NSG 320 EXAM 3
A child is diagnosed with erythema infectious (fifth disease) and the nurse is
providing parent education about the management of care. Which important
information regarding this disease is important to include in the teaching?
1. Erythema infectious is not contagious.
2. Erythema infectious is considered to be contagious until the rash appears.
3. A child with erythema infectious will need to take oral antibiotics for 7-10 days.
4. Erythema infectious is an airborne illness.
Rationale:
Erythema infectiosum is a contagious viral infection with an incubation period of 4-
21 days and is contagious until the rash appears.
A nurse is caring for a toddler with a respiratory infection who tests positive for
influenza type A in the hospital setting. Which is a priority nursing intervention for this
child?
1. The child should be placed in a private room only.
2. The child should be placed on airborne precautions.
3. The child should be placed on neutropenic precautions.
4. The child should be placed on contact and droplet precautions.
Rationale:
,Influenza is caused by a virus and is transmitted through coughing, sneezing, and
direct contact with contaminated objects, so the child should be placed on contact
and droplet precautions.
A nurse is providing education to a group of adolescents about mononucleosis
(mono). Which statement should be included in the nurse's teaching?
1. Mono is a chronic illness that can cause fatigue but is not contagious.
2. Mono is an acute illness caused by the Epstein-Barr virus (EBV) that can be
contracted by people of all ages, but is mostly seen in adolescents.
3. Mono is caused by a bacterial infection that is most often found in the older
population.
4. Mono is an acquired illness that can be prevented by common immunizations
typically received during childhood.
A nurse is providing education to a parent of a child diagnoses with varicella-zoster
virus (VZV). The parent asks when the disease is no longer considered to be
contagious. Which is the nurse's best response?
1. "The virus is not contagious"
2. "Chickenpox is considered contagious until the vesicles are crusted over and no
longer open."
3. "Your child will need to cover all of the vesicles until they completely disappear."
4. "Your child will need to wear a mask when he or she returns to school."
Rationale:
,Chickenpox is contagious until the vesicles are crusted over.
A child presents to the emergency department with burns on the lower arm from hot
water. They appear to be white with red blisters, do not blanch, and the child can feel
pressure, but not pain, with palpation. How would the nurse describe these burns?
1. Superficial burns
2. Deep partial-thickness burns
3. Full-thickness burns
4. Superficial partial-thickness burns
Rationale:
-Deep-partial thickness burns appear dry and white or red with blisters if the burn
was caused by scalding and the client can feel pressure when applied.
-Superficial burns are red and painful with no blistering.
-Full-thickness burns show no blanching, no pain, and a white or charred
appearance.
-Superficial partial-thickness burns show red, painful blisters and will blanch with
pressure.
A child is being admitted for what appears to be a minor electrical burn. In preparing
for the child's arrival to the floor, what order would the nurse anticipate?
1. Continuous cardiac monitoring
2. Arterial blood gas to be drawn every 4 hours
3. Foley catheter to monitor output
, 4. Central venous access for fluid replacement
Rationale:
ECG and cardiac monitoring are indicated for electrical burns.
The nurse is assessing a child with presentation of rash on the scalp. The nurse notes
the infant does not seem to scratch her head and reports this to the provider. What is
the significance of this action?
1. Itching can differentiate disorders, such as atopic dermatitis from seborrheic
keratosis.
2. The nurse wants to be thorough in assessment of the infant.
3. It will determine whether or not the head can be washed.
4. It will determine if the infant has contracted pediculosis.
Rationale:
Seborrheic dermatitis is non-pruritic, which helps to distinguish it from atopic
dermatitis.
A nurse is caring for a severely dehydrated child. The child has had nausea and
vomiting for three days. The health care provider orders a 20 ml/kg bolus of
intravenous (IV) fluid of an isotonic crystalloid. Which IV fluid would be the best
choice?
