Question 1

Which is an effective strategy to reduce the stress of burn dressing procedures?

Accepted Answer

A)  Give the child as many choices as possible. 
B)  Reassure the child that dressing changes are not painful. 
C)  Explain to the child why analgesics cannot be used. 
D)  Encourage the child to master stress with controlled passivity. 
A)  Give the child as many choices as possible. 
B)  Reassure the child that dressing changes are not painful. 
C)  Explain to the child why analgesics cannot be used. 
D)  Encourage the child to master stress with controlled passivity.

Question 2

Lymphangitis ("streaking")is frequently seen in which condition?

Accepted Answer

A)  Cellulitis 
B)  Folliculitis 
C)  Impetigo contagiosa 
D)  Staphylococcal scalded skin 
A)  Cellulitis 
B)  Folliculitis 
C)  Impetigo contagiosa 
D)  Staphylococcal scalded skin

Question 3

A child with extensive burns requires debridement.What is the priority of this procedure?

Accepted Answer

A)  To promote healing 
B)  To prevent bleeding 
C)  To maintain the airway 
D)  To restore fluid balance 
A)  To promote healing 
B)  To prevent bleeding 
C)  To maintain the airway 
D)  To restore fluid balance

Question 4

The nurse is talking to the parent of an infant with severe atopic dermatitis.What should the nurse reinforce for the parent?

Accepted Answer

A)  "You can use warm,wet compresses to relieve discomfort." 
B)  "You should apply an emollient to the skin immediately after a bath." 
C)  "You should bathe your baby in a bubble bath two times a day." 
D)  "You can try a fabric softener in the laundry to avoid rough cloth." 
A)  "You can use warm,wet compresses to relieve discomfort." 
B)  "You should apply an emollient to the skin immediately after a bath." 
C)  "You should bathe your baby in a bubble bath two times a day." 
D)  "You can try a fabric softener in the laundry to avoid rough cloth."

Question 5

Which best describes a full-thickness (third-degree)burn?

Accepted Answer

A)  Erythema and pain 
B)  Skin showing erythema followed by blister formation 
C)  Destruction of all layers of skin evident with extension into subcutaneous tissue 
D)  Destruction injury involving underlying structures such as muscle,fascia,and bone 
A)  Erythema and pain 
B)  Skin showing erythema followed by blister formation 
C)  Destruction of all layers of skin evident with extension into subcutaneous tissue 
D)  Destruction injury involving underlying structures such as muscle,fascia,and bone

Question 6

What is one of the first signs of overwhelming sepsis in a child with burn injuries?

Accepted Answer

A)  Seizures 
B)  Bradycardia 
C)  Decreased level of consciousness 
D)  Decreased blood pressure 
A)  Seizures 
B)  Bradycardia 
C)  Decreased level of consciousness 
D)  Decreased blood pressure

Question 7

Which statement is true regarding atopic dermatitis (eczema)in the infant?

Accepted Answer

A)  It is easily cured. 
B)  It is worse in humid climates. 
C)  It is associated with upper respiratory tract infections. 
D)  It is associated with allergy with a hereditary tendency. 
A)  It is easily cured. 
B)  It is worse in humid climates. 
C)  It is associated with upper respiratory tract infections. 
D)  It is associated with allergy with a hereditary tendency.

Question 8

A child steps on a nail and sustains a puncture wound in the foot.What is the most appropriate method for cleansing this wound?

Accepted Answer

A)  Wash wound thoroughly with chlorhexidine. 
B)  Wash wound thoroughly with povidone-iodine. 
C)  Soak foot in warm water and soap. 
D)  Soak foot in solution of 50% hydrogen peroxide and 50% water. 
A)  Wash wound thoroughly with chlorhexidine. 
B)  Wash wound thoroughly with povidone-iodine. 
C)  Soak foot in warm water and soap. 
D)  Soak foot in solution of 50% hydrogen peroxide and 50% water.

