Question 1

The school nurse recognizes that the adverse effects of performance-enhancing substances can include what?

Accepted Answer

A)  Depression 
B)  Dehydration 
C)  Hypotension 
D)  Aggressiveness 
E)  Changes in libido 
A)  Depression 
B)  Dehydration 
C)  Hypotension 
D)  Aggressiveness 
E)  Changes in libido

Question 2

A student athlete was injured during a basketball game.The nurse observes significant swelling.The player states he thought he "heard a pop," that the pain is "pretty bad," and that the ankle feels "as if it is coming apart." Based on this description,the nurse suspects what injury?

Accepted Answer

A)  Sprain 
B)  Fracture 
C)  Dislocation 
D)  Stress fracture 
A)  Sprain 
B)  Fracture 
C)  Dislocation 
D)  Stress fracture

Question 3

The health care provider has prescribed cyclosporin (Sandimmune)5 mg/kg/day PO divided twice daily for a child with juvenile arthritis.The child weighs 110 lb.The nurse is preparing to administer the 0900 dose.Calculate the dose the nurse should administer in milligrams.Record your answer in a whole number.
_________

Accepted Answer

125
The correct calculation is

Question 4

The middle school nurse is speaking to parents about prevention of injuries as a goal of the physical education program.How should the goal be achieved?

Accepted Answer

A)  Use of protective equipment at the family's discretion 
B)  Education of adults to recognize signs that indicate a risk for injury 
C)  Sports medicine program to help student athletes work through overuse injuries 
D)  Arrangements for multiple sports to use same athletic fields to accommodate more children 
A)  Use of protective equipment at the family's discretion 
B)  Education of adults to recognize signs that indicate a risk for injury 
C)  Sports medicine program to help student athletes work through overuse injuries 
D)  Arrangements for multiple sports to use same athletic fields to accommodate more children

Question 5

What needs to be included as essential teaching for adolescents with systemic lupus erythematosus (SLE)?

Accepted Answer

A)  High calorie diet because of increased metabolic needs 
B)  Home schooling to decrease the risk of infections 
C)  Protection from sun and fluorescent lights to minimize rash 
D)  Intensive exercise regimen to build up muscle strength and endurance 
A)  High calorie diet because of increased metabolic needs 
B)  Home schooling to decrease the risk of infections 
C)  Protection from sun and fluorescent lights to minimize rash 
D)  Intensive exercise regimen to build up muscle strength and endurance

Question 6

An 8-year-old child is hit by a motor vehicle in the school parking lot.The school nurse notes that the child is responding to verbal stimulation but is not moving his extremities when requested.What is the first action the nurse should take?

Accepted Answer

A)  Wait for the child's parents to arrive. 
B)  Move the child out of the parking lot. 
C)  Have someone notify the emergency medical services (EMS) system. 
D)  Help the child stand to return to play. 
A)  Wait for the child's parents to arrive. 
B)  Move the child out of the parking lot. 
C)  Have someone notify the emergency medical services (EMS) system. 
D)  Help the child stand to return to play.

Question 7

What term is used to describe an abnormally increased convex angulation in the curvature of the thoracic spine?

Accepted Answer

A)  Scoliosis 
B)  Lordosis 
C)  Kyphosis 
D)  Ankylosis 
A)  Scoliosis 
B)  Lordosis 
C)  Kyphosis 
D)  Ankylosis

Question 8

The nurse at a summer camp recognizes the signs of heatstroke in an adolescent girl.Her temperature is 40° C (104° F).She is slightly confused but able to drink water.Nursing care while waiting for transport to the hospital should include what intervention?

Accepted Answer

A)  Administer antipyretics. 
B)  Administer salt tablets. 
C)  Apply towels wet with cool water. 
D)  Sponge with solution of rubbing alcohol and water. 
A)  Administer antipyretics. 
B)  Administer salt tablets. 
C)  Apply towels wet with cool water. 
D)  Sponge with solution of rubbing alcohol and water.

Question 9

When does idiopathic scoliosis become most noticeable?

Accepted Answer

A)  In the newborn period 
B)  When the child starts to walk 
C)  During the preadolescent growth spurt 
D)  During adolescence 
A)  In the newborn period 
B)  When the child starts to walk 
C)  During the preadolescent growth spurt 
D)  During adolescence

Question 10

The health care provider has prescribed sulfasalazine (Azulfidine)5 mg/kg PO per dose twice a day for a child with juvenile arthritis.The child weighs 55 lb.The nurse is preparing to administer the 0900 dose.Calculate the dose the nurse should administer in milligrams.Record your answer below in a whole number.
________

Accepted Answer

125
The correct calculation is

Question 11

The nurse is assisting with application of a synthetic cast on a child with a fractured humerus.What are the advantages of a synthetic cast over a plaster of Paris cast?

