NUR410 PrepU PEDS Questions and Correct
Answers
A child is brought to the emergency department by his parents.
The parents report that he stepped on a rusty nail about a week
and a half ago. The child is complaining of cramping in his jaw
and some difficulty swallowing. The nurse suspects tetanus. When
assessing the child, the nurse would be alert to which muscle
groups being affected next? Ans: — Neck
A young client in the clinic has a rash, cough, and fever that the
parent says spiked on day 5 of the rash. The client also had
conjunctivitis. What illness would the nurse expect the health care
provider to diagnose? Ans: — Measles
The parent of a child diagnosed with nonbullous impetigo brings
the child back to the clinic. The parent states, "I am doing what I
am supposed to for my child, but the lesions have not gone away
yet." The child began treatment with a topical antibiotic ointment 7
days ago. Which response by the nurse is most appropriate? Ans:
— "It takes 10 to 14 days for the lesions to decrease."
The parents of a child diagnosed with varicella are concerned
about their other children getting it. The nurse instructs the
parents that their child is contagious for how much longer now
that the rash has appeared? Ans: — Until there are no more new
lesions and lesions have crusted over
A 4-year-old is brought to the urgent care center for evaluation of
a burn on the forearm. On inspection, the burn is minor. After
teaching the parents about how to care for this minor burn. the
nurse determines that the teaching was successful based on which
statement by the parents? Ans: — "If blisters form, we should
leave them alone and not break them."
The appearance of which hallmark clinical manifestation occurs in
measles? Ans: — Koplik spots
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What information should be included in the teaching plan for a
child with varicella? Ans: — Remind the child not to scratch the
lesions.
The nurse is doing an in-service training on clinical manifestations
seen in communicable diseases. Which skin condition best
describes pustule? Ans: — Small elevation of epidermis filled with
a viscous fluid
When developing the plan of care for a 5-year-old boy with Rocky
Mountain spotted fever, the nurse knows the cause of the illness
is: Ans: — Bite of a tick
A nursing student learning about childhood infectious diseases
correctly identifies which of the following as the disease related to
chickenpox, which tends to occur in older children or young
adults? Ans: — Herpes zoster
The nurse is assessing a child with a varicella infection. The nurse
would be alert for which of the following as a possible
complication? Select all that apply. Ans: — secondary bacterial
infections
Which of the following is a true statement regarding measles? Ans:
— The incubation period is 10 to 12 days.
The mother of a child with pediculosis capitis infestation tells the
nurse that she does not understand why her child still has the
infestation. The mother states, "I used the prescribed treatment
just like I was instructed." How should the nurse respond? Ans: —
"After finding the infestation did you wash items that your child's
head came into contact with, like bed linen?"
A 30-month-old child has been discharged from the hospital after
receiving treatment for partial-thickness burns over 6% of the
body. One week later, the parent calls the nurse to say that the
child has been drinking from a cup for one year, but is now
constantly pulling at the mother's breast trying to nurse and
refuses to drink from a cup. What is the best way for the nurse
respond? Ans: — Explain that children who have had a serious
injury sometimes exhibit regressive behavior
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