Nclex-Rn Practice Questions-Care Of The Child - Integumentary Disorders Part 3
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Question 1 |
Which term describes a fungal infection found on the upper arm?
A | Tinea capitis |
B | Tinea corporis |
C | Tinea cruris |
D | Tinea pedis |
Question 2 |
A child was found unconscious at home and brought to the emergency department by the fire and rescue unit. Physical examination showed cherryred mucous membranes, nail beds, and skin. The nurse suspects the child’s condition was the result of which of the following?
A | Aspirin ingestion |
B | Carbon monoxide poisoning |
C | Hydrocarbon ingestion |
D | Spider bite |
Question 3 |
The mother of an infant gives a history of poor feeding for a few days. A complete physical examination shows white plaques in the mouth with an erythematous base. The plaques stick to the mucous membranes tightly and bleed when scraped. The nurse would suspect which condition?
A | Chickenpox |
B | Herpes lesions |
C | Measles |
D | Oral candidiasis |
Question 4 |
A child has a healed wound from a traumatic injury. His mother is concerned because a lesion formed over the wound is pink, thickened, smooth, and rubbery in nature. The nurse should use what term to discuss this condition with the mother?
A | Erosion |
B | Fissure |
C | Keloids |
D | Striae |
Question 5 |
A neonate is examined and noted to have bruising on the scalp, along with diffuse swelling of the soft tissue that crosses over the suture line. The nurse most accurately interprets these findings as:
A | caput succedaneum. |
B | cephalhematoma. |
C | craniotabes. |
D | hydrocephalus. |
Question 6 |
During a physical examination, a child is noted to have nails with “icepick” pits and ridges. The nails are thick and discolored and have splintered hemorrhages easily separated from the nail bed. Which condition would cause this to occur?
A | Paronychia |
B | Psoriasis |
C | Scabies |
D | Seborrhea |
Question 7 |
A nurse is explaining treatments to the parents of a child with hypertrophic scarring. Which method would be the best for controlling this condition?
A | Compression garments |
B | Moisturizing creams |
C | Physiotherapy |
D | Splints |
Question 8 |
An adolescent says his feet itch, sweat a lot, and have a foul odor. The nurse suspects which condition?
A | Candidiasis |
B | Tinea corporis |
C | Tinea pedis |
D | Molluscum contagiosum |
Question 9 |
Discharge instructions for a child with atopic dermatitis include keeping the fingernails cut short. Which rationale should the nurse give for this intervention?
A | To prevent infection of the nail bed |
B | To prevent the spread of the disorder |
C | To prevent the child from causing a corneal abrasion |
D | To reduce breaks in skin from scratching that may lead to secondary bacterial infections |
Question 10 |
A mother of a toddler diagnosed with atopic dermatitis is concerned about how her child acquired the disease. The best response by the nurse is:
A | fungal infection. |
B | hereditary disorder. |
C | sex-linked disorder. |
D | viral infection. |
Question 11 |
A topical corticosteroid cream is prescribed for a child with eczema. The nurse should instruct the mother to apply the cream:
A | over the entire body. |
B | in a thin layer to the affected area and rub it in. |
C | to the infected area without washing the area first. |
D | in a thick layer and allow it to absorb. |
Question 12 |
When inspecting the palms of a child, with which rash would the nurse expect to find no changes?
A | Coxsackie virus |
B | Measles |
C | Rocky Mountain spotted fever |
D | Syphilis |
Question 13 |
Which instruction would the nurse include for the parents of a child who is to receive nystatin oral solution?
A | Give the solution immediately after feedings. |
B | Give the solution immediately before feedings. |
C | Mix the solution with small amounts of the feeding. |
D | Give half the solution before and half the solution after the feeding. |
Question 14 |
A child has a desquamation rash of the hands and feet. Which additional findings should the nurse expect to observe with this rash?
A | Peeling skin |
B | Thin, reddened layers of epidermis |
C | Thick skin with deep visible burrows |
D | Thinning skin that may appear translucent |
Question 15 |
A child is suspected of having cellulitis. What classic signs should the nurse expect to see in a child?
A | Pale, irritated, cold to touch |
B | Vesicular blisters at the site of the injury |
C | Fever, edema, tenderness, warmth at the site |
D | Swelling, redness, with well-defined borders |
Question 16 |
The nurse is assisting with a teaching program for new parents that focuses on oral hygiene promotion. Which factor would the nurse include as causing tooth decay and gum disease when allowed to remain on the teeth for prolonged periods?
