A school nurse is assessing a school-age child and notices white flakes that don't brush off the hair and a rash on the back of the child's neck. The nurse should suspect which of the following disorders?

Pediculosis capitis

Impetigo contagiosa

Folliculitis

Tinea capitis

Answer and Explanation

The Correct Answer is D

A.   Pediculosis capitis, commonly known as head lice, is characterized by the presence of live lice and nits (lice eggs) attached to the hair shaft close to the scalp. They do not typically cause a rash on the back of the neck.
B.   Impetigo is a bacterial skin infection characterized by red sores or blisters that rupture and form honey-colored crusts. It commonly affects areas of the body with broken skin, such as the face, hands, and arms.
C.   Folliculitis is inflammation or infection of the hair follicles caused by bacteria or fungi. It can result in red, swollen, and pus-filled bumps around hair follicles.
D.   Tinea capitis is a fungal infection of the scalp and hair follicles. It is characterized by the presence of white or grayish flakes that adhere to the hair shafts and cannot be easily brushed off, along with a rash or scaly patch on the scalp. The rash may extend to the back of the neck.

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Correct Answer is C

Explanation

A. This statement does not directly relate to meeting the nutritional needs of an infant with heart failure. Also, setting a specific time limit on crying before feeding may not always be practical or effective.
B. Infants with heart failure may have increased energy needs due to the increased work of the heart. Feeding on demand or more frequently may be necessary to meet the infant's nutritional requirements.
C. In heart failure, infants may tire easily during feeding due to fatigue from poor cardiac function. Allowing the baby to feed at their own pace can help prevent exhaustion and ensure adequate intake.
D. Polycose is a carbohydrate supplement that may be used to increase the caloric density of formula or breast milk for infants with heart failure who require additional calories. Adding Polycose to every bottle may not be appropriate.

A. Insert the needle at a 15° angle. B. Insert the needle just below the acromion process. C. Use a 20-gauge needle. D. Use a 1.8 mm (0.5 in) needle.

Correct Answer is D

Explanation

A. 15 angle is for intradermal injection not for intramuscular
B. The needle should be inserted into the middle third of the deltoid muscle, which is typically 2 to 3 finger widths below the acromion process.
C. A smaller gauge needle, such as 22 or 23, is often used for pediatric vaccinations to minimize discomfort. This should, however, be adjusted accordingly based on individual characteristics
D. Ashorter needle length, such as 1.8 mm (0.5 in), is typically appropriate for pediatric deltoid injections to avoid deep penetration

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A school nurse is assessing a school-age child and notices white flakes that don't brush off the hair and a rash on the back of the child's neck. The nurse should suspect which of the following disorders?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a parent of an infant who has heart failure about meeting the infant's nutritional needs. Which of the following statements by the parent indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is preparing to administer a vaccine into the deltoid muscle of a preschooler. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is preparing to administer amoxicillin 100 mg PO every 8 hr to a toddler who weighs 20 kg. The recommended dosage range is 20 to 25 mg/kg/day. Which of the following actions by the nurse is appropriate?

A nurse is preparing to measure an infant's vital signs. The nurse should use which of the following sites to assess a heart rate?

A school nurse is assessing a child for pediculosis capitis. Which of the following manifestations should the nurse recognize as an indication of this condition?

A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. Which of the following interventions should the nurse include in the plan of care?

A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. Which of the following statements by the parent indicates a need for further teaching?

A nurse is preparing to administer amoxicillin 500 mg PO every 12 hr. The amount available is amoxicillin 250 mg/5 mL suspension. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is assessing a toddler who has acute nephrotic syndrome. Which of the following findings should the nurse report to the provider?

The admitting nurse understands that which of the following information collect during the assessment of a child recently diagnosed with glomerulonephritis is most often associated with the diagnosis?