Question 1

During the recovery/management phase of burn treatment,which is the most common complication seen in children?

Accepted Answer

A) Shock 
B) Metabolic acidosis 
C) Burn wound infection 
D) Asphyxia 
A) Shock 
B) Metabolic acidosis 
C) Burn wound infection 
D) Asphyxia C

Question 2

A nurse is assessing a pressure ulcer in a pediatric client.The ulcer appears as a deep crater into the subcutaneous tissue,but does not extend to the adjacent muscle,bone,or supporting tissue.As what stage would this nurse classify the ulcer?

Accepted Answer

A) Stage 1 
B) Stage 2 
C) Stage 3 
D) Stage 4 
A) Stage 1 
B) Stage 2 
C) Stage 3 
D) Stage 4 C

Question 3

A nurse is applying a 5% permethrin lotion to a toddler with scabies.How should the nurse apply the lotion?

Accepted Answer

A) To the scalp only 
B) Over the entire body,from the chin down,as well as the scalp and forehead 
C) Only on the areas with evidence of scabies activity 
D) Only on the hands 
A) To the scalp only 
B) Over the entire body,from the chin down,as well as the scalp and forehead 
C) Only on the areas with evidence of scabies activity 
D) Only on the hands B

Question 4

The school nurse is conducting pediculosis capitis checks.Which of the following describes how a child with a "positive" head check would present?

Accepted Answer

A) White,flaky particles throughout the entire scalp region 
B) Maculopapular lesions behind the ears 
C) Lesions in the scalp that extend to the hairline or neck 
D) White sacs attached to the hair shafts in the occipital area 
A) White,flaky particles throughout the entire scalp region 
B) Maculopapular lesions behind the ears 
C) Lesions in the scalp that extend to the hairline or neck 
D) White sacs attached to the hair shafts in the occipital area

Question 5

Nursing interventions would include use of which medication for a child with eczema?

Accepted Answer

A) Hydrocortisone ointment 1% 
B) Nystatin topical ointment 
C) Lotrimin ointment 
D) Silvadene cream 
A) Hydrocortisone ointment 1% 
B) Nystatin topical ointment 
C) Lotrimin ointment 
D) Silvadene cream

Question 6

Parents demonstrate that they understand the teaching a nurse has done with regard to care of their child with tinea capitis if they make which statement?

Accepted Answer

A) "We will give the griseofulvin on an empty stomach." 
B) "We're glad ringworm isn't transmitted from person to person." 
C) "Once the lesion is gone,we can stop the griseofulvin." 
D) "We will give the griseofulvin with milk or peanut butter." 
A) "We will give the griseofulvin on an empty stomach." 
B) "We're glad ringworm isn't transmitted from person to person." 
C) "Once the lesion is gone,we can stop the griseofulvin." 
D) "We will give the griseofulvin with milk or peanut butter."

Question 7

An infant,age 2 months,has a candidal diaper rash.Which of the following is the medication the nurse will most likely give this infant?

Accepted Answer

A) Bacitracin ointment 
B) Hydrocortisone ointment 
C) Desitin 
D) Nystatin given topically and orally 
A) Bacitracin ointment 
B) Hydrocortisone ointment 
C) Desitin 
D) Nystatin given topically and orally

Question 8

The nurse is teaching a group of adolescents about care for acne.The nurse should include which actions? Select all that apply.

Accepted Answer

A) Wash skin with mild soap and water twice a day. 
B) Use astringents and vigorous scrubbing. 
C) Avoid picking or squeezing the lesions. 
D) Apply tretinoin (Retin-
A) liberally. 
E) Avoid sun exposure if on tetracycline. 
A) Wash skin with mild soap and water twice a day. 
B) Use astringents and vigorous scrubbing. 
C) Avoid picking or squeezing the lesions. 
D) Apply tretinoin (Retin-
A) liberally. 
E) Avoid sun exposure if on tetracycline.

Question 9

The nurse is examining a 12-month-old who was brought to the clinic for persistent diaper rash.The nurse finds perianal inflammation,with bright red,scaly plaques and small papules.Satellite lesions are also present.Which of the following is the most likely cause?

Accepted Answer

A) Impetigo (staph) 
B) Candida albicans (yeast) 
C) Urine and feces 
D) Infrequent diapering 
A) Impetigo (staph) 
B) Candida albicans (yeast) 
C) Urine and feces 
D) Infrequent diapering

Question 10

Which is the priority nursing diagnosis during the acute phase of burn injury for a child who has a third-degree circumferential burn of the right arm?

Accepted Answer

A) Risk for infection 
B) Risk for altered tissue perfusion 
C) Risk for altered nutrition: less than body requirements 
D) Impaired physical mobility 
A) Risk for infection 
B) Risk for altered tissue perfusion 
C) Risk for altered nutrition: less than body requirements 
D) Impaired physical mobility

Question 11

The nurse explains to the parents of a child with a severe burn that wearing an elastic pressure garment (Jobst stocking)during the rehabilitative stage can help with the prevention of which problem?

Accepted Answer

A) Poor circulation 
B) Hypertrophic scarring 
C) Pain control 
D) Formation of thrombus in the burn area 
A) Poor circulation 
B) Hypertrophic scarring 
C) Pain control 
D) Formation of thrombus in the burn area

Question 12

A child has sustained a minor burn.The nurse should teach the family that the child's diet should be high in which type of food?

Accepted Answer

A) Fats 
B) Protein 
C) Minerals 
D) Carbohydrates 
A) Fats 
B) Protein 
C) Minerals 
D) Carbohydrates

Question 13

A child has sustained a severe burn.When the medical team arrives on the scene,which is the highest priority for this child at this time?

