ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 16 Questions
Question 1 of 5
The management of a child who has just been stung by a bee or wasp should include applying what?
Correct Answer: A
Rationale: Cool compresses reduce swelling and pain from bee or wasp stings. Antibiotic cream is unnecessary unless infection occurs, warm compresses are not recommended, and corticosteroid cream is not part of initial treatment unless a severe reaction occurs.
Question 2 of 5
The nurse should know what about Lyme disease?
Correct Answer: C
Rationale: Lyme disease is caused by Borrelia burgdorferi, a spirochete transmitted through a tick bite, leading to symptoms like erythema migrans. Prevention involves avoiding tick-infested areas and wearing protective clothing. It is not caused by mycotic spores, and while treatable with antibiotics, later stages may require more complex treatment.
Question 3 of 5
A toddler has a deep laceration contaminated with dirt and sand. Before closing the wound, the nurse should irrigate with what solution?
Correct Answer: B
Rationale: Normal saline is the safest and most effective solution for irrigating open wounds as it cleans without causing tissue damage. Alcohol is too harsh, povidone-iodine is contraindicated for fresh wounds due to cytotoxicity, and hydrogen peroxide can cause subcutaneous gas formation under pressure.
Question 4 of 5
The middle school nurse is planning a behavior modification program for overweight children. What is the most important goal for participants of the program?
Correct Answer: C
Rationale: Identifying and eliminating inappropriate eating habits is the core of behavior modification, addressing root causes of obesity. Cooking skills are secondary, peer relationships are not the focus, and normal weight is a long-term goal.
Question 5 of 5
An occlusive dressing is applied to a large abrasion. This is advantageous because the dressing will accomplish what?
Correct Answer: C
Rationale: Occlusive dressings, such as Acuderm, maintain a moist environment that promotes healing by preventing dehydration of the wound bed and supporting cell migration. They do not deliver vitamin C, provide antiseptic properties, or promote friction, which could harm the wound.