PEDIATRICS FINAL EXAM LATEST 2023-2024 ACTUAL

PEDIATRICS FINAL EXAM LATEST 2023-2024 ACTUAL

EXAM 300 QUESTIONS AND CORRECT DE TAILED ANSWERS

(VERIFIED ANSWERS ) |ALREADY GRADED A+ ||

FREQUENTLY TESTED QUESTIONS||BRAND NEW!!

A nurse in the pediatric clinic is advising the mother of a toddler who has pinworm infestation. What should the nurse teach the mother about caring for her child during and after treatment? Select all that apply.

• How to identify pinworm eggs.
• Strategies to avoid reinfestation.
• Need for medication for the entire family.
• Importance of handwashing before eating.
• Reason for obtaining stool specimen from the child. - ANSWER- b. Strategies to

avoid reinfestation.

• Need for medication for the entire family.
• Importance of handwashing before eating.

- Rationale: Reinfestation is common because pinworms easily spread to family

members who are in close contact with the child. All family members must take the medication to help prevent reinfestation. Toddlers touch dirt and then put their hands in their mouths. Handwashing for all the family members before eating can help prevent reinfestation.

A mother of a 30-month-old toddler who was treated for pinworm infestation is taught how to prevent a reoccurrence. Which statement by the mother indicates that the teaching is effective? Select all that apply.

• I will keep the cat off my child's bed.
• I will disinfect my child's room every 2 days.
• The family's sheets will be washed every day. 1 / 4

• The school nurse must be told to have the toilets cleaned.
• I will remind family members to take the medication again in 2 weeks. -

ANSWER- c. The family's sheets will be washed every day.

• I will remind family members to take the medication again in 2 weeks.

• Rationale: Washing clothing and bed linens daily will help limit transmission.

Medications are effective, but must be repeated in 2 weeks to prevent reinfestations. Cats do not transmit pinworms. Disinfecting surfaces does not help prevent transmission. Toilets are not the usual mode of transmission; the rectal-oral cycle must be completed for an infestation to occur.

Which statement by a 14-year-old girl receiving isotretinoin (Accutane) indicates that more teaching is needed?

• If I were to become pregnant, the medication could have severe effects on my

baby.

• Use of this medication is reserved for people with severe inflammatory acne

who have not responded to standard therapies.

• I will need to have my blood checked to monitor for side effects of this

medication.

• If this medication does not work within two weeks, I will not be able to ever

receive it again. - ANSWER- d. If this medication does not work within two weeks, I will not be able to ever receive it again.

Which medication used in the management of acne vulgaris has a side effect of elevated triglyceride levels?

• Isotretinoin (Accutane).
• Tretinoin (Retina-A).
• Erythromycin.
• Topical benzoyl peroxide. - ANSWER- a. Isotretinoin (Accutane). 2 / 4

Which of the following statements about acne is true?

• It is caused by dirt left on the face.
• Keeping hair clean and off the forehead tends to lessen the severity of the

lesions.

• Foods high in caffeine have been demonstrated to increase the occurrence of

acne.

• Aggressive washing of the face has been shown to be the best treatment for

acne. - ANSWER- b. Keeping hair clean and off the forehead tends to lessen the severity of the lesions.

An adolescent with a depressive disorder is more likely than an adult with the same

disorder to exhibit:

• Negativism and acting.
• Sadness and crying.
• Suicidal thoughts.
• Weight gain. - ANSWER- a. Negativism and acting.

A nurse has given home care instructions to the parent of a child with head lice.Which of the following statements indicates that the instructions are correctly understood?

• All family members must be treated.
• I must discard all of my child's personal linens.
• I must wash my child's hair with an antibacterial shampoo.
• I must keep my child at home for at least one week after treatment. - ANSWER-
• All family members must be treated.
• / 4

• Rationale: Pediculosis capitis is head lice. They are spread by direct contact and

can live up to 3 days between hosts.

Which of the following actions should be included in the teaching plan for the parents of a preschool-aged child with pediculosis capitis?

• Apply calamine lotion or Burow's solution.
• Comb the child's hair each week.
• Wash all of the family's clothing and linens.
• Administer topical anti-itch medication twice a day. - ANSWER- c. Wash all of

the family's clothing and linens.

While in a skilled nursing facility, a male client contracted scabies, which is diagnosed the day after discharge. The client is living at her daughter's home, where six other persons are living. During their visit to the clinic, she asks a staff nurse, "What should my family do?" The most accurate response from the nurse is:

• All family members will need to be treated.
• If someone develops symptoms, tell him to see a physician right away.
• Just be careful not to share linens and towels with family members.
• After you're treated, family members won't be at risk for contracting scabies. -

ANSWER- a. All family members will need to be treated.

The nurse counsels the parent of an infant diagnosed with nonorganic failure to thrive. The nurse notes that the mother appears depressed and is expressing feelings of inadequacy and resentment toward her infant. Which approach by the nurse is MOST appropriate?

• Structure environment so that the mom feels accepted.
• Refer her to a family therapist.
• Tell her she is an unfit mother.
• / 4