Question 1

The nurse caring for a child in Bryant's traction knows that the risk of serious complications will be reduced by ensuring that:

Accepted Answer

A)  neurovascular checks are done frequently. 
B)  bandages are wrapped tightly. 
C)  the child is restrained from rolling over. 
D)  the child's buttocks are resting on the bed. 
A)  neurovascular checks are done frequently. 
B)  bandages are wrapped tightly. 
C)  the child is restrained from rolling over. 
D)  the child's buttocks are resting on the bed. A

Question 2

The nurse recognizes the signs of ____________________ syndrome in a child in "90-90" traction when the toes are pale and edematous and have a very slow capillary refill.

Accepted Answer

compartment
When a limb is in traction or has been cast,the caregiver must check for adequate perfusion of the limb.Compartment syndrome occurs when the attendant edema from the injury or the traction compromises the circulation.This is an emergency and must be corrected before permanent damage can occur.

Question 3

The observation that may cause the nurse to consider the possibility of child abuse when a mother says that her young child fell down the basement stairs is:

Accepted Answer

A)  red, green, and yellow bruises on his body. 
B)  bruises are dispersed on his head, arms, and legs. 
C)  a broken arm last year, and the child being described as accident-prone. 
D)  the mother is very anxious for her son to get medical attention. 
A)  red, green, and yellow bruises on his body. 
B)  bruises are dispersed on his head, arms, and legs. 
C)  a broken arm last year, and the child being described as accident-prone. 
D)  the mother is very anxious for her son to get medical attention. A

Question 4

The nurse explains that Russell traction is a type of skin traction that:

Accepted Answer

A)  subluxates the tibia. 
B)  does not interfere with range of motion. 
C)  prevents the knee from flexing. 
D)  supplies continuous pull in two directions. 
A)  subluxates the tibia. 
B)  does not interfere with range of motion. 
C)  prevents the knee from flexing. 
D)  supplies continuous pull in two directions.

Question 5

The nurse,assessing the neurovascular status of a child in Russell traction should report immediately the finding of:

Accepted Answer

A)  skin that's warm to the touch. 
B)  capillary refill less than 3 seconds. 
C)  ability to wiggle toes. 
D)  bluish coloration of skin. 
A)  skin that's warm to the touch. 
B)  capillary refill less than 3 seconds. 
C)  ability to wiggle toes. 
D)  bluish coloration of skin.

Question 6

The nurse caring for a child with Duchenne's muscular dystrophy notes a characteristic manifestation,which is that the child:

Accepted Answer

A)  ambulates by holding onto furniture. 
B)  exhibits atrophy of the calf muscles. 
C)  falls frequently and is clumsy. 
D)  has delayed fine-motor development. 
A)  ambulates by holding onto furniture. 
B)  exhibits atrophy of the calf muscles. 
C)  falls frequently and is clumsy. 
D)  has delayed fine-motor development.

Question 7

A nurse assessing a preadolescent child for scoliosis would:

Accepted Answer

A)  ask the child to bend forward at the waist, and would observe the child's back for asymmetry. 
B)  observe the gait while the child is walking forward heel to toe. 
C)  have the child flex the knees and look for uneven knee height. 
D)  look at the child's shoulders and hips while fully clothed. 
A)  ask the child to bend forward at the waist, and would observe the child's back for asymmetry. 
B)  observe the gait while the child is walking forward heel to toe. 
C)  have the child flex the knees and look for uneven knee height. 
D)  look at the child's shoulders and hips while fully clothed.

Question 8

The nurse caring for a child in Buck's skin traction will keep the:

Accepted Answer

A)  child in high-Fowler's position. 
B)  child pulled up in bed. 
C)  child's heel on the bed surface. 
D)  child's feet against the foot of the bed. 
A)  child in high-Fowler's position. 
B)  child pulled up in bed. 
C)  child's heel on the bed surface. 
D)  child's feet against the foot of the bed.

Question 9

The nurse considers what factor(s)that may trigger abuse in a parent? Select all that apply.

Accepted Answer

A)  Being abused as a child 
B)  Low self-esteem 
C)  Substance abuse 
D)  Overwhelming responsibility 
E)  Knowledge deficit relative to child care
F) None of the above 
A)  Being abused as a child 
B)  Low self-esteem 
C)  Substance abuse 
D)  Overwhelming responsibility 
E)  Knowledge deficit relative to child care
F) None of the above

Question 10

A nurse assessing welts on the body of a 2-year-old Vietnamese child should consider the skin lesions might be the result of the cultural practice of __________.