Accepted Answer

A)  Less bulky 
B)  Drying time is faster 
C)  Molds readily to body part 
D)  Permits regular clothing to be worn 
E)  Can be cleaned with small amount of soap and water 
A)  Less bulky 
B)  Drying time is faster 
C)  Molds readily to body part 
D)  Permits regular clothing to be worn 
E)  Can be cleaned with small amount of soap and water

Question 12

What is a major goal for the therapeutic management of juvenile idiopathic arthritis (JIA)?

Accepted Answer

A)  Control pain and preserve joint function. 
B)  Minimize use of joint and achieve cure. 
C)  Prevent skin breakdown and relieve symptoms. 
D)  Reduce joint discomfort and regain proper alignment. 
A)  Control pain and preserve joint function. 
B)  Minimize use of joint and achieve cure. 
C)  Prevent skin breakdown and relieve symptoms. 
D)  Reduce joint discomfort and regain proper alignment.

Question 13

The nurse is teaching the girls' varsity sports teams about the "female athlete triad." What is essential information to include?

Accepted Answer

A)  They should take low to moderate calcium to avoid hypercalcemia. 
B)  They have strong bones because of the athletic training. 
C)  Pregnancy can occur in the absence of menstruation. 
D)  A diet high in carbohydrates accommodates increased training. 
A)  They should take low to moderate calcium to avoid hypercalcemia. 
B)  They have strong bones because of the athletic training. 
C)  Pregnancy can occur in the absence of menstruation. 
D)  A diet high in carbohydrates accommodates increased training.

Question 14

After spinal fusion surgery the nurse should check for signs of what?

Accepted Answer

A)  Seizure activity 
B)  Increased intracranial pressure 
C)  Impaired color, sensitivity, and movement to the lower extremities 
D)  Impaired pupillary response during neurologic checks 
A)  Seizure activity 
B)  Increased intracranial pressure 
C)  Impaired color, sensitivity, and movement to the lower extremities 
D)  Impaired pupillary response during neurologic checks

Question 15

The nurse knows that parents need further teaching with regard to the treatment of congenital clubfoot when they state what?

Accepted Answer

A)  "We'll keep the cast dry." 
B)  "We're happy this is the only cast our baby will need." 
C)  "We'll watch for any swelling of the foot while the cast is on." 
D)  "We're getting a special car seat to accommodate the cast." 
A)  "We'll keep the cast dry." 
B)  "We're happy this is the only cast our baby will need." 
C)  "We'll watch for any swelling of the foot while the cast is on." 
D)  "We're getting a special car seat to accommodate the cast."

Question 16

A child has had a short-arm synthetic cast applied.What should the nurse teach to the child and parents about cast care?

Accepted Answer

A)  Relieve itching with heat. 
B)  Elevate the arm when resting. 
C)  Observe the fingers for any evidence of discoloration. 
D)  Do not allow the child to put anything inside the cast. 
E)  Examine the skin at the cast edges for any breakdown. 
A)  Relieve itching with heat. 
B)  Elevate the arm when resting. 
C)  Observe the fingers for any evidence of discoloration. 
D)  Do not allow the child to put anything inside the cast. 
E)  Examine the skin at the cast edges for any breakdown.

Question 17

What is the recommended drink for athletes during practice and competition?

Accepted Answer

A)  Sports drinks to replace carbohydrates 
B)  Cold water for gastrointestinal tract rapid absorption 
C)  Carbonated beverages to help with acid-base balance 
D)  Enhanced performance carbohydrate-electrolyte drinks 
A)  Sports drinks to replace carbohydrates 
B)  Cold water for gastrointestinal tract rapid absorption 
C)  Carbonated beverages to help with acid-base balance 
D)  Enhanced performance carbohydrate-electrolyte drinks

Question 18

An infant is born with one lower limb deficiency.When is the optimum time for the child to be fitted with a functional prosthetic device?

Accepted Answer

A)  As soon as possible after birth 
B)  When the infant is developmentally ready to stand up 
C)  At about ages 12 to 15 months, when most children are walking 
D)  At about 4 years, when the healthy limb is not growing so rapidly 
A)  As soon as possible after birth 
B)  When the infant is developmentally ready to stand up 
C)  At about ages 12 to 15 months, when most children are walking 
D)  At about 4 years, when the healthy limb is not growing so rapidly

Question 19

A child with juvenile idiopathic arthritis (JIA)is started on a nonsteroidal antiinflammatory drug (NSAID).What nursing consideration should be included?

