Test Bank for Essentials of Pediatric Nursing, Fifth Edition by Terri Kyle, Susan Carman
Answers Included ✅
Test Bank Questions, Chapter 01: Introduction to
Child Health and Pediatric Nursing
1. The nurse is caring for a 10-year-old child with a neuroblastoma. Which
activity(ies) describes the role of the nurse as a care coordinator, collaborator,
and consultant? Select all that apply.
A. collaborating with the family throughout the care path
B. advancing the interests of children and their families by knowing their needs
C. informing children and families of their rights and options
D. coordinating care provided by the interdisciplinary team
E. ensuring that the child's and family's needs are met through activities such as
support groups
F. providing appropriate client education based on the child's developmental
level
2. The nurse is providing care for a 9-year-old child who uses mechanical
ventilation. Which is an example of the nursing role of collaboration?
A. informing the team members on progress of the treatment
B. discussing the child's needs with a school nurse
C. advising the pulmonologist of respiratory symptoms
D. arranging for after-school attendance at a day care facility
3. The nurse is providing care to a child and their family. Which activity reflects
the use of the assessment step of the nursing process when providing care for
children?
A. collecting data about the child and family
B. analyzing data to make judgments about the child's health state
C. evaluating care provided by the interdisciplinary team
D. developing a care plan that incorporates child goals
4. The nurse is caring for a newborn who has Down syndrome. Which nursing
action reflects the nurse's use of the ethical principle of nonmaleficence?
A. The nurse speaks truthfully to the parents regarding their newborn's
prognosis.
B. The nurse provides safe, competent nursing care to avoid harming the
newborn.
C. The nurse involves the parents in making health care decisions for their
newborn.
D. The nurse fairly allocates resources for caring for newborns in a facility.
5. The nurse is helping the family of a child with a terminal illness to fill out an
advance directives form. Which intervention(s) is determined by this document?
Select all that apply.
A. withholding food
B. withholding water
,C. withholding antibiotics
D. do-not-resuscitate (DNR) order
E. withholding ventilation
F. providing artificial nutrition
6. The school nurse is reviewing the records of students in an elementary school.
Based on current child morbidity rates, which child is the nurse most careful to
monitor for days missed from school?
A. a child with asthma
B. a child with contact dermatitis
C. a child with severe allergic rhinitis (hay fever)
D. a child with food allergies
7. The nurse in charge of the quality department is reviewing cases regarding
Health Insurance Portability and Accountability Act (HIPAA) compliance. In which
case(s) does the nurse correctly determine that HIPAA standards were followed?
Select all that apply.
A. A child is diagnosed with an inner ear infection and follow-up care instructions
are given to the child's aunt, who provides a medical consent form from the
parents, who are on vacation.
B. The emergency department nurse manager reports the suspicion of abuse to
the child welfare department for a child admitted with suspicious injuries.
C. When asked, the nurse informs the grandparents of a child on the medical
floor when their grandchild will be released home to the parents.
D. The physician reports the diagnosis of hepatitis C of a 14-year-old child with
injectable substance use disorder to the health department.
E. The nurse manager tells the superintendent of schools that a high school
student is infected with HIV so that proper precautions can be implemented in
the school.
8. The pediatric nurse is participating in the role of advocate when completing
which action?
A. instructing parents on the side effects of vaccinations they are requesting for
their child
B. contributing input on a task force with the aim of reducing the rate of
mortality of infants and children
C. teaching parents to keep their prescribed medication safely out of reach of
children
D. explaining to parents the reason for each medication their child was recently
prescribed
9. The nurse manager and a newly licensed nurse plan to obtain informed
consent for several procedures on various clients on a pediatric unit. Which
statement(s) by the newly licensed nurse alerts the nurse manager to provide
additional education about informed consent? Select all that apply.
A. "The parent of the child was pushing their spouse to agree to the procedure,
so I offered to return later, after they have had time to discuss the procedure."
,B. "When I went to the room, the child was calling the adult in the room 'friend,'
so I want to clarify their relationship before I prepare to get the consent signed."
