1. Which of the following is an important nursing consideration when caring for a child with impetigo contagiosa?
a. Apply topical corticosteroids to
... [Show More] decrease inflammation.
b. Carefully remove dressings so as not to dislodge undermined skin, crusts, and debris. c. Carefully wash hands and maintain cleanliness when caring for an infected child.
d. Examine child under a Wood lamp for possible spread of lesions.
2. Warts are caused by which of the following?
a. Bacteria
b. Fungus
c. Parasite d. Virus
3. Ringworm, frequently found in schoolchildren, is caused by which of the following?
a. Virus b. Fungus
c. Allergic reaction
d. Bacterial infection
4. Which of the following is the primary clinical manifestation of scabies?
a. Edema
b. Redness c. Pruritus
d. Maceration
5. Which of the following is usually the only symptom of pediculosis capitis (head lice)? a. Itching
b. Vesicles
c. Scalp rash
d. Localized inflammatory response Treatment for head lice Permethrin 1 %
6. Treatment for herpes simplex virus (types 1 or 2) includes which of the following?
a. Corticosteroids
b. Oral griseofulvin c. Oral antiviral agent
d. Topical and/or systemic antibiotic
7. Atopic dermatitis (eczema) in the infant is which of the following?
a. Easily cured
b. Worse in humid climates
c. Associated with upper respiratory tract infections d. Associated with allergy with a hereditary tendency
8. What sign is one of the first to indicate overwhelming sepsis in a child with burn injuries?
A. Seizures
B. Bradycardia C. Disorientation
D. Decreased blood pressure
9. A father calls the clinic nurse because his 2-year-old child was bitten by a black widow spider. The nurse should advise the father to:
a. apply warm compresses.
b. carefully scrape off stinger.
c. take child to emergency department.
d. apply a thin layer of corticosteroid cream.
10. Rocky Mountain spotted fever is caused by the bite of which of the following?
a. Flea b. Tick
c. Mosquito
11. The nurse is examining 12-month-old Amy, who was brought to the clinic for persistent diaper rash. The nurse finds perianal inflammation with satellite lesions that cross the inguinal folds. This is most likely caused by which of the following?
a. Impetigo
b. Candida albicans
c. Urine and feces
d. Infrequent diapering
12. Tretinoin (Retin-A) is a topical agent commonly used to treat acne. Nursing considerations with this drug include which of the following?
a. Avoid use of sunscreen agents.
b. Cosmetics with lanolin and petrolatum are preferred in acne.
c. Explain that medication should not be applied until at least 20 to 30 minutes after washing.
d. Explain that erythema and peeling are indications of toxicity.
13. Which of the following best describes a full-thickness (third-degree) burn?
a. Erythema and pain
b. Skin showing erythema followed by blister formation
c. Destruction of all layers of skin evident with extension into subcutaneous tissue
d. Destruction injury involving underlying structures such as muscle, fascia, and bone
14. After the acute stage and during the healing process, the primary complication from burn injury is which of the following?
a. Asphyxia
b. Shock
c. Renal shutdown d. Infection
15. Fentanyl and midazolam (Versed) are given before débridement of a child's burn wounds. These drugs are important to:
a. promote healing.
b. prevent infection. c. provide pain relief.
d. limit amount of débridement that will be necessary.
16. If a teenager had the cradle cap as an infant there is still some fit cross of yellow greasy scale on the forehead and behind the ears.
Treatment would be Ketoconazole
17. A child presents with an allergic reaction with mild erythematous patches over her neck. What would you recommend?
topical corticosteroids
18. What effect does immobilization have on the cardiovascular system? a.Venous stasis
b.Increased vasopressor mechanism c.Normal distribution of blood volume
d.Increased efficiency of orthostatic neurovascular reflexes
19. What is Kyphosis? Abnormally increased lateral angulation in the convex curvature of the thoracic spine.
Kyphosis is:
a. a humped curvature of the thoracic spine.
b. a lateral curvature of the spine.
c. an exaggerated anterior or inward curvature of the lumbar spine.
d. a lateral curvature of the cervical spine
Which term is used to describe an abnormally increased convex angulation in the curvature of the thoracic spine?
a.Scoliosis
c.Lordosis b.Ankylosis d.Kyphosis
What is Lordosis? An accentuation of the cervical or lumbar curvature beyond physiologic limits.
