Test Bank Chapter 33 Child With A Musculoskeletal Condition - Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack by Luanne Linnard Palmer. DOCX document preview.
Chapter 33: Child With a Musculoskeletal Condition
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The skeletal system grows and develops across childhood. Where does the growth of long bones take place?
1) | Synovial joints |
2) | Epiphyseal plates |
3) | Periosteum |
4) | Striated muscles |
____ 2. The nurse is conducting an educational program on the importance of nutrition and bone health. What is the recommended daily requirement of iron for an adolescent?
1) | 8–10 mg |
2) | 7 mg |
3) | 12 mg |
4) | 10 mg |
____ 3. Which imaging test should the nurse anticipate for a patient whose provider wants to visualize hard and soft tissue along with bone marrow without the use of radiation?
1) | Bone scan |
2) | Fluoroscopy |
3) | Computed tomography |
4) | Magnetic resonance imaging |
____ 4. The nurse is assisting in the assessment process for a school-aged patient who reports hip pain all week. When assessing the right hip, the nurse finds that the hip does not fully rotate internally, abduction is limited, and the child is limping while ambulating. Based on these data, which condition might the nurse suspect?
1) | Osgood-Schlatter disease |
2) | Left hip and femur fracture |
3) | Legg-Calvé-Perthes disease |
4) | Slipped capital femoral epiphysis |
____ 5. Which nursing action is appropriate when providing care for a child who is in a spica cast to decrease the risk for cast syndrome?
1) | Discouraging frequent repositioning |
2) | Encouraging increased fluids and dietary fiber |
3) | Drying the cast using a hairdryer |
4) | Telling the parents that the cast can be immersed in water |
____ 6. The parents ask the nurse why their child is in skeletal traction. The nurse knows that the parents understand the primary reason for skeletal traction when they give which response?
1) | “To control the swelling” |
2) | “To reduce the pain” |
3) | “To align the ends of the fractured bone” |
4) | “To control the bleeding” |
____ 7. The nurse is providing care to a child with a fractured femur who has been in skeletal traction for 2 days. Which assessment finding indicates to the nurse that the patient has peripheral neurovascular impairment?
1) | Pruritus |
2) | Abnormal mobility |
3) | Localized discomfort |
4) | Absent pulses |
____ 8. Which datum does the licensed practical nurse (LPN) report to the charge nurse for an infant suspected of having unilateral developmental dysplasia/dislocation of the hip (DDH)?
1) | Lordosis |
2) | Trendelenburg sign |
3) | Telescoping of the affected limb |
4) | Shortened leg on the affected side |
____ 9. Which causative agent would be responsible for causing osteomyelitis in an infant?
1) | Group B streptococci |
2) | Staphylococcus aureus |
3) | Neisseria gonorrhoeae |
4) | Escherichia coli |
____ 10. Which type of childhood injury is best described as an impact injury that causes hemorrhaging in the soft tissue?
1) | Contusion |
2) | Dislocation |
3) | Fracture |
4) | Sprain |
____ 11. Which topic is the priority for the nurse who is teaching the family of an infant diagnosed with osteogenesis imperfecta?
1) | Cast care |
2) | Traction care |
3) | Postoperative spinal surgery care |
4) | Trunk and extremity support during everyday care |
____ 12. A child is being worked up for osteomyelitis. Which laboratory tests would be needed to confirm this diagnosis?
1) | Blood cultures and RF |
2) | WBC and blood cultures |
3) | WBC and RF |
4) | Blood cultures and ANA |
____ 13. Which action by the nurse is appropriate for a child who presents in the emergency department with an ankle injury?
1) | Avoiding compression of the area to allow tissue swelling as necessary |
2) | Performing passive range of motion (ROM) to the extremity |
3) | Lowering the extremity below the level of the heart |
4) | Applying ice to the extremity |
____ 14. The nurse is caring for a child with a complicated rib fracture. The nurse understands that this type of fracture can result in which of these conditions?
1) | Osteomyelitis |
2) | Rheumatoid arthritis |
3) | Lung tissue damage |
4) | Bone growth disruption |
____ 15. A patient has been taking naproxen for 6 months for the treatment of juvenile idiopathic arthritis. The nurse assesses the patient for which sign?