C. "After lunch, I will go into the room and explain the procedure, including the
risks and benefits, and the alternative options available for the child."
D. "The parent of the infant explained to me what procedure the infant was
having and indicated they were comfortable signing the consent for the
procedure."
E. "I am still going to ask the parents to sign the consent for the procedure even
though the child is legally emancipated from the parents."
F. "The medical record shows the child's foster parents have legal guardianship
of the child, but I am still required to have the child's birth parent sign the
consent for the procedure."
10. The nurse is caring for a school-aged child in the home who has a newly
inserted gastric tube and several new medications. The nurse is participating in
the role of the educator when completing which action(s)? Select all that apply.
A. arranging for the physical therapist to consult with the child regarding
mobility
B. writing the medication purposes and schedule on paper and putting it on the
wall in the kitchen
C. reminding the parents of the importance of the child completing the entire
dose of antibiotic
D. engaging the child by watching a video together about a child with gastric
tubes
E. observing the child show a return demonstration of the cleansing of the
gastric tube site
F. assessing the home for medications the child could inadvertently access
11. A 7-year-old child with a chronic illness is currently hospitalized. Which
recommendation should the nurse make for this child?
A. Involve the child and family in self-care activities performed at home.
B. Restrict visiting hours to maintain a quiet environment.
C. Discourage siblings from visiting to reduce infection risk.
D. Educate the child separately from the parents to avoid confusion.
12. A nurse is providing care to an adolescent client undergoing a painful
procedure. Which intervention(s) should the nurse perform to provide atraumatic
care? Select all that apply.
A. Offer distractions such as music or guided imagery during the procedure.
B. Provide age-appropriate information about the procedure in a clear manner.
C. Administer sedation prior to discussing the procedure with the client.
D. Encourage the client to "be brave" during the procedure.
E. Avoid providing information about the procedure to reduce anxiety.
13. A nurse working in public health finds that their colleagues use different
approaches to managing injection pain for immunizations in toddlers. What step
will the nurse take to determine the best approach for reducing and managing
pain in these clients?
, A. Review research literature and evidence about managing injection pain in
toddlers.
B. Ask a colleague about what they think the best approach should be for
consistency.
C. Explain to colleagues injection techniques that have worked best in the
nurse's experience.
D. Survey parents to see what they think might be most effective for their
children's immunizations.
14. A nurse is supporting a project that aims to reduce childhood mortality in the
region. Which intervention would most effectively support the goal of mortality
reduction?
A. providing free bicycle helmets for children
B. providing free exercise classes for children
C. providing education about healthy nutrition for families
D. providing first aid kits for families
15. A 16-year-old adolescent, living in a state with mature minor consent, comes
to the clinic requesting contraception and testing for sexually transmitted
infections (STIs). The client asks that their parents not be informed of the clinic
visit. How does the nurse best address this request?
A. Assess the adolescent's understanding of their requests and implications of
these decisions.
B. Inform the adolescent that they require parental consent for all medical care
until 18 years of age.
C. Refer the adolescent to child protection services agency for determination of
consent.
D. Notify the parent of the adolescent's request for sexual health services.
16. A 13-year-old client requires nonemergency surgery. The parents have
signed the consent form for the surgery. How should the nurse proceed related
to assent for this client?
A. Explain the procedure and confirm the client's agreement to proceed.
B. Assume the parents will discuss the consent with the client.
C. Proceed with surgery with the written consent; no further documentation is
required.
D. Clarify with the client that the surgery will proceed based on parental
consent.
17. An 8-year-old child presents to the emergency department with a fractured
humerus that requires surgical repair. The child is accompanied by their
grandparent while the parents (legal guardians) are away on vacation. What
should be the nurse's next step in obtaining consent for this procedure?
A. The parents should be contacted to obtain consent for the surgery.
B. The grandparent can provide legal consent for the child as the temporary
guardian.
