Question 1

What is the most immediate threat to life in children with thermal injuries?

Accepted Answer

A)  Shock 
B)  Anemia 
C)  Local infection 
D)  Systemic sepsis 
A)  Shock 
B)  Anemia 
C)  Local infection 
D)  Systemic sepsis A

Question 2

What does treatment for herpes simplex virus (types 1 or 2)include?

Accepted Answer

A)  Corticosteroids 
B)  Oral griseofulvin 
C)  Oral antiviral agent 
D)  Topical and/or systemic antibiotic 
A)  Corticosteroids 
B)  Oral griseofulvin 
C)  Oral antiviral agent 
D)  Topical and/or systemic antibiotic C

Question 3

What is the primary treatment for warts?

Accepted Answer

A)  Vaccination 
B)  Local destruction 
C)  Corticosteroids 
D)  Specific antibiotic therapy 
A)  Vaccination 
B)  Local destruction 
C)  Corticosteroids 
D)  Specific antibiotic therapy B

Question 4

Tretinoin (Retin-A)is a topical agent commonly used to treat acne.What advice should the nurse provide to patients prescribed this drug?

Accepted Answer

A)  Avoid using sunscreen agents. 
B)  Use cosmetics with lanolin and petrolatum. 
C)  Explain that medication should not be applied until at least 20 to 30 minutes after washing. 
D)  Explain that erythema and peeling are indications of toxicity. 
A)  Avoid using sunscreen agents. 
B)  Use cosmetics with lanolin and petrolatum. 
C)  Explain that medication should not be applied until at least 20 to 30 minutes after washing. 
D)  Explain that erythema and peeling are indications of toxicity.

Question 5

What is the only symptom of pediculosis capitis (head lice)?

Accepted Answer

A)  Itching 
B)  Vesicles 
C)  Scalp rash 
D)  Localized inflammatory response 
A)  Itching 
B)  Vesicles 
C)  Scalp rash 
D)  Localized inflammatory response

Question 6

The nurse is examining a 12-month-old boy who was brought to the clinic for persistent diaper rash.The nurse finds perianal inflammation with satellite lesions that cross the inguinal folds.What is the most likely cause?

Accepted Answer

A)  Impetigo 
B)  Candida albicans 
C)  Urine and feces 
D)  Infrequent diapering 
A)  Impetigo 
B)  Candida albicans 
C)  Urine and feces 
D)  Infrequent diapering

Question 7

What kind of bite causes Rocky Mountain spotted fever?

Accepted Answer

A)  A flea 
B)  A tick 
C)  A mosquito 
D)  A mouse or rat 
A)  A flea 
B)  A tick 
C)  A mosquito 
D)  A mouse or rat

Question 8

The treatment of a child who has just been stung by a bee or wasp should include which intervention?

Accepted Answer

A)  Cool compresses 
B)  Warm compresses 
C)  Antibiotic cream 
D)  Corticosteroid cream 
A)  Cool compresses 
B)  Warm compresses 
C)  Antibiotic cream 
D)  Corticosteroid cream

Question 9

What is the most important consideration for the nurse when changing dressings and applying topical medication to a child's abdomen and leg burns?

Accepted Answer

A)  Apply topical medication with clean hands. 
B)  Wash hands and forearms before and after changing the dressing. 
C)  If dressings adhere to the wound,soak in hot water before removal. 
D)  Apply the dressing so that movement is limited during the healing process. 
A)  Apply topical medication with clean hands. 
B)  Wash hands and forearms before and after changing the dressing. 
C)  If dressings adhere to the wound,soak in hot water before removal. 
D)  Apply the dressing so that movement is limited during the healing process.

Question 10

Impetigo ordinarily results in which outcome?

Accepted Answer

A)  No scarring 
B)  Pigmented spots 
C)  Slightly depressed scars 
D)  Atrophic white scars 
A)  No scarring 
B)  Pigmented spots 
C)  Slightly depressed scars 
D)  Atrophic white scars

Question 11

Why is a high-protein diet recommended for a child with major burns?

Accepted Answer

A)  It promotes growth. 
B)  It improves appetite. 
C)  It diminishes the risks of stress-induced hyperglycemia. 
D)  It helps prevent protein breakdown. 
A)  It promotes growth. 
B)  It improves appetite. 
C)  It diminishes the risks of stress-induced hyperglycemia. 
D)  It helps prevent protein breakdown.

Question 12

Herpes zoster is caused by the varicella virus and has an affinity for which structure(s)?

Accepted Answer

A)  Sympathetic nerve fibres 
B)  Parasympathetic nerve fibres 
C)  Posterior root ganglia and the posterior horn of the spinal cord 
D)  Lateral and dorsal columns of the spinal cord 
A)  Sympathetic nerve fibres 
B)  Parasympathetic nerve fibres 
C)  Posterior root ganglia and the posterior horn of the spinal cord 
D)  Lateral and dorsal columns of the spinal cord

Question 13

Which is the cause of ringworm that is frequently found in schoolchildren?

Accepted Answer

A)  Virus 
B)  Fungus 
C)  Allergic reaction 
D)  Bacterial infection 
A)  Virus 
B)  Fungus 
C)  Allergic reaction 
D)  Bacterial infection

Question 14

An adolescent girl is cooking on a gas stove when her bathrobe catches fire.Her father smothers the flames with a rug and calls an ambulance.She has sustained major burns over much of her body.What is most important in her immediate care?

Accepted Answer

A)  Wrap her in a blanket until help arrives. 
B)  Encourage her to drink clear liquids. 
C)  Place her in a tub of cool water. 
D)  Remove her burned clothing and jewellery. 
A)  Wrap her in a blanket until help arrives. 
B)  Encourage her to drink clear liquids. 
C)  Place her in a tub of cool water. 
D)  Remove her burned clothing and jewellery.

