ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 29 : The Child with Musculoskeletal or Articular Dysfunction Questions
Question 1 of 5
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?
Correct Answer: B
Rationale: Educating adults to recognize fatigue, dehydration, and injury risk signs prevents sports injuries. Protective equipment is mandatory, working through overuse injuries is harmful, and shared fields increase distraction and injury risk.
Question 2 of 5
A young girl has just injured her ankle at school. In addition to notifying the childs parents, what is the most appropriate, immediate action by the school nurse?
Correct Answer: A
Rationale: Applying ice immediately reduces swelling and pain in soft tissue injuries, followed by rest, elevation, and compression. Observing edema, finding a comfortable position, and administering medication are secondary to ice application.
Question 3 of 5
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?
Correct Answer: A
Rationale: A sprain, common in ankle injuries, involves ligament stretching or tearing, often with a pop sound, severe pain, and joint instability. Fractures involve bone, dislocations disrupt joint alignment, and stress fractures result from repetitive stress, not acute trauma with a pop.
Question 4 of 5
An adolescent comes to the school nurse after experiencing shin splints during a track meet. What reassurance should the nurse offer?
Correct Answer: B
Rationale: Shin splints, caused by ligament stress on the tibial shaft, are relieved by ice, rest, and NSAIDs. They aren?t expected, running worsens the injury, and moist heat with acetaminophen is less effective than ice and NSAIDs for inflammation.
Question 5 of 5
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?
Correct Answer: C
Rationale: Applying cool, wet towels and removing clothing cools the body in heatstroke, addressing thermoregulatory failure. Antipyretics are ineffective, salt tablets worsen dehydration, and rubbing alcohol is harmful and not used.