Accepted Answer

A)  Monitor heart rate. 
B)  Administer NSAIDs between meals. 
C)  Check for abdominal pain and bloody stools. 
D)  Expect inflammation to be gone in 3 or 4 days. 
A)  Monitor heart rate. 
B)  Administer NSAIDs between meals. 
C)  Check for abdominal pain and bloody stools. 
D)  Expect inflammation to be gone in 3 or 4 days.

Question 20

Parents bring a 7-year-old child to the clinic for evaluation of an injured wrist after a bicycle accident.The parents and child are upset,and the child will not allow an examination of the injured arm.What priority nursing intervention should occur at this time?

Accepted Answer

A)  Send the child to radiology so radiography can be performed. 
B)  Initiate an intravenous line and administer morphine for the pain. 
C)  Calmly ask the child to point to where the pain is worst and to wiggle fingers. 
D)  Have the parents hold the child so that the nurse can examine the arm thoroughly. 
A)  Send the child to radiology so radiography can be performed. 
B)  Initiate an intravenous line and administer morphine for the pain. 
C)  Calmly ask the child to point to where the pain is worst and to wiggle fingers. 
D)  Have the parents hold the child so that the nurse can examine the arm thoroughly.

Exam 34: The Child With Musculoskeletal or Articular Dysfunction

The school nurse recognizes that the adverse effects of performance-enhancing substances can include what?

A student athlete was injured during a basketball game.The nurse observes significant swelling.The player states he thought he "heard a pop," that the pain is "pretty bad," and that the ankle feels "as if it is coming apart." Based on this description,the nurse suspects what injury?

The middle school nurse is speaking to parents about prevention of injuries as a goal of the physical education program.How should the goal be achieved?

What needs to be included as essential teaching for adolescents with systemic lupus erythematosus (SLE)?

An 8-year-old child is hit by a motor vehicle in the school parking lot.The school nurse notes that the child is responding to verbal stimulation but is not moving his extremities when requested.What is the first action the nurse should take?

What term is used to describe an abnormally increased convex angulation in the curvature of the thoracic spine?

The nurse at a summer camp recognizes the signs of heatstroke in an adolescent girl.Her temperature is 40° C (104° F).She is slightly confused but able to drink water.Nursing care while waiting for transport to the hospital should include what intervention?

When does idiopathic scoliosis become most noticeable?

The nurse is assisting with application of a synthetic cast on a child with a fractured humerus.What are the advantages of a synthetic cast over a plaster of Paris cast?

What is a major goal for the therapeutic management of juvenile idiopathic arthritis (JIA)?

The nurse is teaching the girls' varsity sports teams about the "female athlete triad." What is essential information to include?

After spinal fusion surgery the nurse should check for signs of what?

The nurse knows that parents need further teaching with regard to the treatment of congenital clubfoot when they state what?

A child has had a short-arm synthetic cast applied.What should the nurse teach to the child and parents about cast care?

What is the recommended drink for athletes during practice and competition?

An infant is born with one lower limb deficiency.When is the optimum time for the child to be fitted with a functional prosthetic device?

A child with juvenile idiopathic arthritis (JIA)is started on a nonsteroidal antiinflammatory drug (NSAID).What nursing consideration should be included?

Parents bring a 7-year-old child to the clinic for evaluation of an injured wrist after a bicycle accident.The parents and child are upset,and the child will not allow an examination of the injured arm.What priority nursing intervention should occur at this time?

Perspectives of Pediatric Nursing

Social,cultural,religious,and Family Influences on Child Health Promotion

Hereditary Influences on Health Promotion of the Child and Family

Communication, physical, and Developmental Assessment

Pain Assessment and Management in Children

Childhood Communicable and Infectious Diseases

Health Promotion of the Newborn and Family

Health Problems of Newborns

The High-Risk Newborn and Family

Health Promotion of the Infant and Family

Health Problems of the Infant

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Problems of Early Childhood

Health Promotion of the School-Age Child and Family

Health Problems of the School-Age Child

Health Promotion of the Adolescent and Family

Health Problems of the Adolescent

Family-Centered Care of the Child With Chronic Illness or Disability

Family-Centered Palliative Care

The Child With Cognitive, sensory, or Communication Impairment

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Nursing Interventions and Skills

The Child With Fluid and Electrolyte Imbalance

The Child With Renal Dysfunction

The Child With Gastrointestinal Dysfunction

Overview of Oxygen and Carbon Dioxide Exchange

The Child With Respiratory Dysfunction

The Child With Cardiovascular Dysfunction

The Child With Hematologic or Immunologic Dysfunction

The Child With Cancer

The Child With Cerebral Dysfunction

The Child With Endocrine Dysfunction

The Child With Neuromuscular or Muscular Dysfunction

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