SAUNDERS HESI PEDS EXAM WITH QUESTIONS AND VERIFIED
DETAILED ANSWERS 2025-2026
INTEGUMENTARY DISORDERS
The nurse is caring for a child who has burns and is receiving treatment for
burn shock. Which assessment will provide the best guide in determining
the adequacy of fluid resuscitation?
1. Skin turgor
2. Level of edema at burn site
3. Adequacy of capillary filling
4. Amount of fluid tolerated in 24 hours - Answer 3
Parameters such as vital signs, especially heart rate, urinary output volume,
adequacy of capillary filling, and state of sensorium determine adequacy
of fluid resuscitation.
Though options 1, 2, and 4 may provide some information related to fluid
volume, in a burn injury and from the provided options, adequacy of capillary
filling is most accurate.
An 3-year-old client comes to a clinic and informs a nurse that his child has
been scratching the skin with continuous development of a rash. Based on
assessment, the nurse suspects scabies. The nurse is basing this suspicion on
what finding noted on assessment of the child's skin?
1. Fine grayish red lines
2. Purple-colored lesions
3. Thick, honey-colored crusts
4. Groups of fluid-filled vesicles - Anwer 1
To get this or any other Exam contact ()
, Scabies Scabies is a parasitic skin disorder caused by an infection of Sarcoptes
scabiei
To get this or any other Exam contact ()
, (itch mite). Scabies Burrows or fine grayish red threadlike lines may be seen,
although they may be obscured by excoriation and inflammation. Red-purple
lesions
Purple-coloured lesions may indicate a variety of disorders including
systemic conditions. Honey-coloured crusts Thick, honey-coloured crusts are
typical of impetigo or secondary infection in eczema. Herpes virus infection
Clusters of fluid-filled vesicles are characteristic of herpesvirus infection.
Scabies infestation has been diagnosed in a child, and permethrin has been
prescribed. Which of the following instructions would the nurse give to the
parents regarding this medication?
1. Apply lotion only to the areas of the rash
2. Apply lotion and leave on for 6 hours
3. Do not put clothes on the child over the lotion.
4. Apply lotion to cool, dry skin at least 30 minutes after bathing - Answer 4
Permethrin is massaged well and gently into all skin surfaces (not just the
areas that have the rash) from the head to the soles of the feet. Care
should be taken to avoid contact with the eyes. Do not apply the lotion
until at least 30 minutes after bathing. Apply the lotion only to cool, dry
skin. Leave the lotion on for 8 to 14 hours with subsequent bathing. During
the 8 to 14 hours of treatment contact time the child should be clothed.
The school nurse has provided an educational session on impetigo for
parents whose children are in the school. Based on the following parent
responses about impetigo, which statement identifies that this parent
requires further teaching?
1. "It is very contagious."
2. "It occurs most frequently in humid weather."
3. "Lesions most frequently occur on the arms and chest.
4. "It can appear in an area of broken skin, such as an insect bite."-Answer 3
To get this or any other Exam contact ()
, Impetigo is a contagious bacterial infection of the skin caused by β-hemolytic
To get this or any other Exam contact ()
DETAILED ANSWERS 2025-2026
INTEGUMENTARY DISORDERS
The nurse is caring for a child who has burns and is receiving treatment for
burn shock. Which assessment will provide the best guide in determining
the adequacy of fluid resuscitation?
1. Skin turgor
2. Level of edema at burn site
3. Adequacy of capillary filling
4. Amount of fluid tolerated in 24 hours - Answer 3
Parameters such as vital signs, especially heart rate, urinary output volume,
adequacy of capillary filling, and state of sensorium determine adequacy
of fluid resuscitation.
Though options 1, 2, and 4 may provide some information related to fluid
volume, in a burn injury and from the provided options, adequacy of capillary
filling is most accurate.
An 3-year-old client comes to a clinic and informs a nurse that his child has
been scratching the skin with continuous development of a rash. Based on
assessment, the nurse suspects scabies. The nurse is basing this suspicion on
what finding noted on assessment of the child's skin?
1. Fine grayish red lines
2. Purple-colored lesions
3. Thick, honey-colored crusts
4. Groups of fluid-filled vesicles - Anwer 1
To get this or any other Exam contact ()
, Scabies Scabies is a parasitic skin disorder caused by an infection of Sarcoptes
scabiei
To get this or any other Exam contact ()
, (itch mite). Scabies Burrows or fine grayish red threadlike lines may be seen,
although they may be obscured by excoriation and inflammation. Red-purple
lesions
Purple-coloured lesions may indicate a variety of disorders including
systemic conditions. Honey-coloured crusts Thick, honey-coloured crusts are
typical of impetigo or secondary infection in eczema. Herpes virus infection
Clusters of fluid-filled vesicles are characteristic of herpesvirus infection.
Scabies infestation has been diagnosed in a child, and permethrin has been
prescribed. Which of the following instructions would the nurse give to the
parents regarding this medication?
1. Apply lotion only to the areas of the rash
2. Apply lotion and leave on for 6 hours
3. Do not put clothes on the child over the lotion.
4. Apply lotion to cool, dry skin at least 30 minutes after bathing - Answer 4
Permethrin is massaged well and gently into all skin surfaces (not just the
areas that have the rash) from the head to the soles of the feet. Care
should be taken to avoid contact with the eyes. Do not apply the lotion
until at least 30 minutes after bathing. Apply the lotion only to cool, dry
skin. Leave the lotion on for 8 to 14 hours with subsequent bathing. During
the 8 to 14 hours of treatment contact time the child should be clothed.
The school nurse has provided an educational session on impetigo for
parents whose children are in the school. Based on the following parent
responses about impetigo, which statement identifies that this parent
requires further teaching?
1. "It is very contagious."
2. "It occurs most frequently in humid weather."
3. "Lesions most frequently occur on the arms and chest.
4. "It can appear in an area of broken skin, such as an insect bite."-Answer 3
To get this or any other Exam contact ()
, Impetigo is a contagious bacterial infection of the skin caused by β-hemolytic
To get this or any other Exam contact ()
