Question 1

To assess the child with severe burns for adequate perfusion,the nurse monitors

Accepted Answer

A)  Distal pulses 
B)  Skin turgor 
C)  Urine output 
D)  Mucous membranes 
A)  Distal pulses 
B)  Skin turgor 
C)  Urine output 
D)  Mucous membranes C

Question 2

The primary treatment for warts is

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 3

Where do the lesions of atopic dermatitis most commonly occur in the infant? Select all that apply.

Accepted Answer

A)  Cheeks 
B)  Buttocks 
C)  Extensor surfaces of arms and legs 
D)  Back 
E)  Trunk 
A)  Cheeks 
B)  Buttocks 
C)  Extensor surfaces of arms and legs 
D)  Back 
E)  Trunk A,C,E

Question 4

The depth of a burn injury may be classified as

Accepted Answer

A)  Localized or systemic 
B)  Superficial, superficial partial thickness, deep partial thickness, or full thickness 
C)  Electrical, chemical, or thermal 
D)  Minor, moderate, or major 
A)  Localized or systemic 
B)  Superficial, superficial partial thickness, deep partial thickness, or full thickness 
C)  Electrical, chemical, or thermal 
D)  Minor, moderate, or major

Question 5

When changing an infant's diaper,the nurse notices small bright red papules with satellite lesions on the perineum,anterior thigh,and lower abdomen.This rash is characteristic of

Accepted Answer

A)  Primary candidiasis 
B)  Irritant contact dermatitis 
C)  Intertrigo 
D)  Seborrheic dermatitis 
A)  Primary candidiasis 
B)  Irritant contact dermatitis 
C)  Intertrigo 
D)  Seborrheic dermatitis

Question 6

What should be included in teaching a parent about the management of small red macules and vesicles that become pustules around the child's mouth and cheek?

Accepted Answer

A)  Keep the child home from school for 24 hours after initiation of antibiotic treatment. 
B)  Clean the rash vigorously with Betadine three times a day. 
C)  Notify the physician for any itching. 
D)  Keep the child home from school until the lesions are healed. 
A)  Keep the child home from school for 24 hours after initiation of antibiotic treatment. 
B)  Clean the rash vigorously with Betadine three times a day. 
C)  Notify the physician for any itching. 
D)  Keep the child home from school until the lesions are healed.

Question 7

A father calls the clinic nurse because his 2-year-old child was bitten by a black widow spider.The nurse should advise the father to

Accepted Answer

A)  Apply warm compresses. 
B)  Carefully scrape off stinger. 
C)  Take child to emergency department. 
D)  Apply a thin layer of corticosteroid cream. 
A)  Apply warm compresses. 
B)  Carefully scrape off stinger. 
C)  Take child to emergency department. 
D)  Apply a thin layer of corticosteroid cream.

Question 8

What procedure is contraindicated in the care of a child with a minor partial-thickness burn injury wound?

Accepted Answer

A)  Cleaning the affected area with mild soap and water 
B)  Applying antimicrobial ointment to the burn wound 
C)  Changing dressings daily 
D)  Leaving all loose tissue or skin intact 
A)  Cleaning the affected area with mild soap and water 
B)  Applying antimicrobial ointment to the burn wound 
C)  Changing dressings daily 
D)  Leaving all loose tissue or skin intact

Question 9

Treatment for herpes simplex virus (types 1 or 2)includes

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

Question 10

The primary clinical manifestation of scabies is

Accepted Answer

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

Question 11

A child experiences frostbite of the fingers after prolonged exposure to the cold.Which intervention should the nurse implement first?

Accepted Answer

A)  Rapid rewarming of the fingers by placing in warm water 
B)  Placing the hand in cool water 
C)  Slow rewarming by wrapping in warm cloth 
D)  Using an ice pack to keep cold until medical intervention is possible 
A)  Rapid rewarming of the fingers by placing in warm water 
B)  Placing the hand in cool water 
C)  Slow rewarming by wrapping in warm cloth 
D)  Using an ice pack to keep cold until medical intervention is possible

Question 12

When assessing the child with atopic dermatitis,the nurse should ask the parents about a history of

Accepted Answer

A)  Asthma 
B)  Nephrosis 
C)  Lower respiratory tract infections 
D)  Neurotoxicity. 
A)  Asthma 
B)  Nephrosis 
C)  Lower respiratory tract infections 
D)  Neurotoxicity.

Question 13

Which statement made by a parent indicates an understanding about the management of a child with cellulitis?

Accepted Answer

A)  "I am supposed to continue the antibiotic until the redness and swelling disappear." 
B)  "I have been putting ice on my son's arm to relieve the swelling." 
C)  "I should call the doctor if the redness disappears." 
D)  "I have been putting a warm soak on my son's arm every 4 hours." 
A)  "I am supposed to continue the antibiotic until the redness and swelling disappear." 
B)  "I have been putting ice on my son's arm to relieve the swelling." 
C)  "I should call the doctor if the redness disappears." 
D)  "I have been putting a warm soak on my son's arm every 4 hours."

Question 14

Parents of a child with lice infestation should be instructed carefully in the use of antilice products because of which potential side effect?

Accepted Answer

A)  Nephrotoxicity 
B)  Neurotoxicity 
C)  Ototoxicity 
D)  Bone marrow depression 
A)  Nephrotoxicity 
B)  Neurotoxicity 
C)  Ototoxicity 
D)  Bone marrow depression

Question 15

Which nursing assessment is applicable to the care of a child with herpetic gingivostomatitis?

