Musculoskeletal & Integumentary
Questions and Correct Answers.
A nurse is caring for a child following an open reduction and internal fixation of a fractured
femur and application of a cast. The cast has a window cut in it for viewing of the incision.
Which of the following actions should the nurse take first? - Answer Perform a neurovascular
checks of the affected extremity
A nurse is reinforcing teaching with the mother of a 2-month-old infant whose provider applied
a Pavlik harness 1 week earlier for the treatment of developmental hip dysplasia. Which of the
following statements by the mother indicates an understanding of the teaching? - Answer "I
will check my baby's skin three times each day."
A nurse is reinforcing teaching about cast care to a school-age child following application of a
fiberglass cast for a radius fracture. Which of the following statements by the child indicates an
understanding of the teaching? - Answer "I can put an ice pack on the areas of my cast that
itch"
A school nurse is screening an 11-year-old child for idiopathic scoliosis. Which of the following
instructions should the nurse give the child for this examination? - Answer "Bend forward
from the waist with your head and arms downward."
A nurse is caring for a child who has juvenile rheumatoid arthritis. Which of the following
actions should the nurse take? - Answer Maintain night splints to the affected joint.
A nurse is reinforcing teaching with a parent of an 8-year-old child who has a fracture of the
epiphyseal plate. Which of the following statements should the nurse include in the teaching? -
Answer "Normal bone growth can be affected by the fracture."
A nurse is caring for a school-age child who has a fracture to the right femur. Which of the
following findings is the nurse's priority? - Answer Tingling in the right foot
A nurse is planning meals for a 2-year-old child who has a fractured jaw and is having difficulty
swallowing. The surgeon has prescribed a pureed diet. Which of the following food selections
should the nurse make? - Answer Scrambled Eggs
A nurse is contributing to the plan of care of a 14-month-old toddler who is 24 hr postoperative
following a cleft palate repair. Which of the following interventions should the nurse include in
the plan? - Answer Maintain elbow restraints on the toddler.
, A nurse is receiving hand-off report for a toddler who has a fractured right femur and is in
90deg/90deg traction. The nurse should expect to observe which of the following? - Answer
A skeletal pin in the distal end of the femur
A nurse is caring for a child who has Legg-Calve-Perthes disease and is in Buck's traction. Which
of the following actions should the nurse take? - Answer Ensure the rope knots are away
from the pulleys.
A nurse in a family health clinic is collecting data as part of a routine physical examination of a
client who is about to enter high school. The nurse observes an abnormal lateral curvature of
the spine. The nurse should expect the provider to document which of the following disorders?
- Answer Scoliosis
A nurse is caring for a 2-month-old infant who is postoperative following repair of a cleft lip and
palate. The surgeon prescribes restraints. The nurse should apply which of the following types
of restraints to the infant? - Answer Elbow
A school nurse is completing routine health evaluations for school-age children. Which of the
following manifestation should alert the nurse to the possibility of pediculosis capitis? - Answer
Reports of scalp itchiness
A nurse is assisting with the care of a 3-month-old infant following a surgical procedure. Which
of the following pain scales should the nurse use to determine the infant's pain level? - Answer
FLACC
A nurse is reviewing routine screenings for adolescents. Which of the following screenings
should the nurse expect to be included? - Answer Scoliosis
A nurse on a medical-surgical unit is caring for a group of children. Which of the following
findings should alert the nurse that one of the children is a potential victim of abuse? - Answer
An adolescent who asks to stay in the hospital because he likes the room
A nurse in a clinic is teaching a group of parents about scoliosis screening. Which of the
following statements by a parent indicates an understanding of the teaching? - Answer
"During the screening, the child is asked to stand and bend forward at the waist with his arms
hanging."
A nurse is caring for a toddler who had a cast applied 2 hr ago due to multiple fractures of the
right hand. Which of the following findings should the nurse report immediately to the charge
nurse? - Answer The fingers on the right hand have a capillary refill of 4 seconds.
