Question 1

Which assessment performed by a nursing student performing a neurovascular check alerts the instructor that further education is necessary?

Accepted Answer

A)  Pulses 
B)  Capillary refill 
C)  Movement 
D)  Pupils 
A)  Pulses 
B)  Capillary refill 
C)  Movement 
D)  Pupils D

Question 2

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 A,C,E

Question 3

How does Russell traction provide adequate skin traction?

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 D

Question 4

What would the nurse consider an abnormal finding on a musculoskeletal assessment of a 4-year-old 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 5

What will the nurse include when caring for a child in Buck's extension?

Accepted Answer

A)  Positioning the child with hips flexed 90 degrees at all times 
B)  Keeping the weights in contact with the floor 
C)  Checking for skin irritation from traction equipment 
D)  Releasing the weights on a schedule 
A)  Positioning the child with hips flexed 90 degrees at all times 
B)  Keeping the weights in contact with the floor 
C)  Checking for skin irritation from traction equipment 
D)  Releasing the weights on a schedule

Question 6

What nursing action will significantly decrease the risk of serious complications for a child in Bryant's traction?

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.

Question 7

The nurse is providing instructions about how to treat a sprained ankle.What statement by the mother does the nurse recognize as indicative of a need for additional teaching?

Accepted Answer

A)  "Apply warm compresses to the ankle for the first 24 hours." 
B)  "Put an ice pack on the ankle,alternating 30 minutes on with 30 minutes off." 
C)  "Wrap the ankle in an Ace bandage for support." 
D)  "Keep the leg elevated when sitting." 
A)  "Apply warm compresses to the ankle for the first 24 hours." 
B)  "Put an ice pack on the ankle,alternating 30 minutes on with 30 minutes off." 
C)  "Wrap the ankle in an Ace bandage for support." 
D)  "Keep the leg elevated when sitting."

Question 8

Approximately how old does the nurse assess a large green bruise on the thigh of a 4-year-old to be?

Accepted Answer

A)  2 days 
B)  4 days 
C)  6 days 
D)  8 days 
A)  2 days 
B)  4 days 
C)  6 days 
D)  8 days

Question 9

What intervention will the nurse caring for a child in Buck skin traction implement?

Accepted Answer

A)  Position in high Fowler's position. 
B)  Assist the child to be pulled up in bed. 
C)  Keep child's heel on the bed surface. 
D)  Maintain child's feet against the foot of the bed. 
A)  Position in high Fowler's position. 
B)  Assist the child to be pulled up in bed. 
C)  Keep child's heel on the bed surface. 
D)  Maintain child's feet against the foot of the bed.

Question 10

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

Accepted Answer

A)  Psoriatic 
B)  Enthesitis 
C)  Systemic 
D)  Acute febrile 
A)  Psoriatic 
B)  Enthesitis 
C)  Systemic 
D)  Acute febrile

Question 11

A 6-year-old sustained a fractured femur and was put in Russell traction 2 days ago.She screams in pain when she raises herself onto the bedpan.Which nursing diagnosis takes highest priority for this child?

Accepted Answer

A)  Pain resulting from tissue trauma 
B)  High risk for impaired skin integrity resulting from immobility 
C)  Altered growth and development related to separation from family 
D)  Altered urinary elimination related to immobility and traction 
A)  Pain resulting from tissue trauma 
B)  High risk for impaired skin integrity resulting from immobility 
C)  Altered growth and development related to separation from family 
D)  Altered urinary elimination related to immobility and traction

Question 12

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 13

What finding would the nurse assessing the neurovascular status of a child in Russell traction report immediately?

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 14

Which observation is most likely to cause the nurse to consider the possibility of child abuse when a mother says that her young child fell down the basement stairs?

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.

Question 15

A child is sent to the school nurse for assessment because she comes to school every day disheveled,unbathed,and hungry.The assessment does not indicate any bruises or marks on the body.What do these finding indicate?

