INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 276
Chapter 30: The Child with a Skin Condition
MULTIPLE CHOICE
1. The nurse is careful to apply only the prescribed amount of ointment to the skin of a 2-month-old. How is
infant skin different from adult skin?
a. Less perfusion
b. Greater moisture
c. More perspiration
d. Greater absorption
ANS: D
The childs skin has a dramatically greater ability to absorb than does that of the adult.
DIF: Cognitive Level: Comprehension REF: Page 700
OBJ: 2 TOP: Skin Comparison
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
2. What risk is increased with children who have been diagnosed with infantile eczema?
a. Pneumonia
b. Acne
c. Sun sensitivity
d. Asthma
ANS: D
Some children with eczema also develop asthma and hay fevertype allergies.
DIF: Cognitive Level: Knowledge REF: Page 705
TOP: Infantile Eczema KEY: Nursing ProcessNURSINGTB.COM
Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
3. What is the appropriate technique for the application of a topical treatment for a child with eczema?
a. Apply skin lotions in a circular motion.
b. Apply prescribed ointments with a gloved hand.
c. Apply as much and as frequently as relieves the symptoms.
d. Choose lanolin-based ointments.
ANS: B
The prescribed amount of ointment is usually applied to the skin by a gloved hand in long, smooth strokes.
Lanolin-based preparations should be avoided because of a possible allergy to wool.
DIF: Cognitive Level: Knowledge REF: Page 706
TOP: Infantile Eczema KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
4. A 2-day-old infant is noted to have small pustules on her skin. What is the best nursing action?
a. Report it immediately because it may be a staphylococcus infection.
b. Keep the affected area dry and clean.
c. Teach the parents how to care for seborrheic dermatitis.
d. Chart the finding because it may be the beginning of a strawberry nevus.
ANS: A
A staphylococcal infection can spread readily from one infant to another. Small pustules on the newborn must
be reported immediately.
DIF: Cognitive Level: Application REF: Page 708
TOP: Staphylococcal Infection KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 277
5. The home health nurse discovers a family infected with pediculosis. What information can the nurse provide
to the mother to start eradication of the lice?
a. Cover the hair with Vaseline.
b. Apply a soda-vinegar solution to the hair.
c. Comb through the hair with a vinegar-water solution.
d. Shampoo the hair with dish detergent.
ANS: C
Combing a vinegar and water solution through the hair with a fine-tooth comb and then shampooing is an
initial step toward eradication.
DIF: Cognitive Level: Application REF: Page 710
TOP: Tinea Capitis KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
6. A group of football players is taking oral griseofulvin for tinea pedis. What should the school nurse caution
them to avoid?
a. Citrus fruit and juice
b. Eating shellfish
c. Alcohol consumption
d. Taking corticosteroids
ANS: C
Consumption of alcohol while taking griseofulvin will cause severe tachycardia.
DIF: Cognitive Level: Comprehension REF: Page 709
TOP: Tinea Pedis KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
7. What should the nurse suggest before a 17-year-old girl starts a protocol of isotretinoin (Accutane) for her
NURSINGTB.COM
acne?
a. Get a prescription for oral contraceptives.
b. Increase the dose of the present medication.
c. Limit intake of chocolate, cola, and peanuts.
d. Increase exposure to sunlight.
ANS: A
Oral contraceptives are often prescribed for adolescents with acne. Accutane can cause birth defects, so
pregnancy should be prevented.
DIF: Cognitive Level: Application REF: Page 704
TOP: Acne Vulgaris KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
8. A child had a burn, evidenced by pink skin and blistering. The child complains of pain and is crying. How
does the nurse classify this burn when documenting?
a. First-degree
b. Second-degree superficial
c. Second-degree deep dermal
d. Third-degree
ANS: B
A second-degree superficial burn appears blistered, moist, and pink or red. The pain associated with this burn
indicates tissue viability.