C. A guardian ad litem will need to be temporarily appointed to provide consent.
D. The child must assent to the surgical procedure.
Answers Included ✅
Test Bank Questions, Chapter 01: Introduction to
Child Health and Pediatric Nursing
1. The nurse is caring for a 10-year-old child with a neuroblastoma. Which
activity(ies) describes the role of the nurse as a care coordinator, collaborator,
and consultant? Select all that apply.
A. collaborating with the family throughout the care path
B. advancing the interests of children and their families by knowing their needs
C. informing children and families of their rights and options
D. coordinating care provided by the interdisciplinary team
E. ensuring that the child's and family's needs are met through activities such as
support groups
F. providing appropriate client education based on the child's developmental
level
2. The nurse is providing care for a 9-year-old child who uses mechanical
ventilation. Which is an example of the nursing role of collaboration?
A. informing the team members on progress of the treatment
B. discussing the child's needs with a school nurse
C. advising the pulmonologist of respiratory symptoms
D. arranging for after-school attendance at a day care facility
3. The nurse is providing care to a child and their family. Which activity reflects
the use of the assessment step of the nursing process when providing care for
children?
A. collecting data about the child and family
B. analyzing data to make judgments about the child's health state
C. evaluating care provided by the interdisciplinary team
D. developing a care plan that incorporates child goals
4. The nurse is caring for a newborn who has Down syndrome. Which nursing
action reflects the nurse's use of the ethical principle of nonmaleficence?
A. The nurse speaks truthfully to the parents regarding their newborn's
prognosis.
B. The nurse provides safe, competent nursing care to avoid harming the
newborn.
C. The nurse involves the parents in making health care decisions for their
newborn.
D. The nurse fairly allocates resources for caring for newborns in a facility.
5. The nurse is helping the family of a child with a terminal illness to fill out an
advance directives form. Which intervention(s) is determined by this document?
Select all that apply.
A. withholding food
B. withholding water
,C. withholding antibiotics
D. do-not-resuscitate (DNR) order
E. withholding ventilation
F. providing artificial nutrition
6. The school nurse is reviewing the records of students in an elementary school.
Based on current child morbidity rates, which child is the nurse most careful to
monitor for days missed from school?
A. a child with asthma
B. a child with contact dermatitis
C. a child with severe allergic rhinitis (hay fever)
D. a child with food allergies
7. The nurse in charge of the quality department is reviewing cases regarding
Health Insurance Portability and Accountability Act (HIPAA) compliance. In which
case(s) does the nurse correctly determine that HIPAA standards were followed?
Select all that apply.
A. A child is diagnosed with an inner ear infection and follow-up care instructions
are given to the child's aunt, who provides a medical consent form from the
parents, who are on vacation.
B. The emergency department nurse manager reports the suspicion of abuse to
the child welfare department for a child admitted with suspicious injuries.
C. When asked, the nurse informs the grandparents of a child on the medical
floor when their grandchild will be released home to the parents.
D. The physician reports the diagnosis of hepatitis C of a 14-year-old child with
injectable substance use disorder to the health department.
E. The nurse manager tells the superintendent of schools that a high school
student is infected with HIV so that proper precautions can be implemented in
the school.
8. The pediatric nurse is participating in the role of advocate when completing
which action?
A. instructing parents on the side effects of vaccinations they are requesting for
their child
B. contributing input on a task force with the aim of reducing the rate of
mortality of infants and children
C. teaching parents to keep their prescribed medication safely out of reach of
children
D. explaining to parents the reason for each medication their child was recently
prescribed
9. The nurse manager and a newly licensed nurse plan to obtain informed
consent for several procedures on various clients on a pediatric unit. Which
statement(s) by the newly licensed nurse alerts the nurse manager to provide
additional education about informed consent? Select all that apply.
A. "The parent of the child was pushing their spouse to agree to the procedure,
so I offered to return later, after they have had time to discuss the procedure."
,B. "When I went to the room, the child was calling the adult in the room 'friend,'
so I want to clarify their relationship before I prepare to get the consent signed."
