Question 1

A mother calls the emergency department nurse because her child was stung by a scorpion.The nurse should recommend

Accepted Answer

A)   administering antihistamine.
B)   cleansing with soap and water.
C)   keeping child quiet and coming to emergency department.
D)   removing stinger and applying cool compresses. C

Question 2

When changing an infant's diaper,the nurse notices small bright red papules with satellite lesions on the perineum,anterior thigh,and lower abdomen.This rash is characteristic of

Accepted Answer

A)   candidiasis.
B)   irritant contact dermatitis.
C)   intertrigo.
D)   seborrheic dermatitis. A

Question 3

The pediatric nurse understands that cellulitis is most often caused by

Accepted Answer

A)   herpes zoster.
B)   Candida albicans.
C)   human papillomavirus.
D)   Streptococcus or Staphylococcus organisms. D

Question 4

Rocky Mountain spotted fever is caused by the bite of a

Accepted Answer

A)   flea.
B)   tick.
C)   mosquito.
D)   mouse or rat.

Question 5

A nurse is instructing parents on the treatment of pediculosis (head lice).Which should the nurse include in the teaching plan? (Select all that apply.)

Accepted Answer

A)   Bedding should be washed in warm water and dried on a low setting.
B)   After treating the hair and scalp with a pediculicide, shampoo the hair with regular shampoo.
C)   Retreat the hair and scalp with a pediculicide in 7 to 10 days.
D)   Items that cannot be washed should be dry cleaned or sealed in plastic bags for 2 to 3 weeks.
E)   Combs and brushes should be boiled in water for at least 10 minutes.

Question 6

The management of a child who has just been stung by a bee or wasp should include the application of which of the following?

Accepted Answer

A)   Cool compresses
B)   Warm compresses
C)   Antibiotic cream
D)   Corticosteroid cream

Question 7

A burned child is in the emergency department.The nurse calculates the fluid requirement for the next 24 hours to be 2700 mL.At what rate does the nurse set the pump for initially?

Accepted Answer

A)   50 mL/hour
B)   100 mL/hour
C)   152.1 mL/hour
D)   168.8 mL/hour

Question 8

What best describes a full-thickness (third-degree)burn?

Accepted Answer

A)   Erythema and pain
B)   Skin showing erythema followed by blister formation
C)   Destruction of all layers of skin evident with extension into subcutaneous tissue
D)   Destruction injury involving underlying structures such as muscle, fascia, and bone

Question 9

Where do the lesions of atopic dermatitis most commonly occur in the infant? (Select all that apply.)

Accepted Answer

A)   Cheeks
B)   Buttocks
C)   Extensor surfaces of arms and legs
D)   Back
E)   Scalp

Question 10

What should the nurse teach an adolescent who is taking tretinoin (Retin-A)to treat acne?

Accepted Answer

A)   The medication should be taken with meals.
B)   Apply sunscreen before going outdoors.
C)   Wash with benzoyl peroxide before application.
D)   The effect of the medication should be evident within 1 week.

Question 11

Which nursing assessment is applicable to the care of a child with herpetic gingivostomatitis?

Accepted Answer

A)   Comparison of range of motion of the extremities
B)   Urine output, mucous membranes, and skin turgor
C)   Growth pattern since birth
D)   Bowel elimination pattern

Question 12

Which statement made by a parent indicates an understanding about the management of a child with cellulitis on the arm?

Accepted Answer

A)   "I am supposed to continue the antibiotic until the redness and swelling disappear."
B)   "I have been putting ice on my son's arm to relieve the swelling."
C)   "I should call the doctor if the redness disappears."
D)   "I have been putting a warm soak on my son's arm every 4 hours."

Question 13

A child has small red macules and vesicles that become pustules around the child's mouth and cheek.Older lesions are crusted and honey-colored.What should the nurse teach the parents about this condition?

Accepted Answer

A)   Keep the child home from school for 24 hours after starting antibiotics.
B)   Clean the rash vigorously with Betadine three times a day.
C)   Notify the physician for any itching.
D)   Keep the child home from school until the lesions are healed.

Question 14

When assessing the child with atopic dermatitis,the nurse should ask the parents about a history of which of the following?

Accepted Answer

A)   Asthma
B)   Nephrosis
C)   Lower respiratory tract infections
D)   Neurotoxicity

Question 15

A nurse working in a trauma center would facilitate referrals to a burn center for which of the following children? (Select all that apply.)

Accepted Answer

A)   Electrical burn
B)   Chemical burn
C)   Burn from child abuse
D)   Burn in the perineal area
E)   5% second-degree burn

Question 16

What should the parents of an infant with thrush (oral candidiasis)be taught about medication administration?

Accepted Answer

A)   Give nystatin suspension with a syringe without a needle.
B)   Apply nystatin cream to the affected area twice a day.
C)   Give nystatin before the infant is fed.
D)   Swab nystatin suspension onto the oral mucous membranes after feedings.

Question 17

The depth of a burn injury may be classified as

Accepted Answer

A)   localized or systemic.
B)   superficial, superficial partial thickness, deep partial thickness, or full thickness.
C)   electrical, chemical, or thermal.
D)   minor, moderate, or major.

Question 18

The primary clinical manifestation of scabies is

Accepted Answer

A)   edema.
B)   redness.
C)   pruritus.
D)   maceration.

Question 19

A child has painful,fluid-filled vesicles on the upper lip.What medication does the nurse anticipate teaching parents about?

Accepted Answer

A)   Corticosteroids
B)   Oral griseofulvin
C)   Oral antiviral agent
D)   Topical antibiotic

Question 20

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

Exam 49: The Child with an Alteration in Tissue Integrity