Try Naxlex NCLEX-RN (Free-Trial)

A student at an elementary school health fair reports having itchy circles on the lower legs. Which skin assessment finding should the nurse prioritize for immediate intervention?

Patches of round lesions on both lower legs.

Red ring-shaped lesions with normal skin in the center.

Itchy, red, scaly patches with blisters that are draining.

Several irritated circular bald, flaky scalp patches.

Answer and Explanation

The Correct Answer is C

Answer and explanation

The correct answer is C.

Choice A rationale

Patches of round lesions on both lower legs could be a sign of a skin condition such as ringworm. However, this condition is typically not urgent and can be treated with over-the- counter antifungal creams.

Choice B rationale

Red ring-shaped lesions with normal skin in the center could be a sign of ringworm. While this condition should be treated, it is not typically considered urgent.

Choice C rationale

Itchy, red, scaly patches with blisters that are draining could be a sign of a serious skin infection such as cellulitis. This condition can spread quickly and become serious if not treated promptly, so it should be prioritized for immediate intervention.

Choice D rationale

Several irritated circular bald, flaky scalp patches could be a sign of a scalp condition such as tinea capitis. While this condition should be treated, it is not typically considered urgent.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Answer and explanation

The correct answer is Choice D.

Choice A rationale

Reviewing the child's medical records for a list of allergies or sensitivities is always a good practice during a routine check-up³?³?³?³?. However, in this case, the brownish thickening on the neck of the child may not necessarily be related to allergies or sensitivities. This symptom could be indicative of various conditions, which would require further medical evaluation.

Choice B rationale

Inspecting the child's torso and arms for other signs of physical injury is an important step if there is suspicion of physical abuse³?[^40^]?¹?². However, the symptom described by the nurse does not necessarily suggest physical trauma. Therefore, while a physical examination is part of a routine check-up, it may not directly address the child's reported symptom.

Choice C rationale

Permethrin is a medication used to treat scabies and lice¹³¹?. There is no indication in the scenario provided that the child has these conditions. Therefore, advising the parents to start treatment with permethrin would not be appropriate based on the information given.

Choice D rationale

Given the observation of a brownish thickening on the neck of the child, it would be appropriate to recommend the parents to seek further medical evaluation for the child²?²?²?. This symptom could be indicative of various conditions, which would require further investigation.

A. The infant received a scheduled immunization. B. The father fed the infant spoiled baby food. C. The mother is breastfeeding the infant. D. The infant was bitten by an infected mosquito.

Correct Answer is C

Explanation

Answer and explanation

The correct answer is Choice C.

Choice A rationale

While immunizations are important for preventing many diseases, they are not typically associated with vertical transmission. Vertical transmission refers to the transmission of a disease or condition from mother to child during the period immediately before and after birth.

Choice B rationale

Feeding an infant spoiled food can potentially lead to foodborne illnesses, but it is not associated with diseases that are vertically transmitted.

Choice C rationale

Breastfeeding is a common method of vertical transmission. Certain infections in the mother can be passed to the infant through breast milk. Therefore, if a 2-month-old infant contracts a disease that could be transmitted vertically, it would be important to investigate if the mother could be the source of the infection.

Choice D rationale

While mosquito bites can transmit certain diseases, such as malaria or Zika virus, this is not considered a form of vertical transmission. Vertical transmission specifically refers to the transmission of diseases from mother to child during the period immediately before and after birth.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A student at an elementary school health fair reports having itchy circles on the lower legs. Which skin assessment finding should the nurse prioritize for immediate intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While conducting a head lice screening for third-grade students, the school nurse notices a brownish thickening on the neck of one child.What should be the nurse’s response to this observation?

Correct Answer is D

Explanation

A 2-month-old infant contracts a disease through vertical transmission.Which situation should the nurse investigate further to ascertain how the infant might have been exposed to the disease?

Correct Answer is C

Explanation

A healthcare provider requested a community health nurse to make weekly visits to a 10-year-old patient for weight reduction, monitoring fingerstick blood glucose levels, and severe headaches.The nurse is reviewing the patient’s data. Which data warrants follow-up?

A patient is admitted to the emergency department with symptoms resembling the flu. What information should the nurse gather to rule out exposure to anthrax spores?

During a home visit, the nurse observes an elderly patient trying to walk to the bathroom. The patient appears unstable and clings to furniture while refusing any help.What action should the nurse take?

The school nurse is reviewing adolescent students’ incident reports.Which observation would best indicate that the objectives of Healthy People 2030 are being met?

Given the limited supply, the local health department is required to prioritize the distribution of influenza vaccines. Who should the public health nurse advise to return to the clinic when more vaccines are available?

The home health nurse assesses an older adult client and observes possible signs of abuse.Which resource should the nurse use to guide their decision regarding reporting these suspicions?