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 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.
Question 2 of 5
What is the recommended drink for athletes during practice and competition?
Correct Answer: B
Rationale: Cold water, consumed 4-8 oz every 15-20 minutes, promotes rapid gastric and intestinal absorption for hydration. Sports drinks may cause gastrointestinal upset, carbonated beverages are discouraged, and enhanced drinks lack evidence of performance benefits.
Question 3 of 5
The nurse is teaching the girls varsity sports teams about the female athlete triad. What is essential information to include?
Correct Answer: C
Rationale: Pregnancy is possible despite amenorrhea in the female athlete triad, necessitating contraceptive education. High calcium (1500 mg) prevents osteoporosis, low estrogen weakens bones, and high-protein, high-calorie diets, not just carbohydrates, support intense training.
Question 4 of 5
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?
Correct Answer: C
Rationale: Activating EMS is critical for a child unable to move extremities post-collision, indicating potential spinal cord injury requiring immediate hospital evaluation. Moving the child risks further injury, waiting for parents delays care, and standing is contraindicated.
Question 5 of 5
The nurse stops to assist an adolescent who has experienced severe trauma when hit by a motorcycle. The emergency medical system (EMS) has been activated. The first person who provided assistance applied a tourniquet to the childs leg because of arterial bleeding. What should the nurse do related to the tourniquet?
Correct Answer: B
Rationale: A tourniquet, used as a last resort for arterial bleeding, must remain in place until definitive treatment to avoid releasing toxins from necrotic tissue, which could cause tourniquet shock. Loosening or removing it prematurely risks systemic complications.