Unit 11 NR328 Nursing care alterations in neuromuscular
functionQuestions with Actual Questions and Correct Answers
Q1
The nurse is caring for an 11-year-old recently diagnosed with juvenileidiopathic arthritis. Which is the
best activity for the nurse to suggest?
Answer: Swimming
Q2
Match the cerebral palsy classification type with theassociated clinical manifestations
Answer: spastic - increased muscle tone resulting in stiff muscles and awkward movementataxic -
lack of muscle
tone resulting in difficulty with balance and coordinationdyskinetic - muscle tone varies resulting
in
difficulty controlling movement of hands, arms, feet, and legs
Q3
The nurse is caring for a 2-year-old with spastic cerebral palsy. Indicate whether each assessment
finding is expected or unanticipated
Answer: Expected - Difficulty holding objectsDifficulty sitting without using both hands for
supportInability to
walk toes angled inwardUnanticipated - low muscle tone
Q4
Indicate whether each nursing action is indicated or contraindicated
Answer: Indicated -Ask the caregiver about the home schedule. Consult child life
services.Schedule feedings and
medications according to home schedule.Contraindicated -Insist caregiver rooms-in to assist with
child's needs
Q5
Which safety interventions should the nurse implement? Select all that apply
Answer: Complete a thorough medication reconciliation upon admission.Keep bedside rails up at
all times
Identify client by name and date of birth.Keep bag valve mask, suction equipment, and oxygen
equipment at the bedside
functionQuestions with Actual Questions and Correct Answers
Q1
The nurse is caring for an 11-year-old recently diagnosed with juvenileidiopathic arthritis. Which is the
best activity for the nurse to suggest?
Answer: Swimming
Q2
Match the cerebral palsy classification type with theassociated clinical manifestations
Answer: spastic - increased muscle tone resulting in stiff muscles and awkward movementataxic -
lack of muscle
tone resulting in difficulty with balance and coordinationdyskinetic - muscle tone varies resulting
in
difficulty controlling movement of hands, arms, feet, and legs
Q3
The nurse is caring for a 2-year-old with spastic cerebral palsy. Indicate whether each assessment
finding is expected or unanticipated
Answer: Expected - Difficulty holding objectsDifficulty sitting without using both hands for
supportInability to
walk toes angled inwardUnanticipated - low muscle tone
Q4
Indicate whether each nursing action is indicated or contraindicated
Answer: Indicated -Ask the caregiver about the home schedule. Consult child life
services.Schedule feedings and
medications according to home schedule.Contraindicated -Insist caregiver rooms-in to assist with
child's needs
Q5
Which safety interventions should the nurse implement? Select all that apply
Answer: Complete a thorough medication reconciliation upon admission.Keep bedside rails up at
all times
Identify client by name and date of birth.Keep bag valve mask, suction equipment, and oxygen
equipment at the bedside