Question 15

A mother calls the emergency department nurse because her child was bit by a brown recluse spider.What should the nurse recommend?

Accepted Answer

A)  Administer antihistamine. 
B)  Cleanse the wound with soap and water. 
C)  Keep the child quiet and come to the emergency department. 
D)  Remove the stinger and apply cool compresses. 
A)  Administer antihistamine. 
B)  Cleanse the wound with soap and water. 
C)  Keep the child quiet and come to the emergency department. 
D)  Remove the stinger and apply cool compresses.

Question 16

Which is an appropriate nursing intervention when caring for an infant with atopic dermatitis?

Accepted Answer

A)  Feed a variety of foods. 
B)  Keep lesions dry. 
C)  Prevent infection. 
D)  Use fabric softener to avoid rough cloth. 
A)  Feed a variety of foods. 
B)  Keep lesions dry. 
C)  Prevent infection. 
D)  Use fabric softener to avoid rough cloth.

Question 17

Which is a physiological explanation of the edema formation that occurs with burns?

Accepted Answer

A)  Vasoconstriction 
B)  Decreased capillary permeability 
C)  Increased capillary permeability 
D)  Decreased hydrostatic pressure within capillaries 
A)  Vasoconstriction 
B)  Decreased capillary permeability 
C)  Increased capillary permeability 
D)  Decreased hydrostatic pressure within capillaries

Question 18

Where do the lesions of atopic dermatitis most commonly occur on the infant?

Accepted Answer

A)  Cheeks 
B)  Buttocks 
C)  Eyes 
D)  Back 
A)  Cheeks 
B)  Buttocks 
C)  Eyes 
D)  Back

Question 19

A child is admitted with extensive burns.The nurse notes that there are burns on the child's lips and singed nasal hairs.What should the nurse suspect based on these assessment findings?

Accepted Answer

A)  Chemical burn 
B)  Inhalation injury 
C)  Electrical burn 
D)  Hot-water scald 
A)  Chemical burn 
B)  Inhalation injury 
C)  Electrical burn 
D)  Hot-water scald

Question 20

A child falls on the playground and has a small laceration on the forearm.What should the school nurse do to cleanse the wound?

Accepted Answer

A)  Slowly pour hydrogen peroxide over wound. 
B)  Soak arm in warm water and soap for at least 30 minutes. 
C)  Gently cleanse with sterile pad and a non stinging povidone-iodine solution. 
D)  Wash wound with mild soap and water or saline for several minutes. 
A)  Slowly pour hydrogen peroxide over wound. 
B)  Soak arm in warm water and soap for at least 30 minutes. 
C)  Gently cleanse with sterile pad and a non stinging povidone-iodine solution. 
D)  Wash wound with mild soap and water or saline for several minutes.

Exam 52: Integumentary Dysfunction

What is the most immediate threat to life in children with thermal injuries?

What does treatment for herpes simplex virus (types 1 or 2)include?

What is the primary treatment for warts?

Tretinoin (Retin-A)is a topical agent commonly used to treat acne.What advice should the nurse provide to patients prescribed this drug?

What is the only symptom of pediculosis capitis (head lice)?

The nurse is examining a 12-month-old boy who was brought to the clinic for persistent diaper rash.The nurse finds perianal inflammation with satellite lesions that cross the inguinal folds.What is the most likely cause?

What kind of bite causes Rocky Mountain spotted fever?

The treatment of a child who has just been stung by a bee or wasp should include which intervention?

What is the most important consideration for the nurse when changing dressings and applying topical medication to a child's abdomen and leg burns?

Impetigo ordinarily results in which outcome?

Why is a high-protein diet recommended for a child with major burns?

Herpes zoster is caused by the varicella virus and has an affinity for which structure(s)?

Which is the cause of ringworm that is frequently found in schoolchildren?

An adolescent girl is cooking on a gas stove when her bathrobe catches fire.Her father smothers the flames with a rug and calls an ambulance.She has sustained major burns over much of her body.What is most important in her immediate care?

A mother calls the emergency department nurse because her child was bit by a brown recluse spider.What should the nurse recommend?

Which is an appropriate nursing intervention when caring for an infant with atopic dermatitis?

Which is a physiological explanation of the edema formation that occurs with burns?

Where do the lesions of atopic dermatitis most commonly occur on the infant?

A child is admitted with extensive burns.The nurse notes that there are burns on the child's lips and singed nasal hairs.What should the nurse suspect based on these assessment findings?

A child falls on the playground and has a small laceration on the forearm.What should the school nurse do to cleanse the wound?

Contemporary Perinatal and Pediatric Nursing in Canada

The Family and Culture

Community Care

Perinatal Nursing in Canada

Health Promotion

Health Assessment

Reproductive Health

Infertility, Contraception, and Abortion

Preconception, Genetics, Conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care During Pregnancy

Maternal and Fetal Nutrition

Pregnancy Risk Factors and Assessment

Pregnancy at Risk: Gestational Conditions

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Nursing Care of the Family During Labour and Birth

Pain Management During Labour

Fetal Health Surveillance During Labour

Labour and Birth at Risk

Maternal Physiological Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

Infants with Gestational Age Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Pediatric Nursing in Canada

Family, Social, Cultural, and Religious Influences on Children’s Health

Developmental Influences on Child Health Promotion

Communication, History, Physical, and Developmental Assessment

Pain Assessment and Management

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, Complex Conditions, and End-of-Life Care

Cognitive and Sensory Impairment

Family-Centred Home Care

Reaction to Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematological or Immunological Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

Filters