Chapter 30: The Child with a Skin Condition
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
MULTIPLE CHOICE
1. Which statement made by a parent indicates the need for further teaching about strategies to
control itching for the infant with eczema?
a. “Wool is the best fabric for the infant‘s clothing.”
b. “I should avoid laundry detergents with fragrances.”
c. “I put cotton gloves on the infant‘s hands.”
d. “The infant‘s fingernails are kept short.”
ANS: A
Clothing should be made of cotton. Wool is avoided because of its allergy potential.
DIF: Cognitive Level: Comprehension REF: p. 711 OBJ: 2
TOP: Infantile Eczema KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
2. What will the nurse include when teaching about general skin care measures that could help
prevent acne?
a. Eliminating chocolate, peanuts, and cola from the diet
b. Washing the face with a cleansing product frequently
c. Planning indoor activities to avoid sun exposure
d. Eating a balanced diet and getting sufficient rest
ANS: D
General hygienic measures of cleanliness, rest, and avoidance of emotional stress may help
prevent exacerbations.
DIF: Cognitive Level: Comprehension REF: p. 708 OBJ: 4
TOP: Acne Vulgaris KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk
,3. The nurse caring for a patient with severe frostbite observes a purple flush on the hands and feet.
What is the most appropriate nursing action?
a. Report this sign immediately.
b. Place a warm towel over the extremities.
c. Gently sponge with cool water.
d. Medicate for pain.
ANS: D
A purple flush indicates the return of sensation and causes extreme pain.
DIF: Cognitive Level: Application REF: p. 722 OBJ: 14
TOP: Frostbite KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
4. A child is brought to the emergency department with burns on the face and chest. What is the
nurse‘s first priority?
a. Assess respiratory status.
b. Administer pain medication.
c. Remove clothing.
d. Insert a Foley catheter.
ANS: A
Airway assessment and establishing an airway are the initial priorities.
DIF: Cognitive Level: Application REF: p. 717 OBJ: 10 | 12
TOP: Burns KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
5. An adolescent girl with acne is being treated with an antibiotic in addition to topical applications.
What side effect does the nurse caution the girl to expect?
a. Lessened effectiveness of oral contraceptives
b. Urinary burning and frequency
c. Breast engorgement
d. Vaginitis
, ANS: D
Antibiotic therapy can cause a monilial vaginitis.
DIF: Cognitive Level: Comprehension REF: p. 709 OBJ: 5 | 7
TOP: Acne KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
6. The nurse observes a tarry stool from a 16-year-old burn victim who has been in the ICU for 2
weeks. Which complication does the nurse anticipate?
a. Diverticulitis
b. Stress diarrhea
c. Curling‘s ulcer
d. Perforated bowel
ANS: C
Curling‘s ulcer is a complication of burn victims resulting from the stress of their trauma.
DIF: Cognitive Level: Application REF: p. 718 OBJ: 13
TOP: Burns KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
7. A child is brought to the emergency department with severe frostbite. Which body parts should
be warmed first?
a. Hands and arms
b. Feet and legs
c. Fingers and toes
d. Head and torso
ANS: D
In extreme cases of exposure to freezing temperatures, the head and torso should be warmed
before the extremities.
DIF: Cognitive Level: Application REF: p. 722 OBJ: 14
TOP: Frostbite KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
MULTIPLE CHOICE
1. Which statement made by a parent indicates the need for further teaching about strategies to
control itching for the infant with eczema?
a. “Wool is the best fabric for the infant‘s clothing.”
b. “I should avoid laundry detergents with fragrances.”
c. “I put cotton gloves on the infant‘s hands.”
d. “The infant‘s fingernails are kept short.”
ANS: A
Clothing should be made of cotton. Wool is avoided because of its allergy potential.
DIF: Cognitive Level: Comprehension REF: p. 711 OBJ: 2
TOP: Infantile Eczema KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
2. What will the nurse include when teaching about general skin care measures that could help
prevent acne?
a. Eliminating chocolate, peanuts, and cola from the diet
b. Washing the face with a cleansing product frequently
c. Planning indoor activities to avoid sun exposure
d. Eating a balanced diet and getting sufficient rest
ANS: D
General hygienic measures of cleanliness, rest, and avoidance of emotional stress may help
prevent exacerbations.
DIF: Cognitive Level: Comprehension REF: p. 708 OBJ: 4
TOP: Acne Vulgaris KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk
,3. The nurse caring for a patient with severe frostbite observes a purple flush on the hands and feet.
What is the most appropriate nursing action?
a. Report this sign immediately.
b. Place a warm towel over the extremities.
c. Gently sponge with cool water.
d. Medicate for pain.
ANS: D
A purple flush indicates the return of sensation and causes extreme pain.
DIF: Cognitive Level: Application REF: p. 722 OBJ: 14
TOP: Frostbite KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
4. A child is brought to the emergency department with burns on the face and chest. What is the
nurse‘s first priority?
a. Assess respiratory status.
b. Administer pain medication.
c. Remove clothing.
d. Insert a Foley catheter.
ANS: A
Airway assessment and establishing an airway are the initial priorities.
DIF: Cognitive Level: Application REF: p. 717 OBJ: 10 | 12
TOP: Burns KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
5. An adolescent girl with acne is being treated with an antibiotic in addition to topical applications.
What side effect does the nurse caution the girl to expect?
a. Lessened effectiveness of oral contraceptives
b. Urinary burning and frequency
c. Breast engorgement
d. Vaginitis
, ANS: D
Antibiotic therapy can cause a monilial vaginitis.
DIF: Cognitive Level: Comprehension REF: p. 709 OBJ: 5 | 7
TOP: Acne KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
6. The nurse observes a tarry stool from a 16-year-old burn victim who has been in the ICU for 2
weeks. Which complication does the nurse anticipate?
a. Diverticulitis
b. Stress diarrhea
c. Curling‘s ulcer
d. Perforated bowel
ANS: C
Curling‘s ulcer is a complication of burn victims resulting from the stress of their trauma.
DIF: Cognitive Level: Application REF: p. 718 OBJ: 13
TOP: Burns KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
7. A child is brought to the emergency department with severe frostbite. Which body parts should
be warmed first?
a. Hands and arms
b. Feet and legs
c. Fingers and toes
d. Head and torso
ANS: D
In extreme cases of exposure to freezing temperatures, the head and torso should be warmed
before the extremities.
DIF: Cognitive Level: Application REF: p. 722 OBJ: 14
TOP: Frostbite KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
