Pediatric Dermatology Exam Questions and Answers, Exams of Nursing

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NUR 3548 peds EXAM QUESTIONS AND ANSWERS 2023

 A 16-year-old female patient was prescribed Isotretinoin (Accutane ) for severe pustulocystic acne. Which of the following is contraindicated? a. Allergy to dairy products b. Sun exposure c. Pregnancy d. Caffeine  When providing patient teaching to a 17 year old male with acne , the nurse should include which of the following: (SELECT ALL THAT APPLY) a. Routine skin cleansing with a gentle soap-free cleanser b. Squeezing pimples c. Excessive cleansing of the skin d. Avoid emotional stress e. Avoid peanuts  Acne is most commonly seen on the: a. Chin, cheeks, feet b. Chest, armpits, neck c. Cheeks, forehead, upper back d. Forehead, buttocks, chest  Which of the following is not a cause of acne vulgaris?

a. Stress b. Medications c. Diet d. Vitamin A  A mother is getting ready to take her son home who was diagnosed with having herpes simplex type 1. Which statement by the mother would the nurse feel indicates that f urther teaching is needed. A. “ I will make sure my son doesn’t drink out of my cup when he has a outbreak on his lip” B. “ After this outbreak clears up my son will never have another one again.” C. “ I will apply ointment as prescribed.” D. “ I will make sure my son and myself washes our hands often.”  You are assessing a child who has herpes simplex type one. Which picture shows what you would expect to see? a. c.

 The nurse is at bedside providing education on head lice to a small child and her family. The parents are concerned and ask how its best to avoid re-infestation. The appropriate response from the nurse is, A. “Avoid taking a shower at least 3-4 days so the current treatment regimen is effective.” B. “Let the child play with her friends during recess at school so the suns gamma rays penetrate into the scalp.” C. “There’s no need to worry it’s like chicken pox. Have it once and never worry about it again.” D. “Before discharge ensure all your daughter’s clothing, bedsheets, stuffed animals, and anything else that she recently came into contact with is washed.  The nurse is providing discharge teaching to a mother of a preschool aged child who was recently treated for pediculosis capitus. The nurse knows teaching has been effective when the mother states, a. “If my child displays symptoms again I will use lindane (Kwell) as treatment.” b. “My husband nor myself need to worry about ourselves being infected.” c. “It’s best to check the crown of the head for signs of re- infestation.” d. “My child may need retreatment in 1 week to 10 days.”  The nurse is providing routine care of a female child with head lice when a family member asks, “how did my child get this?” The appropriate response from the nurse is: ( select all that apply ) a. “It’s possible she picked it up from sharing combs, hats, or hair brushes with another child who had it.” b. “Have you traveled to Sweet Home, TX lately? I mean honestly, have you?”

c. “It’s most commonly seen in school age and preschool aged children who are in close proximity to each other.” d. “Do you have other children? If someone else in the household recently had this the eggs could have transferred from clothing or other articles.” e. It’s very common for children to contract this after going to a community pool  A Strawberry Nevus consists of dilated capillaries in the dermal space. This is known as a(n)? a. Rash b. Freckle c. Hemangioma d. Hemangiodoma  A child undergoes laser surgery for a Strawberry Nevus. The nurse must teach the parent and child to avoid what, until notified otherwise? (Select All That Apply) a. Salicylates b. Vitamin A c. Milk d. Sun exposure e. Playing

c. d.  Which treatments could you use for seborrheic dermatitis? (select all that apply) a. Shampooing hair on regular basis a. Applying baby oil to the head c. Hard brush to remove crust d. Soft brush to remove loose particles e. Using a dandruff controlled shampoo containing selenium  When assessing the child with Seborrheic Dermatitis which symptom would you expect to find? a. Erythematous papules on back of neck b. Red blisters on the buttocks c. Erythema in folds of skin d. Yellow scaly patches on scalp  This 8 year old has been using the prescribed medication for scabies with no changes. What will be the next order from the physician? a. Whirlpool Dip

b. Manual removal of the mites c. Oral anti parasitic d. Topical anti itch cream extra strength  Scabies can appear anywhere on the body but where is it seldom seen? a. Face b. Head c. Hands d. Feet  A nurse finds scabies while assessing a patient what is her first intervention to prevent other patients from getting scabies? a. Place the patient on droplet precautions b. Run and go notify your colleague c. Isolate the patient all the linens and patient belongings d. Rub anti itch cream on the patient  A child diagnosed with tinea cruris is preparing to be discharged, what teaching should the nurse include in the discharge instructions? a. Allow to go to school but do not exchange hats with other children b. Stay away from stray animals c. Keep feet free of heat and moisture d. Stress the importance of general hygiene

c. Respiratory acidosis d. Respiratory alkalosis  What is an indication of overhydration of a 1 month old infant who is receiving IV fluids? a. Heart rate of 100 b. Lethargy c. Bulging fontanel d. Increased urine output  Complete the following analogy. Vitamin D is to Rickets as is to Scurvy. a. Vitamin C b. Iron c. Vitamin K d. Vitamin B  Thrush is caused primarily by improperly sanitized baby bottles. A. True B. False

