Nclex-Rn Practice Questions-Care Of The Child - Integumentary Disorders Part 4
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Question 1 |
A mother states that she recently received information that hand-foot-andmouth disease has been diagnosed in a few of her child’s preschool classmates. The nurse should instruct the mother to observe her child for which symptoms?
A | Low-grade fever, followed by vesicular lesions on the trunk, face, and scalp |
B | Mild, self-limited eruption of vesicles on the buccal mucosa, tongue, soft palate, hands, and feet |
C | Purpuric, maculopapular lesions with GI symptoms and joint pain |
D | Bright red rash with a red outer border circling a bite mark |
Question 2 |
A 4-year-old child has a tick embedded in the scalp. Which method should the nurse use to remove the tick?
A | Burning the tick at the skin surface |
B | Surgically removing the tick |
C | Grasping the tick with tweezers and applying slow, outward pressure |
D | Grasping the tick with tweezers and quickly pulling the tick out |
Question 3 |
A 5-year-old male sustained third-degree burns to the right upper extremity after tipping over a frying pan. Which skin structures would the nurse include when explaining a third-degree burn to the child’s mother?
A | Epidermis only |
B | Epidermis and dermis |
C | All skin layers and nerve endings |
D | Skin layers, nerve endings, muscles, tendons, and bones |
Question 4 |
A child with hives is prescribed diphenhydramine (Benadryl) 5 mg/kg over 24 hours in divided doses every 6 hours. The child weighs 8 kg. How many milligrams should be given with each dose?
A | 4.5 mg |
B | 10 mg |
C | 22 mg |
D | 40 mg |
Question 5 |
A team of nurses is preparing a trauma room for the arrival of a child with partial-thickness burns to both lower extremities and portions of the trunk. Which fluid should be ready for immediate use?
A | Albumin |
B | Dextrose 5% and half-normal saline |
C | Lactated Ringer’s solution |
D | Normal saline with 2 mEq KCl/100 ml |
Question 6 |
A 6-year-old child is evaluated after sustaining burns to his left shoulder. After the parents are instructed to use moisturizing cream and protect the burn from sunlight, they question the nurse about the purpose of the treatment. The nurse explains that the treatment will decrease:
A | keloids. |
B | scarring. |
C | hypopigmentation. |
D | hyperpigmentation. |
Question 7 |
The nurse is caring for an 8-year-old child who arrived at the emergency department with chemical burns to both legs. What is the priority intervention for this child?
A | Dilute the burns. |
B | Apply sterile dressings. |
C | Apply topical antibiotics. |
D | Debride and graft the burns. |
Question 8 |
A child arrives in the emergency department after sustaining a major burn injury. During the first 8 hours of admission, it is most important for the nurse to assess the child for which conditions?
A | Hyponatremia and hypokalemia |
B | Hyponatremia and hyperkalemia |
C | Hypernatremia and hypokalemia |
D | Hypernatremia and hyperkalemia |
Question 9 |
A child weighing 10 kg has a deep partial-thickness burn to 40% of his body surface area. The nurse will titrate the child’s I.V. fluids to achieve which hourly urinary outputs?
A | 5 ml |
B | 10 ml |
C | 30 ml |
D | 50 ml |
Question 10 |
A 12-year-old child sustains a moderate burn injury. The mother reports that the child last received a tetanus injection when he was 5 years old. An appropriate nursing intervention would be to administer which immunization?
A | 0.5 ml of tetanus toxoid I.M. |
B | 0.5 ml of tetanus toxoid I.V. |
C | 250 units of Hyper-Tet I.M. |
D | 250 units of Hyper-Tet I.V |
Question 11 |
A 12-year-old child with full-thickness, circumferential burns to the chest has difficulty breathing. The nurse is aware that which is the priority intervention?
A | Chest tube insertion |
B | Escharotomy |
C | Intubation |
D | Needle thoracocentesis |
Question 12 |
A 15-kg infant is started on amoxicillin/clavulanate potassium (Augmentin) therapy, 200 mg/5 ml, for cellulitis. The dose is 40 mg/kg over 24 hours given three times daily. How many milliliters would be given for each dose?
A | 2.5 ml |
B | 5 ml |
C | 15 ml |
D | 20 ml |
Question 13 |
A child arrives in the emergency department 20 minutes after sustaining a major burn injury to 40% of his body. After initiating an I.V. line, which intervention should the nurse perform next?
A | Insert an indwelling catheter. |
B | Apply Silvadene cream to the burn. |
C | Shave the hair around the burn wound. |
D | Obtain cultures from the deepest burn area. |
Question 14 |
A 27.5 lb child is receiving antibiotics for cellulitis. The order reads Pen-Vee K 40 mg/kg/day divided every 6 hours. Which dosage of antibiotics should this child receive with each dose?
A | 225 mg |
B | 500 mg |
C | 125 mg |
D | 12.5 mg |
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