PEDS EXAM - CANCER, WONG PEDS CH 30
MINTEGUMENTARY, WONG CH 28 THE CHILD WITH
ENDOCRINE DYSFUNCTION, WONGS QUESTIONS
NEWEST 2026 EXAM LATEST VERSION SOLVED
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Peds Final Exam - Cancer, Wong Peds Ch 30: Integumentary, Wong Ch 28: The
Child with Endocrine Dysfunction, Wongs - Chapter 24: The Child with Renal
Dysfunction
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.
A child steps on a nail and sustains a puncture wound of the foot. Which of the
following is the most appropriate method for cleansing this wound?
a. Wash wound thoroughly with chlorhexidine.
b. Wash wound thoroughly with povidone-iodine.
c. Soak foot in warm water and soap.
d. Soak foot in solution of 50% hydrogen peroxide and 50% water.
ANS: C
Puncture wounds should be cleansed by soaking the foot in warm water and soap.
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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: 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: A
Impetigo tends to heal without scarring unless a secondary infection occurs.
Cellulitis is often caused by:
a. herpes zoster.
b. Candida albicans.
c. human papillomavirus.
d. Streptococcus or Staphylococcus organisms.
ANS: D
Streptococci, staphylococci, and Haemophilus influenzae are the organisms usually
responsible for cellulitis.
Warts are caused by which of the following?
a. Bacteria
b. Fungus
c. Parasite
d. Virus
ANS: D
Human warts are caused by the human papillomavirus.
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11. The primary treatment for warts is which of the following?
a. Vaccination
b. Local destruction
c. Corticosteroids
d. Specific antibiotic therapy
ANS: B
Local destructive therapy individualized according to location, type, and number—
including surgical removal, electrocautery, curettage, cryotherapy, caustic solutions,
x-ray treatment, and laser therapies—is used.
Treatment for herpes simplex virus (types 1 or 2) includes which of the
following?
a. Corticosteroids
b. Oral griseofulvin
c. Oral antiviral agent
d. Topical and/or systemic antibiotic
ANS: C
Oral antiviral agents are effective for viral infections such as herpes simplex.
Ringworm, frequently found in schoolchildren, is caused by which of the
following?
a. Virus
b. Fungus
c. Allergic reaction
d. Bacterial infection
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: A
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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.
Matt'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: 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: 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
a. Itching
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