NURS 271 Exam 2 UPDATED ACTUAL
Questions and CORRECT Answers
Four-year-old David is placed in Buck extension traction for Legg-Calvé-Perthes disease. He is crying
with pain as the nurse assesses that the skin of his right foot is pale with an absence of pulse. Which
action should the nurse take first?
A) Reposition the child and notify the physician
B) Give the child medication to relieve the pain
C) Notify the practitioner of the changes noted
D) Chart the observations and check the extremity again in 15 minutes - CORRECT ANSWER A)
Reposition the child and notify the physician
The nurse is caring for an infant with developmental dysplasia of the hip. Which manifestations should
the nurse expect to observe?
A) Lordosis
B) Telescoping of affected limb
C) Trendelenberg sign
D) Positive Ortolani test - CORRECT ANSWER D) Positive Ortolani test
The nurse is caring for a 4-year-old child immobilized by a fractured hip. Which complication should the
nurse monitor related to the child's immobilization status?
A) Venous stasis leading to thrombi or emboli formation
B) Bone calcium increases, releasing excess calcium into the body (hypercalcemia)
C) Increased joint mobility leading to contractures
D) Metabolic rate increases - CORRECT ANSWER A) Venous stasis leading to thrombi or emboli
formation
Kristin, age 10 years, sustained a fracture in the epiphyseal plate of her right fibula when she fell off of a
tree. When discussing this injury with her parents, the nurse should consider which statement?
A) This type of fracture is inconsistent with a fall
B) Growth can be affected by this type of fracture
, C) Healing is usually delayed in this type of fracture
D) This is an unusual fracture site in young children - CORRECT ANSWER B) Growth can be
affected by this type of fracture
A neonate is born with bilateral mild talipes equinovarus (clubfoot). When the parents ask the nurse how
this will be corrected, the nurse should give which explanation?
A) Traction is tried first
B) Children outgrow this condition when they learn to walk
C) Surgical intervention is needed
D) Frequent, serial casting is tried first - CORRECT ANSWER D) Frequent, serial casting is tried
first
Which is a type of skin traction with the legs in an extended position?
A) Russel
B) Dunlop
C) Bryant
D) Buck Extension - CORRECT ANSWER D) Buck Extension
A 4-year-old child is newly diagnosed with Legg-Calvé-Perthes disease. Nursing considerations should
include which action?
A) Encouraging normal activity for as long as possible
B) Explaining the cause of the disease to the child and family
C) Teaching the family the care and management of the corrective appliance
D) Preparing the child and family for long-term, permanent disabilities - CORRECT ANSWER C)
Teaching the family the care and management of the corrective appliance
The nurse is providing parent education on how to manage their infant's new leg brace at home. Which
statement made by the parent indicates a need for further teaching?
A) I will avoid lotion and powder use beneath the brace
B) I will check the brace daily for rough edges
Questions and CORRECT Answers
Four-year-old David is placed in Buck extension traction for Legg-Calvé-Perthes disease. He is crying
with pain as the nurse assesses that the skin of his right foot is pale with an absence of pulse. Which
action should the nurse take first?
A) Reposition the child and notify the physician
B) Give the child medication to relieve the pain
C) Notify the practitioner of the changes noted
D) Chart the observations and check the extremity again in 15 minutes - CORRECT ANSWER A)
Reposition the child and notify the physician
The nurse is caring for an infant with developmental dysplasia of the hip. Which manifestations should
the nurse expect to observe?
A) Lordosis
B) Telescoping of affected limb
C) Trendelenberg sign
D) Positive Ortolani test - CORRECT ANSWER D) Positive Ortolani test
The nurse is caring for a 4-year-old child immobilized by a fractured hip. Which complication should the
nurse monitor related to the child's immobilization status?
A) Venous stasis leading to thrombi or emboli formation
B) Bone calcium increases, releasing excess calcium into the body (hypercalcemia)
C) Increased joint mobility leading to contractures
D) Metabolic rate increases - CORRECT ANSWER A) Venous stasis leading to thrombi or emboli
formation
Kristin, age 10 years, sustained a fracture in the epiphyseal plate of her right fibula when she fell off of a
tree. When discussing this injury with her parents, the nurse should consider which statement?
A) This type of fracture is inconsistent with a fall
B) Growth can be affected by this type of fracture
, C) Healing is usually delayed in this type of fracture
D) This is an unusual fracture site in young children - CORRECT ANSWER B) Growth can be
affected by this type of fracture
A neonate is born with bilateral mild talipes equinovarus (clubfoot). When the parents ask the nurse how
this will be corrected, the nurse should give which explanation?
A) Traction is tried first
B) Children outgrow this condition when they learn to walk
C) Surgical intervention is needed
D) Frequent, serial casting is tried first - CORRECT ANSWER D) Frequent, serial casting is tried
first
Which is a type of skin traction with the legs in an extended position?
A) Russel
B) Dunlop
C) Bryant
D) Buck Extension - CORRECT ANSWER D) Buck Extension
A 4-year-old child is newly diagnosed with Legg-Calvé-Perthes disease. Nursing considerations should
include which action?
A) Encouraging normal activity for as long as possible
B) Explaining the cause of the disease to the child and family
C) Teaching the family the care and management of the corrective appliance
D) Preparing the child and family for long-term, permanent disabilities - CORRECT ANSWER C)
Teaching the family the care and management of the corrective appliance
The nurse is providing parent education on how to manage their infant's new leg brace at home. Which
statement made by the parent indicates a need for further teaching?
A) I will avoid lotion and powder use beneath the brace
B) I will check the brace daily for rough edges
