Question 1

The nurse is caring for a child with psoriasis. What local manifestations does the nurse expect to assess in this child? (Select all that apply.)

Accepted Answer

A)  Development of wheals 
B)  First lesions appear in the scalp 
C)  Round, thick, dry reddish patches 
D)  Lesions appear in intergluteal folds 
E)  Patches are covered with coarse, silvery scales 
A)  Development of wheals 
B)  First lesions appear in the scalp 
C)  Round, thick, dry reddish patches 
D)  Lesions appear in intergluteal folds 
E)  Patches are covered with coarse, silvery scales

Question 2

The emergency department nurse is admitting a child with a temperature of 35° C (95° F). What physical effects of hypothermia should the nurse expect to observe in this child? (Select all that apply.)

Accepted Answer

A)  Bradycardia 
B)  Vigorous shivering 
C)  Decreased respiratory rate 
D)  Decreased intestinal motility 
E)  Task performance is impaired 
A)  Bradycardia 
B)  Vigorous shivering 
C)  Decreased respiratory rate 
D)  Decreased intestinal motility 
E)  Task performance is impaired

Question 3

MATCHING
Many cutaneous lesions are associated with local symptoms. Match the symptom with its definition.

-Diminished sensation

Accepted Answer

A) Pruritus 
B) Anesthesia 
C) Hyperesthesia 
D) Hypesthesia 
E) Paresthesia 
A) Pruritus 
B) Anesthesia 
C) Hyperesthesia 
D) Hypesthesia 
E) Paresthesia

Question 4

An older school-age child asks the nurse, "What is the reason for this topical corticosteroid cream?" What rationale should the nurse give?

Accepted Answer

A)  The cream is used for an antifungal effect. 
B)  The cream is used for an analgesic effect. 
C)  The cream is used for an antibacterial effect. 
D)  The cream is used for an anti-inflammatory effect. 
A)  The cream is used for an antifungal effect. 
B)  The cream is used for an analgesic effect. 
C)  The cream is used for an antibacterial effect. 
D)  The cream is used for an anti-inflammatory effect.

Question 5

Parents phone the nurse and say that their child just knocked out a permanent tooth. What should the nurse's instructions to the parents include?

Accepted Answer

A)  Place the tooth in dry container for transport. 
B)  Hold the tooth by the crown and not by the root area. 
C)  Transport the child and tooth to a dentist within 18 hours. 
D)  Take the child to hospital emergency department if his or her mouth is bleeding. 
A)  Place the tooth in dry container for transport. 
B)  Hold the tooth by the crown and not by the root area. 
C)  Transport the child and tooth to a dentist within 18 hours. 
D)  Take the child to hospital emergency department if his or her mouth is bleeding.

Question 6

The nurse understands that medications delivered by which route are more likely to cause a drug reaction?

Accepted Answer

A)  Oral 
B)  Topical 
C)  Intravenous 
D)  Intramuscular 
A)  Oral 
B)  Topical 
C)  Intravenous 
D)  Intramuscular

Question 7

The nurse should know what about Lyme disease?

Accepted Answer

A)  Very 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)  Very 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

Question 8

Match the acute wound to its definition.

-Wound with a relatively small opening compared with the depth

Accepted Answer

A) Abrasion 
B) Avulsion 
C) Laceration 
D) Incision 
E) Puncture 
A) Abrasion 
B) Avulsion 
C) Laceration 
D) Incision 
E) Puncture

Exam 16: Health Problems of the School-Age Child

The nurse is caring for a child with psoriasis. What local manifestations does the nurse expect to assess in this child? (Select all that apply.)

The emergency department nurse is admitting a child with a temperature of 35° C (95° F). What physical effects of hypothermia should the nurse expect to observe in this child? (Select all that apply.)

MATCHING Many cutaneous lesions are associated with local symptoms. Match the symptom with its definition. -Diminished sensation

An older school-age child asks the nurse, "What is the reason for this topical corticosteroid cream?" What rationale should the nurse give?

Parents phone the nurse and say that their child just knocked out a permanent tooth. What should the nurse's instructions to the parents include?

The nurse understands that medications delivered by which route are more likely to cause a drug reaction?

The nurse should know what about Lyme disease?

Match the acute wound to its definition. -Wound with a relatively small opening compared with the depth

Perspectives of Pediatric Nursing

Social, Cultural, Religious, and Family Influences on Child Health Promotion

Hereditary Influences on Health Promotion of the Child and Family

Communication, Physical, and Developmental Assessment

Pain Assessment and Management in Children

Childhood Communicable and Infectious Diseases

Health Promotion of the Newborn and Family

Health Problems of Newborns

The High-Risk Newborn and Family

Health Promotion of the Infant and Family

Health Problems of the Infant

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Problems of Early Childhood

Health Promotion of the School-Age Child and Family

Health Promotion of the Adolescent and Family

Health Problems of the Adolescent

Family-Centered Care of the Child with Chronic Illness or Disability

Family-Centered Palliative Care

The Child with Cognitive, Sensory, or Communication Impairment

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Nursing Interventions and Skills

The Child with Fluid and Electrolyte Imbalance

The Child with Renal Dysfunction

The Child with Gastrointestinal Dysfunction

Overview of Oxygen and Carbon Dioxide Exchange

The Child with Respiratory Dysfunction

The Child with Cardiovascular Dysfunction

The Child with Hematologic or Immunologic Dysfunction

The Child with Cancer

The Child with Cerebral Dysfunction

The Child with Endocrine Dysfunction

The Child with Musculoskeletal or Articular Dysfunction

The Child with Neuromuscular or Muscular Dysfunction

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