ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 30 : The Child with Neuromuscular or Muscular Dysfunction Questions
Question 1 of 5
During a well-child visit, the mother tells the nurse that her 4-month-old infant is constipated, is less active than usual, and has a weak-sounding cry. The nurse suspects botulism and questions the mother about the childs diet. What factor should support this diagnosis?
Correct Answer: C
Rationale: Honey ingestion is a known risk factor for infant botulism in children under 1 year, supporting the diagnosis given symptoms like constipation and weakness. Breastfeeding and formula have minimal risk, and bottle sterilization issues are unrelated to botulism.
Question 2 of 5
An adolescent has just been brought to the emergency department with a spinal cord injury and paralysis from a diving accident. The parents keep asking the nurse, How bad is it? The nurses response should be based on which knowledge?
Correct Answer: C
Rationale: Spinal cord injury extent and severity are unclear initially due to physiologic responses, with improvement possible over weeks or months. Immediate loss doesn?t predict long-term outcomes, and while tests are done, prognosis requires time. Gradual information helps, but extent is the key issue.
Question 3 of 5
A 14-year-old girl is in the intensive care unit after a spinal cord injury 2 days ago. What nursing intervention is a priority for this child?
Correct Answer: C
Rationale: Monitoring and maintaining blood pressure is critical in spinal cord injury due to physiologic lability and risks like autonomic dysreflexia. Stimuli minimization and immunoglobulin aren?t needed, and long-term care discussions are premature during acute stabilization.
Question 4 of 5
What functional ability should the nurse expect in a child with a spinal cord lesion at C7?
Correct Answer: D
Rationale: A C7 spinal cord lesion allows significant independence with wheelchair use, with some assistance for transfers and dressing. Respiratory paralysis occurs at C3 or higher, upper extremity function is preserved, and rolling over or sitting is possible.
Question 5 of 5
An adolescent with a spinal cord injury is admitted to a rehabilitation center. Her parents describe her as being angry, hostile, and uncooperative. The nurse should recognize that this is suggestive of which psychosocial state?
Correct Answer: C
Rationale: Anger, hostility, and uncooperativeness in a spinal cord injury adolescent reflect a normal response to disrupted independence, which can be redirected positively during rehabilitation. This isn?t typical adolescent behavior, severe depression, or denial, but an adaptive phase.