C. "After lunch, I will go into the room and explain the procedure, including the
risks and benefits, and the alternative options available for the child."
D. "The parent of the infant explained to me what procedure the infant was
having and indicated they were comfortable signing the consent for the
procedure."
E. "I am still going to ask the parents to sign the consent for the procedure even
though the child is legally emancipated from the parents."
F. "The medical record shows the child's foster parents have legal guardianship
of the child, but I am still required to have the child's birth parent sign the
consent for the procedure."
10. The nurse is caring for a school-aged child in the home who has a newly
inserted gastric tube and several new medications. The nurse is participating in
the role of the educator when completing which action(s)? Select all that apply.
A. arranging for the physical therapist to consult with the child regarding
mobility
B. writing the medication purposes and schedule on paper and putting it on the
wall in the kitchen
C. reminding the parents of the importance of the child completing the entire
dose of antibiotic
D. engaging the child by watching a video together about a child with gastric
tubes
E. observing the child show a return demonstration of the cleansing of the
gastric tube site
F. assessing the home for medications the child could inadvertently access
11. A 7-year-old child with a chronic illness is currently hospitalized. Which
recommendation should the nurse make for this child?
A. Involve the child and family in self-care activities performed at home.
B. Restrict visiting hours to maintain a quiet environment.
C. Discourage siblings from visiting to reduce infection risk.
D. Educate the child separately from the parents to avoid confusion.
12. A nurse is providing care to an adolescent client undergoing a painful
procedure. Which intervention(s) should the nurse perform to provide atraumatic
care? Select all that apply.
A. Offer distractions such as music or guided imagery during the procedure.
B. Provide age-appropriate information about the procedure in a clear manner.
C. Administer sedation prior to discussing the procedure with the client.
D. Encourage the client to "be brave" during the procedure.
E. Avoid providing information about the procedure to reduce anxiety.
13. A nurse working in public health finds that their colleagues use different
approaches to managing injection pain for immunizations in toddlers. What step
will the nurse take to determine the best approach for reducing and managing
pain in these clients?
, A. Review research literature and evidence about managing injection pain in
toddlers.
B. Ask a colleague about what they think the best approach should be for
consistency.
C. Explain to colleagues injection techniques that have worked best in the
nurse's experience.
D. Survey parents to see what they think might be most effective for their
children's immunizations.
14. A nurse is supporting a project that aims to reduce childhood mortality in the
region. Which intervention would most effectively support the goal of mortality
reduction?
A. providing free bicycle helmets for children
B. providing free exercise classes for children
C. providing education about healthy nutrition for families
D. providing first aid kits for families
15. A 16-year-old adolescent, living in a state with mature minor consent, comes
to the clinic requesting contraception and testing for sexually transmitted
infections (STIs). The client asks that their parents not be informed of the clinic
visit. How does the nurse best address this request?
A. Assess the adolescent's understanding of their requests and implications of
these decisions.
B. Inform the adolescent that they require parental consent for all medical care
until 18 years of age.
C. Refer the adolescent to child protection services agency for determination of
consent.
D. Notify the parent of the adolescent's request for sexual health services.
16. A 13-year-old client requires nonemergency surgery. The parents have
signed the consent form for the surgery. How should the nurse proceed related
to assent for this client?
A. Explain the procedure and confirm the client's agreement to proceed.
B. Assume the parents will discuss the consent with the client.
C. Proceed with surgery with the written consent; no further documentation is
required.
D. Clarify with the client that the surgery will proceed based on parental
consent.
17. An 8-year-old child presents to the emergency department with a fractured
humerus that requires surgical repair. The child is accompanied by their
grandparent while the parents (legal guardians) are away on vacation. What
should be the nurse's next step in obtaining consent for this procedure?
A. The parents should be contacted to obtain consent for the surgery.
B. The grandparent can provide legal consent for the child as the temporary
guardian.
C. A guardian ad litem will need to be temporarily appointed to provide consent.
D. The child must assent to the surgical procedure.
