ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 29 Questions
Question 1 of 5
What measure is important in managing hypercalcemia in a child who is immobilized?
Correct Answer: A
Rationale: Vigorous hydration (3000-4000 ml/day for adolescents) with diuretics helps manage hypercalcemia by promoting calcium excretion. Frequent position changes address skin and respiratory issues, calcium intake is restricted, and high-protein, not just high-calorie, diets aid healing.
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
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 4 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 5 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.