Peds Exam Neuro Musculoskeletal
questions and answers graded A+
Which is an accurate statement concerning a Childs musculoskeletal system and how it
may be different from adults?
a. Growth occurs in children as a result of an increase in the number of muscle fibers.
b. Infants are at greater risk for fractures because their epiphyseal plates are not fused.
c. Because soft tissues are resilient in children, dislocations and sprains are less
common than in adults.
d. Their bones have less blood flow. - C -Because soft tissues are resilient in children,
dislocations and sprains are less common than in adults.
2. When infants are seen for fractures, which nursing intervention is a priority?
a. No intervention is necessary. It is not uncommon for infants to fracture bones.
b. Assess the family's safety practices. Fractures in infants usually result from falls.
c. Assess for child abuse. Fractures in infants are often nonaccidental.
d. Assess for genetic factors.d.
Osgood-Schlatter disease. - C- Asses for child abuse. Fractures in infants are often
nonaccidental.
Which nursing assessment is appropriate for determining neurovascular competency?
a. Degree of motion and ability to position the extremity
b. Length, diameter, and shape of the extremity
c. Amount of swelling noted in the extremity and pain intensity
d. Skin color, temperature, movement, sensation, and capillary refill of the extremity -
D.Skin color, temperature, movement, sensation, and capillary refill of the extremity
A mother whose 7-year-old child has been placed in a cast for a fractured right arm
reports he will not stop crying even after taking Tylenol with codeine. He also will not
straighten the fingers on his right arm. The nurse tells the mother to do which?
a. Take him to the emergency department.
b. Put ice on the injury.
c. Avoid letting him get so tired.
d. Wait another hour. If he is still crying, call back. - a. Take him to the emergency
department.
A 4-year-old child with a long leg cast complains of fire in his cast. The nurse should:
, a. notify the physician on his next rounds.
b. chart the complaint in the nurses notes.
c. notify the physician immediately.
d. report the complaint to the next nurse on duty. - c. notify the physician immediately.
Which statement is most correct with regard to childhood musculoskeletal injuries?
a. After the injury is iced, the swelling decreases, indicating the injury is not severe.
b. The presence of localized tenderness indicates a more serious injury.
c. The more swelling there is, the less severe the injury is.
d. The less willing the child is to bear weight, the more serious the injury is - d. The
less willing the child is to bear weight, the more serious the injury is.
A child with osteomyelitis asks the nurse, What is a sed rate? What is the best response
for the nurse?
a. It tells us how you are responding to the treatment.
b. It tells us what type of antibiotic you need.
c. It tells us whether we need to immobilize your extremity.
d. It tells us how your nerves and muscles are doing. - a. It tells us how you are
responding to treatment.
Which intervention is part of the discharge plan for a child with osteomyelitis?
a. Instructions for a low-calorie diet
b. A referral to a home healthcare agency
c. Instructions for a high-fat, low-protein diet
d. Instructions for the parent to return the child to team sports immediately - b. A
referral to a home healthcare agency
During a 14-year-old adolescents physical examination, the nurse identifies that he
plays soccer and football and is complaining of knee pain when he rises from a
squatting position. The nurse should suspect:
a. Legg-Calv-Perthes disease.
b. osteomyelitis.
c. Duchenne muscular dystrophy.
d. Osgood-Schlatter disease. - d. Osgood-Schlatter disease.
The nurse caring for a child with Osgood-Schlatter disease should evaluate the childs:
a. knowledge of activity restrictions.
b. understanding of traction.
c. acceptance of life-long limitations.
d. knowledge of skin care. - a. knowledge of activity restrictions.
Which factor is important to include in the teaching plan for parents of a child with Legg-
Calv-Perthes disease?
a. It is a chronic disease with long-term sequelae.
b. It affects children in the toddler stage.
c. There is a disturbance in the blood supply to the femoral epiphysis.
questions and answers graded A+
Which is an accurate statement concerning a Childs musculoskeletal system and how it
may be different from adults?
a. Growth occurs in children as a result of an increase in the number of muscle fibers.
b. Infants are at greater risk for fractures because their epiphyseal plates are not fused.
c. Because soft tissues are resilient in children, dislocations and sprains are less
common than in adults.
d. Their bones have less blood flow. - C -Because soft tissues are resilient in children,
dislocations and sprains are less common than in adults.
2. When infants are seen for fractures, which nursing intervention is a priority?
a. No intervention is necessary. It is not uncommon for infants to fracture bones.
b. Assess the family's safety practices. Fractures in infants usually result from falls.
c. Assess for child abuse. Fractures in infants are often nonaccidental.
d. Assess for genetic factors.d.
Osgood-Schlatter disease. - C- Asses for child abuse. Fractures in infants are often
nonaccidental.
Which nursing assessment is appropriate for determining neurovascular competency?
a. Degree of motion and ability to position the extremity
b. Length, diameter, and shape of the extremity
c. Amount of swelling noted in the extremity and pain intensity
d. Skin color, temperature, movement, sensation, and capillary refill of the extremity -
D.Skin color, temperature, movement, sensation, and capillary refill of the extremity
A mother whose 7-year-old child has been placed in a cast for a fractured right arm
reports he will not stop crying even after taking Tylenol with codeine. He also will not
straighten the fingers on his right arm. The nurse tells the mother to do which?
a. Take him to the emergency department.
b. Put ice on the injury.
c. Avoid letting him get so tired.
d. Wait another hour. If he is still crying, call back. - a. Take him to the emergency
department.
A 4-year-old child with a long leg cast complains of fire in his cast. The nurse should:
, a. notify the physician on his next rounds.
b. chart the complaint in the nurses notes.
c. notify the physician immediately.
d. report the complaint to the next nurse on duty. - c. notify the physician immediately.
Which statement is most correct with regard to childhood musculoskeletal injuries?
a. After the injury is iced, the swelling decreases, indicating the injury is not severe.
b. The presence of localized tenderness indicates a more serious injury.
c. The more swelling there is, the less severe the injury is.
d. The less willing the child is to bear weight, the more serious the injury is - d. The
less willing the child is to bear weight, the more serious the injury is.
A child with osteomyelitis asks the nurse, What is a sed rate? What is the best response
for the nurse?
a. It tells us how you are responding to the treatment.
b. It tells us what type of antibiotic you need.
c. It tells us whether we need to immobilize your extremity.
d. It tells us how your nerves and muscles are doing. - a. It tells us how you are
responding to treatment.
Which intervention is part of the discharge plan for a child with osteomyelitis?
a. Instructions for a low-calorie diet
b. A referral to a home healthcare agency
c. Instructions for a high-fat, low-protein diet
d. Instructions for the parent to return the child to team sports immediately - b. A
referral to a home healthcare agency
During a 14-year-old adolescents physical examination, the nurse identifies that he
plays soccer and football and is complaining of knee pain when he rises from a
squatting position. The nurse should suspect:
a. Legg-Calv-Perthes disease.
b. osteomyelitis.
c. Duchenne muscular dystrophy.
d. Osgood-Schlatter disease. - d. Osgood-Schlatter disease.
The nurse caring for a child with Osgood-Schlatter disease should evaluate the childs:
a. knowledge of activity restrictions.
b. understanding of traction.
c. acceptance of life-long limitations.
d. knowledge of skin care. - a. knowledge of activity restrictions.
Which factor is important to include in the teaching plan for parents of a child with Legg-
Calv-Perthes disease?
a. It is a chronic disease with long-term sequelae.
b. It affects children in the toddler stage.
c. There is a disturbance in the blood supply to the femoral epiphysis.
