Question 1

A nurse is teaching a community parent group about signs and symptoms of Lyme disease.Which statements does the nurse include?

Accepted Answer

A)  Bull's-eye rash is seen in the early stage of the disease. 
B)  Fatigue and headache frequently occur in the early stage. 
C)  Inability to bear weight is often seen in the late disease phase. 
D)  Lyme disease manifests 3-30 days after a tick bite. 
E)  Signs of meningitis are seen in the early disseminated phase.

Question 2

A child who was visiting a wooded area on vacation presents to the doctor's office with a localized bull's-eye rash.Which action by the nurse is the most appropriate?

Accepted Answer

A)  Advise parents that treatment depends on laboratory results. 
B)  Assess for cardiac and neurological involvement. 
C)  Facilitate admission to a nearby hospital. 
D)  Teach the parents about cefuroxime (Ceftin).

Question 3

A school-age child has been prescribed "magic mouthwash" for gingival herpes simplex type I (HSV-1)infection.The parent asks how this helps the child's condition.Which response by the nurse is the most appropriate?

Accepted Answer

A)  Decreases the pain so the child can eat and drink 
B)  Kills the virus causing the infection by suffocation 
C)  Prevents secondary infection of the gingiva 
D)  Shortens the duration of the outbreak

Question 4

A child is in the emergency department (ED)with a dog bite.After cleansing the wound and attending to the child's comfort,which action should the nurse perform next?

Accepted Answer

A)  Give a dose of antibiotic. 
B)  Offer the child a toy to play with. 
C)  Provide discharge teaching. 
D)  Report the bite to authorities.

Question 5

A teen has been taking griseofulvin (Fulvicin)for a fungal skin and scalp condition and reports that it is not working.Which action by the nurse is the most important?

Accepted Answer

A)  Assess for noncompliance with the regimen. 
B)  Discuss changing medications with the provider. 
C)  Prepare to administer the drug as an injection. 
D)  Tell the teen it takes nearly 6 months to work.

Question 6

A burned patient had an escharotomy on the right anterior thigh.Which assessment finding indicates that this procedure has been effective?

Accepted Answer

A)  Absence of infection in the burn 
B)  Compartment pressure of 42 mm Hg 
C)  Decreased pain in the right leg 
D)  Pedal pulses 3+/4+ bilaterally

Question 7

The nurse working in a pediatric burn unit explains to new registered nurses that which is the most common cause of death in burned children?

Accepted Answer

A)  Hypovolemic shock 
B)  Infection 
C)  Sepsis 
D)  Thrombotic events

Question 8

A child has blood testing for possible atopic dermatitis.The parent asks why testing for IgE is done.Which response by the nurse is the most appropriate?

Accepted Answer

A)  "High levels of IgE from an overactive immune system are treated with steroids." 
B)  "If we can control the levels of IgE, we can control your child's skin condition." 
C)  "IgE is raised in allergies and asthma, which are often seen with atopic dermatitis." 
D)  "These results will help us determine how your child's immune system is functioning."

Question 9

A nurse has assessed the skin of a newborn with the AWHONN Neonatal Skin Condition Score Tool and determines that her patient has a score of 3.What action by the nurse is most appropriate?

Accepted Answer

A)  Document the findings and continue to monitor. 
B)  Elevate the child's lower extremities on pillows. 
C)  Implement pressure ulcer prevention measures. 
D)  Request a consultation by the wound care nurse.

Question 10

An adolescent patient has acne characterized by pustules and scarring.Which teaching information is most appropriate for the nurse to give the patient and family?

Accepted Answer

A)  "Scrub your face vigorously twice a day with soap and water." 
B)  "Tetracycline (Sumacin) will make you more sensitive to the sun." 
C)  "Use good moisturizer because treatment is very drying." 
D)  "You need a pregnancy test every 3 months on isotretinoin (Accutane)."

Question 11

A nurse is providing anticipatory guidance to a community parent group about burn prevention.When discussing school-age and older children,which cause of burn occurs most often in this age group?

Accepted Answer

A)  Cooking and kitchen activities 
B)  Exposure to hot water 
C)  Household electrical wires 
D)  Touching hot appliances

Question 12

A nurse wishes to prevent radiant heat loss from an infant.What action is the most appropriate?

Accepted Answer

A)  Apply warm blankets to the baby. 
B)  Cover the baby's head with a cap. 
C)  Place a space heater near the baby. 
D)  Warm and humidify the oxygen.

Question 13

An adolescent is in the emergency department with partial-thickness burns covering his right anterior thigh,his abdomen,and his right anterior arm.The nurse calculates the total body surface area (TBSA)burned as ____________________.

Accepted Answer

The answer of An adolescent is in the emergency department...

Question 14

A toddler has a few vesicular lesions on his hands that rupture,producing a honey-colored,sticky exudate.Based on this assessment,which medication does the nurse teach the parents about?

Accepted Answer

A)  Azithromycin (Zithromax) 
B)  Amoxicillin/clavulanate (Augmentin) 
C)  Doxycycline (Vibramycin) 
D)  Mupirocin (Bactroban) ointment

Question 15

A 10-year-old child is in the emergency department with burns on her buttocks,the backs of her thighs,and the soles of her feet.The nurse calculates this child's total body surface area (TBSA)burned as ____________________.

Accepted Answer

The answer of A 10-year-old child is in the emergency...

Question 16

When teaching a parenting group how to prevent the most common cause of childhood burns,what action does the nurse advise?

Accepted Answer

A)  Cover electrical outlets. 
B)  Keep children out of the kitchen. 
C)  Install smoke detectors. 
D)  Lock up household chemicals.

Question 17

The clinic nurse is assessing a child who had a tick bite for tick-borne disease.What assessment finding indicates to the nurse the child may have Rocky Mountain Spotted Fever and not Lyme disease?

Accepted Answer

A)  Abdominal pain 
B)  Clear skin 
C)  Fever 
D)  Headache

Question 18

A student nurse is caring for an adolescent with frostbite of the hand in the emergency department.Which action by the student would require the registered nurse to intervene?

Accepted Answer

A)  Applies warm blankets to the child 
B)  Has the teen wear a warmed gown 
C)  Rubs patient's fingers to warm them 
D)  Takes teen's watch off of his wrist

Question 19

A nurse is preparing to administer a prn medication to a 6-year-old child for pruritus.Which order should the nurse question?

Accepted Answer

A)  Chlorpheniramine (Chlor-Trimeton) 2 mg every 6 hours with food 
B)  Cyproheptadine (Periactin) 2-4 mg every 8-12 hours 
C)  Diphenhydramine (Benadryl) 50 mg PO every 4-6 hours 
D)  Hydroxyzine (Atarax) 2 mg/kg/day in divided doses every 6-8 hours

Question 20

What important safety measure regarding the use of insect repellents does the nurse teach a parenting group?

Accepted Answer

A)  Apply repellents to the child's clothing. 
B)  There are no substitutes for DEET. 
C)  Use oil of lemon eucalyptus on babies. 
D)  Wash repellent off after 2 hours.

Exam 30: Caring for the Child With a Integumentary Condition