ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 30 Questions
Question 1 of 5
A child, age 3 years, has cerebral palsy (CP) and is hospitalized for orthopedic surgery. His mother says he has difficulty swallowing and cannot hold a utensil to feed himself. He is slightly underweight for his height. What is the most appropriate nursing action related to feeding this child?
Correct Answer: B
Rationale: Stabilizing the jaw from the front or side improves swallowing control in CP, addressing compromised jaw function. Bottle or tube feeding doesn?t address jaw issues, and semireclining or hyperextended positions increase aspiration risk.
Question 2 of 5
A 12-year-old child with Guillain-Barré syndrome (GBS) is admitted to the pediatric intensive care unit. She tells you that yesterday her legs were weak and that this morning she was unable to walk. After the nurse determines the current level of paralysis, which should the next priority assessment be?
Correct Answer: A
Rationale: Assessing swallowing ability is critical in GBS due to potential pharyngeal and respiratory involvement, risking aspiration or the need for ventilatory support. Parental involvement, consciousness, and viral history are secondary to immediate physiologic risks.
Question 3 of 5
Gingivitis is a common problem in children with cerebral palsy (CP). What preventive measure should be included in the plan of care?
Correct Answer: B
Rationale: Meticulous dental hygiene prevents gingivitis in CP, countering enamel defects, high-carbohydrate diets, and spasticity-related oral care challenges. Fluoride use is encouraged, and medications like phenytoin may require hygiene adjustments, not avoidance.
Question 4 of 5
Spastic cerebral palsy (CP) is characterized by which clinical manifestations?
Correct Answer: C
Rationale: Spastic CP features hypertonicity and poor posture, balance, and coordination control due to increased muscle tone and stretch reflexes. Athetosis and dystonia characterize dyskinetic CP, tremors suggest other disorders, and wide-based gait is typical of ataxic CP.
Question 5 of 5
The parents of an infant with cerebral palsy (CP) ask the nurse if their child will have cognitive impairment. The nurses response should be based on which knowledge?
Correct Answer: C
Rationale: Approximately 40% to 50% of children with CP have normal intelligence, with a wide range of cognitive outcomes. Severe physical impairment does not necessarily correlate with cognitive deficits, and many have minimal intellectual compromise.