Nclex-Rn Practice Questions-Care Of The Child - Integumentary Disorders Part 1
Start
Congratulations - you have completed Nclex-Rn Practice Questions-Care Of The Child - Integumentary Disorders Part 1.
You scored %%SCORE%% out of %%TOTAL%%.
Your performance has been rated as %%RATING%%
Your answers are highlighted below.
Question 1 |
When examining a nursery school–age child, the nurse finds multiple contusions over the body. Child abuse is suspected. Which statement indicates which findings should be documented?
A | Contusions confined to one body area are typically suspicious. |
B | All lesions, including location, shape, and color, should be documented. |
C | Natural injuries usually have straight linear lines, while injuries from abuse have multiple curved lines. |
D | The depth, location, and amount of bleeding that initially occurs are constant, but the sequence of color change is variable. |
Question 2 |
An infant is being treated with antibiotic therapy for otitis media and develops an erythematous, fine, raised rash in the groin and suprapubic area. Which instruction or explanation will most likely be given to the mother?
A | The infant has candidiasis. |
B | Change the brand of diapers. |
C | Use an over-the-counter diaper remedy. |
D | Stop the antibiotic therapy immediately. |
Question 3 |
Which treatment for paronychia would be the most appropriate?
A | Give warm soaks. |
B | Splint and put ice on the affected finger. |
C | Allow the infection to resolve without treatment. |
D | Admit the child to the hospital for I.V. antibiotic therapy. |
Question 4 |
A mother brings her child to the physician’s office because he complains of pain, redness, and tenderness of the left index finger. The child is diagnosed with a paronychia. The nurse suspects that which organism is the most likely cause?
A | Borrelia burgdorferi |
B | Escherichia coli |
C | Pseudomonas species |
D | Staphylococcus species |
Question 5 |
A child is brought to the emergency department after an extended period of sledding with suspected frostbite of the hands. The nurse assesses the skin on the hands and documents it as:
A | white. |
B | deeply flushed and red. |
C | cyanotic. |
D | blistered. |
Question 6 |
The nurse is teaching the mother of a child with lice about treatment options. What is the most important information for the nurse to include when discussing lindane (Kwell) shampoo?
A | Lindane causes alopecia. |
B | Lindane causes hypertension. |
C | Lindane is associated with seizures. |
D | Lindane increases liver function test (LFT) results. |
Question 7 |
The nurse is discussing the appearance of a rash associated with varicella-zoster virus on a child in the pediatric unit with a student nurse. Which explanation about the rash would be correct?
A | It’s diagnostic in the presence of Koplik’s spots in the oral mucosa. |
B | It’s a macular papular rash starting on the scalp and hairline and spreading downward. |
C | It’s a vesicular macular papular rash that appears abruptly on the trunk, face, and scalp. |
D | It appears as yellow ulcers surrounded by red halos on the surface of the hands and feet. |
Question 8 |
What is the most important information for the nurse to give the parents of a child with fifth disease?
A | There is a possible reappearance of the rash for up to 1 week. |
B | Isolation of high-risk contacts should be avoided for 4 to 10 days. |
C | Pregnant clients are at risk for fetal death if infected with fifth disease. |
D | Children with fifth disease are contagious only while the rash is present. |
Question 9 |
A 1-year-old child is treated in the clinic for a burn to the anterior surface of the left hand. What is the most accurate way for the nurse to measure burn size?
A | The rule of nines |
B | Percentage based on the child’s weight |
C | The child’s hand equals 1.25% of the child’s body surface area |
D | Percentage can’t be determined without knowing the type of burn |
Question 10 |
Each member of the family of a child diagnosed with pinworms is prescribed a single dose of pyrantel pamoate (Antiminth). What is the most important information for the nurse to tell the family?
A | The drug may stain the feces red. |
B | The dose may be repeated in 2 weeks. |
C | Fever and rash are common adverse effects. |
D | The medicine will kill the eggs in about 48 hours. |
Question 11 |
A family that recently went camping brings their child to the clinic with a complaint of a rash after a tick bite. Lyme disease is suspected. The nurse would assess the child for which finding?
