Ch 52 - Maternal and Pediatric Nursing
Exam Questions With Guaranteed
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A child falls on the playground and has a small laceration on the forearm. What should
the school nurse do to cleanse the wound?
a. Slowly pour hydrogen peroxide over wound.
b. Soak arm in warm water and soap for at least 30 minutes.
c. Gently cleanse with sterile pad and a non stinging povidone-iodine solution.
d. Wash wound with mild soap and water or saline for several minutes. - CORRECT
ANSWER-ANS: D
Lacerations should be washed with mild soap and water or normal saline. A sterile pad
is not necessary and hydrogen peroxide and povidone-iodine should not be used
because they have a cytotoxic effect on healthy cells and minimal effect on controlling
infection. Soaking the arm does not effectively clean the wound.
What is one important nursing consideration when caring for a child with impetigo
contagiosa?
a. Apply topical corticosteroids to decrease inflammation.
b. Carefully remove dressings so as not to dislodge undermined skin crusts and debris.
c. Practise good hand hygiene and maintain cleanliness when caring for an infected
child.
d. Examine child under a Wood lamp for possible spread of lesions. - CORRECT
ANSWER-ANS: C
A major nursing goal related to bacterial skin infections such as impetigo contagiosa is
to prevent the spread of the infection and complications. This is done using thorough
hand hygiene before and after contact with the affected child. Corticosteroids are not
indicated in bacterial infections. Dressings are usually not indicated. The undermined
skin crusts and debris are carefully removed after softening with moist compresses. A
,Wood lamp is used to detect fluorescent materials in the skin and hair in certain disease
states such as tinea capitis.
Impetigo ordinarily results in which outcome?
a. No scarring
b. Pigmented spots
c. Slightly depressed scars
d. Atrophic white scars - CORRECT ANSWER-ANS: A
Impetigo tends to heal without scarring unless a secondary infection occurs.
A child steps on a nail and sustains a puncture wound in the foot. What is the most
appropriate method for cleansing this wound?
a. Wash wound thoroughly with chlorhexidine.
b. Wash wound thoroughly with povidone-iodine.
c. Soak foot in warm water and soap.
d. Soak foot in solution of 50% hydrogen peroxide and 50% water. - CORRECT
ANSWER-ANS: C
Puncture wounds should be cleansed by soaking the foot in warm water and soap.
Chlorhexidine hydrogen peroxide and povidone-iodine should not be used because they
have a cytotoxic effect on healthy cells and minimal effect on controlling infection.
What is often a cause of cellulitis?
a. Herpes zoster
b. Candida albicans
c. Human papillomavirus
d. Streptococcus or Staphylococcus organisms - CORRECT ANSWER-ANS: D
, Streptococcus Staphylococcus and Haemophilus influenzae are the organisms usually
responsible for cellulitis. Herpes zoster is the virus associated with varicella and
shingles. Candida albicans is associated with candidiasis or thrush. Human
papillomavirus is associated with various types of human warts.
Lymphangitis ("streaking") is frequently seen in which condition?
a. Cellulitis
b. Folliculitis
c. Impetigo contagiosa
d. Staphylococcal scalded skin - CORRECT ANSWER-ANS: A
Lymphangitis known as streaking is frequently seen in cellulitis. If present
hospitalization is usually required for parenteral antibiotic. Lymphangitis is not
associated with folliculitis impetigo or staphylococcal scalded skin.
What causes warts?
a. Bacteria
b. Fungus
c. Parasite
d. Virus - CORRECT ANSWER-ANS: D
Human warts are caused by the human papillomavirus. Infection with bacteria fungus
and parasitic organisms does not result in warts.
What is the primary treatment for warts?
a. Vaccination
b. Local destruction
c. Corticosteroids
d. Specific antibiotic therapy - CORRECT ANSWER-ANS: B
Exam Questions With Guaranteed
Pass
A child falls on the playground and has a small laceration on the forearm. What should
the school nurse do to cleanse the wound?
a. Slowly pour hydrogen peroxide over wound.
b. Soak arm in warm water and soap for at least 30 minutes.
c. Gently cleanse with sterile pad and a non stinging povidone-iodine solution.
d. Wash wound with mild soap and water or saline for several minutes. - CORRECT
ANSWER-ANS: D
Lacerations should be washed with mild soap and water or normal saline. A sterile pad
is not necessary and hydrogen peroxide and povidone-iodine should not be used
because they have a cytotoxic effect on healthy cells and minimal effect on controlling
infection. Soaking the arm does not effectively clean the wound.
What is one important nursing consideration when caring for a child with impetigo
contagiosa?
a. Apply topical corticosteroids to decrease inflammation.
b. Carefully remove dressings so as not to dislodge undermined skin crusts and debris.
c. Practise good hand hygiene and maintain cleanliness when caring for an infected
child.
d. Examine child under a Wood lamp for possible spread of lesions. - CORRECT
ANSWER-ANS: C
A major nursing goal related to bacterial skin infections such as impetigo contagiosa is
to prevent the spread of the infection and complications. This is done using thorough
hand hygiene before and after contact with the affected child. Corticosteroids are not
indicated in bacterial infections. Dressings are usually not indicated. The undermined
skin crusts and debris are carefully removed after softening with moist compresses. A
,Wood lamp is used to detect fluorescent materials in the skin and hair in certain disease
states such as tinea capitis.
Impetigo ordinarily results in which outcome?
a. No scarring
b. Pigmented spots
c. Slightly depressed scars
d. Atrophic white scars - CORRECT ANSWER-ANS: A
Impetigo tends to heal without scarring unless a secondary infection occurs.
A child steps on a nail and sustains a puncture wound in the foot. What is the most
appropriate method for cleansing this wound?
a. Wash wound thoroughly with chlorhexidine.
b. Wash wound thoroughly with povidone-iodine.
c. Soak foot in warm water and soap.
d. Soak foot in solution of 50% hydrogen peroxide and 50% water. - CORRECT
ANSWER-ANS: C
Puncture wounds should be cleansed by soaking the foot in warm water and soap.
Chlorhexidine hydrogen peroxide and povidone-iodine should not be used because they
have a cytotoxic effect on healthy cells and minimal effect on controlling infection.
What is often a cause of cellulitis?
a. Herpes zoster
b. Candida albicans
c. Human papillomavirus
d. Streptococcus or Staphylococcus organisms - CORRECT ANSWER-ANS: D
, Streptococcus Staphylococcus and Haemophilus influenzae are the organisms usually
responsible for cellulitis. Herpes zoster is the virus associated with varicella and
shingles. Candida albicans is associated with candidiasis or thrush. Human
papillomavirus is associated with various types of human warts.
Lymphangitis ("streaking") is frequently seen in which condition?
a. Cellulitis
b. Folliculitis
c. Impetigo contagiosa
d. Staphylococcal scalded skin - CORRECT ANSWER-ANS: A
Lymphangitis known as streaking is frequently seen in cellulitis. If present
hospitalization is usually required for parenteral antibiotic. Lymphangitis is not
associated with folliculitis impetigo or staphylococcal scalded skin.
What causes warts?
a. Bacteria
b. Fungus
c. Parasite
d. Virus - CORRECT ANSWER-ANS: D
Human warts are caused by the human papillomavirus. Infection with bacteria fungus
and parasitic organisms does not result in warts.
What is the primary treatment for warts?
a. Vaccination
b. Local destruction
c. Corticosteroids
d. Specific antibiotic therapy - CORRECT ANSWER-ANS: B
