Nur 231
NUR 231 Exam 4 Question and
Answers 2025
The nurse is monitoring a child with burns during treatment. Which assessment
provides the most accurate guide to determine the adequacy of fluid resuscitation?
Adequacy of capillary filling
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?
Fine grayish red lines
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?
Apply the lotion to cool, dry skin at least 30 minutes after bathing.
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?
"Lesions most often are located on the arms and chest."
The clinic nurse is reviewing the primary 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?
The child is 18 months old.
A topical corticosteroid is prescribed by the primary health care provider for a
child with contact dermatitis (eczema). Which instruction should the nurse give the
parent about applying the cream?
Apply a thin layer of cream and rub it into the area thoroughly.
Nur 231
, Nur 231
The school nurse is performing pediculosis capitis (head lice) assessments. Which
assessment finding indicates that a child has a "positive" head check for lice?
White sacs attached to the hair shafts in the occipital area
The nurse caring for a child who sustained a burn injury plans care based on which
pediatric considerations associated with this injury? Select all that apply.
A delay in growth may occur after a burn injury.
An immature immune system presents an increased risk of infection for infants and
young children.
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.
The nurse analyzes the laboratory results of a child with hemophilia. The nurse
understands that which result will most likely be abnormal in this child?
Partial thromboplastin time
The nurse is providing home care instructions to the parents of a 10-year-old child
with hemophilia. Which sport activity should the nurse suggest for this child?
Swimming
The nursing student is presenting a clinical conference and discusses the cause of
β-thalassemia. The nursing student informs the group that a child at greatest risk of
developing this disorder is which of these?
A child of Mediterranean descent
The clinic nurse instructs parents of a child with sickle cell anemia about the
precipitating factors related to sickle cell crisis. Which, if identified by the parents
as a precipitating factor, indicates the need for further instruction?
Fluid overload
Nur 231
NUR 231 Exam 4 Question and
Answers 2025
The nurse is monitoring a child with burns during treatment. Which assessment
provides the most accurate guide to determine the adequacy of fluid resuscitation?
Adequacy of capillary filling
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?
Fine grayish red lines
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?
Apply the lotion to cool, dry skin at least 30 minutes after bathing.
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?
"Lesions most often are located on the arms and chest."
The clinic nurse is reviewing the primary 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?
The child is 18 months old.
A topical corticosteroid is prescribed by the primary health care provider for a
child with contact dermatitis (eczema). Which instruction should the nurse give the
parent about applying the cream?
Apply a thin layer of cream and rub it into the area thoroughly.
Nur 231
, Nur 231
The school nurse is performing pediculosis capitis (head lice) assessments. Which
assessment finding indicates that a child has a "positive" head check for lice?
White sacs attached to the hair shafts in the occipital area
The nurse caring for a child who sustained a burn injury plans care based on which
pediatric considerations associated with this injury? Select all that apply.
A delay in growth may occur after a burn injury.
An immature immune system presents an increased risk of infection for infants and
young children.
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.
The nurse analyzes the laboratory results of a child with hemophilia. The nurse
understands that which result will most likely be abnormal in this child?
Partial thromboplastin time
The nurse is providing home care instructions to the parents of a 10-year-old child
with hemophilia. Which sport activity should the nurse suggest for this child?
Swimming
The nursing student is presenting a clinical conference and discusses the cause of
β-thalassemia. The nursing student informs the group that a child at greatest risk of
developing this disorder is which of these?
A child of Mediterranean descent
The clinic nurse instructs parents of a child with sickle cell anemia about the
precipitating factors related to sickle cell crisis. Which, if identified by the parents
as a precipitating factor, indicates the need for further instruction?
Fluid overload
Nur 231
