Question 1

What anticipatory guidance should a pediatric nurse provide to parents whose child develops erythema toxicum neonatorum (flea-bite dermatitis)?&#10;A) Squeezing and popping the papules will resolve the condition faster.&#10;B) Topical corticosteroids will aid in resolving this condition.&#10;C) Oral antibiotics will be required to resolve this condition.&#10;D) Do not squeeze the papules, as they will resolve without intervention.

Accepted Answer

Erythema toxicum neonatorum is a common, benign, self-limiting rash that appears in newborns. It does not require treatment, and parents should be advised not to squeeze the papules, as the condition will resolve on its own without intervention.

Question 2

A child presents with small vesicles on the face that have developed a honey-colored crust in addition to swollen lymph glands. Consequently, this child was diagnosed with nonbullous impetigo. What would you suggest as a first-line topical treatment for this medical condition?

A) Mupirocin
B) Retapamulin
C) Amphotericin
D) Clotrimazole

B

Accepted Answer

B

Question 3

A child with a history of impetigo presents with localized joint stiffness and the skin in the affected area now has a tight, glossy appearance. Which medical condition should be suspected with this presentation?

A) Cellulitis
B) Osteomyelitis
C) Atopic dermatitis
D) Candidiasis

A

Accepted Answer

Cellulitis is a bacterial skin infection that can occur after skin conditions like impetigo. The symptoms described, such as localized joint stiffness and tight, glossy skin, are characteristic of cellulitis.

Question 4

If you are caring for a child who requires repeated burn wound care, which type of medication should be prescribed to prevent stress ulcers from forming? A) H₂ antagonists B) Proton-pump inhibitors C) ACE inhibitors D) Beta blockers

Accepted Answer

H₂ antagonists are often used to prevent stress ulcers in patients with significant stressors, such as severe burns, by reducing stomach acid production.

Question 5

If you are caring for a child with a burn whose surface area is large enough to destroy a significant quantity of cells, laboratory tests should be monitored to assess the need for what type of infusions?

A) Normal saline solution
B) Whole blood
C) Platelets
D) Packed red blood cells

Accepted Answer

The answer of If you are caring for a child...

Question 6

If a child presents with a partial-thickness burn, what type of wound care would you provide for this type of burn?&#10;A) Symptom management only&#10;B) Cool compresses and application of aloe vera&#10;C) Fluid resuscitation is the primary concern&#10;D) Thorough cleaning and application of silver sulfadiazine cream

Accepted Answer

Partial-thickness burns require thorough cleaning to prevent infection and the application of topical agents like silver sulfadiazine cream to promote healing and prevent infection.

Question 7

A child presents with a severely itchy scalp; upon physical examination, no head lice are observed. For which other medical condition should this child be assessed, as it may produce similar symptoms as head lice?

A) Scabies
B) Impetigo
C) Cellulitis
D) Atopic dermatitis

Accepted Answer

The answer of A child presents with a severely itchy...

Question 8

If a teenager presents with severe acne (nodular with conglobate), what would you suggest to treat this condition?&#10;A) Oral isotretinoins&#10;B) Topical benzoyl peroxide&#10;C) Oral antibiotics&#10;D) Topical retinoids

Accepted Answer

Oral isotretinoin is the most effective treatment for severe acne, including nodular and conglobate types, due to its ability to reduce sebum production, inhibit the growth of acne-causing bacteria, and decrease inflammation.

Question 9

When taking care of child who has sustained severe burns, what is the primary nursing concern?&#10;A) Providing emotional support to the family&#10;B) Providing appropriate pain management&#10;C) Preventing hypovolemic shock&#10;D) Maintaining aseptic technique to avoid secondary infection

Accepted Answer

The answer of When taking care of child who has...

Question 10

If a child presents with persistent contact dermatitis with severe itching to the diaper area that does not respond to any topical treatments, what action would you suggest to help this child?&#10;A) Initiate oral antibiotics&#10;B) Initiate oral antihistamines&#10;C) Suggest the use of emollient lotions&#10;D) Suggest allergy &#34;patch&#34; testing to determine the cause of the reaction

Accepted Answer

Persistent contact dermatitis in the diaper area that does not respond to topical treatments may be due to an allergic reaction to a component of the diaper or products used in the area. Allergy "patch" testing can help identify the specific allergen causing the reaction, allowing for targeted avoidance measures.

Deck 17: Skin Integrity