 A 3 week old infant has been brought in to the emergency department with projectile vomiting of undigested formula immediately after feeding and is showing signs of hunger immediately following vomiting. Upon questioning, the mother states “He has had no problems until the last couple of days.” What condition does the nurse suspect the infant will be diagnosed with and treated for? a. Celiac disease b. Pyloric stenosis c. Intussusception d. Meckel’s diverticulum  A mother has taken her child to her primary care provider. The provider has stated that her child has a GI disorder. What are some manifestations of a GI disorder? Select all that apply. a. Pain b. Vomiting c. Diarrhea d. Constipation e. Good appetite  What are appropriate nursing interventions to manage GERD in an infant? Select all that apply a. Thicken formula with cereal b. Lay infant supine after feeding c. Position infant 20-30 degrees upright after feeding

 A 14 year old has been admitted with RLQ pain at McBurneys’s point, guarding and rebound tenderness upon palpation. What would the nurse suspect this adolescent is suffering from? a. Appendicitis b. Gallstones c. Perforated bowel d. Pinworms  A newborn with a suspected tracheoesophageal fistula (TEF) is about to have his first feeding. What are some important factors that the nurse should take into consideration? Select all that apply. a. Assess the first feeding b. Teach mother to feed baby when they cry. c. Bottle feed sterile water. d. Breast feed colostrum. e. Thin liquids are contraindicated.  Mother brought her baby to the E.R with signs of irritability, weight loss, vomiting and diarrhea. When a growth assessment is performed, the child ranks in the 3rd percentile category. This most likely indicates that the child is: a. Normal growth b. Obese c. Failure to thrive

d. Short  A 7 year old girl is admitted to the Pediatric unit with Acute Gastroenteritis (AGE). What is the priority nursing problem the nurse needs to focus on? a. Decreased heart rate b. Fluid and electrolyte imbalance c. Self image d. Ineffective airway clearance  What is the procedure in which a tube is passed through the flank area into the pelvis of the kidney to allow urine to be drained? a. Vesicostomy b. Ureteroscopy c. Nephrostomy d. Suprapubic catheter

d. “ He has a build up of fluid around his testicles that may resolve on its own”  A nurse is performing a post op assessment on an infant patient recovering from hypospadias correction surgery. Which finding is a cause for alarm? a. Increased urinary output b. Purulent, foul smelling urine c. Skin turgor non-tenting d. Bladder non-distended  The nurse is reviewing orders on an neonatal patient with epispadias. Which order does the nurse recognize as contraindicated? a. Prep for circumcision b. Obtain urine specimen c. Weigh patient daily d. Assess for jaundice  Which of the following interventions could you teach a parent that has a child diagnosed with enuresis? (Select all that apply) a. Avoid caffeinated or carbonated drinks after 5pm b. Avoid constipation by increasing fiber in diet c. Restrict fluids after 1pm d. Avoid punishing, teasing, or scolding the child e. Encourage child to avoid holding urine during the day

 A 4 year-old boy has been admitted to the hospital for a fever of 103F, persistent vomiting, and chills. His mother also reports he has been complaining of pain in his back and on his left side. Which of these does the nurse expect to possibly be the cause? a. Ureteritis b. Cystitis c. Urethritis d. Pyelonephritis  The doctor was explaining to the mother of an infant what phimosis was. The mother however did not understand all these big words coming out of the Doctor’s mouth so she asked the nurse about it. What did the nurse tell the mother phimosis was? a. The hole from which urine comes out is on the shaft of the baby’s penis. b. A downward curvature of the penis. c. A narrowing of the foreskin of penis. d. The anus is not open  The nurse is caring for a child diagnosed with acute glomerulonephritis. Symptoms that are characteristic of acute glomerulonephritis include (select all that apply) a. Periorbital edema b. Pallor c. Ascites d. Smoky brown or bloody urine

 The physician ordered Robitussin 50mg/kg/day in 3 divided doses for a child weighing 48lbs. The pharmacy has stocked Robitussin 250mg/5mL. How many mL will you administer per dose? (Round to the nearest tenth) mL= 5mL x 50mg x 1kg x 48lb x 1day = 2400 = 1.45 = 1.5 mL/dose 250mg kg/day 2.2lb 1 3 doses 1650