DIF: Cognitive Level: Analysis REF: Page 712
OBJ: 9 TOP: Burns KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
NURSINGTB.COM
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 276
Chapter 30: The Child with a Skin Condition
MULTIPLE CHOICE
1. The nurse is careful to apply only the prescribed amount of ointment to the skin of a 2-month-old. How is
infant skin different from adult skin?
a. Less perfusion
b. Greater moisture
c. More perspiration
d. Greater absorption
ANS: D
The childs skin has a dramatically greater ability to absorb than does that of the adult.
DIF: Cognitive Level: Comprehension REF: Page 700
OBJ: 2 TOP: Skin Comparison
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
2. What risk is increased with children who have been diagnosed with infantile eczema?
a. Pneumonia
b. Acne
c. Sun sensitivity
d. Asthma
ANS: D
Some children with eczema also develop asthma and hay fevertype allergies.
DIF: Cognitive Level: Knowledge REF: Page 705
TOP: Infantile Eczema KEY: Nursing ProcessNURSINGTB.COM
Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
3. What is the appropriate technique for the application of a topical treatment for a child with eczema?
a. Apply skin lotions in a circular motion.
b. Apply prescribed ointments with a gloved hand.
c. Apply as much and as frequently as relieves the symptoms.
d. Choose lanolin-based ointments.
ANS: B
The prescribed amount of ointment is usually applied to the skin by a gloved hand in long, smooth strokes.
Lanolin-based preparations should be avoided because of a possible allergy to wool.
DIF: Cognitive Level: Knowledge REF: Page 706
TOP: Infantile Eczema KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
4. A 2-day-old infant is noted to have small pustules on her skin. What is the best nursing action?
a. Report it immediately because it may be a staphylococcus infection.
b. Keep the affected area dry and clean.
c. Teach the parents how to care for seborrheic dermatitis.
d. Chart the finding because it may be the beginning of a strawberry nevus.
ANS: A
A staphylococcal infection can spread readily from one infant to another. Small pustules on the newborn must
be reported immediately.
DIF: Cognitive Level: Application REF: Page 708
TOP: Staphylococcal Infection KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 277
5. The home health nurse discovers a family infected with pediculosis. What information can the nurse provide
to the mother to start eradication of the lice?
a. Cover the hair with Vaseline.
b. Apply a soda-vinegar solution to the hair.
c. Comb through the hair with a vinegar-water solution.
d. Shampoo the hair with dish detergent.
ANS: C
Combing a vinegar and water solution through the hair with a fine-tooth comb and then shampooing is an
initial step toward eradication.
DIF: Cognitive Level: Application REF: Page 710
TOP: Tinea Capitis KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
6. A group of football players is taking oral griseofulvin for tinea pedis. What should the school nurse caution
them to avoid?
a. Citrus fruit and juice
b. Eating shellfish
c. Alcohol consumption
d. Taking corticosteroids
ANS: C
Consumption of alcohol while taking griseofulvin will cause severe tachycardia.
DIF: Cognitive Level: Comprehension REF: Page 709
TOP: Tinea Pedis KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
7. What should the nurse suggest before a 17-year-old girl starts a protocol of isotretinoin (Accutane) for her
NURSINGTB.COM
acne?
a. Get a prescription for oral contraceptives.
b. Increase the dose of the present medication.
c. Limit intake of chocolate, cola, and peanuts.
d. Increase exposure to sunlight.
ANS: A
Oral contraceptives are often prescribed for adolescents with acne. Accutane can cause birth defects, so
pregnancy should be prevented.
DIF: Cognitive Level: Application REF: Page 704
TOP: Acne Vulgaris KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
8. A child had a burn, evidenced by pink skin and blistering. The child complains of pain and is crying. How
does the nurse classify this burn when documenting?
a. First-degree
b. Second-degree superficial
c. Second-degree deep dermal
d. Third-degree
ANS: B
A second-degree superficial burn appears blistered, moist, and pink or red. The pain associated with this burn
indicates tissue viability.
DIF: Cognitive Level: Analysis REF: Page 712
OBJ: 9 TOP: Burns KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
NURSINGTB.COM