Accepted Answer

A)  Sexual abuse 
B)  Physical abuse 
C)  Physical neglect 
D)  Emotional abuse 
A)  Sexual abuse 
B)  Physical abuse 
C)  Physical neglect 
D)  Emotional abuse

Question 16

The parent of a child with osteomyelitis asks why his child is in so much pain.What will the nurse respond causes the pain experienced with osteomyelitis?

Accepted Answer

A)  "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)  "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 17

What would the nurse include in planning teaching to parents of a child with Legg-Calvé-Perthes disease about the long-term effects of this disease?

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 18

A pediatric nurse is assisting with the care of a child diagnosed with a fractured femur.What type of fracture would be the most likely to alert the nurse to the possibility of physical abuse?

Accepted Answer

A)  Stress fracture 
B)  Compound fracture 
C)  Spiral fracture 
D)  Greenstick fracture 
A)  Stress fracture 
B)  Compound fracture 
C)  Spiral fracture 
D)  Greenstick fracture

Question 19

What intervention is appropriate for a nurse assessing a preadolescent child for scoliosis?

Accepted Answer

A)  Ask the child to bend forward at the waist and 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 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 20

Why does a child's fracture heal more rapidly than the adult's?

Accepted Answer

A)  A child's bones are less porous than adult bone. 
B)  A child's bones are covered by a thicker periosteum. 
C)  A child's bones are not affected by bone overgrowth. 
D)  A child's bones have faster callus formation. 
A)  A child's bones are less porous than adult bone. 
B)  A child's bones are covered by a thicker periosteum. 
C)  A child's bones are not affected by bone overgrowth. 
D)  A child's bones have faster callus formation.

Exam 24: The Child With a Musculoskeletal Condition

Which assessment performed by a nursing student performing a neurovascular check alerts the instructor that further education is necessary?

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

How does Russell traction provide adequate skin traction?

What would the nurse consider an abnormal finding on a musculoskeletal assessment of a 4-year-old child?

What will the nurse include when caring for a child in Buck's extension?

What nursing action will significantly decrease the risk of serious complications for a child in Bryant's traction?

The nurse is providing instructions about how to treat a sprained ankle.What statement by the mother does the nurse recognize as indicative of a need for additional teaching?

Approximately how old does the nurse assess a large green bruise on the thigh of a 4-year-old to be?

What intervention will the nurse caring for a child in Buck skin traction implement?

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

A 6-year-old sustained a fractured femur and was put in Russell traction 2 days ago.She screams in pain when she raises herself onto the bedpan.Which nursing diagnosis takes highest priority for this child?

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. )

What finding would the nurse assessing the neurovascular status of a child in Russell traction report immediately?

Which observation is most likely to cause the nurse to consider the possibility of child abuse when a mother says that her young child fell down the basement stairs?

A child is sent to the school nurse for assessment because she comes to school every day disheveled,unbathed,and hungry.The assessment does not indicate any bruises or marks on the body.What do these finding indicate?

The parent of a child with osteomyelitis asks why his child is in so much pain.What will the nurse respond causes the pain experienced with osteomyelitis?

What would the nurse include in planning teaching to parents of a child with Legg-Calvé-Perthes disease about the long-term effects of this disease?

A pediatric nurse is assisting with the care of a child diagnosed with a fractured femur.What type of fracture would be the most likely to alert the nurse to the possibility of physical abuse?

What intervention is appropriate for a nurse assessing a preadolescent child for scoliosis?

Why does a child's fracture heal more rapidly than the adult's?

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 Following Birth

The Nurses Role in Womens 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 Childs 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 Lymphatic System

The Child With a Gastrointestinal Condition

The Child With a Genitourinary Condition

The Child With a Skin Condition

The Child With a Metabolic Condition

Childhood Communicable Diseases, Bioterrorism, Natural Disasters, and the Maternalchild Patient

The Child With an Emotional or Behavioral Condition

Complementary and Alternative Therapies in Maternity and Pediatric Nursing

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