Test Bank-Essentials of Pediatric Nursing,4 th Edition (Kyle 2021)
Test Bank –Essentials of Pediatric Nursing, 4th Edition
(Kyle, 2021), Chapter 1-24 | All Chapters.
Chapter One: Introduction To Child Health And Pediatric Nursing.
1. The nurse providing family-centered care in a hospital setting reflects on
the focus of the health care provided in today's society. Which statement
best describes the current definition of health?
A) Health is described as 'an absence of disease.'
B) Health is measured by monitoring mortality and morbidity of a group.
C) Health is a state of complete physical, mental, and social well-being.
D) Technological gains made in health care are shared equally among
all children. Ans: C
Feedback:
In the past, health was defined simply as the absence of disease; health was
measured by monitoring the mortality and morbidity of a group. Over the
past century, however, the focus of health has shifted to disease prevention,
health promotion, and wellness. The World Health Organization (2013)
defines health as "a state of complete physical, mental, and social well-
being, and not merely the absence of disease or infirmity." The gains in
child health have been huge, but, unfortunately, these gains are not shared
equally among all children.
Page 1
,2. The student nurse is learning about the past history of child health and
health care in the United States. Which statement accurately reflects the
condition of health care in the past and current centuries?
A) In past centuries in the United States, the health of the country was
better than it is today due to the simpler style of living.
B) In the current century, mortality rates are high, but life expectancy
has increased due to technological advances.
C) In the late eighteenth and early nineteenth centuries urban
public health improvements made cities healthier places for
growing children.
D) By the late twentieth century unintentional injuries rather than
infectious diseases had become the leading cause of death for
children older than 1 year old.
Ans: D
Feedback:
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 and more attention,
leading to a better understanding of sources of illness and improvements in
sanitation, water, and nutrition. As a result, by the late twentieth century
unintentional injuries rather than infectious diseases had become the
leading cause of death for children older than 1 year old.
Origin: Chapter 1, 3
3. The nurse is administering a number of therapeutic interventions for
neonates, infants, and children on the pediatric unit. Which intervention
contributes to an increase in chronic illness seen in early childhood?
A) Administering antibiotics to prevent lethal infections
B) Vaccinating children to prevent childhood diseases
C) Using mechanical ventilation for premature infants
D) Using corticosteroids as a treatment for
asthma Ans: C
Feedback:
Using mechanical ventilation and medications to foster lung development in
premature infants increases their survival rate. Yet the infants who survive
are often faced with myriad chronic illnesses. Administering antibiotics to
prevent lethal infections, vaccinating children to prevent childhood diseases,
and using corticosteroids as a treatment for asthma may cause side effects,
but do not contribute to chronic illness in children.
Page 2
, Origin: Chapter 1, 3
4. The nurse is reviewing a copy of the U.S. Surgeon General's Report, Healthy
People.
Which nursing action best reflects the nurse fostering this health care
agenda?
A) The nurse signs up for classes to obtain an advanced degree in nursing
B) The nurse volunteers at a local health care clinic providing free
vaccinations for low-income populations
C) The nurse performs an in-service on basic hospital equipment for
student nurses
D) The nurse compiles nursing articles on evidence-based practices
in nursing to present at a hospital training seminar
Ans: B
Feedback:
Healthy People is a comprehensive health promotion and disease
prevention agenda that is working toward improving the quantity and
quality of life for all Americans (U.S. Department of Health and Human
Services, 2010). Overarching goals are to eliminate preventable disease,
disability, injury, and premature death; achieve health equity, eliminate
disparities, and improve the health of all groups; create physical and social
environments that promote good health; and promote healthy development
and behaviors across every stage of life. Volunteering at a local health care
clinic directly reflects the goal of improving the health of all groups of
people. Signing up for classes, performing in-services on equipment, and
compiling nursing articles on evidence-based practices in nursing are all
worthwhile activities that foster health care delivery, but are not as directly
linked to the agenda of promoting health in the community.
Page 3
, Origin: Chapter 1, 4
5. The neonatal nurse researches the neonatal and mortality rates in the
United States. Which statements accurately describe these
measurements of child health? Select all that apply.
A) Neonatal mortality is the number of infant deaths occurring in the
first 28 days of life per 1,000 live births.
B) The infant mortality rate refers to the number of deaths occurring
in the first 6 months of life.
C) Neonatal mortality is documented as the number of deaths in relation
to 1,000 live births.
D) The infant mortality rate is used as an index of the general health of a
country.
E) In 2007, the infant mortality rate in the United States was 6.8 per 1,000
live births.
F) The infant mortality rate is consistent from state to state as well as
between ethnic groups.
Ans: A, C, D, E
Feedback:
Neonatal mortality is the number of infant deaths occurring in the first 28
days of life per 1,000 live births. The infant mortality rate refers to the
number of deaths occurring in the first 12 months of life and is
documented as the number of deaths in relation to 1,000 live births. The
infant mortality rate is used as an index of the general health of a country;
generally, this statistic is one of the most significant measures of children's
health. In 2007, the infant mortality rate in the United States was 6.8 per
1,000 live births. The infant mortality rate varies greatly from state to state
as well as between ethnic groups.
