Nclex-Rn Practice Questions-Care Of The Child - Integumentary Disorders Part 2
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Question 1 |
A child received a bite to the hand from a large dog. The nurse would expect to assess which type of injury?
A | Abrasion |
B | Crush injury |
C | Fracture |
D | Puncture wound |
Question 2 |
The nurse is assessing a child suspected of having Kawasaki syndrome. The nurse would assess the mouth for which finding?
A | Koplik’s spots |
B | Tonsillar exudate |
C | Vesicular lesions |
D | Strawberry tongue |
Question 3 |
The nurse is developing a teaching plan for adolescents about acne. The nurse incorporates which characteristic as commonly responsible for the failure of treatment of acne in teenagers?
A | Topical treatment |
B | Systemic treatment |
C | A dominant parent who wants treatment and a passive teenager who doesn’t |
D | A dominant teenager who wants treatment and a passive uninterested parent |
Question 4 |
A client is prescribed isotretinoin (Accutane). Which adverse effect should the nurse include in her teaching?
A | Diarrhea |
B | Gram-negative folliculitis |
C | Teratogenicity |
D | Vaginal candidiasis |
Question 5 |
A neonate is born with a blue-black macular lesion over the lower lumbar sacral region. Which term should the nurse use when teaching the parents about this lesion?
A | Café-au-lait spots |
B | Mongolian spots |
C | Nevus of Ota spot |
D | Stork bites |
Question 6 |
Which statement would the nurse include when teaching a new mother about salmon patches (stork bites)?
A | They’re benign and usually fade in adult life. |
B | They’re usually associated with syndromes of the neonate. |
C | They can cause mild hypertrophy of the muscle associated with the lesion. |
D | They’re treatable with laser pulse surgery in late adolescence and adulthood. |
Question 7 |
Which assessment finding would lead the nurse to suspect child abuse?
A | Multiple contusions of the shins |
B | Contusions of the back and buttocks |
C | Contusions at the same stages of healing |
D | Large contusion and hematoma of the forehead |
Question 8 |
A teenager tells the nurse that he has heard many myths about what causes acne and asks the nurse what the real cause is. The nurse explains that acne is caused by:
A | diet. |
B | gender. |
C | poor hygiene. |
D | hormonal changes. |
Question 9 |
A child is brought to the physician’s office for treatment of a rash. Many petechiae are seen over his entire body. The nurse would suspect which condition?
A | Bleeding disorder |
B | Scabies |
C | Varicella |
D | Vomiting |
Question 10 |
A nurse is working in her garden when a neighbor frantically comes over and states her child has been bitten by the new neighbor’s dog. What is the most important intervention by the nurse?
A | Give the rabies vaccine. |
B | Give antibiotics immediately. |
C | Clean and irrigate the wounds. |
D | Nothing; bites from dogs have a low incidence of infection |
Question 11 |
The nurse is reviewing the wound culture report from a child’s infected wound caused by a dog bite. Which organism would the nurse suspect to be responsible for the infection?
A | Escherichia coli |
B | Francisella tularensis |
C | Pasteurella multocida |
D | Bartonella henselae |
Question 12 |
The school nurse is discussing giardiasis, a parasitic intestinal infection, with a group of parents. Many parents ask the nurse what group is most at risk for developing this infection. What is the most accurate response by the nurse?
A | Children riding a school bus |
B | Children playing on a playground |
C | Children attending a sporting event |
D | Children attending group day care or nursery school |
Question 13 |
A child is brought to a physician’s office for multiple scratches and bites from a kitten. The nurse would assess the child for which finding?
A | Abdominal pain |
B | Adenitis |
C | Fever |
D | Pruritus |
Question 14 |
Which finding should the nurse expect to observe if a child has papules?
A | Palpable elevated masses |
B | Loss of the epidermis layer |
C | Fluid-filled elevations of the skin |
D | Nonpalpable flat changes in skin color |
Question 15 |
The nurse is reviewing information with a client about tetracycline (Achromycin) that has been prescribed for severe inflammatory acne. It is most important for the nurse to instruct the client to take the medication:
A | with or without meals. |
B | with milk and milk products. |
C | on an empty stomach with small amounts of water. |
D | 1 hour before or 2 hours after meals with large amounts of water. |
Question 16 |
A child fell at camp and sustained a bruise to his thigh. Which description would accurately describe the bruise after 1 week?
A | Resolved |
B | Reddish blue |
C | Greenish yellow |
D | Dark blue to bluish brown |
Question 17 |
While caring for a 2-day-old neonate, a nurse notices the left side of the neonate becomes reddened for 2 to 3 minutes. The nurse interprets this finding as suggestive of which condition?
