NCLEX Pediatric Nursing Test Questions and Correct Answers

The school nurse prepares a list of home care instructions for the parents of school children who have been diagnosed with pediculosis capitis (head lice). Which should be included in the list? (select all that apply) 1. Siblings may also need treatment 2. Use anti-lice sprays on all bedding and furniture 3. Use a pediculicide shampoo and repeat treatment in 14 days 4. Grooming items such as combs and brushes should not be shared 5. Launder all the bedding and clothing in hot water and dry on high heat 6. Vacuum floors, play areas, and furniture to remove any hairs that may carry live nits. A. Siblings may also need treatment B. Grooming items such as combs and brushes should not be shared C. Launder all the bedding and clothing in hot water and dry on high heat D. Vacuum floors, play areas, and furniture to remove any hairs that may carry live nits. The nurse is reinforcing home-care instructions to the parents of a 3 year old child with scabies. Which statement by a parent indicates the need for further teaching? (select all that apply) 1. "I understand that I need to leave the scabicide on for 4 hours before washing it off." 2. "I will need to seal up all my child's nonwashable toys in a plastic bag for at least 4 days." 3. "I realize that everyone who has come in contact with my child will need to be treated for scabies." 4. "I know I need to wash all the clothing and bedding in hot water with detergent and dry in a hot dryer." "I understand that I need to leave the scabicide on for 4 hours before washing it off." The nurse caring for a child who sustained a burn injury plans care based on which pediatric consideration associated with this injury? (select all that apply) 1. Scarring is less severe in a child than in an adult 2. A delay in growth may occur after a burn injury 3. An immature immune system presents an increased risk of infection for infants and young children 4. Fluid resuscitation is unnecessary unless the burned are is more than 25% of the total body surface area 5. The proportion of body fluid to body mass in a child increases the risk of cardiovascular problems 6. Infants and young children are at increased risk for protein and calorie deficiency because they have smaller muscle mass and less body fat than adults A. A delay in growth may occur after a burn injury B. An immature immune system presents an increased risk of infection for infants and young children C. Infants and young children are at increased risk for protein and calorie deficiency because they have smaller muscle mass and less body fat than adults A topical corticosteroid is prescribed by the health care provider for a child with atopic dermatitis (eczema). Which instruction should the nurse give the parent about applying the cream? 1. Apply the cream over the entire body 2. Apply a thick layer over the entire body 3. Avoid cleansing the area before application of the cream 4. Apply a thin layer of cream and rub it into the area thoroughly Apply a thin layer of cream and rub it into the area thoroughly