Question 1

What assessment finding best indicates that a 66-pound child with a serious burn has met goals for the priority nursing diagnosis?

Accepted Answer

A)  Distal pulses are equal and strong bilaterally. 
B)  Oxygen saturation is 94% on room air. 
C)  Urine output is 45 mL/hour. 
D)  Mucous membranes are pink and moist. 
A)  Distal pulses are equal and strong bilaterally. 
B)  Oxygen saturation is 94% on room air. 
C)  Urine output is 45 mL/hour. 
D)  Mucous membranes are pink and moist.

Question 2

Ringworm,frequently found in schoolchildren,is caused by a(n)

Accepted Answer

A)  virus. 
B)  fungus. 
C)  allergic reaction. 
D)  bacterial infection. 
A)  virus. 
B)  fungus. 
C)  allergic reaction. 
D)  bacterial infection.

Question 3

The skin condition commonly known as "warts" is the result of an infection by which organism?

Accepted Answer

A)  Bacteria 
B)  Fungus 
C)  Parasite 
D)  Virus 
A)  Bacteria 
B)  Fungus 
C)  Parasite 
D)  Virus

Question 4

Which is an important nursing consideration when caring for a child with impetigo?

Accepted Answer

A)  Apply topical corticosteroids to decrease inflammation. 
B)  Carefully remove dressings so as not to dislodge undermined skin, crusts, and debris. 
C)  Carefully wash hands and maintain cleanliness when caring for an infected child. 
D)  Examine child under a Wood lamp for possible spread of lesions. 
A)  Apply topical corticosteroids to decrease inflammation. 
B)  Carefully remove dressings so as not to dislodge undermined skin, crusts, and debris. 
C)  Carefully wash hands and maintain cleanliness when caring for an infected child. 
D)  Examine child under a Wood lamp for possible spread of lesions.

Question 5

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 6

Impetigo ordinarily results in

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 7

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 8

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 9

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 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 10

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 11

With what beverage should the parents of a child with ringworm be taught to give griseofulvin?

Accepted Answer

A)  Water 
B)  A carbonated drink 
C)  Milk 
D)  Fruit juice 
A)  Water 
B)  A carbonated drink 
C)  Milk 
D)  Fruit juice

Question 12

When taking a history on a child with a possible diagnosis of cellulitis,what should be the priority nursing assessment to help establish a diagnosis?

Accepted Answer

A)  Any pain the child is experiencing 
B)  Enlarged, mobile, and nontender lymph nodes 
C)  Child's urinalysis results 
D)  Recent infections or signs of infection 
A)  Any pain the child is experiencing 
B)  Enlarged, mobile, and nontender lymph nodes 
C)  Child's urinalysis results 
D)  Recent infections or signs of infection

Question 13

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 14

What nursing intervention 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 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 to supply adequate nutrition

Exam 49: The Child with an Alteration in Tissue Integrity

What assessment finding best indicates that a 66-pound child with a serious burn has met goals for the priority nursing diagnosis?

Ringworm,frequently found in schoolchildren,is caused by a(n)

The skin condition commonly known as "warts" is the result of an infection by which organism?

Which is an important nursing consideration when caring for a child with impetigo?

The primary treatment for warts is

Impetigo ordinarily results in

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

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

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

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

With what beverage should the parents of a child with ringworm be taught to give griseofulvin?

When taking a history on a child with a possible diagnosis of cellulitis,what should be the priority nursing assessment to help establish a diagnosis?

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

What nursing intervention 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 HealthCare

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 an Intellectual Disability or Developmental Disability

The Child with a Sensory Alteration

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