Safe and Effective Care Environment Nclex PN Questions

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Safe and Effective Care Environment Nclex PN Questions Questions

Extract:

Question 1 of 5

A child comes to the clinic with a skin rash. The maculopapular lesions are distributed around the mouth and have honey-colored drainage. The caregiver states that the rash is getting worse and seems to spread with the child's scratching. Which of the following advisory comments should be given?

A. The history and presentation might indicate chickenpox, a highly contagious disease. B. The lesions might indicate a noncontagious infection that does not require isolation. C. The history and presentation might indicate an infectious illness called impetigo. D. The lesions are not contagious unless others have open wounds or lesions themselves.

Correct Answer: C

Rationale: The scenario describes classic impetigo, which typically presents with maculopapular lesions around the mouth with honey-colored drainage, worsening with scratching. It is important to advise the caregiver that the history and presentation are indicative of impetigo, an infectious skin condition caused by bacteria. Treatment usually involves antibiotic therapy.
Choice A is incorrect because chickenpox typically presents with a vesicular rash following a history of high fever.
Choice B is incorrect as impetigo is contagious and requires precautions to prevent the spread of infection.
Choice D is incorrect as impetigo is contagious irrespective of open wounds or lesions in others.

Question 2 of 5

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Question 5 of 5

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