NUR 307 FINAL SPRING
PRACTICE QUESTIONS.
Final Exam Practice Questions
1. A nurse is providing teaching to an adolescent about how to manage tinea pedis. Which of the
following statements made by the adolescent indicates an understanding of the teaching?
a. “I should buy some plastic shoes to wear at the swimming pool”
b. “I should wear sandals as much as possible”
c. “I should place the permethrin cream between my toes twice daily”
d. “I should seal my non-washable shoes in a plastic bag for a couple of weeks”
*B
2. The nurse is caring for a child who has received significant partial-thickness burns to the lower body.
What is the priority assessment in the first 24 hours after injury?
a. fluid balance
b. wound infection
c. respiratory arrest
d. separation anxiety
*A – fluid balance b/c it’s within the first 24 hours (not immediately, and it’s within the 1st few days of
care)
3. The nurse is caring for an infant on the pediatric unit who has a very red rash in the diaper area,
with red lesions scattered on the abdomen and thighs. What is the priority nursing
intervention?
a. administer griseofulvin with a fatty meal
b. institute contact isolation precautions
c. apply topical antibiotic cream
d. apply topical antifungal cream
D*- diaper candidiasis because “fiery” red with satellite lesions.
4. A varsity high-school wrestler presents with a “rug burn” type of rash on his shoulder that is not
healing as expected, despite use of triple antibiotic cream. Two other wrestlers on his team have a
similar abrasion. What infection should the nurse be most concerned about, based on the history?
a. Tinea cruris
b. MRSA
c. Impetigo
d. Tinea versicolor
*B – it’s not responding to antibiotics
, 5. 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?
a. “It is extremely contagious.”
b. “It is most common in humid weather.”
c. “Lesions most often are located on the arms and chest.”
d. “It might show up in an area of broken skin, such as an insect bite.”
C* - Impetigo is a contagious bacterial infection of the skin caused by β-hemolytic streptococci or staphylococci, or both.
Impetigo is most common during hot, humid summer months. Impetigo may begin in an area of broken skin, such as an insect
bite or atopic dermatitis. Impetigo is extremely contagious. Lesions usually are located around the mouth and nose,but may be
present on the hands and extremities.
6. The nurse who is 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. Scarring is less severe in a child than in an adult.
b. A delay in growth may occur after a burn injury.
c. An immature immune system presents an increased risk of infection for infants and
young children.
d. The lower proportion of body fluid to mass in a child increases the risk of cardiovascular
problems.
e. Fluid resuscitation is unnecessary unless the burned area is more than 25% of the total
body surface area.
f. 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.
B, C, F*- Pediatric considerations in the care of a burn victim include the following: Scarring is more severe in a child than in
an adult. 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. The higher proportion of body fluid to mass in a child increases the risk of cardiovascular
problems. Burns involving more than 10% of total body surface area require some form of fluid resuscitation. Infants and
young children are at increased risk for protein and calorie deficiencies because they have smaller muscle mass and less body
fat than adults.
7. The nurse is teaching about skin care for atopic dermatitis. Which statement by the parent
indicates that further teaching may be necessary?
a. "I will use Vaseline or Crisco to moisturize my child's skin."
b. "A hot bath will soothe my child's itching when it is severe."
c. "I will buy cotton rather than wool or synthetic clothing for my child."
d. "I will apply a small amount of the prescribed cream after the bath."
B*- the hotter the water, the more itching you have. LUKEWARM and COLLOID are good for itching/irritation.
8. The nurse is working in the PICU caring for an infant who has just returned from
having a ventriculoperitoneal shunt placed. Which position initially will be
most beneficial for this child?
PRACTICE QUESTIONS.
Final Exam Practice Questions
1. A nurse is providing teaching to an adolescent about how to manage tinea pedis. Which of the
following statements made by the adolescent indicates an understanding of the teaching?
a. “I should buy some plastic shoes to wear at the swimming pool”
b. “I should wear sandals as much as possible”
c. “I should place the permethrin cream between my toes twice daily”
d. “I should seal my non-washable shoes in a plastic bag for a couple of weeks”
*B
2. The nurse is caring for a child who has received significant partial-thickness burns to the lower body.
What is the priority assessment in the first 24 hours after injury?
a. fluid balance
b. wound infection
c. respiratory arrest
d. separation anxiety
*A – fluid balance b/c it’s within the first 24 hours (not immediately, and it’s within the 1st few days of
care)
3. The nurse is caring for an infant on the pediatric unit who has a very red rash in the diaper area,
with red lesions scattered on the abdomen and thighs. What is the priority nursing
intervention?
a. administer griseofulvin with a fatty meal
b. institute contact isolation precautions
c. apply topical antibiotic cream
d. apply topical antifungal cream
D*- diaper candidiasis because “fiery” red with satellite lesions.
4. A varsity high-school wrestler presents with a “rug burn” type of rash on his shoulder that is not
healing as expected, despite use of triple antibiotic cream. Two other wrestlers on his team have a
similar abrasion. What infection should the nurse be most concerned about, based on the history?
a. Tinea cruris
b. MRSA
c. Impetigo
d. Tinea versicolor
*B – it’s not responding to antibiotics
, 5. 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?
a. “It is extremely contagious.”
b. “It is most common in humid weather.”
c. “Lesions most often are located on the arms and chest.”
d. “It might show up in an area of broken skin, such as an insect bite.”
C* - Impetigo is a contagious bacterial infection of the skin caused by β-hemolytic streptococci or staphylococci, or both.
Impetigo is most common during hot, humid summer months. Impetigo may begin in an area of broken skin, such as an insect
bite or atopic dermatitis. Impetigo is extremely contagious. Lesions usually are located around the mouth and nose,but may be
present on the hands and extremities.
6. The nurse who is 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. Scarring is less severe in a child than in an adult.
b. A delay in growth may occur after a burn injury.
c. An immature immune system presents an increased risk of infection for infants and
young children.
d. The lower proportion of body fluid to mass in a child increases the risk of cardiovascular
problems.
e. Fluid resuscitation is unnecessary unless the burned area is more than 25% of the total
body surface area.
f. 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.
B, C, F*- Pediatric considerations in the care of a burn victim include the following: Scarring is more severe in a child than in
an adult. 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. The higher proportion of body fluid to mass in a child increases the risk of cardiovascular
problems. Burns involving more than 10% of total body surface area require some form of fluid resuscitation. Infants and
young children are at increased risk for protein and calorie deficiencies because they have smaller muscle mass and less body
fat than adults.
7. The nurse is teaching about skin care for atopic dermatitis. Which statement by the parent
indicates that further teaching may be necessary?
a. "I will use Vaseline or Crisco to moisturize my child's skin."
b. "A hot bath will soothe my child's itching when it is severe."
c. "I will buy cotton rather than wool or synthetic clothing for my child."
d. "I will apply a small amount of the prescribed cream after the bath."
B*- the hotter the water, the more itching you have. LUKEWARM and COLLOID are good for itching/irritation.
8. The nurse is working in the PICU caring for an infant who has just returned from
having a ventriculoperitoneal shunt placed. Which position initially will be
most beneficial for this child?