Accepted Answer

coining
Some Vietnamese place

Question 11

The nurse notes as an abnormal finding on a musculoskeletal assessment of a 4-year-old that the child:

Accepted Answer

A)  has inward-turned knees while standing. 
B)  walks on the toes. 
C)  appears to have flat feet. 
D)  swings his arms when walking. 
A)  has inward-turned knees while standing. 
B)  walks on the toes. 
C)  appears to have flat feet. 
D)  swings his arms when walking.

Question 12

The nurse assessing a child with juvenile rheumatoid arthritis notes the child's right knee and ankle are swollen,warm,and tender and with a temperature of 38.8 ° C (102° F)and abdominal pain.These findings suggest that this child has the ___________ type of juvenile rheumatoid arthritis.

Accepted Answer

A)  psoriatic 
B)  enthesitis 
C)  systemic 
D)  acute febrile 
A)  psoriatic 
B)  enthesitis 
C)  systemic 
D)  acute febrile

Question 13

The parent of a child with osteomyelitis asks why his child is in so much pain.The nurse's response will be based on the understanding that the pain of osteomyelitis is caused by:

Accepted Answer

A)  the pressure of inelastic bone. 
B)  purulent drainage in the bone marrow. 
C)  the cast applied on the extremity. 
D)  circulatory congestion of the skin. 
A)  the pressure of inelastic bone. 
B)  purulent drainage in the bone marrow. 
C)  the cast applied on the extremity. 
D)  circulatory congestion of the skin.

Question 14

On entering the room of a child in Buck's traction the nurse makes all of the following observations.The observation that requires nursing intervention is the:

Accepted Answer

A)  child's heels are placed firmly against the foot of the bed. 
B)  head of bed is elevated 20 degrees. 
C)  weights are hanging freely. 
D)  ropes are on pulleys. 
A)  child's heels are placed firmly against the foot of the bed. 
B)  head of bed is elevated 20 degrees. 
C)  weights are hanging freely. 
D)  ropes are on pulleys.

Question 15

The nurse who is checking for capillary refill on a child in Bryant's traction will record adequate perfusion if the toe regains color in _____ seconds.

Accepted Answer

A)  3 
B)  4 
C)  5 
D)  6 
A)  3 
B)  4 
C)  5 
D)  6

Question 16

The nurse reviewing the characteristics of Ewing's sarcoma would point out that:

Accepted Answer

A)  amputation is the accepted treatment. 
B)  the disease is sensitive to radiation and chemotherapy. 
C)  metastasis is rare. 
D)  the disease is more prevalent among toddlers and preschoolers. 
A)  amputation is the accepted treatment. 
B)  the disease is sensitive to radiation and chemotherapy. 
C)  metastasis is rare. 
D)  the disease is more prevalent among toddlers and preschoolers.

Question 17

The nurse providing instructions to an adolescent who has been fitted with a Milwaukee brace would teach the patient to:

Accepted Answer

A)  wear the brace directly against the skin. 
B)  wear the brace over regular clothing. 
C)  wear the brace over a T-shirt 23 hours a day. 
D)  remove the brace before sleeping. 
A)  wear the brace directly against the skin. 
B)  wear the brace over regular clothing. 
C)  wear the brace over a T-shirt 23 hours a day. 
D)  remove the brace before sleeping.

Question 18

In planning teaching to parents of a child with Legg-Calvé-Perthes disease about the long-term effects of this disease,the nurse would include that:

Accepted Answer

A)  there are no long-term effects. 
B)  the disease is self-limited and requires no long-term treatment. 
C)  degenerative arthritis may develop later in life. 
D)  there is risk of osteogenic sarcoma in adulthood. 
A)  there are no long-term effects. 
B)  the disease is self-limited and requires no long-term treatment. 
C)  degenerative arthritis may develop later in life. 
D)  there is risk of osteogenic sarcoma in adulthood.

Question 19

The nurse performing a neurovascular check on a limb in traction would report and document which finding(s)as indicative of altered circulation? Select all that apply.

