PEDS NCLEX Questions
A child falls on the playground and has a small laceration on the forearm. The school nurse should do
which of the following 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 nonstinging povidone-iodine solution.
d. Wash wound gently with mild soap and water for several minutes. ANS; D
Lacerations should be washed gently with mild soap and water or normal saline.
Which of the following is an 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. Carefully wash hands and maintain cleanliness when caring for an infected child.
d. Examine child under a Wood lamp for possible spread of lesions. ANS; ANS: C
A major nursing consideration related to bacterial skin infections, such as impetigo contagiosa, is to
prevent the spread of the infection and complications. This is done by thorough hand washing before
and after contact with the affected child.
Impetigo ordinarily results in which of the following?
a. No scarring
b. Pigmented spots
c. Slightly depressed scars
d. Atrophic white scars ANS; ANS: A
Impetigo tends to heal without scarring unless a secondary infection occurs.
Ringworm, frequently found in schoolchildren, is caused by which of the following?
,a. Virus
b. Fungus
c. Allergic reaction
d. Bacterial infection ANS; ANS: B
Ringworm is caused by a group of closely related filamentous fungi that invade primarily the stratum
corneum, hair, and nails. They are superficial infections that live on, not in, the skin.
Therapeutic management of the child with ringworm infection would include which of the following?
a. Administer oral griseofulvin.
b. Administer topical or oral antibiotics.
c. Apply topical sulfonamides.
d. Apply Burow solution compresses to affected area. ANS; ANS: A
Treatment with the antifungal agent griseofulvin is part of the treatment for the fungal disease,
ringworm. Oral griseofulvin therapy frequently continues for weeks or months.
John's mother tells the nurse that he keeps scratching the areas where he has poison ivy. The nurse's
response should be based on which of the following?
a. Poison ivy does not itch and needs further investigation.
b. Scratching the lesions will not cause a problem.
c. Scratching the lesions will cause the poison ivy to spread.
d. Scratching the lesions may cause them to become secondarily infected. ANS; ANS: D
Poison ivy is a contact dermatitis that results from exposure to the oil urushiol in the plant. Every effort
is made to prevent the child from scratching, since the lesions can become secondarily infected.
Which of the following is the primary clinical manifestation of scabies?
a. Edema
b. Redness
,c. Pruritus
d. Maceration ANS; ANS: C
Scabies is caused by the scabies mite. The inflammatory response and intense itching occur after the
host has become sensitized to the mite. This occurs approximately 30 to 60 days after initial contact.
Which of the following is usually the only symptom of pediculosis capitis (head lice)?
a. Itching
b. Vesicles
c. Scalp rash
d. Localized inflammatory response ANS; ANS: A
Itching is generally the only manifestation of pediculosis capitis (head lice). Diagnosis is made by
observation of the white eggs (nits) on the hair shaft
The nurse is talking to the parents of a child with pediculosis capitis. Which of the following should the
nurse include when explaining how to manage pediculosis capitis?
a. "You will need to cut the hair shorter if infestation and nits are severe."
b. "You can distinguish viable from nonviable nits, and remove all viable ones."
c. "You can wash all nits out of hair with a regular shampoo."
d. "You will need to remove nits with an extra-fine tooth comb or tweezers." ANS; ANS: D
Treatment consists of the application of pediculicide and manual removal of nit cases. An extra-fine
tooth comb facilitates manual removal.
The management of a child who has just been stung by a bee or wasp should include the application of
which of the following?
a. Cool compresses
b. Warm compresses
c. Antibiotic cream
, d. Corticosteroid cream ANS; ANS: A
Bee or wasp stings are initially treated by carefully removing stinger, cleansing with soap and water,
applying cool compresses, and using common household agents such as lemon juice or a paste made
with aspirin and baking soda.
The nurse should know that Lyme disease is which of the following?
a. Difficult to prevent
b. Easily treated with oral antibiotics in stages 1, 2, and 3
c. Caused by a spirochete that enters the skin through a tick bite
d. Common in geographic areas where the soil contains the mycotic spores that cause the disease ANS;
ANS: C
Lyme disease is caused by Borrelia burgdorferi, a spirochete spread by ticks. The early characteristic rash
is erythema migrans.
The nurse is examining 12-month-old Amy, who was brought to the clinic for persistent diaper rash. The
nurse finds perianal inflammation with satellite lesions that cross the inguinal folds. This is most likely
caused by which of the following?
a. Impetigo
b. Candida albicans
c. Urine and feces
d. Infrequent diapering ANS; ANS: B
C. albicans infection produces perianal inflammation and a maculopapular rash with satellite lesions that
may cross the inguinal folds.
The nurse is teaching a class on preventing diaper rash in newborns to a group of new parents. Which of
the following statements made by a parent indicates a correct understanding of the teaching?
a. "I should wash my infant's buttocks with soap and water every time I change the diaper."
b. "I will wash with a mild soap and water and dry thoroughly whenever my infant has a bowel
movement."