A | Erythematous rash surrounding a necrotic lesion |
B | Bright rash with red outer border circling the bite site |
C | Onset of a diffuse rash over the entire body 2 months after exposure |
D | A linear rash of papules and vesicles that occur 1 to 3 days after exposure |
Question 12 |
A mother is concerned that her 3-year-old child has been exposed to erythema infectiosum (fifth disease) and asks the nurse what symptoms to look for. What is the best response by the nurse?
A | A fine, erythematous rash with a sandpaper-like texture |
B | Intense redness of both cheeks that may spread to the extremities |
C | Low-grade fever, followed by vesicular lesions of the trunk, face, and scalp |
D | Three-to 5-day history of sustained fever, followed by a diffuse erythematous maculopapular rash |
Question 13 |
A 4-year-old child is admitted to the burn unit with a circumferential burn to the left forearm. Which finding should be reported to the physician?
A | Numbness of fingers |
B | +2 radial and ulnar pulses |
C | Full range of motion (ROM) and no pain |
D | Bilateral capillary refill less than 2 seconds |
Question 14 |
A mother reports that her 4-year-old child has been scratching at his rectum recently. Which infestation or condition should the nurse suspect?
A | Anal fissure |
B | Lice |
C | Pinworms |
D | Scabies |
Question 15 |
The nurse is teaching the parents of a child with Kawasaki disease. What is the most accurate statement by the nurse?
A | “It’s a highly contagious condition that requires isolation.” |
B | “It’s an afebrile condition with cardiac involvement.” |
C | “It usually occurs in children older than 5 years.” |
D | “Prolonged fever, with peeling of the fingers and toes, is the initial symptom.” |
Question 16 |
A mother is concerned because her child was exposed to varicella in day care. Which statement by the nurse would be the most accurate?
A | “The rash is nonvesicular.” |
B | “The treatment of choice is aspirin.” |
C | “Varicella has an incubation period of 5 to 10 days.” |
D | “A child is no longer contagious once the rash has crusted over.” |
Question 17 |
A mother of a 5-month-old infant is planning a trip to the beach and asks for advice about sunscreen for her child. Which instruction should the nurse give the mother?
A | The sunscreen protection factor (SPF) of the sunscreen should be at least 10. |
B | Apply sunscreen to the exposed areas of the skin. |
C | Sunscreen shouldn’t be applied to infants younger than 6 months of age. |
D | Sunscreen needs to be applied heavily only once one-half hour before going out in the sun. |
Question 18 |
A parent tells the nurse that the skin in the diaper area of their 6-month-old infant is excoriated and red. What is the most appropriate information for the nurse to tell the parent?
A | Change the diaper more often. |
B | Apply talcum powder with diaper changes. |
C | Wash the area vigorously with each diaper change. |
D | Decrease the infant’s fluid intake to decrease saturating diapers. |
Question 19 |
A Mantoux test is ordered for a 6-year-old child. What is the most important action by the nurse?
A | Read results within 24 hours. |
B | Read results 48 to 72 hours later. |
C | Use the large muscle of the upper leg. |
D | Massage the site to increase absorption. |
Question 20 |
A 7-year-old child is diagnosed with head lice. The mother asks what nits are. What is the most accurate response by the nurse?
A | Adult lice |
B | Empty egg shells |
C | Newly laid eggs |
D | Nymphs |
Question 21 |
The nurse is providing instructions to the parents about the treatment of head lice. What is the most important information for the nurse to provide?
A | The treatment should be repeated in 7 to 12 days. |
B | Treatment should be repeated every day for 1 week. |
C | If treated with a shampoo, combing to remove eggs isn’t necessary. |
D | All contacts with the infested child should be treated even without evidence of infestation. |
Question 22 |
A mother is concerned that her 9-month-old infant has scabies and brings her to the pediatric clinic. The nurse assesses the infant for which findings?
A | Diffuse pruritic wheals |
B | Oval white dots stuck to the hair shafts |
C | Pain, erythema, and edema with an embedded stinger |
D | Pruritic papules, pustules, and linear burrows of the finger and toe webs |
Question 23 |
A 9-year-old child is admitted to the hospital with deep partial-thickness burns to 25% of his body. Which assessment finding would the nurse associate with a deep partial-thickness burn?
A | Erythema and pain |
B | Minimal damage to the epidermis |
C | Necrosis through all layers of skin |
D | Tissue necrosis through most of the dermis |
Question 24 |
A 9-year-old child is being discharged from the hospital after severe urticaria caused by an allergy to nuts. What is the most important instruction for the nurse to give the parents?