Accepted Answer

A)  Pulse is equal to uncasted limb. 
B)  Patient is aware of touch and warm and cold application. 
C)  Limb is cool to the touch. 
D)  Capillary refill is 5 seconds. 
E)  Distal limb can flex and extend. 
A)  Pulse is equal to uncasted limb. 
B)  Patient is aware of touch and warm and cold application. 
C)  Limb is cool to the touch. 
D)  Capillary refill is 5 seconds. 
E)  Distal limb can flex and extend.

Question 20

How does the pediatric skeletal system differ from that of the adult? Select all that apply.

Accepted Answer

A)  Lower mineral content 
B)  More ossification 
C)  Open epiphyses 
D)  Less porosity 
E)  Greater strength 
A)  Lower mineral content 
B)  More ossification 
C)  Open epiphyses 
D)  Less porosity 
E)  Greater strength

Exam 24: The Child with a Musculoskeletal Condition

The nurse caring for a child in Bryant's traction knows that the risk of serious complications will be reduced by ensuring that:

The nurse recognizes the signs of ____________________ syndrome in a child in "90-90" traction when the toes are pale and edematous and have a very slow capillary refill.

The observation that may cause the nurse to consider the possibility of child abuse when a mother says that her young child fell down the basement stairs is:

The nurse explains that Russell traction is a type of skin traction that:

The nurse,assessing the neurovascular status of a child in Russell traction should report immediately the finding of:

The nurse caring for a child with Duchenne's muscular dystrophy notes a characteristic manifestation,which is that the child:

A nurse assessing a preadolescent child for scoliosis would:

The nurse caring for a child in Buck's skin traction will keep the:

The nurse considers what factor(s)that may trigger abuse in a parent? Select all that apply.

A nurse assessing welts on the body of a 2-year-old Vietnamese child should consider the skin lesions might be the result of the cultural practice of __________.

The nurse notes as an abnormal finding on a musculoskeletal assessment of a 4-year-old that the child:

The nurse assessing a child with juvenile rheumatoid arthritis notes the child's right knee and ankle are swollen,warm,and tender and with a temperature of 38.8 ° C (102° F)and abdominal pain.These findings suggest that this child has the ___________ type of juvenile rheumatoid arthritis.

The parent of a child with osteomyelitis asks why his child is in so much pain.The nurse's response will be based on the understanding that the pain of osteomyelitis is caused by:

On entering the room of a child in Buck's traction the nurse makes all of the following observations.The observation that requires nursing intervention is the:

The nurse who is checking for capillary refill on a child in Bryant's traction will record adequate perfusion if the toe regains color in _____ seconds.

The nurse reviewing the characteristics of Ewing's sarcoma would point out that:

The nurse providing instructions to an adolescent who has been fitted with a Milwaukee brace would teach the patient to:

In planning teaching to parents of a child with Legg-Calvé-Perthes disease about the long-term effects of this disease,the nurse would include that:

The nurse performing a neurovascular check on a limb in traction would report and document which finding(s)as indicative of altered circulation? Select all that apply.

How does the pediatric skeletal system differ from that of the adult? Select all that apply.

The Past, Present, and Future

Human Reproductive Anatomy and Physiology

Fetal Development

Prenatal Care and Adaptations to Pregnancy

Nursing Care of Women with Complications During Pregnancy

Nursing Care of Mother and Infant During Labor and Birth

Nursing Management of Pain During Labor and Birth

Nursing Care of Women with Complications During Labor and Birth

The Family After Birth

Nursing Care of Women with Complications After Birth

The Nurse’s Role in Women’s Health Care

The Term Newborn

Preterm and Postterm Newborns

The Newborn with a Perinatal Injury or Congenital Malformation

An Overview of Growth, Development, and Nutrition

The Infant

The Toddler

The Preschool Child

The School-Age Child

The Adolescent

The Child’s Experience of Hospitalization

Health Care Adaptations for the Child and Family

The Child with a Sensory or Neurological Condition

The Child with a Respiratory Disorder

The Child with a Cardiovascular Disorder

The Child with a Condition of the Blood, Blood-Forming Organs, or

The Child with a Gastrointestinal Condition

The Child with a Genitourinary Condition

The Child with a Skin Condition

The Child with a Metabolic Condition

The Child with a Communicable Disease

The Child with an Emotional or Behavioral Condition

Complementary and Alternative Therapies in Maternity and Pediatric Nursing

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