Question 9

A young boy's mother tells the nurse that he keeps scratching the areas where he has poison ivy.How should the nurse respond?

Accepted Answer

A)  Poison ivy does not itch and needs further investigation. 
B)  Scratching the lesions will not cause a problem. 
C)  Scratching the lesions will cause the poison ivy to spread. 
D)  Scratching the lesions may cause them to become secondarily infected. 
A)  Poison ivy does not itch and needs further investigation. 
B)  Scratching the lesions will not cause a problem. 
C)  Scratching the lesions will cause the poison ivy to spread. 
D)  Scratching the lesions may cause them to become secondarily infected.

Question 10

After the acute stage and during the healing process,what is the primary complication from a burn injury?

Accepted Answer

A)  Asphyxia 
B)  Shock 
C)  Renal shutdown 
D)  Infection 
A)  Asphyxia 
B)  Shock 
C)  Renal shutdown 
D)  Infection

Question 11

A child experiences frostbite on the fingers after prolonged exposure to the cold.What intervention should the nurse use first?

Accepted Answer

A)  Rapidly rewarm the fingers by placing them in warm water. 
B)  Place the hand in cool water. 
C)  Slowly rewarm the fingers by wrapping them in a warm cloth. 
D)  Use an ice pack to keep fingers cold until medical intervention is possible. 
A)  Rapidly rewarm the fingers by placing them in warm water. 
B)  Place the hand in cool water. 
C)  Slowly rewarm the fingers by wrapping them in a warm cloth. 
D)  Use an ice pack to keep fingers cold until medical intervention is possible.

Question 12

Fentanyl and midazolam (Versed)are given before debridement of a child's burn wounds.What is the purpose of these drugs?

Accepted Answer

A)  To promote healing 
B)  To prevent infection 
C)  To provide pain relief 
D)  To limit the amount of debridement that will be necessary 
A)  To promote healing 
B)  To prevent infection 
C)  To provide pain relief 
D)  To limit the amount of debridement that will be necessary

Question 13

What should the nurse know about Lyme disease?

Accepted Answer

A)  It is difficult to prevent. 
B)  It is easily treated with oral antibiotics in stages 1,2,and 3. 
C)  It is caused by a spirochete that enters the skin through a tick bite. 
D)  It is common in geographic areas where the soil contains the mycotic spores that cause the disease. 
A)  It is difficult to prevent. 
B)  It is easily treated with oral antibiotics in stages 1,2,and 3. 
C)  It is caused by a spirochete that enters the skin through a tick bite. 
D)  It is common in geographic areas where the soil contains the mycotic spores that cause the disease.

Question 14

The nurse is teaching a class about preventing diaper rash in newborns to a group of new parents.Which statement made by one parent indicates he has a correct understanding of the teaching?

Accepted Answer

A)  "I should wash my infant's buttocks with soap and water every time I change the diaper." 
B)  "I will wash my infant with a mild soap and water and dry her thoroughly after a bowel movement." 
C)  "I should wash my infant's buttocks with soap before applying a thin layer of oil." 
D)  "I will apply baby oil and powder to the creases in my infant's buttocks." 
A)  "I should wash my infant's buttocks with soap and water every time I change the diaper." 
B)  "I will wash my infant with a mild soap and water and dry her thoroughly after a bowel movement." 
C)  "I should wash my infant's buttocks with soap before applying a thin layer of oil." 
D)  "I will apply baby oil and powder to the creases in my infant's buttocks."

Question 15

What is one important nursing consideration when caring for a child with impetigo contagiosa?

