Question: An orthopedic nurse is providing discharge instructions to an adolescent diagnosed with a fractured arm that has been placed in a cast. What instruction(s) should the nurse include in the teaching session? Select all that apply.

Answer Options: Avoid getting dirt or sand under the cast. Take care to keep the cast clean and dry. Avoid taking a shower until the cast is removed. Expect not to be able to move your fingers until the cast is removed. Apply ice to the cast for 10 to 20 minutes three times a day to relieve swelling and pain.

Answer: Avoid getting dirt or sand under the cast. Take care to keep the cast clean and dry. Apply ice to the cast for 10 to 20 minutes three times a day to relieve swelling and pain.

Question: A 16-year-old has been receiving total parenteral nutrition (TPN) for the last 10 days. Before discontinuing the infusion, the nurse lowers the infusion rate. What complication of TPN infusion should the nurse assess the client for as the infusion is discontinued?

Answer Options: Dehydration Malnutrition Severe low blood sugar Essential fatty acid deficiency

Answer: Severe low blood sugar

Question: An otherwise healthy 18-month-old child with a history of febrile seizures is in the well-child clinic. Which statement by the parent indicates to the nurse that additional teaching is needed?

Answer Options: “I have ibuprofen available in case it is needed.” “My child will likely outgrow these seizures by age 5.” “I always keep phenobarbital with me in case of a fever.” “The most likely time for a seizure is when the fever is rising.”

Answer: “I always keep phenobarbital with me in case of a fever.”

Question: The nurse develops the plan of care for a 14-year-old client who is bored due to being immobilized in a cast. Which activity is most appropriate for the adolescent?

Answer Options: Playing video games with a 9-year-old Playing a card game with a client the same age Putting together a puzzle with the client’s parent Watching a movie with the client’s younger sibling

Answer: Playing a card game with a client the same age

Question: A 13-year-old client is dying of cancer. When providing care for this client, the nurse would incorporate the developmental tasks for this age. According to Erikson’s developmental model, the child normally is expected to be working on which psychosocial issue?

Answer Options: Lifetime vocation Personal values Social conscience Sense of competence

Answer: Personal values

Question: An emergency room nurse is at the nurses’ station when a child’s parent runs into the hallway shouting, “Someone help! My child is shaking all over!” The nurse quickly responds and enters the room to find the child having a seizure. Which action should the nurse perform?

Answer Options: Insert a tongue blade between the child’s teeth. Restrain the child and pad the side rails of the bed. Begin timing the seizure and note the child’s behaviors. Suction the child to prevent aspiration of gastric contents.

Answer: Begin timing the seizure and note the child’s behaviors.

Question: The parents of a school age boy newly diagnosed with hypothyroidism asks the nurse how long it will be necessary for their child to take the prescribed levothyroxine sodium. What should the nurse tell the parents?

Answer Options: “It will be necessary for your child to take the medication for the rest of his life.” “The medication can be discontinued when your child’s thyroid-stimulating hormone (TSH) level is normal.” “If your child’s thyroid responds to the medication, the medication can be gradually withdrawn in 1 to 2 years.” “Because the medication is expensive, the health care provider will check your child’s progress, and reduce the dose in a few months.”

Answer: “It will be necessary for your child to take the medication for the rest of his life.”

Question: The nurse teaches the parents of an infant who has had surgery to correct imperforate anus how to position the infant to prevent tension on the perineum. The nurse determines more teaching is needed when the parents put the infant in which position?

Answer Options: Left side, with hips elevated Right side, with hips elevated Abdomen, with legs pulled up under the body Back, with legs suspended at a 90-degree angle

Answer: Abdomen, with legs pulled up under the body

Question: A 17-year-old girl with major depression states, “Life is not worth living anymore. Nothing matters.” Which response by the nurse is best to address the adolescent’s issues?

Answer Options: “Why do you think that way?” “You should not feel that way.” “Things will get better, you know.” “Are you thinking about killing yourself?”

Answer: “Are you thinking about killing yourself?”

Question: The nurse is developing a care plan for a female child who is 12 years of age and receiving surgery to correct idiopathic scoliosis. Which postoperative problem is a priority?

Answer Options: Hypotension Pain medication Infection control Prevention of pressure wounds

Answer: Hypotension

Question: In the emergency room, the nurse is assessing a toddler who is currently being treated for a radius fracture and has a history of multiple fractures. The assessment reveals short stature, blue sclera, and no bruising or swelling at the fracture site. Which disorder should the nurse suspect?

Answer Options: Rickets Blount disease Osteogenesis imperfecta Child abuse (child maltreatment)

Answer: Osteogenesis imperfecta