Questions and Correct Answers.
A nurse is caring for a child following an open reduction and internal fixation of a fractured
femur and application of a cast. The cast has a window cut in it for viewing of the incision.
Which of the following actions should the nurse take first? - Answer Perform a neurovascular
checks of the affected extremity
A nurse is reinforcing teaching with the mother of a 2-month-old infant whose provider applied
a Pavlik harness 1 week earlier for the treatment of developmental hip dysplasia. Which of the
following statements by the mother indicates an understanding of the teaching? - Answer "I
will check my baby's skin three times each day."
A nurse is reinforcing teaching about cast care to a school-age child following application of a
fiberglass cast for a radius fracture. Which of the following statements by the child indicates an
understanding of the teaching? - Answer "I can put an ice pack on the areas of my cast that
itch"
A school nurse is screening an 11-year-old child for idiopathic scoliosis. Which of the following
instructions should the nurse give the child for this examination? - Answer "Bend forward
from the waist with your head and arms downward."
A nurse is caring for a child who has juvenile rheumatoid arthritis. Which of the following
actions should the nurse take? - Answer Maintain night splints to the affected joint.
A nurse is reinforcing teaching with a parent of an 8-year-old child who has a fracture of the
epiphyseal plate. Which of the following statements should the nurse include in the teaching? -
Answer "Normal bone growth can be affected by the fracture."
A nurse is caring for a school-age child who has a fracture to the right femur. Which of the
following findings is the nurse's priority? - Answer Tingling in the right foot
A nurse is planning meals for a 2-year-old child who has a fractured jaw and is having difficulty
swallowing. The surgeon has prescribed a pureed diet. Which of the following food selections
should the nurse make? - Answer Scrambled Eggs
A nurse is contributing to the plan of care of a 14-month-old toddler who is 24 hr postoperative
following a cleft palate repair. Which of the following interventions should the nurse include in
the plan? - Answer Maintain elbow restraints on the toddler.
, A nurse is receiving hand-off report for a toddler who has a fractured right femur and is in
90deg/90deg traction. The nurse should expect to observe which of the following? - Answer
A skeletal pin in the distal end of the femur
A nurse is caring for a child who has Legg-Calve-Perthes disease and is in Buck's traction. Which
of the following actions should the nurse take? - Answer Ensure the rope knots are away
from the pulleys.
A nurse in a family health clinic is collecting data as part of a routine physical examination of a
client who is about to enter high school. The nurse observes an abnormal lateral curvature of
the spine. The nurse should expect the provider to document which of the following disorders?
- Answer Scoliosis
A nurse is caring for a 2-month-old infant who is postoperative following repair of a cleft lip and
palate. The surgeon prescribes restraints. The nurse should apply which of the following types
of restraints to the infant? - Answer Elbow
A school nurse is completing routine health evaluations for school-age children. Which of the
following manifestation should alert the nurse to the possibility of pediculosis capitis? - Answer
Reports of scalp itchiness
A nurse is assisting with the care of a 3-month-old infant following a surgical procedure. Which
of the following pain scales should the nurse use to determine the infant's pain level? - Answer
FLACC
A nurse is reviewing routine screenings for adolescents. Which of the following screenings
should the nurse expect to be included? - Answer Scoliosis
A nurse on a medical-surgical unit is caring for a group of children. Which of the following
findings should alert the nurse that one of the children is a potential victim of abuse? - Answer
An adolescent who asks to stay in the hospital because he likes the room
A nurse in a clinic is teaching a group of parents about scoliosis screening. Which of the
following statements by a parent indicates an understanding of the teaching? - Answer
"During the screening, the child is asked to stand and bend forward at the waist with his arms
hanging."
A nurse is caring for a toddler who had a cast applied 2 hr ago due to multiple fractures of the
right hand. Which of the following findings should the nurse report immediately to the charge
nurse? - Answer The fingers on the right hand have a capillary refill of 4 seconds.