1) | Hypotension |
2) | Gastrointestinal bleed |
3) | Weight gain |
4) | Hypoglycemia |
____ 16. The nurse is providing volunteer staff with information on developmental stimulation for immobilized children. Which pediatric patient would benefit from tossing a large ball and playing with large trucks?
1) | Toddlers |
2) | School-aged children |
3) | Preschoolers |
4) | Teenagers |
____ 17. The nurse is providing care to an infant diagnosed with congenital clubfoot. Which parental statement regarding the child’s care indicates correct understanding of the information provided?
1) | “We will need to come back once every 3 months for recasting of the foot.” |
2) | “We will need to go to physical therapy once a week for the next year.” |
3) | “We know that surgical correction is the only medical intervention needed.” |
4) | “We will need to undergo a series of casting procedures to stretch and move the deformity into alignment.” |
____ 18. The nurse is performing an assessment of a newborn diagnosed with developmental dysplasia/dislocation of the hip (DDH). Which assessment finding supports this diagnosis?
1) | Symmetrical skinfolds in the gluteus |
2) | Limp on the affected side |
3) | Asymmetrical skinfolds in the gluteus |
4) | A deformity that causes the heel to turn inward and the entire foot to be in a plantar flexion |
____ 19. Which statement reflects an appropriate understanding of the anatomy and physiology of the musculoskeletal system?
1) | The musculoskeletal system’s functions include body structure and protection but not blood cell production. |
2) | Most of the bones are present at birth but consist more of cartilage than of bone material. |
3) | The musculoskeletal system develops in utero and is structurally intact at birth. |
4) | The other components of the musculoskeletal system include bone marrow and muscles but not joints. |
____ 20. Which nursing action is appropriate when providing care to a 7-year-old child with a right femur fracture who is placed in Bryant traction while recovering?
1) | Limit fluid intake to prevent any unnecessary movement. |
2) | Perform frequent repositioning. |
3) | Assess skin weekly. |
4) | Take hourly vital signs. |
____ 21. For which patient would the nurse consider the diagnosis of juvenile idiopathic arthritis (JIA)?
1) | 17-year-old with inflammation in more than one joint that lasts for at least 6 weeks |
2) | 6-year-old with inflammation in more than one joint that lasts for at least 6 weeks |
3) | 16-year-old with inflammation in one joint that lasts for at least 2 weeks |
4) | 7-year-old with inflammation in one joint that lasts for at least 6 weeks |
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 22. The nurse performs a neuromuscular assessment of a child who is in Russell’s traction. Which assessment findings indicate the need for further intervention? (Select all that apply.)
1) | The child experiences a pain rating of 6 on an age-appropriate numeric pain rating scale. |
2) | The child feels the distal part of the extremity when touched by the nurse. |
3) | The child does not have a significant amount of edema in the extremity. |
4) | The child has a capillary refill time of more than 3 seconds. |
5) | The child’s toes are cold and appear dusky. |
____ 23. Which clinical manifestations should the nurse monitor for when conducting a scoliosis screening for a school-aged child? (Select all that apply.)
1) | Lordosis |
2) | Prominent scapula |
3) | Pain |
4) | A one-sided rib hump |
5) | Uneven shoulders and hips |
____ 24. Which clinical data noted by the nurse during the shift assessment indicate that the pediatric client may be experiencing compartment syndrome? (Select all that apply.)
1) | Pink, warm extremity |
2) | Dorsalis pedis pulse present |
3) | Prolonged capillary refill time |
4) | Pain not relieved by pain medication |
5) | Paresthesia of the leg |
____ 25. Which interventions should the nurse include in the plan of care for an adolescent patient who is on complete bedrest after spinal fusion surgery secondary to scoliosis to prevent complications associated with immobility? (Select all that apply.)
1) | Encouraging use of the spirometer every 2 hours while the patient is awake |
2) | Logrolling the patient every 2 hours while awake |
3) | Increasing intake of milk to maintain bone calcium |
4) | Increasing fruit and grains in the diet |
5) | Limiting fluid intake to reduce the need to void |
Chapter 33: Child With a Musculoskeletal Condition
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Connected Book
Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack
By Luanne Linnard Palmer
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