NUR 253
NUR 253 Exam 4 Mental Health () PDF | 50 Multiple
Choice Questions with Correct Answers and Rationales
Gradegurus
➢
➢
➢50 Multiple Choice Questions with Correct Answers
,Maternal Exam 4 – Correct Answers with Rationales
Question 1
The nurse is admitting a child who has vaso-occlusive sickle cell crisis. Which of the
following interventions should the nurse anticipate being prescribed for the child?
A. Chemotherapy, radiation, and vitamin supplements
B. Antibiotic therapy, physical therapy, and dietary restrictions
C. Hydration, oxygenation, and pain management
D. Rest, cold compresses, and muscle relaxants
Correct Answer: C. Hydration, oxygenation, and pain management
Rationale: The priority interventions for a vaso-occlusive sickle cell crisis are hydration
(to reduce blood viscosity and promote circulation), oxygenation (to improve tissue
perfusion and reduce sickling), and pain management (crisis is extremely painful). Cold
compresses cause vasoconstriction, which worsens sickling and should be avoided.
Chemotherapy and radiation are not treatments for sickle cell crisis.
Question 2
A nurse is caring for a child who has a new cast and is at risk for compartment
syndrome. Which of the following statements indicates that the child may have
compartment syndrome?
A. Ataxia
B. Hypertension
C. Paresthesia
D. Quadriplegia
, Correct Answer: C. Paresthesia
Rationale: Compartment syndrome occurs when pressure within a confined muscle
compartment compromises circulation and nerve function. Early signs include
paresthesia (numbness/tingling), pain unrelieved by medication, pallor, paralysis, and
pulselessness. Ataxia, hypertension, and quadriplegia are not typical signs of
compartment syndrome.
Question 3
The nurse is screening infants for early signs of cerebral palsy. Which findings from
the box should the nurse recognize as early signs of cerebral palsy?
A. Use of brace will slow the progression of scoliosis for most clients
B. Provide the child a quiet atmosphere with dimmed lighting
C. We will provide pain relief using pain medication and rest
D. Feeding difficulties, Persistent Moro reflex, Rigid arms or legs
Correct Answer: D. Feeding difficulties, Persistent Moro reflex, Rigid arms or legs
Rationale: Early signs of cerebral palsy include feeding difficulties (poor suck/swallow),
persistence of primitive reflexes (such as the Moro reflex beyond the expected age), and
abnormal muscle tone (rigidity or spasticity). The other options relate to scoliosis
treatment, ICP management, and general pain management, not CP.
Question 4
A nurse is caring for a child who has a freshly applied cast to the right arm. Which of
the following actions performed by the nurse requires immediate intervention?
A. Applying lotion to moisturize the skin
B. Wrapping the cast with plastic wrap for protection
C. Using a heated hair dryer to circulate air
D. Using a cold compress to reduce swelling
NUR 253 Exam 4 Mental Health () PDF | 50 Multiple
Choice Questions with Correct Answers and Rationales
Gradegurus
➢
➢
➢50 Multiple Choice Questions with Correct Answers
,Maternal Exam 4 – Correct Answers with Rationales
Question 1
The nurse is admitting a child who has vaso-occlusive sickle cell crisis. Which of the
following interventions should the nurse anticipate being prescribed for the child?
A. Chemotherapy, radiation, and vitamin supplements
B. Antibiotic therapy, physical therapy, and dietary restrictions
C. Hydration, oxygenation, and pain management
D. Rest, cold compresses, and muscle relaxants
Correct Answer: C. Hydration, oxygenation, and pain management
Rationale: The priority interventions for a vaso-occlusive sickle cell crisis are hydration
(to reduce blood viscosity and promote circulation), oxygenation (to improve tissue
perfusion and reduce sickling), and pain management (crisis is extremely painful). Cold
compresses cause vasoconstriction, which worsens sickling and should be avoided.
Chemotherapy and radiation are not treatments for sickle cell crisis.
Question 2
A nurse is caring for a child who has a new cast and is at risk for compartment
syndrome. Which of the following statements indicates that the child may have
compartment syndrome?
A. Ataxia
B. Hypertension
C. Paresthesia
D. Quadriplegia
, Correct Answer: C. Paresthesia
Rationale: Compartment syndrome occurs when pressure within a confined muscle
compartment compromises circulation and nerve function. Early signs include
paresthesia (numbness/tingling), pain unrelieved by medication, pallor, paralysis, and
pulselessness. Ataxia, hypertension, and quadriplegia are not typical signs of
compartment syndrome.
Question 3
The nurse is screening infants for early signs of cerebral palsy. Which findings from
the box should the nurse recognize as early signs of cerebral palsy?
A. Use of brace will slow the progression of scoliosis for most clients
B. Provide the child a quiet atmosphere with dimmed lighting
C. We will provide pain relief using pain medication and rest
D. Feeding difficulties, Persistent Moro reflex, Rigid arms or legs
Correct Answer: D. Feeding difficulties, Persistent Moro reflex, Rigid arms or legs
Rationale: Early signs of cerebral palsy include feeding difficulties (poor suck/swallow),
persistence of primitive reflexes (such as the Moro reflex beyond the expected age), and
abnormal muscle tone (rigidity or spasticity). The other options relate to scoliosis
treatment, ICP management, and general pain management, not CP.
Question 4
A nurse is caring for a child who has a freshly applied cast to the right arm. Which of
the following actions performed by the nurse requires immediate intervention?
A. Applying lotion to moisturize the skin
B. Wrapping the cast with plastic wrap for protection
C. Using a heated hair dryer to circulate air
D. Using a cold compress to reduce swelling
