Test Bank Wong's Essentials of Pediatric Nursing 11th Edition Hockenberry Rodgers Wilson | Chapter 16-20 |
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Course
Wong\'s Essentials of Pediatric Nursing
Institution
Wong\'s Essentials Of Pediatric Nursing
Chapter 16: Health Problems of the School-Age Child
Chapter 17: Health Promotion of the Adolescent and Family
Chapter 18: Health Problems of the Adolescent
Chapter 19: Family-Centered Care of the Child with Chronic Illness or Disability
Chapter 20: Family-Centered Palliative Care
Chapter 20: I...
Wong's Essentials of Pediatric Nursing 11th Edition Hockenberry Rodgers
Wilson
MULTIPLE CHOICE
1. Deficiency of which vitamin or mineral results in an inadequate inflammatory response?
a. A
b. B1
c. C
d. Zinc
ANS: A
A deficiency of vitamin A results in an inadequate inflammatory response.
Deficiencies of vitamins B1 and C result in decreased collagen formation. A
deficiency of zinc leads to impaired epithelialization.
DIF: Cognitive Level: Understanding TOP: Nursing Process:
Assessment MSC: Client Needs: Physiological Integrity
2. An occlusive dressing is applied to a large abrasion. This is advantageous because the
dressing will accomplish what?
a. Deliver vitamin C to the wound.
b. Provide an antiseptic for the wound.
c. Maintain a moist environment for healing.
d. Promote mechanical friction for healing.
ANS: C
Occlusive dressings, such as Acuderm, are not adherent to the wound site. They
provide a moist wound surface and insulate the wound. The dressing does not have
vitamin C or antiseptic capabilities. Acuderm protects against friction.
DIF: Cognitive Level: Analyzing TOP: Nursing Process: Implementation `
MSC: Client Needs: Physiological Integrity
,3. A toddler has a deep laceration contaminated with dirt and sand. Before closing the
wound, the nurse should irrigate with what solution?
a. Alcohol
b. Normal saline
c. Povidoneiodine
d. Hydrogen peroxide
ANS: B
Normal saline is the only acceptable fluid for irrigation listed. The nurse should
cleanse the wound with a forced stream of normal saline or water. Alcohol is not used
for wound irrigation. Povidoneiodine is contraindicated for cleansing fresh, open
wounds. Hydrogen peroxide can cause formation of subcutaneous gas when applied
under pressure.
DIF: Cognitive Level: Analyzing TOP: Nursing Process: Implementation
MSC: Client Needs: Physiological Integrity
4. The nurse should know what about Lyme disease?
a. Very difficult to prevent
b. Easily treated with oral antibiotics in stages 1, 2, and 3
c. Caused by a spirochete that enters the skin through a tick bite
d. Common in geographic areas where the soil contains the mycotic spores that
cause the disease
ANS: C
Lyme disease is caused by Borrelia burgdorferi, a spirochete spread by ticks. The
early characteristic rash is erythema migrans. Tick bites should be avoided by
entering tick-infested areas with caution. Light-colored clothing should be worn to
identify ticks easily. Long-sleeve shirts and long pants tucked into socks should be
worn. Early treatment of the erythema migrans (stage 1) can prevent the development
of Lyme disease. Lyme disease is caused by a spirochete, not mycotic spores.
DIF: Cognitive Level: Understanding TOP: Nursing Process:
Assessment MSC: Client Needs: Physiological Integrity
5. The school nurse is seeing a child who collected some poison ivy leaves during recess. He
says only his hands touched it. What is the most appropriate nursing action?
a. Soak his hands in warm water.
b. Apply Burows solution compresses.
c. Rinse his hands in cold running water.
d. Scrub his hands thoroughly with antibacterial soap.
ANS: C
The first recommended action is to rinse his hands in cold running water within 15
minutes of exposure. This will neutralize the urushiol not yet bonded to the skin.
Soaking his hands in warm water is effective for soothing the skin lesions after the
, dermatitis has begun. Antibacterial soap removes protective skin oils and dilutes the
urushiol, allowing it to spread.