A | Use emollient lotions and baths. |
B | Apply topical steroids to the lesions as needed. |
C | Apply over-the-counter products such as diphenhydramine (Benadryl). |
D | Instruct the parents and child on how and when to use an epinephrine administration kit (Epi-Pen). |
Question 25 |
A 12-year-old child with burns over 40% of his body is ordered to receive 1,500 ml of I.V. fluid over 6 hours. At what rate should the nurse set the infusion pump?
A | 125 ml/hour |
B | 150 ml/hour |
C | 175 ml/hour |
D | 250 ml/hour |
Question 26 |
After treating her 16-month-old child with permethrin (Elimite) for scabies, the mother is concerned the cream didn’t work because the child is still scratching. What is the best information for the nurse to give the mother?
A | Continue the application daily until the rash disappears. |
B | Pruritus caused by secondary reactions of the mites can be present for weeks. |
C | Stop treatment because the cream is unsafe for children younger than age 2 years. |
D | Pruritus caused by permethrin is usually present in children younger than age 5 years. |
Question 27 |
An 18-month-old child is admitted to the hospital for full-thickness burns to the anterior chest. The mother asks the nurse how the burn will heal. What is the best response by the nurse?
A | Surgical closure and grafting are usually needed. |
B | Healing takes 10 to 12 days with little or no scarring. |
C | Pigment in a black client will return to the injured area. |
D | Healing can take up to 6 weeks with a high incidence of scarring. |
Question 28 |
A 22-lb child is diagnosed with Kawasaki syndrome and started on gamma globulin therapy. The physician orders an I.V. infusion of gamma globulin, 2 g/kg, to run over 12 hours. The nurse calculates the correct dose as:
A | 11 g. |
B | 20 g. |
C | 22 g. |
D | 44 g. |
Question 29 |
The nurse is providing instructions on the diagnosing of pinworms to a parent. The parent asks how many clear cellophane tape tests are necessary to detect infestations at 100% accuracy. What is the best response by the nurse?
A | One |
B | Three |
C | Five |
D | Ten |
Question 30 |
The nurse is caring for a child with burns. Which statement by the nurse best describes the nutritional needs of a child who has burns?
A | A child needs 100 cal/kg during hospitalization. |
B | The hypermetabolic state after a burn injury leads to poor healing. |
C | Caloric needs can be lowered by controlling environmental temperature. |
D | Maintaining a hypermetabolic rate will lower the child’s risk for infection. |
Once you are finished, click the button below. Any items you have not completed will be marked incorrect.
Get Results
There are 30 questions to complete.
You have completed
questions
question
Your score is
Correct
Wrong
Partial-Credit
You have not finished your quiz. If you leave this page, your progress will be lost.
Correct Answer
You Selected
Not Attempted
Final Score on Quiz
Attempted Questions Correct
Attempted Questions Wrong
Questions Not Attempted
Total Questions on Quiz
Question Details
Results
Date
Score
Hint
Time allowed
minutes
seconds
Time used
Answer Choice(s) Selected
Question Text
All done
Need more practice!
Keep trying!
Not bad!
Good work!
Perfect!
related categories
Related posts
- Nclex-Rn Practice Questions-Care Of The Child – Genitourinary Disorders Part 2
- Nclex-Rn Practice Questions-Care Of Adult – Integumentary Disorders Part 2
- Nclex-Rn Practice Questions-Care Of Adult – Integumentary Disorders Part 1
- Nclex-Rn Practice Questions-Care Of The Child – Musculoskeletal Disorders Part 4
- Nclex-Rn Practice Questions-Care Of The Child – Respiratory Disorders Part 1
- Nclex-Rn Practice Questions-Care Of The Child – Integumentary Disorders Part 4
- Nclex-Rn Practice Questions-Care Of The Child – Integumentary Disorders Part 3
- Nclex-Rn Practice Questions-Care Of The Child – Integumentary Disorders Part 2
- Nclex-Rn Practice Questions-Care Of The Child – Gastrointestinal Disorders Part 4
- Nclex-Rn Practice Questions-Care Of The Child – Gastrointestinal Disorders Part 3