A | Contact dermatitis |
B | Environmental conditions |
C | Harlequin color change |
D | Tet spells |
Question 18 |
A child is admitted with severe dehydration. The nurse would assess the child for which finding?
A | Gray skin and decreased tears |
B | Capillary refill less than 2 seconds |
C | Mottling and tenting of the skin |
D | Pale skin with dry mucous membranes |
Question 19 |
A 3-month-old infant is noted to have café-au-lait spots on examination. The presence of six or more of these lesions with a diameter greater than 1.5 cm is suggestive of which disorder?
A | Meningococcemia |
B | Neurofibromatosis |
C | Tinea versicolor |
D | Vitiligo |
Question 20 |
A 3-year-old child has palpable purpura of the buttocks and lower extremities. Which condition would the nurse suspect with these symptoms?
A | Child abuse |
B | Henoch-Schönlein purpura (HSP) |
C | Idiopathic thrombocytopenic purpura (ITP) |
D | Rocky Mountain spotted fever |
Question 21 |
A mother of a 4-month-old infant asks about the strawberry hemangioma on his cheek. What information should the nurse provide to the mother?
A | The lesion will continue to grow for 3 years and then need surgical removal. |
B | If the lesion continues to enlarge, referral to a pediatric oncologist is warranted. |
C | Surgery is indicated before age 12 months if the diameter of the lesion is greater than 3 cm. |
D | The lesion will continue to grow until age 1 year and then begin to resolve by age 2 to 3 years. |
Question 22 |
A 4-year-old child had a subungual hemorrhage of the toe after a jar fell on his foot. Electrocautery is performed. The nurse explains to the parents that electrocautery is done to:
A | prevent loss of nail growth. |
B | prevent spread of the infection. |
C | relieve pain and reduce the risk for infection. |
D | prevent permanent discoloration of the nail bed. |
Question 23 |
A child presents with pustules and is diagnosed with impetigo. The nurse documents which assessment findings?
A | Lesions filled with pus |
B | Superficial areas of localized edema |
C | Serous-filled lesions less than 0.5 cm |
D | Serous-filled lesions greater than 0.5 cm |
Question 24 |
A 9-year-old child is brought to the emergency department with extensive burns received in a restaurant fire. What is the most important intervention by the nurse?
A | Administering antibiotics to prevent superimposed infections |
B | Conducting wound management |
C | Administering liquids orally to replace fluid |
D | Administering frequent, small meals to support nutritional requirements |
Question 25 |
A 9-year-old child is examined because his mother noticed lesions on his tongue. Painless, slightly depressed, red lesions bordered with white bands are seen on assessment. The mother reports that the patterns were different yesterday. Which condition would the nurse suspect?
A | Geographic tongue |
B | Koplik’s spots |
C | Scald burns |
D | Stomatitis |
Question 26 |
The nurse is caring for a 12-year-old child with a diagnosis of eczema. Which nursing intervention is appropriate for a child with eczema?
A | Antibiotics as prescribed |
B | Antifungals as ordered |
C | Tepid baths and application of moisturizers to the skin |
D | Hot baths and vigorous drying of the skin |
Question 27 |
A 14-year-old male client is brought to the hospital with smoke inhalation because of a house fire. What is the priority intervention by the nurse?
A | Check the oral mucous membranes. |
B | Check for any burned areas. |
C | Obtain a medical history. |
D | Ensure a patent airway. |
Question 28 |
A 15-month-old child is diagnosed with pediculosis of the eyebrows. Which intervention is included in the treatment?
A | Use lindane. |
B | Use petroleum jelly. |
C | Shave the eyebrows. |
D | No treatment is needed. |
Question 29 |
Topical treatment with 2.5% hydrocortisone (Cortane) is prescribed for a 6-month-old infant with eczema. The nurse instructs the mother not to use the cream for longer than 1 week. The mother asks the nurse why there is a time limit. What is the best response by the nurse?
A | The drug loses its efficacy after prolonged use. |
B | This reduces adverse effects, such as skin atrophy and fragility. |
C | If no improvement is seen, a stronger concentration will be prescribed. |
D | If no improvement is seen after 1 week, an antibiotic will be prescribed. |
Question 30 |
The nurse is advising parents about the prevention of burns to their child from tap water. What is the most important instruction for the nurse to include?
A | Set the water heater temperature at 130° F (54.4° C) or less. |
B | Run the hot water first and then adjust the temperature with cold water. |
C | Before you put your infant in the tub, first test the water with your hand. |
D | Supervise an infant in the bathroom, only leaving him for a few seconds, if needed. |
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