Page 4
Test Bank –Essentials of Pediatric Nursing, 4th Edition
(Kyle, 2021), Chapter 1-24 | All Chapters.
Chapter One: Introduction To Child Health And Pediatric Nursing.
1. The nurse providing family-centered care in a hospital setting reflects on
the focus of the health care provided in today's society. Which statement
best describes the current definition of health?
A) Health is described as 'an absence of disease.'
B) Health is measured by monitoring mortality and morbidity of a group.
C) Health is a state of complete physical, mental, and social well-being.
D) Technological gains made in health care are shared equally among
all children. Ans: C
Feedback:
In the past, health was defined simply as the absence of disease; health was
measured by monitoring the mortality and morbidity of a group. Over the
past century, however, the focus of health has shifted to disease prevention,
health promotion, and wellness. The World Health Organization (2013)
defines health as "a state of complete physical, mental, and social well-
being, and not merely the absence of disease or infirmity." The gains in
child health have been huge, but, unfortunately, these gains are not shared
equally among all children.
Page 1
,2. The student nurse is learning about the past history of child health and
health care in the United States. Which statement accurately reflects the
condition of health care in the past and current centuries?
A) In past centuries in the United States, the health of the country was
better than it is today due to the simpler style of living.
B) In the current century, mortality rates are high, but life expectancy
has increased due to technological advances.
C) In the late eighteenth and early nineteenth centuries urban
public health improvements made cities healthier places for
growing children.
D) By the late twentieth century unintentional injuries rather than
infectious diseases had become the leading cause of death for
children older than 1 year old.
Ans: D
Feedback:
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 and more attention,
leading to a better understanding of sources of illness and improvements in
sanitation, water, and nutrition. As a result, by the late twentieth century
unintentional injuries rather than infectious diseases had become the
leading cause of death for children older than 1 year old.
Origin: Chapter 1, 3
3. The nurse is administering a number of therapeutic interventions for
neonates, infants, and children on the pediatric unit. Which intervention
contributes to an increase in chronic illness seen in early childhood?
A) Administering antibiotics to prevent lethal infections
B) Vaccinating children to prevent childhood diseases
C) Using mechanical ventilation for premature infants
D) Using corticosteroids as a treatment for
asthma Ans: C
Feedback:
Using mechanical ventilation and medications to foster lung development in
premature infants increases their survival rate. Yet the infants who survive
are often faced with myriad chronic illnesses. Administering antibiotics to
prevent lethal infections, vaccinating children to prevent childhood diseases,
and using corticosteroids as a treatment for asthma may cause side effects,
but do not contribute to chronic illness in children.
Page 2
, Origin: Chapter 1, 3
4. The nurse is reviewing a copy of the U.S. Surgeon General's Report, Healthy
People.
Which nursing action best reflects the nurse fostering this health care
agenda?
A) The nurse signs up for classes to obtain an advanced degree in nursing
B) The nurse volunteers at a local health care clinic providing free
vaccinations for low-income populations
C) The nurse performs an in-service on basic hospital equipment for
student nurses
D) The nurse compiles nursing articles on evidence-based practices
in nursing to present at a hospital training seminar
Ans: B
Feedback:
Healthy People is a comprehensive health promotion and disease
prevention agenda that is working toward improving the quantity and
quality of life for all Americans (U.S. Department of Health and Human
Services, 2010). Overarching goals are to eliminate preventable disease,
disability, injury, and premature death; achieve health equity, eliminate
disparities, and improve the health of all groups; create physical and social
environments that promote good health; and promote healthy development
and behaviors across every stage of life. Volunteering at a local health care
clinic directly reflects the goal of improving the health of all groups of
people. Signing up for classes, performing in-services on equipment, and
compiling nursing articles on evidence-based practices in nursing are all
worthwhile activities that foster health care delivery, but are not as directly
linked to the agenda of promoting health in the community.
Page 3
, Origin: Chapter 1, 4
5. The neonatal nurse researches the neonatal and mortality rates in the
United States. Which statements accurately describe these
measurements of child health? Select all that apply.
A) Neonatal mortality is the number of infant deaths occurring in the
first 28 days of life per 1,000 live births.
B) The infant mortality rate refers to the number of deaths occurring
in the first 6 months of life.
C) Neonatal mortality is documented as the number of deaths in relation
to 1,000 live births.
D) The infant mortality rate is used as an index of the general health of a
country.
E) In 2007, the infant mortality rate in the United States was 6.8 per 1,000
live births.
F) The infant mortality rate is consistent from state to state as well as
between ethnic groups.
Ans: A, C, D, E
Feedback:
Neonatal mortality is the number of infant deaths occurring in the first 28
days of life per 1,000 live births. The infant mortality rate refers to the
number of deaths occurring in the first 12 months of life and is
documented as the number of deaths in relation to 1,000 live births. The
infant mortality rate is used as an index of the general health of a country;
generally, this statistic is one of the most significant measures of children's
health. In 2007, the infant mortality rate in the United States was 6.8 per
1,000 live births. The infant mortality rate varies greatly from state to state
as well as between ethnic groups.
Page 4