Lordosis is:
a. a humped curvature of the thoracic spine.
b. an exaggerated anterior or inward curvature of the lumbar spine.
c. an inward curvature of the cervical spine.
d. a lateral curvature of the back. Immobility of joint is ankylosis
What is Scoliosis? Complex spinal deformity and it usually involve the lateral curvature also the spinal rotation causing rib asymmetry and thoracic hypokyphosis
Scoliosis is
a. a humped curvature of the thoracic spine.
b. an exaggerated anterior or inward curvature of the lumbar spine.
c. an inward curvature of the cervical spine. d. a lateral curvature of the back.
20. What is the primary site for osteosarcoma? Lower extremities (Femur bone)
Osteosarcoma is the most common bone cancer in children. Where are most of the primary tumor sites?
a.Femur c.Pelvis b.Humerus d.Tibia
21. 10. A child who plays soccer is in the clinic reporting pain and swelling in both knees. A physical examination reveals swelling and focal tenderness at the tibial tuberosities, with pain worsening when asked to extend the knees against resistance. What is the treatment for this condition?
a. Apply ice packs to both knees and avoid activities that cause pain.
b. Begin quadricepsstretching exercises now to prevent further injury.
c. Obtain radiographic studies to rule out fractures or ligament tears.
d. Refer to a pediatric orthopedic specialist to evaluate the need for surgery.
22. A school age child falls off a swing and suffers a closed fracture of the right clavicle. How will this be managed?
a. Application of a figureeight clavicle brace for 6 to 8 weeks
b. Hospitalization for traction of the affected extremity and shoulder c. Immobilization with a sling to support the affected extremity
d. Referral to an orthopedic specialist for possible surgical reduction
23. The primary care pediatric nurse practitioner elicits positive Ortolani and Barlow signs in a 6monthold infant not previously noted in the medical record. What is the correct treatment?
a. Pavlik harness
b. Spica cast
c. Surgical intervention
d. Triple diapering
24. A young adolescent reports chest pain associated with coughing and lifting. Physical examination reveals tenderness over several ribs, radiating to the back. Auscultation of the heart, lungs, and abdomen are normal. There is no history of injury. What will the primary care pediatric nurse practitioner do?
a. Obtain a chest radiograph to evaluate possible causes for these symptoms.
b. Order an electrocardiogram to rule out potential cardiovascular disease. c. Recommend NSAIDs, stretching exercises, and ice packs to the area.
d. Refer the child to a pediatric orthopedist for evaluation and treatment.
25. When you are counseling a mom who smokes what would you teach about prevention and exposure?
Do not smoke in front of children to prevent Second hand exposure to smoking
26. Osteomyelitis is inflammation of the bone commonly caused by infection Treatment for osteomyelitis is aggressive Iv antibiotics
The primary method of treating osteomyelitis is:
a.Joint replacement. b.Intravenous antibiotic therapy. c.Bracing and casting.
d.Long-term corticosteroid therapy.
27. Which medication is usually tried first when a child is diagnosed with juvenile idiopathic arthritis (JIA)?
a.Aspirin b.Corticosteroids
c.Cytotoxic drugs such as methotrexate d.Nonsteroidal antiinflammatory drugs (NSAIDs)
Treatment for Juvenile Idiopathic arthritis is NSAIDS
28. A child with growth hormone (GH) deficiency is receiving GH therapy. The best time for the GH to be administered is:
a. At bedtime.
b. After meals.
c. Before meals.
d. On arising in the morning
29. At what age is sexual development in boys and girls considered to be precocious?
a. Boys, 11 years; girls, 9 years
b. Boys, 12 years; girls, 10 years c. Boys, 9 years; girls, 8 years
d. Boys, 10 years; girls, 9.5 years
30. Diabetes insipidus is a disorder of the:
a. Anterior pituitary.
b. Posterior pituitary.
c. Adrenal cortex.
d. Adrenal medulla.
The nurse is caring for a child with suspected diabetes insipidus. Which clinical manifestation would she or he expect to observe?
a. Oliguria
b. Glycosuria
c. Nausea and vomiting d. Polyuria and polydipsia [Show Less]