Questions:

1. A child presents with an itchy rash that worsens at night, particularly between the fingers and on the wrists. Which condition is most likely the cause?

   a) Eczema
   b) Scabies
   c) Impetigo
   d) Psoriasis

2. A 6-year-old child is diagnosed with impetigo. What is the most appropriate initial nursing intervention?

   a) Apply a topical steroid
   b) Administer oral antibiotics
   c) Isolate the child to prevent the spread of infection
   d) Apply cool compresses to the rash

3. Which symptom is characteristic of scabies in infants?

   a) Dry, flaky skin
   b) Blisters on the palms and soles
   c) Hair loss
   d) Swollen lymph nodes

4. What is a priority nursing action when treating a child with head lice (pediculosis capitis)?

   a) Isolate the child for 48 hours
   b) Apply permethrin cream once and monitor
   c) Cut the child’s hair to prevent lice spread
   d) Manually remove lice with a fine-tooth comb

5. A child with scabies is prescribed permethrin 5% cream. What is the correct application method?

   a) Apply to the entire body for 4 hours
   b) Apply to affected areas only for 12 hours
   c) Apply from neck to toes and leave for 8–14 hours
   d) Apply twice daily until symptoms improve

6. Which of the following conditions is characterized by honey-colored crusts over sores on the face?

   a) Scabies
   b) Pediculosis capitis
   c) Impetigo
   d) Eczema

7. A 3-year-old has nonbullous impetigo around the mouth. Which is the most likely causative organism?

   a) Streptococcus pneumoniae
   b) Staphylococcus aureus
   c) Pseudomonas aeruginosa
   d) Escherichia coli

8. A mother reports her child has been scratching a rash around the wrists and ankles, especially at night. Which is the best initial treatment for this condition?

   a) Oral antihistamines
   b) Permethrin cream
   c) Corticosteroid ointment
   d) Antibiotic therapy

9. A 7-year-old child diagnosed with head lice returns to school after treatment. What teaching should the nurse provide to the parents?

   a) Wash hair daily with permethrin
   b) Use lice shampoo once a week
   c) Do not share combs, hats, or bedding
   d) Reapply permethrin immediately if itching continues

10. Which diagnostic test would confirm scabies in a child with intense itching?

    a) Skin biopsy
    b) Allergy testing
    c) Skin scraping for mites
    d) Blood culture

11. A child presents with pruritic red sores with yellowish crusts around the nose and mouth. Which nursing diagnosis is most appropriate?

    a) Risk for infection
    b) Impaired skin integrity
    c) Fluid volume deficit
    d) Social isolation

12. A child has crusted scabies. What is the treatment of choice?

    a) Permethrin cream
    b) Ivermectin
    c) Lindane shampoo
    d) Hydrocortisone cream

13. What is the most likely complication for a child with untreated impetigo?

    a) Glomerulonephritis
    b) Rheumatic fever
    c) Permanent scarring
    d) Cellulitis

14. In teaching parents how to prevent the spread of scabies, which instruction is most important?

    a) Use medicated shampoos
    b) Wash all linens in cold water
    c) Treat all close contacts even if asymptomatic
    d) Apply calamine lotion to relieve itching

15. What is the recommended treatment for a child with bullous impetigo?

    a) Permethrin cream
    b) Topical antibiotics
    c) Oral antibiotics
    d) Antihistamines

16. Which skin condition is more commonly seen in children aged 3 to 11 years?

    a) Impetigo
    b) Pediculosis capitis
    c) Psoriasis
    d) Eczema

17. A school nurse is teaching parents about lice prevention. Which of the following should be included?

    a) Wash the hair with medicated shampoo weekly
    b) Avoid sharing hair brushes and accessories
    c) Use permethrin shampoo as a preventive measure
    d) Shave the child’s head to prevent lice infestation

18. The presence of linear burrows in the webs of fingers is most indicative of which condition?

    a) Impetigo
    b) Pediculosis capitis
    c) Scabies
    d) Tinea corporis

19. A child diagnosed with pediculosis is treated with permethrin 1%. What is an important follow-up step?

    a) Reapply permethrin in 7–10 days
    b) Apply lindane if permethrin fails
    c) Avoid combing out nits
    d) Use oral antibiotics if itching continues

20. A child with eczema has a secondary bacterial infection. Which organism is most commonly responsible?

    a) Staphylococcus aureus
    b) Streptococcus pyogenes
    c) Escherichia coli
    d) Pseudomonas aeruginosa

21. What symptom suggests that impetigo is becoming more severe and spreading?

    a) Localized redness
    b) Fluid-filled blisters
    c) Itching
    d) Fever

22. The main diagnostic tool for confirming pediculosis capitis is:

    a) Hair follicle biopsy
    b) Observation of live lice and nits
    c) Blood culture
    d) Patch testing

23. Which of the following describes the primary lesion seen in bullous impetigo?

    a) Pus-filled vesicles
    b) Honey-colored crusts
    c) Small fluid-filled blisters
    d) Itchy red papules

24. What is the key reason for washing all clothing and bedding in hot water when managing a case of lice? a) To remove lice eggs
    b) To kill lice and prevent reinfestation
    c) To soothe skin irritation
    d) To prevent secondary infection

25. A child with scabies presents with itching that worsens at night. Which area of the body is the most common site for burrows?

    a) Scalp
    b) Chest
    c) Fingers
    d) Feet

26. What is the typical incubation period for impetigo?

    a) 24-48 hours
    b) 1-3 days
    c) 3-7 days
    d) 7-10 days

27. A child presents with red sores that burst and leave a honey-colored crust. The nurse should suspect which condition?

    a) Eczema
    b) Impetigo
    c) Scabies
    d) Pediculosis

28. Which topical medication is most effective for scabies treatment in children over 6 years old?

    a) Permethrin
    b) Ivermectin
    c) Hydrocortisone
    d) Benzyl benzoate

29. What is the primary mode of transmission for impetigo?

    a) Airborne droplets
    b) Direct skin-to-skin contact
    c) Bloodborne transmission
    d) Contaminated food or water

30. For a child with an impetigo infection, the nurse should prioritize which nursing diagnosis?

    a) Altered body image
    b) Risk for dehydration
    c) Impaired skin integrity
    d) Activity intolerance

Answer Key:

1. b

2. c

3. b

4. d

5. c

6. c

7. b

8. b

9. c

10. c

11. b

12. b

13. a

14. c

15. c

16. b

17. b

18. c

19. a

20. a

21. d

22. b

23. c

24. b

25. c

26. b

27. b

28. a

29. b

30. c