Ricci Chapter 45 - Test Bank - 4th Edition
UPDATED ACTUAL Exam Questions and
CORRECT Answers
1. The nurse is teaching the mother of a toddler about burn prevention. Which
response by the mother indicates a need for further teaching?
A) "We will leave fireworks displays to the professionals."
B) "I will set our water heater at 130 degrees."
C) "All sleepwear should be flame retardant."
D) "The handles of pots on the stove should face inward." - CORRECT ANSWER - Ans:
B
Feedback:
If the temperature of the water heater is set at 130°F, a child can be burned
significantly in only 30 seconds. The recommended maximal home hot water heater
temperature is 120°F. Leaving fireworks to the professionals, using flame-retardant
sleepwear, and turning the handles of pots on the stove inward are correct.
2. The nurse is providing parental teaching about home care for an 8-year-old
boy with widespread sunburn on his back and shoulders. Which response indicates
a need for further teaching?
A) "Cool compresses may help cool the burn."
B) "He should manually peel off any flaking skin."
C) "Nonsteroidal anti-inflammatory drugs like ibuprofen are helpful."
D) "He should avoid hot showers or baths for a couple of days." - CORRECT ANSWER -
Ans: B
Feedback:
If skin flaking occurs, the child should be discouraged from manually "peeling" the
flaked skin as it can cause further injury. Using cool compresses, taking
,nonsteroidal anti-inflammatory drugs, and avoiding hot showers or baths are
appropriate measures.
3. The nurse is providing care for a 14-year-old girl with severe acne. The girl
expresses sadness and distress about her appearance. Which response by the nurse
would be most appropriate?
A) "Are you using your medicine every day?"
B) "Your condition will most likely improve in a year or two."
C) "Many people feel this way; I know someone who can help."
D) "If you have any scarring you can undergo dermabrasion." - CORRECT ANSWER -
Ans: C
Feedback:
Depression can occur as a result of body image disturbances with severe acne. The
nurse should provide emotional support to adolescents undergoing acne therapy
and refer teens for counseling if necessary. Telling the girl that her condition is
likely to improve in a year or two is not helpful. Asking the girl whether she uses
her medicine every day or reminding her that her scars can be addressed with
dermabrasion does not address her feelings of sadness and distress.
4. The nurse is conducting a physical examination of a 9-month-old baby with a
flat, discolored area on the skin. The nurse documents this as a:
A) papule.
B) macule.
C) vesicle.
D) scale. - CORRECT ANSWER - Ans: B
Feedback:
A macule is a flat, discolored area on the skin. A papule is a small, raised bump on
the skin. A vesicle is a fluid-filled bump on the skin. Scaling is flaking of the skin.
, 5. A nurse is caring for a 5-year-old in Bucks traction. When conducting a skin
examination for signs of pressure ulcers, the nurse pays particular attention to
which area?
A) Sacral area
B) Hip area
C) Occiput
D) Upper arm - CORRECT ANSWER - Ans: C
Feedback:
Common sites of pressure ulcers in hospitalized children include the occiput and
toes, while children who require wheelchairs for mobility demonstrate pressure
ulcers in the sacral or hip areas more frequently. The upper arm is not a common
site for pressure ulcers.
6. A 6-year-old boy has been admitted to the hospital with burns. The nurse
notes carbonaceous sputum. What action would be the priority?
A) Determining the burn depth
B) Eliciting a description of the burn
C) Estimating burn extent
D) Ensuring a patent airway - CORRECT ANSWER - Ans: D
Feedback:
Carbonaceous sputum is a sign of potential airway injury due to smoke inhalation.
Therefore, the nurse should ensure a patent airway while obtaining a brief history
and simultaneously evaluating the child and providing emergency care. If the burn
does not pose an immediate, life-threatening risk, the nurse would obtain an indepth
history and elicit a description of the burn. Determining the burn depth and
extent are part of the secondary survey.
UPDATED ACTUAL Exam Questions and
CORRECT Answers
1. The nurse is teaching the mother of a toddler about burn prevention. Which
response by the mother indicates a need for further teaching?
A) "We will leave fireworks displays to the professionals."
B) "I will set our water heater at 130 degrees."
C) "All sleepwear should be flame retardant."
D) "The handles of pots on the stove should face inward." - CORRECT ANSWER - Ans:
B
Feedback:
If the temperature of the water heater is set at 130°F, a child can be burned
significantly in only 30 seconds. The recommended maximal home hot water heater
temperature is 120°F. Leaving fireworks to the professionals, using flame-retardant
sleepwear, and turning the handles of pots on the stove inward are correct.
2. The nurse is providing parental teaching about home care for an 8-year-old
boy with widespread sunburn on his back and shoulders. Which response indicates
a need for further teaching?
A) "Cool compresses may help cool the burn."
B) "He should manually peel off any flaking skin."
C) "Nonsteroidal anti-inflammatory drugs like ibuprofen are helpful."
D) "He should avoid hot showers or baths for a couple of days." - CORRECT ANSWER -
Ans: B
Feedback:
If skin flaking occurs, the child should be discouraged from manually "peeling" the
flaked skin as it can cause further injury. Using cool compresses, taking
,nonsteroidal anti-inflammatory drugs, and avoiding hot showers or baths are
appropriate measures.
3. The nurse is providing care for a 14-year-old girl with severe acne. The girl
expresses sadness and distress about her appearance. Which response by the nurse
would be most appropriate?
A) "Are you using your medicine every day?"
B) "Your condition will most likely improve in a year or two."
C) "Many people feel this way; I know someone who can help."
D) "If you have any scarring you can undergo dermabrasion." - CORRECT ANSWER -
Ans: C
Feedback:
Depression can occur as a result of body image disturbances with severe acne. The
nurse should provide emotional support to adolescents undergoing acne therapy
and refer teens for counseling if necessary. Telling the girl that her condition is
likely to improve in a year or two is not helpful. Asking the girl whether she uses
her medicine every day or reminding her that her scars can be addressed with
dermabrasion does not address her feelings of sadness and distress.
4. The nurse is conducting a physical examination of a 9-month-old baby with a
flat, discolored area on the skin. The nurse documents this as a:
A) papule.
B) macule.
C) vesicle.
D) scale. - CORRECT ANSWER - Ans: B
Feedback:
A macule is a flat, discolored area on the skin. A papule is a small, raised bump on
the skin. A vesicle is a fluid-filled bump on the skin. Scaling is flaking of the skin.
, 5. A nurse is caring for a 5-year-old in Bucks traction. When conducting a skin
examination for signs of pressure ulcers, the nurse pays particular attention to
which area?
A) Sacral area
B) Hip area
C) Occiput
D) Upper arm - CORRECT ANSWER - Ans: C
Feedback:
Common sites of pressure ulcers in hospitalized children include the occiput and
toes, while children who require wheelchairs for mobility demonstrate pressure
ulcers in the sacral or hip areas more frequently. The upper arm is not a common
site for pressure ulcers.
6. A 6-year-old boy has been admitted to the hospital with burns. The nurse
notes carbonaceous sputum. What action would be the priority?
A) Determining the burn depth
B) Eliciting a description of the burn
C) Estimating burn extent
D) Ensuring a patent airway - CORRECT ANSWER - Ans: D
Feedback:
Carbonaceous sputum is a sign of potential airway injury due to smoke inhalation.
Therefore, the nurse should ensure a patent airway while obtaining a brief history
and simultaneously evaluating the child and providing emergency care. If the burn
does not pose an immediate, life-threatening risk, the nurse would obtain an indepth
history and elicit a description of the burn. Determining the burn depth and
extent are part of the secondary survey.
