NSG 3600 Exam 4 Pediatrics
Review questions and correct
answers with Rationales/ Galen
NSG 3600 Nursing Practice in
Children’s Health Exam 4
Latest Prep Guide.
A child is diagnosed with impetigo. Which
instruction should the nurse provide the parents
regarding care of the lesions?
A) "Apply the ointment directly over the crusts
without removing them."
B) "Soak crusts and gently remove them before
applying ointment."
C) "Discontinue antibiotics once the lesions show
improvement."
D) "Impetigo requires strict isolation at home."
Correct Answer: B) "Soak crusts and gently remove
them before applying ointment."
Rationale: Removing crusts improves topical
antibiotic absorption and promotes healing. Crusts
should be softened with warm compresses before
gentle removal to prevent bleeding and discomfort.
,A priority nursing diagnosis for a child with
impetigo is:
A) Risk for dehydration
B) Disturbed body image
C) Impaired skin integrity
D) Risk for bleeding
Correct Answer: C) Impaired skin integrity
Rationale: The lesions break the skin barrier and
increase infection risk. Maintaining skin integrity is
the priority concern, as the lesions provide a portal
for secondary bacterial infection.
Which statement by a student nurse about contact
dermatitis indicates a need for further education?
A) "It can be caused by poison ivy."
B) "It's triggered by direct contact with allergens or
irritants."
C) "Pollen in the air usually causes contact
dermatitis."
D) "Detergents may irritate sensitive skin."
Correct Answer: C) "Pollen in the air usually causes
contact dermatitis."
Rationale: Pollen causes allergic rhinitis (hay fever),
not contact dermatitis. Contact dermatitis requires
,direct skin contact with an allergen or irritant, such
as poison ivy, detergents, or fragrances.
A child with contact dermatitis develops vesicles and
redness. What is the nurse's best initial action?
A) Apply petroleum jelly
B) Apply a topical corticosteroid
C) Begin oral antibiotics
D) Clean with alcohol
Correct Answer: B) Apply a topical corticosteroid
Rationale: Redness and vesicles indicate an
inflammatory response; corticosteroids reduce
inflammation. Petroleum jelly may provide moisture
but does not treat inflammation. Alcohol would
irritate the skin further.
Which parent statement shows correct
understanding of preventing animal bites in young
children?
A) "I'll teach my child to hug our dog often."
B) "I'll supervise interactions with our pets."
C) "I'll allow rough play with our dog so it adjusts."
D) "It's safe to pet unknown dogs if they seem
friendly."
, Correct Answer: B) "I'll supervise interactions with
our pets."
Rationale: Supervision is essential to prevent animal
bites. Children should never be left unsupervised
with pets, and unknown animals should never be
approached or petted.
A parent asks how to reduce the risk of their toddler
being bitten. What should the nurse advise?
A) Teach the child to play quietly under the pet's
bed
B) Let pets eat alone without disturbance
C) Use loud voices to startle the pet when needed
D) Allow unsupervised time if the pet is trained
Correct Answer: B) Let pets eat alone without
disturbance
Rationale: Pets can become aggressive during
mealtime due to food guarding behavior; separating
children from pets during feeding helps prevent
bites.
What lesions are characteristic of impetigo?
A) Clear fluid-filled blisters
B) Thick, honey-colored crusts
Review questions and correct
answers with Rationales/ Galen
NSG 3600 Nursing Practice in
Children’s Health Exam 4
Latest Prep Guide.
A child is diagnosed with impetigo. Which
instruction should the nurse provide the parents
regarding care of the lesions?
A) "Apply the ointment directly over the crusts
without removing them."
B) "Soak crusts and gently remove them before
applying ointment."
C) "Discontinue antibiotics once the lesions show
improvement."
D) "Impetigo requires strict isolation at home."
Correct Answer: B) "Soak crusts and gently remove
them before applying ointment."
Rationale: Removing crusts improves topical
antibiotic absorption and promotes healing. Crusts
should be softened with warm compresses before
gentle removal to prevent bleeding and discomfort.
,A priority nursing diagnosis for a child with
impetigo is:
A) Risk for dehydration
B) Disturbed body image
C) Impaired skin integrity
D) Risk for bleeding
Correct Answer: C) Impaired skin integrity
Rationale: The lesions break the skin barrier and
increase infection risk. Maintaining skin integrity is
the priority concern, as the lesions provide a portal
for secondary bacterial infection.
Which statement by a student nurse about contact
dermatitis indicates a need for further education?
A) "It can be caused by poison ivy."
B) "It's triggered by direct contact with allergens or
irritants."
C) "Pollen in the air usually causes contact
dermatitis."
D) "Detergents may irritate sensitive skin."
Correct Answer: C) "Pollen in the air usually causes
contact dermatitis."
Rationale: Pollen causes allergic rhinitis (hay fever),
not contact dermatitis. Contact dermatitis requires
,direct skin contact with an allergen or irritant, such
as poison ivy, detergents, or fragrances.
A child with contact dermatitis develops vesicles and
redness. What is the nurse's best initial action?
A) Apply petroleum jelly
B) Apply a topical corticosteroid
C) Begin oral antibiotics
D) Clean with alcohol
Correct Answer: B) Apply a topical corticosteroid
Rationale: Redness and vesicles indicate an
inflammatory response; corticosteroids reduce
inflammation. Petroleum jelly may provide moisture
but does not treat inflammation. Alcohol would
irritate the skin further.
Which parent statement shows correct
understanding of preventing animal bites in young
children?
A) "I'll teach my child to hug our dog often."
B) "I'll supervise interactions with our pets."
C) "I'll allow rough play with our dog so it adjusts."
D) "It's safe to pet unknown dogs if they seem
friendly."
, Correct Answer: B) "I'll supervise interactions with
our pets."
Rationale: Supervision is essential to prevent animal
bites. Children should never be left unsupervised
with pets, and unknown animals should never be
approached or petted.
A parent asks how to reduce the risk of their toddler
being bitten. What should the nurse advise?
A) Teach the child to play quietly under the pet's
bed
B) Let pets eat alone without disturbance
C) Use loud voices to startle the pet when needed
D) Allow unsupervised time if the pet is trained
Correct Answer: B) Let pets eat alone without
disturbance
Rationale: Pets can become aggressive during
mealtime due to food guarding behavior; separating
children from pets during feeding helps prevent
bites.
What lesions are characteristic of impetigo?
A) Clear fluid-filled blisters
B) Thick, honey-colored crusts