A | Breast milk |
B | Pacifiers |
C | Thumb or other fingers |
D | Formula |
Question 17 |
A young child’s parents ask for advice on the use of an insect repellent that contains DEET. Which statement by the nurse would be correct?
A | “Spray the child’s clothing instead of the skin.” |
B | “The repellent works better as the temperature increases.” |
C | “The repellent isn’t effective against the ticks responsible for Lyme disease.” |
D | “Apply insect repellent as you would sunscreen, with frequent applications during the day.” |
Question 18 |
Which symptom is an early sign of infection of a laceration?
A | Fever |
B | Copious drainage |
C | Excessive discomfort |
D | Local nodal enlargement |
Question 19 |
A mother reports that her teenager is losing hair in small round areas on the scalp. The nurse interprets this as suggesting which condition?
A | Alopecia |
B | Amblyopia |
C | Exotropia |
D | Seborrhea dermatitis |
Question 20 |
An infant is examined and found to have a petechial rash. The nurse documents a description of this rash as:
A | a purple macular lesion larger than 1 cm in diameter. |
B | purple to brown bruises, macular or papular, of various sizes. |
C | a collection of blood from ruptured blood vessels larger than 1 cm in diameter. |
D | a pinpoint, pink to purple, nonblanching macular lesion 1 to 3 mm in diameter |
Question 21 |
A 2-year-old child has cellulitis of the finger. Which organism or condition is the most likely cause of the infection?
A | Parainfluenza virus |
B | Respiratory syncytial virus |
C | Escherichia coli |
D | Streptococcus |
Question 22 |
Which statement about warts would the nurse incorporate when assisting with a community health teaching program on common skin problems?
A | Cutting the wart is the preferred treatment for children. |
B | No treatment exists that specifically kills the wart virus. |
C | Warts are caused by a virus affecting the inner layer of skin. |
D | Warts are harmless and usually last 2 to 4 years if untreated. |
Question 23 |
A 3-year-old child is being discharged from the emergency department after receiving three sutures for a scalp laceration. The nurse determines discharge teaching was effective when the parents tell the nurse they will return for suture removal in:
A | 1 to 3 days. |
B | 5 to 7 days. |
C | 8 to 10 days. |
D | 10 to 14 days. |
Question 24 |
During an examination of a 5-month-old infant, a flat, dull pink, macular lesion is noted on the infant’s forehead. The nurse suspects which condition?
A | Cavernous hemangioma |
B | Nevus flammeus |
C | Salmon patch |
D | Strawberry hemangioma |
Question 25 |
A mother of a 6-month-old infant with atopic dermatitis asks the nurse for advice on bathing the child. What is the best response by the nurse?
A | Bathe the infant twice daily. |
B | Bathe the infant every other day. |
C | Use bubble baths to decrease itching. |
D | The frequency of the infant’s baths isn’t important in atopic dermatitis. |
Question 26 |
A 6-year-old child is diagnosed with herpes zoster of the left anterior chest. Which assessment finding should the nurse expect to find?
A | Bruising and swelling |
B | Papulovesicular eruption with complaints of pain and tenderness of the lesion |
C | Linear burrows on the fingers and toes |
D | Papulovesicular lesions on the chest, trunk, face, and scalp |
Question 27 |
The nurse is assessing a 6-year-old child with a spiny projection from the skin suspended from a narrow stalk on the forehead. Which condition would the nurse suspect?
A | Filiform wart |
B | Flat wart |
C | Plantar wart |
D | Venereal warts |
Question 28 |
A nurse is teaching a parent about which DEET-containing insect repellent to use on his child. Which concentration should she instruct him to use on the child’s skin for optimal results?
A | 10% |
B | 15% |
C | 20% |
D | 30% |
Question 29 |
A 10-year-old child being treated for common warts asks the nurse about the cause. What is the most appropriate response by the nurse?
A | Coxsackievirus |
B | Human herpesvirus (HHV) |
C | Human immunodeficiency virus (HIV) |
D | Human papillomavirus (HPV) |
Question 30 |
The nurse is teaching a 17-year-old client how to change a sterile dressing on the right leg. During the teaching session, the nurse notices redness, swelling, and induration at the wound site, interpreting these as suggesting:
A | infection. |
B | dehiscence. |
C | hemorrhage. |
D | evisceration. |
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