Question 1

A 2-day-old infant is noted to have small pustules on her skin.What is the best nursing action?

Accepted Answer

A)  Report it immediately because it may be a staphylococcus infection. 
B)  Keep the affected area dry and clean. 
C)  Teach the parents how to care for seborrheic dermatitis. 
D)  Chart the finding because it may be the beginning of a strawberry nevus. 
A)  Report it immediately because it may be a staphylococcus infection. 
B)  Keep the affected area dry and clean. 
C)  Teach the parents how to care for seborrheic dermatitis. 
D)  Chart the finding because it may be the beginning of a strawberry nevus. A

Question 2

A 5-year-old boy is brought to the emergency department with a second-degree burn of his entire right arm and hand,anterior trunk and genital area,and front of right thigh.The nurse assesses the body surface area (BSA)percentage burn as ______%.

Accepted Answer

26
Using the Burn Size Estimation Table on page 695,the nurse can determine that for a 5-year-old child,the upper and lower arm = 5.5%,the hand = 2.5%,anterior trunk = 13%,genital area = 1%,and half of the thigh = 4%.Together this totals to 26% BSA burn.

Question 3

A mother is concerned about what might have caused a heat rash on her infant.The nurse observes tiny pinhead-sized reddened papules on the infant's neck and axilla.What does the nurse explain as the most likely cause of this rash?

Accepted Answer

A)  Sun exposure 
B)  Allergic reaction 
C)  Infection 
D)  Heat and moisture 
A)  Sun exposure 
B)  Allergic reaction 
C)  Infection 
D)  Heat and moisture D

Question 4

The nurse assesses a major burn as a full-thickness burn involving _____% or more of the body surface.

Accepted Answer

10
A full-thickness

Question 5

On the first day following a severe burn,the body's fluid reserves have left the circulating volume and entered the interstitial space,causing massive edema.What should the nurse monitor for very closely in the burn victim?

Accepted Answer

A)  Increasing intracranial pressure 
B)  Reduced urine output 
C)  Eschar formation 
D)  Fluid overload 
A)  Increasing intracranial pressure 
B)  Reduced urine output 
C)  Eschar formation 
D)  Fluid overload

Question 6

What is the correct nursing response to a mother who asks,"How can I get rid of the baby's cradle cap?"

Accepted Answer

A)  "Rub baby oil on the infant's head at night and shampoo the hair the next morning." 
B)  "Use a brush with firm bristles to loosen the scales on the baby's head several times a day." 
C)  "Wash the baby's head every night with a dandruff-control shampoo." 
D)  "Lubricate the baby's head every morning with a small amount of olive oil." 
A)  "Rub baby oil on the infant's head at night and shampoo the hair the next morning." 
B)  "Use a brush with firm bristles to loosen the scales on the baby's head several times a day." 
C)  "Wash the baby's head every night with a dandruff-control shampoo." 
D)  "Lubricate the baby's head every morning with a small amount of olive oil."

Question 7

A child is brought to the emergency department with severe frostbite.Which body parts should be warmed first?

Accepted Answer

A)  Hands and arms 
B)  Feet and legs 
C)  Fingers and toes 
D)  Head and torso 
A)  Hands and arms 
B)  Feet and legs 
C)  Fingers and toes 
D)  Head and torso

Question 8

A child had a burn,evidenced by pink skin and blistering.The child complains of pain and is crying.How does the nurse classify this burn when documenting?

Accepted Answer

A)  First-degree 
B)  Second-degree superficial 
C)  Second-degree deep dermal 
D)  Third-degree 
A)  First-degree 
B)  Second-degree superficial 
C)  Second-degree deep dermal 
D)  Third-degree

Question 9

What is the appropriate technique for the application of a topical treatment for a child with eczema?

Accepted Answer

A)  Apply skin lotions in a circular motion. 
B)  Apply prescribed ointments with a gloved hand. 
C)  Apply as much and as frequently as relieves the symptoms. 
D)  Choose lanolin-based ointments. 
A)  Apply skin lotions in a circular motion. 
B)  Apply prescribed ointments with a gloved hand. 
C)  Apply as much and as frequently as relieves the symptoms. 
D)  Choose lanolin-based ointments.

Question 10

Which statement made by a parent indicates an understanding of the topical application of medications for a skin condition?

