Nclex-Rn Practice Questions-Care Of The Child - Musculoskeletal Disorders Part 4
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Question 1 |
A nurse is caring for a 2-year-old child who weighs 25 lb (11.3 kg) and has a simple fracture of his femur. For this client, which initial treatment is most likely?
A | Setting the fracture with a pin during surgery |
B | Placing the child in skeletal traction |
C | Immediately setting and casting the fractured leg |
D | Putting the child in Bryant’s traction |
Question 2 |
A 6-month-old male with developmental dysplasia of the hip has been treated for the past 6 weeks with a Frejka splint, which maintains abduction through padding of the diaper area. At his follow-up visit, the child’s mother reports that she removes the splint when he gets too fussy and that he settles down and sleeps well for several hours after the padding is removed. Which response by the nurse would be most appropriate?
A | “I can tell you’re concerned about his comfort, but he must wear the padded splint except during the three times per day when you perform range-of-motion exercises on his legs.” |
B | “I’m pleased that you recognize that the padding is too thick and have adjusted it so he can sleep comfortably.” |
C | “I realize that seeing him uncomfortable is difficult for you, but he needs to keep his splint on except when you bathe him or change his diaper.” |
D | “If he seems uncomfortable while wearing the splint, it’s important that you call us immediately.” |
Question 3 |
A 6-year-old boy is admitted to a pediatric unit for treatment of osteomyelitis. The nurse knows that osteomyelitis is most commonly caused by which organism?
A | Staphylococcus epidermidis |
B | Escherichia coli O157.H7 |
C | Pneumocystis carinii |
D | Staphylococcus aureus |
Question 4 |
A 13-year old with structural scoliosis has Harrington rods inserted. Which position would be best during the postoperative period?
A | Supine in bed |
B | Side-lying |
C | Semi-Fowler’s |
D | High Fowler’s |
Question 5 |
A nurse notes dyspnea and calf pain in a 14-year-old client 48 hours after open reduction of a fractured femur. Which nursing diagnosis has the highest priority?
A | Impaired gas exchange |
B | Acute pain |
C | Impaired physical mobility |
D | Deficient knowledge |
Question 6 |
A 14-year-old client sustained a femoral fracture and is in a hip-spica cast. The client has been on bed rest and has not had a bowel movement for 3 days. The physician has ordered Colace (docusate) 100 mg by mouth twice daily. The client asks the nurse, “What is this medication for?” What is the best response by the nurse?
A | “It causes retention of fluid in the intestinal lumen by osmotic effect.” |
B | “It increases peristalsis by irritating the colon wall and stimulates the enteric nerves.” |
C | “It absorbs water, increasing bulk, which stimulates peristalsis.” |
D | “It lubricates the intestinal tract and softens the feces, making hard stools easier to pass.” |
Question 7 |
A 14-year-old girl was recently fitted with a full back brace for scoliosis. Which response by the girl indicates she understands when she must wear the brace?
A | “I can leave the brace off for school parties.” |
B | “I have to wear the brace all the time, except when bathing.” |
C | “I can take the brace off for a couple of hours if my back starts to hurt.” |
D | “I only have to wear the brace for a couple of weeks.” |
Question 8 |
A female client, age 15 months, has just had a hip-spica cast applied. Which nursing intervention is a priority for this client?
A | Limit fluids so she won’t urinate often and won’t risk getting the cast wet. |
B | Instruct the parents on how to get their child home in the car. |
C | Assess sensation, circulation, and motion of her feet and toes. |
D | Avoid giving her pain medication so she won’t become constipated. |
Question 9 |
A 16-year-old male client was injured in a motorcycle accident and fractured his left tibia and fibula. He’s in a long leg cast and complains of deep pain unrelieved by analgesics. The nurse suspects this client may be developing which condition?
A | Volkmann’s contracture |
B | Dupuytren’s contracture |
C | Compartment syndrome |
D | Peroneal nerve compression |
Question 10 |
A 16-year-old client had a full body cast applied 3 days ago. She’s diaphoretic, tachycardic, and tachypneic. Which condition is the client most likely experiencing?
A | Pneumonia |
B | Compartment syndrome |
C | Anxiety |
D | Decreased intestinal motility |
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