DIF: Cognitive Level: Applying TOP: Nursing Process: Implementation
MSC: Client Needs: Physiological Integrity
6. A 6-year-old boy with very fair skin will be joining his family during a beach vacation.
What should the nurse recommend?
a. Keep him off the beach during the daytime hours.
b. Use sunscreen with an SPF of at least 15 and reapply it every 2 to 3 hours.
c. Apply a topical sunscreen product with an SPF of 30 in the morning.
d. Dress him in long pants and long-sleeved shirt and keep him under a beach
umbrella.
ANS: B
A sunscreen with an SPF (sun protection factor) of at least 15 is recommended. The
sunscreen should be reapplied every 2 to 3 hours and after the child is in the water or
sweating excessively. During a beach vacation, avoiding the beach during daytime
hours is impractical. The highest risk of sun exposure is from 10 AM to 3 PM.
Sunlight exposure should be limited during this time. An SPF of 30 is good, but
reapplying it is necessary every 2 to 3 hours and when the child gets wet. Long pants
and a shirt are impractical. The beach umbrella can be used with the sunscreen to limit
exposure to the sun.
DIF: Cognitive Level: Applying TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Physiological Integrity
7. The management of a child who has just been stung by a bee or wasp should include
applying what?
a. Cool compresses
b. Antibiotic cream
c. Warm compresses
d. Corticosteroid cream
ANS: A
Bee or wasp stings are initially treated by carefully removing the stinger, cleansing
with soap and water, applying cool compresses, and using common household agents
such as lemon juice or a paste made with aspirin and baking soda. Antibiotic cream is
unnecessary unless a secondary infection occurs. Warm compresses are avoided.
Corticosteroid cream is not part of the initial therapy. If a severe reaction occurs,
systemic corticosteroids may be indicated.
DIF: Cognitive Level: Applying TOP: Nursing Process: Implementation
MSC: Client Needs: Physiological Integrity
8. A parent calls the clinic nurse because his 7-year-old child was bitten by a black widow
spider. What action should the nurse advise the parent to take?
, a. Apply warm compresses.
b. Carefully scrape off the stinger.
c. Take the child to the emergency department.
d. Apply a thin layer of corticosteroid cream.
ANS: C
The venom of the black widow spider has a neurotoxic effect. The parent should take
the child to the emergency department for treatment with antivenin and muscle
relaxants as needed. Warm compresses increase the circulation to the area and
facilitate the spread of the venom. The black widow spider does not have a stinger.
Corticosteroid cream has no effect on the venom.
DIF: Cognitive Level: Applying TOP: Integrated Process:
Teaching/Learning MSC: Client Needs: Physiological Integrity
9. A school-age child has been bitten on the leg by a large snake that may be poisonous.
During transport to an emergency facility, what should the care include?
a. Apply ice to the snakebite.
b. Immobilize the leg with a splint.
c. Place a loose tourniquet distal to the bite.
d. Apply warm compresses to the snakebite.
ANS: B
The leg should be immobilized. Ice decreases blood flow to the area, which allows the
venom to work more destruction and decreases the effect of antivenin on the natural
immune mechanisms. A loose tourniquet is placed proximal, not distal, to the area of
the bite to delay the flow of lymph. This can delay movement of the venom into the
peripheral circulation. The tourniquet should be applied so that a pulse can be felt
distal to the bite. Warmth increases circulation to the area and helps the toxin into the
peripheral circulation.
DIF: Cognitive Level: Applying MSC: Client Needs: Physiological
Integrity
10. Parents phone the nurse and say that their child just knocked out a permanent tooth. What
should the nurses instructions to the parents include?
a. Place the tooth in dry container for transport.
b. Hold the tooth by the crown and not by the root area.
c. Transport the child and tooth to a dentist within 18 hours.
d. Take the child to hospital emergency department if his or her mouth is bleeding.
ANS: B
It is important to avoid touching the root area of the tooth. The tooth should be held
by the crown area; rinsed in milk, saline, or running water; and reimplanted as soon as
possible. The tooth is kept moist during transport to maintain viability. Cold milk is
the most desirable medium for transport. The child needs to be seen by a dentist as
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