Accepted Answer

A)  "I apply the medication after I give my child a bath." 
B)  "I rub the ointment in a circular motion over the rash." 
C)  "I increased the amount of cream because the rash was not improving." 
D)  "I use powder and cornstarch to keep the skin dry." 
A)  "I apply the medication after I give my child a bath." 
B)  "I rub the ointment in a circular motion over the rash." 
C)  "I increased the amount of cream because the rash was not improving." 
D)  "I use powder and cornstarch to keep the skin dry."

Question 11

What intervention(s)would the nurse preparing a teaching plan for the care of a child with infantile eczema include? (Select all that apply. )

Accepted Answer

A)  Bathe the child using products with a light fragrance. 
B)  Use oatmeal and baking soda as bath additives. 
C)  Add bath oil to bath water after the child has soaked. 
D)  Apply lanolin-based lotions after the bath. 
E)  Bathe child several times a day. 
A)  Bathe the child using products with a light fragrance. 
B)  Use oatmeal and baking soda as bath additives. 
C)  Add bath oil to bath water after the child has soaked. 
D)  Apply lanolin-based lotions after the bath. 
E)  Bathe child several times a day.

Question 12

What would the nurse teach parents to do in order to avoid diaper rash? (Select all that apply. )

Accepted Answer

A)  Use ointments. 
B)  Keep perineum covered at all times. 
C)  Use disposable diapers. 
D)  Avoid plastic bloomers or pants. 
E)  Change diaper frequently. 
A)  Use ointments. 
B)  Keep perineum covered at all times. 
C)  Use disposable diapers. 
D)  Avoid plastic bloomers or pants. 
E)  Change diaper frequently.

Question 13

Which statement made by a parent indicates the need for further teaching about strategies to control itching for the infant with eczema?

Accepted Answer

A)  "Wool is the best fabric for the infant's clothing." 
B)  "I should avoid laundry detergents with fragrances." 
C)  "I put cotton gloves on the infant's hands." 
D)  "The infant's fingernails are kept short." 
A)  "Wool is the best fabric for the infant's clothing." 
B)  "I should avoid laundry detergents with fragrances." 
C)  "I put cotton gloves on the infant's hands." 
D)  "The infant's fingernails are kept short."

Question 14

An adolescent girl with acne is being treated with an antibiotic in addition to topical applications.What side effect does the nurse caution the girl to expect?

Accepted Answer

A)  Lessened effectiveness of oral contraceptives 
B)  Urinary burning and frequency 
C)  Breast engorgement 
D)  Vaginitis 
A)  Lessened effectiveness of oral contraceptives 
B)  Urinary burning and frequency 
C)  Breast engorgement 
D)  Vaginitis

Question 15

What should the nurse keep in mind when providing care to the school-age child hospitalized with a burn injury?

Accepted Answer

A)  Hospitalization will be brief. 
B)  Analgesics should be given immediately after dressing changes. 
C)  Contact with peers should be maintained. 
D)  Parents usually handle injury worse than the child. 
A)  Hospitalization will be brief. 
B)  Analgesics should be given immediately after dressing changes. 
C)  Contact with peers should be maintained. 
D)  Parents usually handle injury worse than the child.

Question 16

What would help the child with a serious burn meet nutritional needs during the subacute phase of recovery?

Accepted Answer

A)  Decrease calories because the child will be on bed rest and will not need as many. 
B)  Increase calories and protein to compensate for the healing process. 
C)  Increase fat to replace the layer of fat next to the burned skin. 
D)  Decrease carbohydrates and starches because the pancreas is strained by the healing process. 
A)  Decrease calories because the child will be on bed rest and will not need as many. 
B)  Increase calories and protein to compensate for the healing process. 
C)  Increase fat to replace the layer of fat next to the burned skin. 
D)  Decrease carbohydrates and starches because the pancreas is strained by the healing process.

Question 17

The nurse speaking to a group of junior high school students informs them that acne can be exacerbated by which drug(s)? (Select all that apply. )

Accepted Answer

A)  Steroids 
B)  Phenytoin 
C)  Phenobarbital 
D)  Aspirin 
E)  Oral contraceptives 
A)  Steroids 
B)  Phenytoin 
C)  Phenobarbital 
D)  Aspirin 
E)  Oral contraceptives

Question 18

The nurse is documenting a description of a skin assessment.What term can be used for an elevated,fluid-filled blister?

Accepted Answer

A)  Pustule 
B)  Papule 
C)  Wheal 
D)  Vesicle 
A)  Pustule 
B)  Papule 
C)  Wheal 
D)  Vesicle

Question 19

What will the nurse include when teaching about general skin care measures that could help prevent acne?

