NSG 6320 AGNP Board Exam 1. Question:
A child sustained a "full-thickness" burn injury. This type injury
... [Show More] involves tissue destruction down to the:
epidermis.
dermis.
subcutaneous tissue. Correct
internal organs.
Explanation:
A full-thickness burn involves all skin layers, including the epidermis, dermis, and the subcutaneous tissue and fat. Muscles and tendons may be involved. A superficial thickness burn involves the epidermis only. A superficial partial thickness burn involves the epidermis and the dermis. A deep thickness burn involves the entire layer of dermis, and is more severe than a superficial partial thickness burn.
2. Question:
A child was involved in a vehicular accident and sustained burns on the lower extremities. Examination reveals a dry, waxy, whitish appearance of both lower legs and some visualization of the tibialis anterior. This type of burn would be classified as a:
superficial thickness burn.
superficial partial thickness burn.
deep partial thickness burn.
full thickness burn. Correct
Explanation:
Types of burn injuries are chemical, electric, radiation, or thermal and are classified by the depth of damaged skin it caused. Full thickness burns involve the destruction of all skin elements with coagulation of subdermal plexus, muscle, and or tendons. Symptoms of superficial partial thickness burns include: moist areas that are red to ivory white in color, blisters forming almost immediately, and painful to touch. Since the pain receptors are intact, pain is perceived. Superficial thickness burns appear erythematous without blisters and usually have local pain. Deep partial thickness burns have a dry waxy, whitish appearance and resemble full thickness burns. Sometimes grafts are needed.
3. Question:
The earliest recognizable clinical manifestation(s) of cystic fibrosis in an infant is:
History of poor intestinal absorption
Foul smelling, frothy, greasy stools
Meconium ileus
Salty taste on the skin Correct
Explanation:
The signs and symptoms of cystic fibrosis (CF) vary from person to person and over time. Sometimes there will be few symptoms and other times, symptoms may become more severe. One of the first signs of CF that parents may notice is that their baby's skin tastes salty when kissed, or the baby doesn't pass stool when first born. Most of the other signs and symptoms of CF happen later. They're related to how CF affects the respiratory, digestive, or reproductive systems of the body.
4. Question:
An infant presents with a rash in the diaper area. Which description likely indicates candidal diaper rash?
Red, moist, maculopapular patch with poorly defined borders in diaper area
Bright red, moist patches with sharply demarcated borders, some loose scales noted in the diaper area Correct
Moist, thin-roofed vesicles with a thin, erythematous base noted in the diaper area
Erythematous and symmetric rash noted in the diaper area
Explanation:
Candidiasis is characteristic of a rash appearing with bright red, moist patches with sharply demarcated borders, with some loose scales noted in the diaper area. Red, moist, maculopapular patch with poorly defined borders in diaper area is diaper dermatitis. Moist, thin-roofed vesicles with a thin, erythematous base noted in the diaper area would be consistent with impetigo. Hives appear as erythematous and symmetric and can be generalized over the body including the diaper area.
5. Question:
Examination of a child who experienced a burn from a curling iron on the forearm appears red without blistering but is painful to touch. This type of burn would be classified as a:
superficial thickness burn. Correct
superficial partial thickness burn.
deep partial thickness burn.
full thickness burn.
Explanation:
Types of burn injuries are chemical, electric, radiation, or thermal and are classified by the depth of damaged skin. Superficial thickness burns appear erythematous without blisters and usually have local pain. Symptoms of superficial partial thickness burns include: moist areas that are red to ivory white in color, blisters forming almost immediately, and painful to touch. Since the pain receptors are intact, pain is perceived [Show Less]