Accepted Answer

A) Start intravenous fluids. 
B) Provide for relief of pain. 
C) Establish an airway. 
D) Place a Foley catheter. 
A) Start intravenous fluids. 
B) Provide for relief of pain. 
C) Establish an airway. 
D) Place a Foley catheter.

Question 14

A child has been hospitalized with a severe case of impetigo contagiosa.What antibiotic(s)should the nurse expect to be prescribed?

Accepted Answer

A) Dicloxacillin (Pathocil) 
B) Rifampin (Rifadin) 
C) Sulfamethoxazole and trimethoprim (Bactrim) 
D) Metronidazole (Flagyl) 
A) Dicloxacillin (Pathocil) 
B) Rifampin (Rifadin) 
C) Sulfamethoxazole and trimethoprim (Bactrim) 
D) Metronidazole (Flagyl)

Question 15

Which nursing intervention would be appropriate in providing care for a 4-year-old brought to the Emergency Department for treatment of frostbite?

Accepted Answer

A) Immerse the hands in extremely warm water (120°F). 
B) Do not remove clothing. 
C) Place the extremity in a dependent position. 
D) Administer analgesics. 
A) Immerse the hands in extremely warm water (120°F). 
B) Do not remove clothing. 
C) Place the extremity in a dependent position. 
D) Administer analgesics.

Exam 59: The Child With Alterations in Skin Integrity

During the recovery/management phase of burn treatment,which is the most common complication seen in children?

A nurse is assessing a pressure ulcer in a pediatric client.The ulcer appears as a deep crater into the subcutaneous tissue,but does not extend to the adjacent muscle,bone,or supporting tissue.As what stage would this nurse classify the ulcer?

A nurse is applying a 5% permethrin lotion to a toddler with scabies.How should the nurse apply the lotion?

The school nurse is conducting pediculosis capitis checks.Which of the following describes how a child with a "positive" head check would present?

Nursing interventions would include use of which medication for a child with eczema?

Parents demonstrate that they understand the teaching a nurse has done with regard to care of their child with tinea capitis if they make which statement?

An infant,age 2 months,has a candidal diaper rash.Which of the following is the medication the nurse will most likely give this infant?

The nurse is teaching a group of adolescents about care for acne.The nurse should include which actions? Select all that apply.

The nurse is examining a 12-month-old who was brought to the clinic for persistent diaper rash.The nurse finds perianal inflammation,with bright red,scaly plaques and small papules.Satellite lesions are also present.Which of the following is the most likely cause?

Which is the priority nursing diagnosis during the acute phase of burn injury for a child who has a third-degree circumferential burn of the right arm?

The nurse explains to the parents of a child with a severe burn that wearing an elastic pressure garment (Jobst stocking)during the rehabilitative stage can help with the prevention of which problem?

A child has sustained a minor burn.The nurse should teach the family that the child's diet should be high in which type of food?

A child has sustained a severe burn.When the medical team arrives on the scene,which is the highest priority for this child at this time?

A child has been hospitalized with a severe case of impetigo contagiosa.What antibiotic(s)should the nurse expect to be prescribed?

Which nursing intervention would be appropriate in providing care for a 4-year-old brought to the Emergency Department for treatment of frostbite?

Contemporary Maternalnewborn and Child Health Nursing

Culture and the Family

Reproductive Anatomy and Physiology

Conception and Fetal Development

Health Promotion for Women

Common Gynecologic Problems

Families With Special Reproductive Concerns

Preparation for Parenthood

Physical and Physiologic Changes of Pregnancy

Antepartal Nursing Assessment

The Expectant Family: Needs and Care

Maternal Nutrition

Adolescent Pregnancy

Assessment of Fetal Well-Being

Pregnancy at Risk: Pregestational Problems

Pregnancy at Risk: Gestational Onset

Processes and Stages of Labor and Birth

Intrapartal Nursing Assessment

The Family in Childbirth: Needs and Care

Pharmacologic Pain Management

Childbirth at Risk: Prelabor Complications

Childbirth at Risk: Labor-Related Complications

Birth-Related Procedures

The Physiologic Responses of the Newborn to Birth

Nursing Assessment of the Newborn

The Normal Newborn: Needs and Care

Newborn Nutrition

The Newborn at Risk: Conditions Present at Birth

The Newborn at Risk: Birth-Related Stressors

Postpartal Adaptation and Nursing Assessment

The Postpartal Family: Early Care Needs and Home Care

The Postpartal Family at Risk

Growth and Development

Infant,child,and Adolescent Nutrition

Pediatric Assessment

Health Promotion and Maintenance: General Concepts, the Newborn, and the Infant

Health Promotion and Maintenance for the Toddler, the Preschooler, and the School-Age Child

Health Promotion and Maintenance: the Adolescent

Nursing Considerations for the Child and Family in the Community

Nursing Considerations for the Child and Family With a Chronic Condition

Nursing Considerations for the Hospitalized Child

Pain Assessment and Management in Children

The Child With a Life-Threatening Condition and End-Of-Life Care

Social and Environmental Influences on the Child

Immunization and Communicable Diseases

The Child With Alterations in Fluids, electrolytes, and Acidbase Balance

The Child With Alterations in Eye, Ear, Nose, and Throat Function

The Child With Alterations in Respiratory Function

The Child With Alterations in Cardiovascular Function

The Child With Alterations in Immune Function

The Child With Alterations in Hematologic Function

The Child With Cancer

The Child With Alterations in Gastrointestinal Function

The Child With Alterations in Genitourinary Function

The Child With Alterations in Endocrine Function

The Child With Alterations in Neurologic Function

The Child With Alterations in Mental Health and Cognitive Function

The Child With Alterations in Musculoskeletal Function

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