Question 1

The nurse should know that Lyme disease is:

Accepted Answer

A) Difficult to prevent. 
B) Easily treated with oral antibiotics in stages 1,2,and 3. 
C) Caused by a spirochete that enters the skin through a tick bite. 
D) Common in geographic areas where the soil contains the mycotic spores that cause the disease. 
A) Difficult to prevent. 
B) Easily treated with oral antibiotics in stages 1,2,and 3. 
C) Caused by a spirochete that enters the skin through a tick bite. 
D) Common in geographic areas where the soil contains the mycotic spores that cause the disease. C

Question 2

Fentanyl and midazolam (Versed) are given before debridement of a child's burn wounds. These drugs are important to:

Accepted Answer

A) Promote healing. 
B) Prevent infection. 
C) Provide pain relief. 
D) Limit amount of debridement that will be necessary. 
A) Promote healing. 
B) Prevent infection. 
C) Provide pain relief. 
D) Limit amount of debridement that will be necessary. C

Question 3

Isotretinoin (Accutane) is indicated for the treatment of acne during adolescence when:

Accepted Answer

A) Acne has not responded to other treatments. 
B) The adolescent is or may become pregnant. 
C) The adolescent is unable to give up foods causing acne. 
D) Frequent washing with antibacterial soap has been unsuccessful. 
A) Acne has not responded to other treatments. 
B) The adolescent is or may become pregnant. 
C) The adolescent is unable to give up foods causing acne. 
D) Frequent washing with antibacterial soap has been unsuccessful. A

Question 4

Matt's mother tells the nurse that he keeps scratching the areas where he has poison ivy. The nurse's response should be based on knowing that:

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 5

A high-protein diet for the child with major burns is ordered to:

Accepted Answer

A) Promote growth. 
B) Improve appetite. 
C) Diminish risks of stress-induced hyperglycemia. 
D) Avoid protein breakdown. 
A) Promote growth. 
B) Improve appetite. 
C) Diminish risks of stress-induced hyperglycemia. 
D) Avoid protein breakdown.

Question 6

A child with extensive burns requires debridement. The nurse should anticipate that a priority goal related to this procedure is to:

Accepted Answer

A) Reduce pain. 
B) Prevent bleeding. 
C) Maintain airway. 
D) Restore fluid balance. 
A) Reduce pain. 
B) Prevent bleeding. 
C) Maintain airway. 
D) Restore fluid balance.

Question 7

What explains physiologically 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 8

The nurse is talking to a parent of an infant with severe atopic dermatitis. What should the nurse reinforce with the parent? Choose all that apply.

Accepted Answer

A) "You can use warm wet compresses to relieve discomfort." 
B) "You will need to keep your infant's skin well hydrated by using a mild soap in the bath." 
C) "You should bathe your baby in a bubble bath two times a day." 
D) "You will need to prevent your baby from scratching the area by using a mild antihistamine." 
E) "You can try a fabric softener in the laundry to avoid rough cloth."
F) "You should apply an emollient to the skin immediately after a bath." 
A) "You can use warm wet compresses to relieve discomfort." 
B) "You will need to keep your infant's skin well hydrated by using a mild soap in the bath." 
C) "You should bathe your baby in a bubble bath two times a day." 
D) "You will need to prevent your baby from scratching the area by using a mild antihistamine." 
E) "You can try a fabric softener in the laundry to avoid rough cloth."
F) "You should apply an emollient to the skin immediately after a bath."

Question 9

Biologic dressings are applied to a child with partial-thickness burns of both legs. Nursing actions related to this include:

Accepted Answer

A) Observing wounds for bleeding. 
B) Observing wounds for signs of infection. 
C) Monitoring closely for signs of shock. 
D) Splinting legs to prevent movement. 
A) Observing wounds for bleeding. 
B) Observing wounds for signs of infection. 
C) Monitoring closely for signs of shock. 
D) Splinting legs to prevent movement.

Question 10

Lymphangitis ("streaking") is frequently seen in:

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 11

Ringworm,frequently found in schoolchildren,is caused by:

Accepted Answer

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

Question 12

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.

Question 13

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 14

The most immediate threat to life in children with thermal injuries is:

Accepted Answer

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

Question 15

Nursing care of the infant with atopic dermatitis focuses on:

Accepted Answer

A) Feeding a variety of foods. 
B) Keeping lesions dry. 
C) Preventing infection. 
D) Using fabric softener to avoid rough cloth. 
A) Feeding a variety of foods. 
B) Keeping lesions dry. 
C) Preventing infection. 
D) Using fabric softener to avoid rough cloth.

Question 16

A child experiences frostbite of the fingers after prolonged exposure to the cold. Which intervention would 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 17

The nurse is examining 12-month-old Amy,who was brought to the clinic for persistent diaper rash. The nurse finds perianal inflammation with satellite lesions that cross the inguinal folds. This is most likely caused by:

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 18

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 nonstinging povidone-iodine solution. 
D) Wash wound gently with mild soap and water 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 nonstinging povidone-iodine solution. 
D) Wash wound gently with mild soap and water for several minutes.

Question 19

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 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 jewelry 
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 jewelry

Question 20

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.

Exam 53: Integumentary Dysfunction

The nurse should know that Lyme disease is:

Fentanyl and midazolam (Versed) are given before debridement of a child's burn wounds. These drugs are important to:

Isotretinoin (Accutane) is indicated for the treatment of acne during adolescence when:

Matt's mother tells the nurse that he keeps scratching the areas where he has poison ivy. The nurse's response should be based on knowing that:

A high-protein diet for the child with major burns is ordered to:

A child with extensive burns requires debridement. The nurse should anticipate that a priority goal related to this procedure is to:

What explains physiologically the edema formation that occurs with burns?

The nurse is talking to a parent of an infant with severe atopic dermatitis. What should the nurse reinforce with the parent? Choose all that apply.

Biologic dressings are applied to a child with partial-thickness burns of both legs. Nursing actions related to this include:

Lymphangitis ("streaking") is frequently seen in:

Ringworm,frequently found in schoolchildren,is caused by:

The primary treatment for warts is:

The primary clinical manifestation of scabies is:

The most immediate threat to life in children with thermal injuries is:

Nursing care of the infant with atopic dermatitis focuses on:

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

The nurse is examining 12-month-old Amy,who was brought to the clinic for persistent diaper rash. The nurse finds perianal inflammation with satellite lesions that cross the inguinal folds. This is most likely caused by:

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

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 important in her immediate care?

Rocky Mountain spotted fever is caused by the bite of a:

Contemporary Maternity Nursing

The Family and Culture

Community and Home Care

Health Promotion and Illness Prevention

Health Assessment

Common Health Problems

Infertility,Contraception,and Abortion

Genetics,Conception,and Fetal Development

Assessment for Risk Factors

Anatomy and Physiology of Pregnancy

Nursing Care During Pregnancy

Maternal and Fetal Nutrition

Pregnancy at Risk: Preexisting Conditions

Pregnancy at Risk: Gestational Conditions

Labor and Birth Processes

Management of Discomfort

Fetal Assessment During Labor

Nursing Care During Labor and Birth

Labor and Birth at Risk

Maternal Physiologic Changes

Nursing Care During the Fourth Trimester

Transition to Parenthood

Postpartum Complications

Physiologic 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

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

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Home Care

Reaction to Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematologic and Immunologic Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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