PEDIATRICS (MED SURG) EXAM QUESTIONS
AND ANSWERS 100% CORRECT!
,Tretinoin (Retin-A) is a commonly used topical agent for the treatment of acne. What do
nursing considerations with this drug include? - ANSWER Applying of the medication
occurs at least 20 to 30 minutes after washing.
What is the usual presenting symptom for testicular cancer? - ANSWER hard, painless
mass
A 13-year-old boy comes to the school nurse complaining of sudden and severe scrotal
pain. He denies any trauma to the scrotum. What is the most appropriate nursing
action? - ANSWER refer him for immediate medical attention
A 14-year-old boy is of normal weight, and his parents are concerned about bilateral
breast enlargement. The nurse's discussion of this should be based on what? -
ANSWER most likely part of normal pubertal development
A 15-year-old girl tells the school nurse that she has not started to menstruate yet.
Onset of secondary sexual characteristics was about 2 1/2 years ago. The nurse should
take which action? - ANSWER Refer the adolescent for an evaluation.
An adolescent girl asks the school nurse for advice because she has dysmenorrhea.
She says that a friend recommended she try an over-the-counter nonsteroidal anti-
inflammatory drug (NSAID). The nurse's response should be based on what? -
ANSWER NSAIDs are effective because they inhibit prostaglandins, leading to
reduction in uterine activity.
The nurse is caring for an adolescent male with gynecomastia. What groups of drugs
can induce gynecomastia in male adolescents? (Select all that apply.) - ANSWER oral
ketoconazoles
calcium channel blockers
histamine 2 receptor blockers
cancer chemotherapeutic agents
Rickets is caused by a deficiency in what? - ANSWER vitamin D and calcium
Which factors will decrease iron absorption and should not be given at the same time as
an iron supplement? - ANSWER milk
, The nurse is teaching parents about caring for their infant with seborrheic dermatitis
(cradle cap). Which statement by the parents indicates understanding of the teaching? -
ANSWER "We will use a fine-tooth comb to help remove the loosened crusts from the
strands of hair."
The nurse is planning care for an infant with eczema. Which interventions should the
nurse include in the care plan? (Select all that apply.) - ANSWER Avoid giving the infant
a bubble bath
Avoid overdressing the infant
The nurse should know what about Lyme disease? - ANSWER Caused by a spirochete
that enters the skin through a tick bite
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? -
ANSWER Rinse his hands in cold running water
A child has had contact with some poison ivy. The school nurse understands that the
full-blown reaction should be evident after how many days? - ANSWER 2 days
The nurse is caring for a child with psoriasis. What local manifestations does the nurse
expect to assess in this child? (Select all that apply.) - ANSWER First lesions appear in
the scalp
Round, thick, dry reddish patches
Patches are covered with coarse, silvery scales
The nurse is caring for a child with erythema multiforme (Stevens-Johnson syndrome).
What local manifestations does the nurse expect to assess in this child? (Select all that
apply.) - ANSWER Erythematous papular rash
Lesions absent in the scalp
Lesions enlarge by peripheral expansion
A mother brings her 6-week-old infant in with complaints of poor feeding, lethargy, fever,
irritability, and a vesicular rash. What does the nurse suspect? - ANSWER Neonatal
herpes
AND ANSWERS 100% CORRECT!
,Tretinoin (Retin-A) is a commonly used topical agent for the treatment of acne. What do
nursing considerations with this drug include? - ANSWER Applying of the medication
occurs at least 20 to 30 minutes after washing.
What is the usual presenting symptom for testicular cancer? - ANSWER hard, painless
mass
A 13-year-old boy comes to the school nurse complaining of sudden and severe scrotal
pain. He denies any trauma to the scrotum. What is the most appropriate nursing
action? - ANSWER refer him for immediate medical attention
A 14-year-old boy is of normal weight, and his parents are concerned about bilateral
breast enlargement. The nurse's discussion of this should be based on what? -
ANSWER most likely part of normal pubertal development
A 15-year-old girl tells the school nurse that she has not started to menstruate yet.
Onset of secondary sexual characteristics was about 2 1/2 years ago. The nurse should
take which action? - ANSWER Refer the adolescent for an evaluation.
An adolescent girl asks the school nurse for advice because she has dysmenorrhea.
She says that a friend recommended she try an over-the-counter nonsteroidal anti-
inflammatory drug (NSAID). The nurse's response should be based on what? -
ANSWER NSAIDs are effective because they inhibit prostaglandins, leading to
reduction in uterine activity.
The nurse is caring for an adolescent male with gynecomastia. What groups of drugs
can induce gynecomastia in male adolescents? (Select all that apply.) - ANSWER oral
ketoconazoles
calcium channel blockers
histamine 2 receptor blockers
cancer chemotherapeutic agents
Rickets is caused by a deficiency in what? - ANSWER vitamin D and calcium
Which factors will decrease iron absorption and should not be given at the same time as
an iron supplement? - ANSWER milk
, The nurse is teaching parents about caring for their infant with seborrheic dermatitis
(cradle cap). Which statement by the parents indicates understanding of the teaching? -
ANSWER "We will use a fine-tooth comb to help remove the loosened crusts from the
strands of hair."
The nurse is planning care for an infant with eczema. Which interventions should the
nurse include in the care plan? (Select all that apply.) - ANSWER Avoid giving the infant
a bubble bath
Avoid overdressing the infant
The nurse should know what about Lyme disease? - ANSWER Caused by a spirochete
that enters the skin through a tick bite
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? -
ANSWER Rinse his hands in cold running water
A child has had contact with some poison ivy. The school nurse understands that the
full-blown reaction should be evident after how many days? - ANSWER 2 days
The nurse is caring for a child with psoriasis. What local manifestations does the nurse
expect to assess in this child? (Select all that apply.) - ANSWER First lesions appear in
the scalp
Round, thick, dry reddish patches
Patches are covered with coarse, silvery scales
The nurse is caring for a child with erythema multiforme (Stevens-Johnson syndrome).
What local manifestations does the nurse expect to assess in this child? (Select all that
apply.) - ANSWER Erythematous papular rash
Lesions absent in the scalp
Lesions enlarge by peripheral expansion
A mother brings her 6-week-old infant in with complaints of poor feeding, lethargy, fever,
irritability, and a vesicular rash. What does the nurse suspect? - ANSWER Neonatal
herpes
