler lifestyles
B) Mortality rates are high today, but life expectancy has increased
C) Urban public health improvements in the late 18th and early 19th centuries made cities healthier for
children
D) Health in past centuries was poorer, with high mortality rates and short life expectancy
Answer: D) Health in past centuries was poorer, with high mortality rates and short life expectancy
, Rationale: In past centuries in the United States, the health of the country was poorer than it is today;
mortality rates were high and life expectancy was short. Over the years, the health of children received
more attention, leading to improvements in sanitation, water, and nutrition.
Question 7
The nurse is providing care to a hospitalized child. Which action best demonstrates atraumatic care?
A) Performing all procedures quickly to minimize time
B) Allowing the child to make all healthcare decisions
C) Using ageappropriate explanations and minimizing painful procedures
D) Restraining the child during procedures for safety
Answer: C) Using ageappropriate explanations and minimizing painful procedures
Rationale: Atraumatic care involves using therapeutic communication, ageappropriate explanations, and
minimizing painful or distressing procedures to reduce the physical and psychological stress of
hospitalization on the child and family.
Question 8
What is the most important factor in establishing a therapeutic relationship with a child?
A) The nurse's clinical knowledge
B) Trust and effective communication
C) The availability of advanced technology
D) The length of the hospital stay
Answer: B) Trust and effective communication
Rationale: Building a therapeutic relationship with a child requires trust and effective communication.
This involves using ageappropriate language, active listening, and showing respect for the child and
family.
200 Practice Questions & Detailed Answers | Kyle & Carman
Chapters 129 | Rationales Included | Verified Solutions
UNIT I: FOUNDATIONS OF PEDIATRIC NURSING
Chapter 1: Introduction to Child Health and Pediatric Nursing (Questions 110)
Question 1
By the late 20th century, what had become the leading cause of death for children older than 1 year of
age?
A) Infectious diseases
B) Congenital anomalies
C) Unintentional injuries
D) Malignant neoplasms
Answer: C) Unintentional injuries
Rationale: By the late 20th century, unintentional injuries rather than infectious diseases had become
the leading cause of death for children older than 1 year of age. This shift reflects improvements in
sanitation, water, nutrition, and a better understanding of illness sources.
Question 2
Which of the following best describes the role of the pediatric nurse as a collaborator?
A) Providing direct care to the child independently
B) Working with the child, family, and healthcare team to coordinate care
C) Making all medical decisions for the child
D) Focusing solely on administering medications
,Answer: B) Working with the child, family, and healthcare team to coordinate care
Rationale: The pediatric nurse serves as a collaborator, care coordinator, and advocate, working with
the child, family, and interdisciplinary healthcare team to provide comprehensive, familycentered care.
Question 3
A nurse is caring for a child with a chronic illness. The nurse recognizes that the priority of pediatric
nursing is to:
A) Cure the child's illness
B) Provide atraumatic care and support the family
C) Follow the physician's orders without question
D) Minimize hospital stays
Answer: B) Provide atraumatic care and support the family
Rationale: Pediatric nursing focuses on directing students toward a profound comprehension of critical
concepts, emphasizing familycentered care and atraumatic care. The unique intricacies of caring for
children require understanding simpler, fundamental concepts that pave the way toward mastering
more complex problemsolving scenarios.
Question 4
What is the primary goal of familycentered care in pediatric nursing?
A) To ensure the child receives all necessary medical treatments
B) To include the family as active participants in the child's care
C) To reduce healthcare costs
D) To minimize the number of healthcare providers involved
,Answer: B) To include the family as active participants in the child's care
Rationale: Familycentered care recognizes the family as the constant in the child's life and includes them
as active participants in all aspects of care, decisionmaking, and planning.
Question 5
A nurse is preparing to administer medications to a child. What is the most important safety
consideration?
A) The child's weight and age for accurate dosing
B) The child's favorite color of medication
C) The time of day
D) The child's preference for oral vs. injectable medication
Answer: A) The child's weight and age for accurate dosing
Rationale: Pediatric medication dosing is based on the child's weight and age to ensure safety and
effectiveness. This is a critical safety consideration in pediatric nursing.
Question 6
Which statement accurately reflects the condition of child health care in past centuries compared to
today?
A) Health in past centuries was better due to simpler lifestyles
B) Mortality rates are high today, but life expectancy has increased
C) Urban public health improvements in the late 18th and early 19th centuries made cities healthier for
children
D) Health in past centuries was poorer, with high mortality rates and short life expectancy
Answer: D) Health in past centuries was poorer, with high mortality rates and short life expectancy
, Rationale: In past centuries in the United States, the health of the country was poorer than it is today;
mortality rates were high and life expectancy was short. Over the years, the health of children received
more attention, leading to improvements in sanitation, water, and nutrition.
Question 7
The nurse is providing care to a hospitalized child. Which action best demonstrates atraumatic care?
A) Performing all procedures quickly to minimize time
B) Allowing the child to make all healthcare decisions
C) Using ageappropriate explanations and minimizing painful procedures
D) Restraining the child during procedures for safety
Answer: C) Using ageappropriate explanations and minimizing painful procedures
Rationale: Atraumatic care involves using therapeutic communication, ageappropriate explanations, and
minimizing painful or distressing procedures to reduce the physical and psychological stress of
hospitalization on the child and family.
Question 8
What is the most important factor in establishing a therapeutic relationship with a child?
A) The nurse's clinical knowledge
B) Trust and effective communication
C) The availability of advanced technology
D) The length of the hospital stay
Answer: B) Trust and effective communication
Rationale: Building a therapeutic relationship with a child requires trust and effective communication.
This involves using ageappropriate language, active listening, and showing respect for the child and
family.
