SAUNDERS HESI PEDS EXAM 2025
QUESTIONS AND ANSWERS
INTEGUMENTARY DISORDERS - ....ANSWER ...-
The nurse is monitoring a child with burns during treatment for burn shock.
Which assessment provides the most accurate guide to determine 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. Although options 1, 2, and 4 may provide some information related
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,to fluid volume, in a burn injury, and from the options provided, adequacy of
capillary filling is most accurate.
The mother of a 3-year-old child arrives at a clinic and tells the nurse that the child
has been scratching the skin continuously and has developed a rash. The nurse
assesses the child and suspects the presence of scabies. The nurse bases this
suspicion on which finding noted on assessment of the child's skin?
1. Fine grayish red lines
2. Purple-colored lesions
3. Thick, honey-colored crusts
4. Clusters of fluid-filled vesicles - ....ANSWER ...-1
Scabies is a parasitic skin disorder caused by an infestation of Sarcoptes scabiei
(itch mite). Scabies appears as burrows or fine, grayish red, threadlike lines. They
may be difficult to see if they are obscured by excoriation and inflammation.
Purple-colored lesions may indicate various disorders, including systemic
conditions. Thick, honey-colored crusts are characteristic of impetigo or secondary
infection in eczema. Clusters of fluid-filled vesicles are seen in herpesvirus
infection.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
,Permethrin is prescribed for a child with a diagnosis of scabies. The nurse should
give which instruction to the parents regarding the use of this treatment?
1. Apply the lotion to areas of the rash only.
2. Apply the lotion and leave it on for 6 hours.
3. Avoid putting clothes on the child over the lotion.
4. Apply the lotion to cool, dry skin at least 30 minutes after bathing -
....ANSWER ...-4
Permethrin is massaged thoroughly 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. The lotion should not be applied until at least
30 minutes after bathing and should be applied only to cool, dry skin. The lotion
should be kept on for 8 to 14 hours, and then the child should be given a bath.
The child should be clothed during the 8 to 14 hours of treatment contact time.
The school nurse has provided an instructional session about impetigo to parents
of the children attending the school. Which statement, if made by a parent,
indicates a need for further instruction?
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
, 1. "It is extremely contagious."
2. "It is most common in humid weather."
3. "Lesions most often are located on the arms and chest."
4. "It might show up in an area of broken skin, such as an insect bite." -
....ANSWER ...-3
Impetigo is a contagious bacterial infection of the skin caused by β-hemolytic
streptococci or staphylococci, or both. Impetigo is most common during hot,
humid summer months. Impetigo may begin in an area of broken skin, such as an
insect bite or atopic dermatitis. Impetigo is extremely contagious. Lesions usually
are located around the mouth and nose, but may be present on the hands and
extremities.
The clinic nurse is reviewing the health care provider's prescription for a child who
has been diagnosed with scabies. Lindane has been prescribed for the child. The
nurse questions the prescription if which is noted in the child's record?
1. The child is 18 months old.
2. The child is being bottle-fed.
3. A sibling is using lindane for the treatment of scabies.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 4
QUESTIONS AND ANSWERS
INTEGUMENTARY DISORDERS - ....ANSWER ...-
The nurse is monitoring a child with burns during treatment for burn shock.
Which assessment provides the most accurate guide to determine 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. Although options 1, 2, and 4 may provide some information related
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,to fluid volume, in a burn injury, and from the options provided, adequacy of
capillary filling is most accurate.
The mother of a 3-year-old child arrives at a clinic and tells the nurse that the child
has been scratching the skin continuously and has developed a rash. The nurse
assesses the child and suspects the presence of scabies. The nurse bases this
suspicion on which finding noted on assessment of the child's skin?
1. Fine grayish red lines
2. Purple-colored lesions
3. Thick, honey-colored crusts
4. Clusters of fluid-filled vesicles - ....ANSWER ...-1
Scabies is a parasitic skin disorder caused by an infestation of Sarcoptes scabiei
(itch mite). Scabies appears as burrows or fine, grayish red, threadlike lines. They
may be difficult to see if they are obscured by excoriation and inflammation.
Purple-colored lesions may indicate various disorders, including systemic
conditions. Thick, honey-colored crusts are characteristic of impetigo or secondary
infection in eczema. Clusters of fluid-filled vesicles are seen in herpesvirus
infection.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
,Permethrin is prescribed for a child with a diagnosis of scabies. The nurse should
give which instruction to the parents regarding the use of this treatment?
1. Apply the lotion to areas of the rash only.
2. Apply the lotion and leave it on for 6 hours.
3. Avoid putting clothes on the child over the lotion.
4. Apply the lotion to cool, dry skin at least 30 minutes after bathing -
....ANSWER ...-4
Permethrin is massaged thoroughly 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. The lotion should not be applied until at least
30 minutes after bathing and should be applied only to cool, dry skin. The lotion
should be kept on for 8 to 14 hours, and then the child should be given a bath.
The child should be clothed during the 8 to 14 hours of treatment contact time.
The school nurse has provided an instructional session about impetigo to parents
of the children attending the school. Which statement, if made by a parent,
indicates a need for further instruction?
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
, 1. "It is extremely contagious."
2. "It is most common in humid weather."
3. "Lesions most often are located on the arms and chest."
4. "It might show up in an area of broken skin, such as an insect bite." -
....ANSWER ...-3
Impetigo is a contagious bacterial infection of the skin caused by β-hemolytic
streptococci or staphylococci, or both. Impetigo is most common during hot,
humid summer months. Impetigo may begin in an area of broken skin, such as an
insect bite or atopic dermatitis. Impetigo is extremely contagious. Lesions usually
are located around the mouth and nose, but may be present on the hands and
extremities.
The clinic nurse is reviewing the health care provider's prescription for a child who
has been diagnosed with scabies. Lindane has been prescribed for the child. The
nurse questions the prescription if which is noted in the child's record?
1. The child is 18 months old.
2. The child is being bottle-fed.
3. A sibling is using lindane for the treatment of scabies.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 4
