Leadership Seminar Midterm Questions With Complete
Solutions
A 5 year old diagnosed with autism spectrum disorder is
admitted to the pediatric unit for pain related to Legg-Calves-
Perthes disease. The child grabs a toy and hits another child with
it. The parents are not at the bedside. Which is the most
appropriate nursing action?
A. Isolate the child for 24 hours
B. Encourage the child to explain their hostile behavior
C. Assume a nonpunitive attitude and remove the child from the
conflict
D. Call the parents for input regarding behavioral management
Correct Answers Answer: C.
The nurse must intervene, using a nonpunitive approach, to
provide a safe environment by removing the child from the
conflict. The child diagnosed with autism spectrum disorder
cannot be expected to limit personal behavior.
A child with a healing fracture immobilized by a cast presents
with acute onset of pain and distally radiating changes in
sensation at the site of the injury. What medical condition
should this child be assessed for immediately?
Compartment syndrome
Deep vein thrombosis
,Necrotizing fasciitis
Toxic shock syndrome Correct Answers Compartment
syndrome
Compartment syndrome is a serious condition that occurs when
there's a large amount of pressure inside a muscle compartment.
About three-quarters of the time, acute compartment syndrome
is caused by a broken leg or arm and usually develops rapidly
over hours or days. Compartment syndrome can develop from
the fracture itself, due to pressure from bleeding and edema or as
a result of treatment for the fracture (such as surgery or casting).
Symptoms include new and persistent deep ache in an arm or
leg, pain that seems greater than expected for the severity of the
injury.
A client with myasthenia gravis is experiencing increased
weakness. A tensilon test is performed and the client's weakness
increases. This is indicative of:
Too much tensilon was administered
Cholinergic crisis
Myasthenic crisis
An exacerbation of the disease Correct Answers Cholinergic
crisis
During a cholinergic crisis, muscle tone does not improve after
tensilon is given and instead muscle weakens will increase.
A nurse assesses a client with a cast for potential compartment
syndrome. Which clinical manifestations are correctly paired
, with the physiologic changes of compartment syndrome? (Select
all that apply.)
Edema - Increased capillary permeability
Pallor - Increased blood blow to the area
Unequal pulses - Increased production of lactic acid
Cyanosis - Anaerobic metabolism
Tingling - A release of histamine Correct Answers ANS: A, C,
D
Edema, Unequal pulses, Cyanosis
Clinical manifestations of compartment syndrome are caused by
several physiologic changes. Edema is caused by increased
capillary permeability, release of histamine, decreased tissue
perfusion, and vasodilation. Unequal pulses are caused by an
increased production of lactic acid. Cyanosis is caused by
anaerobic metabolism. Pallor is caused by decreased oxygen to
tissues, and tingling is caused by increased tissue pressure.
A nurse cares for a client who had a long-leg cast applied last
week. The client states, "I cannot seem to catch my breath and I
feel a bit light-headed." Which action should the nurse take
next?
Auscultate the client's lung fields anteriorly and posteriorly.
Administer oxygen to keep saturations greater than 92%.
Check the client's blood glucose level.
Ask the client to take deep breaths. Correct Answers
Administer oxygen to keep saturations greater than 92%
Solutions
A 5 year old diagnosed with autism spectrum disorder is
admitted to the pediatric unit for pain related to Legg-Calves-
Perthes disease. The child grabs a toy and hits another child with
it. The parents are not at the bedside. Which is the most
appropriate nursing action?
A. Isolate the child for 24 hours
B. Encourage the child to explain their hostile behavior
C. Assume a nonpunitive attitude and remove the child from the
conflict
D. Call the parents for input regarding behavioral management
Correct Answers Answer: C.
The nurse must intervene, using a nonpunitive approach, to
provide a safe environment by removing the child from the
conflict. The child diagnosed with autism spectrum disorder
cannot be expected to limit personal behavior.
A child with a healing fracture immobilized by a cast presents
with acute onset of pain and distally radiating changes in
sensation at the site of the injury. What medical condition
should this child be assessed for immediately?
Compartment syndrome
Deep vein thrombosis
,Necrotizing fasciitis
Toxic shock syndrome Correct Answers Compartment
syndrome
Compartment syndrome is a serious condition that occurs when
there's a large amount of pressure inside a muscle compartment.
About three-quarters of the time, acute compartment syndrome
is caused by a broken leg or arm and usually develops rapidly
over hours or days. Compartment syndrome can develop from
the fracture itself, due to pressure from bleeding and edema or as
a result of treatment for the fracture (such as surgery or casting).
Symptoms include new and persistent deep ache in an arm or
leg, pain that seems greater than expected for the severity of the
injury.
A client with myasthenia gravis is experiencing increased
weakness. A tensilon test is performed and the client's weakness
increases. This is indicative of:
Too much tensilon was administered
Cholinergic crisis
Myasthenic crisis
An exacerbation of the disease Correct Answers Cholinergic
crisis
During a cholinergic crisis, muscle tone does not improve after
tensilon is given and instead muscle weakens will increase.
A nurse assesses a client with a cast for potential compartment
syndrome. Which clinical manifestations are correctly paired
, with the physiologic changes of compartment syndrome? (Select
all that apply.)
Edema - Increased capillary permeability
Pallor - Increased blood blow to the area
Unequal pulses - Increased production of lactic acid
Cyanosis - Anaerobic metabolism
Tingling - A release of histamine Correct Answers ANS: A, C,
D
Edema, Unequal pulses, Cyanosis
Clinical manifestations of compartment syndrome are caused by
several physiologic changes. Edema is caused by increased
capillary permeability, release of histamine, decreased tissue
perfusion, and vasodilation. Unequal pulses are caused by an
increased production of lactic acid. Cyanosis is caused by
anaerobic metabolism. Pallor is caused by decreased oxygen to
tissues, and tingling is caused by increased tissue pressure.
A nurse cares for a client who had a long-leg cast applied last
week. The client states, "I cannot seem to catch my breath and I
feel a bit light-headed." Which action should the nurse take
next?
Auscultate the client's lung fields anteriorly and posteriorly.
Administer oxygen to keep saturations greater than 92%.
Check the client's blood glucose level.
Ask the client to take deep breaths. Correct Answers
Administer oxygen to keep saturations greater than 92%
