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
What finding is characteristic of fractures in children?
Correct Answer: B
Rationale: Fractures in children heal faster in younger individuals due to robust periosteum and bone pliability. Growth plates are prone to fractures, children?s bones are more porous and pliable, and their periosteum is thicker with greater osteogenic potential than adults?.
Question 2 of 5
A 14-year-old is admitted to the emergency department with a fracture of the right humerus epiphyseal plate through the joint surface. What information does the nurse know regarding this type of fracture?
Correct Answer: C
Rationale: A Salter type III fracture through the epiphyseal plate requires specific management, often surgical, to prevent growth complications like angular deformities. Hand dominance is irrelevant, healing is rapid at the growth plate, and complete immobilization isn?t always needed.
Question 3 of 5
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?
Correct Answer: C
Rationale: Gaining the child?s trust by calmly assessing pain location and finger movement is the priority to evaluate neurovascular status without increasing distress. Radiography requires initial assessment, morphine is premature, and restraining the child escalates anxiety.
Question 4 of 5
A 7-year-old child has just had a cast applied for a fractured arm with the wrist and elbow immobilized. What information should be included in the home care instructions?
Correct Answer: B
Rationale: Elevating the casted arm during rest and in a sling when upright promotes venous return and reduces swelling. Strenuous activity is limited initially, shoulder movement is encouraged, and finger swelling requires immediate reporting to prevent neurovascular damage.
Question 5 of 5
The nurse uses the five Ps to assess ischemia in a child with a fracture. What finding is considered a late and ominous sign?
Correct Answer: C
Rationale: Paresthesia, indicating nerve compression or ischemia distal to the fracture, is a late and ominous sign requiring immediate action to prevent permanent damage within 6-8 hours. Petaling is cast maintenance, posturing isn?t ischemia-related, and positioning affects comfort, not ischemia.