Question 1

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

Accepted Answer

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

Question 2

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

Accepted Answer

A)  Seizures 
B)  Bradycardia 
C)  Disorientation 
D)  Decreased blood pressure 
A)  Seizures 
B)  Bradycardia 
C)  Disorientation 
D)  Decreased blood pressure

Question 3

The nurse is examining 12-month-old Amir,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 4

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 5

Which of the following 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

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

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 7

A mother calls the emergency department nurse because her child was stung by a scorpion.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 8

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 9

Mateo'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

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

Question 11

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 12

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 13

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 14

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 15

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 16

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 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 water or saline for several minutes.

Question 17

Impetigo ordinarily results in which of the following outcomes?

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 18

Which of the following 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 19

Which of the following 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 20

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

Exam 53: Integumentary Dysfunction

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

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

The nurse is examining 12-month-old Amir,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?

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

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

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

A mother calls the emergency department nurse because her child was stung by a scorpion.What should the nurse recommend?

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

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

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

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?

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

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

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

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?

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

Impetigo ordinarily results in which of the following outcomes?

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

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

What is the primary treatment for warts?

Contemporary Perinatal Nursing in Canada

The Family and Culture

Community Care

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: Maternal and Fetal

Pregnancy at Risk: Gestational Conditions

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Comfort Measures for Labour

Fetal Health Surveillance During Labour

Nursing Care During Labour and Birth

Labour and Birth at Risk

Maternal Physiological Changes

Nursing Care During the Fourth Trimester

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn

Newborn Nutrition and Feeding

Infants With Gestational Age-Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Contemporary Pediatric Nursing in Canada

Community-Based Nursing Care of the Child and Family

Family Influences on Child Health Promotion

Social, cultural, and Religious Influences on Child Health Promotion

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, disability, 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 and Immunological Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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