Accepted Answer

A)  Apply topical corticosteroids to decrease inflammation. 
B)  Carefully remove dressings so as not to dislodge undermined skin,crusts,and debris. 
C)  Practise good hand hygiene and maintain cleanliness when caring for an infected child. 
D)  Examine child under a Wood lamp for possible spread of lesions. 
A)  Apply topical corticosteroids to decrease inflammation. 
B)  Carefully remove dressings so as not to dislodge undermined skin,crusts,and debris. 
C)  Practise good hand hygiene and maintain cleanliness when caring for an infected child. 
D)  Examine child under a Wood lamp for possible spread of lesions.

Question 16

What causes warts?

Accepted Answer

A)  Bacteria 
B)  Fungus 
C)  Parasite 
D)  Virus 
A)  Bacteria 
B)  Fungus 
C)  Parasite 
D)  Virus

Question 17

A toddler sustains a minor burn on the hand from hot coffee.What is the first action to take in treating this burn?

Accepted Answer

A)  Apply ice to burned area. 
B)  Hold the burned area under cool running water. 
C)  Break any blisters with a sterile needle. 
D)  Clean the wound with soap and warm water. 
A)  Apply ice to burned area. 
B)  Hold the burned area under cool running water. 
C)  Break any blisters with a sterile needle. 
D)  Clean the wound with soap and warm water.

Question 18

What is often a cause of cellulitis?

Accepted Answer

A)  Herpes zoster 
B)  Candida albicans 
C)  Human papillomavirus 
D)  Streptococcus or Staphylococcus organisms 
A)  Herpes zoster 
B)  Candida albicans 
C)  Human papillomavirus 
D)  Streptococcus or Staphylococcus organisms

Question 19

What is the primary clinical manifestation of scabies?

Accepted Answer

A)  Edema 
B)  Redness 
C)  Pruritus 
D)  Maceration 
A)  Edema 
B)  Redness 
C)  Pruritus 
D)  Maceration

Question 20

Biological dressings are applied to a child with partial-thickness burns on both legs.Which nursing action is related to this procedure?

Accepted Answer

A)  Observe wounds for bleeding. 
B)  Observe wounds for signs of infection. 
C)  Monitor the child closely for signs of shock. 
D)  Splint the child's legs to prevent movement. 
A)  Observe wounds for bleeding. 
B)  Observe wounds for signs of infection. 
C)  Monitor the child closely for signs of shock. 
D)  Splint the child's legs to prevent movement.

Exam 52: Integumentary Dysfunction

Which is an effective strategy to reduce the stress of burn dressing procedures?

Lymphangitis ("streaking")is frequently seen in which condition?

A child with extensive burns requires debridement.What is the priority of this procedure?

The nurse is talking to the parent of an infant with severe atopic dermatitis.What should the nurse reinforce for the parent?

Which best describes a full-thickness (third-degree)burn?

What is one of the first signs of overwhelming sepsis in a child with burn injuries?

Which statement is true regarding atopic dermatitis (eczema)in the infant?

A child steps on a nail and sustains a puncture wound in the foot.What is the most appropriate method for cleansing this wound?

A young boy's mother tells the nurse that he keeps scratching the areas where he has poison ivy.How should the nurse respond?

After the acute stage and during the healing process,what is the primary complication from a burn injury?

A child experiences frostbite on the fingers after prolonged exposure to the cold.What intervention should the nurse use first?

Fentanyl and midazolam (Versed)are given before debridement of a child's burn wounds.What is the purpose of these drugs?

What should the nurse know about Lyme disease?

The nurse is teaching a class about preventing diaper rash in newborns to a group of new parents.Which statement made by one parent indicates he has a correct understanding of the teaching?

What is one important nursing consideration when caring for a child with impetigo contagiosa?

What causes warts?

A toddler sustains a minor burn on the hand from hot coffee.What is the first action to take in treating this burn?

What is often a cause of cellulitis?

What is the primary clinical manifestation of scabies?

Biological dressings are applied to a child with partial-thickness burns on both legs.Which nursing action is related to this procedure?

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

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Genitourinary Dysfunction

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Endocrine Dysfunction

Musculoskeletal or Articular Dysfunction

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