Accepted Answer

A)  Eliminating chocolate,peanuts,and cola from the diet 
B)  Washing the face with a cleansing product frequently 
C)  Planning indoor activities to avoid sun exposure 
D)  Eating a balanced diet and getting sufficient rest 
A)  Eliminating chocolate,peanuts,and cola from the diet 
B)  Washing the face with a cleansing product frequently 
C)  Planning indoor activities to avoid sun exposure 
D)  Eating a balanced diet and getting sufficient rest

Question 20

The nurse is careful to apply only the prescribed amount of ointment to the skin of a 2-month-old infant.How is infant skin different from adult skin?

Accepted Answer

A)  Less perfusion 
B)  Greater moisture 
C)  More perspiration 
D)  Greater absorption 
A)  Less perfusion 
B)  Greater moisture 
C)  More perspiration 
D)  Greater absorption

Exam 30: The Child With a Skin Condition

A 2-day-old infant is noted to have small pustules on her skin.What is the best nursing action?

A 5-year-old boy is brought to the emergency department with a second-degree burn of his entire right arm and hand,anterior trunk and genital area,and front of right thigh.The nurse assesses the body surface area (BSA)percentage burn as ______%.

A mother is concerned about what might have caused a heat rash on her infant.The nurse observes tiny pinhead-sized reddened papules on the infant's neck and axilla.What does the nurse explain as the most likely cause of this rash?

The nurse assesses a major burn as a full-thickness burn involving _____% or more of the body surface.

On the first day following a severe burn,the body's fluid reserves have left the circulating volume and entered the interstitial space,causing massive edema.What should the nurse monitor for very closely in the burn victim?

What is the correct nursing response to a mother who asks,"How can I get rid of the baby's cradle cap?"

A child is brought to the emergency department with severe frostbite.Which body parts should be warmed first?

A child had a burn,evidenced by pink skin and blistering.The child complains of pain and is crying.How does the nurse classify this burn when documenting?

What is the appropriate technique for the application of a topical treatment for a child with eczema?

Which statement made by a parent indicates an understanding of the topical application of medications for a skin condition?

What intervention(s)would the nurse preparing a teaching plan for the care of a child with infantile eczema include? (Select all that apply. )

What would the nurse teach parents to do in order to avoid diaper rash? (Select all that apply. )

Which statement made by a parent indicates the need for further teaching about strategies to control itching for the infant with eczema?

An adolescent girl with acne is being treated with an antibiotic in addition to topical applications.What side effect does the nurse caution the girl to expect?

What should the nurse keep in mind when providing care to the school-age child hospitalized with a burn injury?

What would help the child with a serious burn meet nutritional needs during the subacute phase of recovery?

The nurse speaking to a group of junior high school students informs them that acne can be exacerbated by which drug(s)? (Select all that apply. )

The nurse is documenting a description of a skin assessment.What term can be used for an elevated,fluid-filled blister?

What will the nurse include when teaching about general skin care measures that could help prevent acne?

The nurse is careful to apply only the prescribed amount of ointment to the skin of a 2-month-old infant.How is infant skin different from adult skin?

The Past, Present, and Future

Human Reproductive Anatomy and Physiology

Fetal Development

Prenatal Care and Adaptations to Pregnancy

Nursing Care of Women With Complications During Pregnancy

Nursing Care of Mother and Infant During Labor and Birth

Nursing Management of Pain During Labor and Birth

Nursing Care of Women With Complications During Labor and Birth

The Family After Birth

Nursing Care of Women With Complications Following Birth

The Nurses Role in Womens Health Care

The Term Newborn

Preterm and Postterm Newborns

The Newborn With a Perinatal Injury or Congenital Malformation

An Overview of Growth, Development, and Nutrition

The Infant

The Toddler

The Preschool Child

The School-Age Child

The Adolescent

The Childs Experience of Hospitalization

Health Care Adaptations for the Child and Family

The Child With a Sensory or Neurological Condition

The Child With a Musculoskeletal Condition

The Child With a Respiratory Disorder

The Child With a Cardiovascular Disorder

The Child With a Condition of the Blood, Blood-Forming Organs, or Lymphatic System

The Child With a Gastrointestinal Condition

The Child With a Genitourinary Condition

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Childhood Communicable Diseases, Bioterrorism, Natural Disasters, and the Maternalchild Patient

The Child With an Emotional or Behavioral Condition

Complementary and Alternative Therapies in Maternity and Pediatric Nursing

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