Accepted Answer

A)  Comparison of range of motion for the upper and lower extremities 
B)  Urine output, mucous membranes, and skin turgor 
C)  Growth pattern since birth 
D)  Bowel elimination pattern 
A)  Comparison of range of motion for the upper and lower extremities 
B)  Urine output, mucous membranes, and skin turgor 
C)  Growth pattern since birth 
D)  Bowel elimination pattern

Question 16

The process of burn shock continues until what physiologic mechanism occurs?

Accepted Answer

A)  Heart rate returns to normal. 
B)  Airway swelling decreases. 
C)  Body temperature regulation returns to normal. 
D)  Capillaries regain their seal. 
A)  Heart rate returns to normal. 
B)  Airway swelling decreases. 
C)  Body temperature regulation returns to normal. 
D)  Capillaries regain their seal.

Question 17

The pediatric nurse understands that cellulitis is most often caused by

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 18

A nurse is teaching parents about prevention of diaper dermatitis.Which should the nurse include in the teaching plan? Select all that apply.

Accepted Answer

A)  Clean the diaper area gently after every diaper change with a mild soap. 
B)  Use a protective ointment to clean dry intact skin. 
C)  Use a steroid cream after each diaper change. 
D)  Use rubber or plastic pants over the diaper. 
E)  Wash cloth diapers in hot water with a mild soap and double rinse. 
A)  Clean the diaper area gently after every diaper change with a mild soap. 
B)  Use a protective ointment to clean dry intact skin. 
C)  Use a steroid cream after each diaper change. 
D)  Use rubber or plastic pants over the diaper. 
E)  Wash cloth diapers in hot water with a mild soap and double rinse.

Question 19

Rocky Mountain spotted fever is caused by the bite of a

Accepted Answer

A)  Flea 
B)  Tick 
C)  Mosquito 
D)  Mouse or rat 
A)  Flea 
B)  Tick 
C)  Mosquito 
D)  Mouse or rat

Question 20

What nursing assessment and care holds the highest priority in the initial care of a child with a major burn injury?

Accepted Answer

A)  Establishing and maintaining the child's airway 
B)  Establishing and maintaining intravenous access 
C)  Inserting a catheter to monitor hourly urine output 
D)  Inserting a nasogastric tube into the stomach to supply adequate nutrition 
A)  Establishing and maintaining the child's airway 
B)  Establishing and maintaining intravenous access 
C)  Inserting a catheter to monitor hourly urine output 
D)  Inserting a nasogastric tube into the stomach to supply adequate nutrition

Exam 49: The Child With an Alteration in Tissue Integrity

To assess the child with severe burns for adequate perfusion,the nurse monitors

The primary treatment for warts is

Where do the lesions of atopic dermatitis most commonly occur in the infant? Select all that apply.

The depth of a burn injury may be classified as

When changing an infant's diaper,the nurse notices small bright red papules with satellite lesions on the perineum,anterior thigh,and lower abdomen.This rash is characteristic of

What should be included in teaching a parent about the management of small red macules and vesicles that become pustules around the child's mouth and cheek?

A father calls the clinic nurse because his 2-year-old child was bitten by a black widow spider.The nurse should advise the father to

What procedure is contraindicated in the care of a child with a minor partial-thickness burn injury wound?

Treatment for herpes simplex virus (types 1 or 2)includes

The primary clinical manifestation of scabies is

A child experiences frostbite of the fingers after prolonged exposure to the cold.Which intervention should the nurse implement first?

When assessing the child with atopic dermatitis,the nurse should ask the parents about a history of

Which statement made by a parent indicates an understanding about the management of a child with cellulitis?

Parents of a child with lice infestation should be instructed carefully in the use of antilice products because of which potential side effect?

Which nursing assessment is applicable to the care of a child with herpetic gingivostomatitis?

The process of burn shock continues until what physiologic mechanism occurs?

The pediatric nurse understands that cellulitis is most often caused by

A nurse is teaching parents about prevention of diaper dermatitis.Which should the nurse include in the teaching plan? Select all that apply.

Rocky Mountain spotted fever is caused by the bite of a

What nursing assessment and care holds the highest priority in the initial care of a child with a major burn injury?

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating With Children and Families

Health Promotion for the Developing Child

Health Promotion for the Infant

Health Promotion during Early Childhood

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Prenatal Diagnostic Tests

Giving Birth

Intrapartum Fetal Surveillance

Pain Management for Childbirth

Nursing Care during Obstetric Procedures

Postpartum Adaptations

The Normal Newborn: Adaptation and Assessment

The Normal Newborn: Nursing Care

Newborn Feeding

The Childbearing Family With Special Needs

Pregnancy-Related Complications

Concurrent Disorders During Pregnancy

The Woman With an Intrapartum Complication

The Woman With a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High Risk Newborn: Acquired and Congenital Conditions

Management of Fertility and Infertility

Women’s Health Care

Physical Assessment of Children

Emergency Care of the Child

The Ill Child in the Hospital and Other Care Settings

The Child With a Chronic Condition or Terminal Illness

Principles and Procedures for Nursing Care of Children

Medication Administration and Safety for Infants and Children

Pain Management for Children

The Child With a Fluid and Electrolyte Alteration

The Child With an Infectious Disease

The Child With an Immunologic Alteration

The Child With a Gastrointestinal Alteration

The Child With a Genitourinary Alteration

The Child With a Respiratory Alteration

The Child With a Cardiovascular Alteration

The Child With a Hematologic Alteration

The Child With Cancer

The Child With a Musculoskeletal Alteration

The Child With an Endocrine or Metabolic Alteration

The Child With a Neurologic Alteration

Psychosocial Problems in Children and Families

The Child With a Developmental Disability

The Child With a Sensory Alteration

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