A child falls on the playground and has a small laceration on the forearm. The school nurse should do
which of the following 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 nonstinging povidone-iodine solution.
d. Wash wound gently with mild soap and water for several minutes. ANS; D
Lacerations should be washed gently with mild soap and water or normal saline.
Which of the following is an 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. Carefully wash hands and maintain cleanliness when caring for an infected child.
d. Examine child under a Wood lamp for possible spread of lesions. ANS; ANS: C
A major nursing consideration related to bacterial skin infections, such as impetigo contagiosa, is to
prevent the spread of the infection and complications. This is done by thorough hand washing before
and after contact with the affected child.
Impetigo ordinarily results in which of the following?
a. No scarring
b. Pigmented spots
c. Slightly depressed scars
d. Atrophic white scars ANS; ANS: A
Impetigo tends to heal without scarring unless a secondary infection occurs.
Ringworm, frequently found in schoolchildren, is caused by which of the following?
,a. Virus
b. Fungus
c. Allergic reaction
d. Bacterial infection ANS; ANS: B
Ringworm is caused by a group of closely related filamentous fungi that invade primarily the stratum
corneum, hair, and nails. They are superficial infections that live on, not in, the skin.
Therapeutic management of the child with ringworm infection would include which of the following?
a. Administer oral griseofulvin.
b. Administer topical or oral antibiotics.
c. Apply topical sulfonamides.
d. Apply Burow solution compresses to affected area. ANS; ANS: A
Treatment with the antifungal agent griseofulvin is part of the treatment for the fungal disease,
ringworm. Oral griseofulvin therapy frequently continues for weeks or months.
John's mother tells the nurse that he keeps scratching the areas where he has poison ivy. The nurse's
response should be based on which of the following?
a. Poison ivy does not itch and needs further investigation.
b. Scratching the lesions will not cause a problem.
c. Scratching the lesions will cause the poison ivy to spread.
d. Scratching the lesions may cause them to become secondarily infected. ANS; ANS: D
Poison ivy is a contact dermatitis that results from exposure to the oil urushiol in the plant. Every effort
is made to prevent the child from scratching, since the lesions can become secondarily infected.
Which of the following is the primary clinical manifestation of scabies?
a. Edema
b. Redness
,c. Pruritus
d. Maceration ANS; ANS: C
Scabies is caused by the scabies mite. The inflammatory response and intense itching occur after the
host has become sensitized to the mite. This occurs approximately 30 to 60 days after initial contact.
Which of the following is usually the only symptom of pediculosis capitis (head lice)?
a. Itching
b. Vesicles
c. Scalp rash
d. Localized inflammatory response ANS; ANS: A
Itching is generally the only manifestation of pediculosis capitis (head lice). Diagnosis is made by
observation of the white eggs (nits) on the hair shaft
The nurse is talking to the parents of a child with pediculosis capitis. Which of the following should the
nurse include when explaining how to manage pediculosis capitis?
a. "You will need to cut the hair shorter if infestation and nits are severe."
b. "You can distinguish viable from nonviable nits, and remove all viable ones."
c. "You can wash all nits out of hair with a regular shampoo."
d. "You will need to remove nits with an extra-fine tooth comb or tweezers." ANS; ANS: D
Treatment consists of the application of pediculicide and manual removal of nit cases. An extra-fine
tooth comb facilitates manual removal.
The management of a child who has just been stung by a bee or wasp should include the application of
which of the following?
a. Cool compresses
b. Warm compresses
c. Antibiotic cream
, d. Corticosteroid cream ANS; ANS: A
Bee or wasp stings are initially treated by carefully removing stinger, cleansing with soap and water,
applying cool compresses, and using common household agents such as lemon juice or a paste made
with aspirin and baking soda.
The nurse should know that Lyme disease is which of the following?
a. Difficult to prevent
b. Easily treated with oral antibiotics in stages 1, 2, and 3
c. Caused by a spirochete that enters the skin through a tick bite
d. Common in geographic areas where the soil contains the mycotic spores that cause the disease ANS;
ANS: C
Lyme disease is caused by Borrelia burgdorferi, a spirochete spread by ticks. The early characteristic rash
is erythema migrans.
The nurse is examining 12-month-old Amy, who was brought to the clinic for persistent diaper rash. The
nurse finds perianal inflammation with satellite lesions that cross the inguinal folds. This is most likely
caused by which of the following?
a. Impetigo
b. Candida albicans
c. Urine and feces
d. Infrequent diapering ANS; ANS: B
C. albicans infection produces perianal inflammation and a maculopapular rash with satellite lesions that
may cross the inguinal folds.
The nurse is teaching a class on preventing diaper rash in newborns to a group of new parents. Which of
the following statements made by a parent indicates a correct understanding of the teaching?
a. "I should wash my infant's buttocks with soap and water every time I change the diaper."
b. "I will wash with a mild soap and water and dry thoroughly whenever my infant has a bowel
movement."