1. Sodium Chloride 0.9% (normal saline)
2. Dextrose 10% and water
3. Dextrose 5% and 0.45% normal saline
A child is diagnosed with erythema infectious (fifth disease) and the nurse is
providing parent education about the management of care. Which important
information regarding this disease is important to include in the teaching?
1. Erythema infectious is not contagious.
2. Erythema infectious is considered to be contagious until the rash appears.
3. A child with erythema infectious will need to take oral antibiotics for 7-10 days.
4. Erythema infectious is an airborne illness.
Rationale:
Erythema infectiosum is a contagious viral infection with an incubation period of 4-
21 days and is contagious until the rash appears.
A nurse is caring for a toddler with a respiratory infection who tests positive for
influenza type A in the hospital setting. Which is a priority nursing intervention for this
child?
1. The child should be placed in a private room only.
2. The child should be placed on airborne precautions.
3. The child should be placed on neutropenic precautions.
4. The child should be placed on contact and droplet precautions.
Rationale:
,Influenza is caused by a virus and is transmitted through coughing, sneezing, and
direct contact with contaminated objects, so the child should be placed on contact
and droplet precautions.
A nurse is providing education to a group of adolescents about mononucleosis
(mono). Which statement should be included in the nurse's teaching?
1. Mono is a chronic illness that can cause fatigue but is not contagious.
2. Mono is an acute illness caused by the Epstein-Barr virus (EBV) that can be
contracted by people of all ages, but is mostly seen in adolescents.
3. Mono is caused by a bacterial infection that is most often found in the older
population.
4. Mono is an acquired illness that can be prevented by common immunizations
typically received during childhood.
A nurse is providing education to a parent of a child diagnoses with varicella-zoster
virus (VZV). The parent asks when the disease is no longer considered to be
contagious. Which is the nurse's best response?
1. "The virus is not contagious"
2. "Chickenpox is considered contagious until the vesicles are crusted over and no
longer open."
3. "Your child will need to cover all of the vesicles until they completely disappear."
4. "Your child will need to wear a mask when he or she returns to school."
Rationale:
,Chickenpox is contagious until the vesicles are crusted over.
A child presents to the emergency department with burns on the lower arm from hot
water. They appear to be white with red blisters, do not blanch, and the child can feel
pressure, but not pain, with palpation. How would the nurse describe these burns?
1. Superficial burns
2. Deep partial-thickness burns
3. Full-thickness burns
4. Superficial partial-thickness burns
Rationale:
-Deep-partial thickness burns appear dry and white or red with blisters if the burn
was caused by scalding and the client can feel pressure when applied.
-Superficial burns are red and painful with no blistering.
-Full-thickness burns show no blanching, no pain, and a white or charred
appearance.
-Superficial partial-thickness burns show red, painful blisters and will blanch with
pressure.
A child is being admitted for what appears to be a minor electrical burn. In preparing
for the child's arrival to the floor, what order would the nurse anticipate?
1. Continuous cardiac monitoring
2. Arterial blood gas to be drawn every 4 hours
3. Foley catheter to monitor output
, 4. Central venous access for fluid replacement
Rationale:
ECG and cardiac monitoring are indicated for electrical burns.
The nurse is assessing a child with presentation of rash on the scalp. The nurse notes
the infant does not seem to scratch her head and reports this to the provider. What is
the significance of this action?
1. Itching can differentiate disorders, such as atopic dermatitis from seborrheic
keratosis.
2. The nurse wants to be thorough in assessment of the infant.
3. It will determine whether or not the head can be washed.
4. It will determine if the infant has contracted pediculosis.
Rationale:
Seborrheic dermatitis is non-pruritic, which helps to distinguish it from atopic
dermatitis.
A nurse is caring for a severely dehydrated child. The child has had nausea and
vomiting for three days. The health care provider orders a 20 ml/kg bolus of
intravenous (IV) fluid of an isotonic crystalloid. Which IV fluid would be the best
choice?
1. Sodium Chloride 0.9% (normal saline)
2. Dextrose 10% and water
3. Dextrose 5% and 0.45% normal saline
