Detailed Answer Key
Pediatric February
1. A nurse is collecting data from a 6-year-old child at a well-child visit. Which of the following statements by the child's
parent should the nurse report to the provider?
A. "The teacher says my child has to squint to see the board."
Rationale: Squinting is a manifestation of strabismus, which must be diagnosed early in order to prevent
vision loss.
B. "My child has recently lost both front top teeth."
Rationale: Children of this age begin to lose their deciduous teeth to accommodate the emergence of their
permanent teeth.
C. "My child often cheats when we play board games."
Rationale: Children of this age often cheat to win at games because they find it difficult to lose. This
behavior should disappear as the child matures.
D. "Sometimes my child has temper tantrums."
Rationale: Children of this age do have occasional temper tantrums. The nurse should provide the parent
with guidance on how to react to the tantrum and ensure the child is not causing self-harm.
2. A nurse is caring for an adolescent following the application of a plaster cast for a fractured right tibia. Which of the
following actions should the nurse take?
A. Perform a neurovascular check of the lower extremities.
Rationale: The client is at risk for compartment syndrome following the application of a cast because the
extremity can continue to swell inside the cast resulting in obstruction to circulation. Therefore,
the nurse should perform a neurovascular check following cast application to check circulation,
motion, and sensation of the lower extremities.
B. Keep the client's leg in a dependent position.
Rationale: The nurse should keep the client's leg elevated to promote venous return and minimize swelling.
C. Discourage the client from ambulating.
Rationale: After the cast dries, the nurse should assist the client to ambulate using crutches to promote
general circulation and prevent complications of immobility.
D. Use a hair dryer on a hot setting to dry the cast.
Rationale: The nurse should not expose the cast to heat, such as from a dryer or a fan, because heat
conduction can result in skin burns under the cast.
3. A nurse is caring for a 4-year-old child who refuses to take his medication because of the bad taste. Which of the
following strategies should the nurse use to elicit the child's cooperation?
Created on:02/16/2022 Page 1
Pediatric February
1. A nurse is collecting data from a 6-year-old child at a well-child visit. Which of the following statements by the child's
parent should the nurse report to the provider?
A. "The teacher says my child has to squint to see the board."
Rationale: Squinting is a manifestation of strabismus, which must be diagnosed early in order to prevent
vision loss.
B. "My child has recently lost both front top teeth."
Rationale: Children of this age begin to lose their deciduous teeth to accommodate the emergence of their
permanent teeth.
C. "My child often cheats when we play board games."
Rationale: Children of this age often cheat to win at games because they find it difficult to lose. This
behavior should disappear as the child matures.
D. "Sometimes my child has temper tantrums."
Rationale: Children of this age do have occasional temper tantrums. The nurse should provide the parent
with guidance on how to react to the tantrum and ensure the child is not causing self-harm.
2. A nurse is caring for an adolescent following the application of a plaster cast for a fractured right tibia. Which of the
following actions should the nurse take?
A. Perform a neurovascular check of the lower extremities.
Rationale: The client is at risk for compartment syndrome following the application of a cast because the
extremity can continue to swell inside the cast resulting in obstruction to circulation. Therefore,
the nurse should perform a neurovascular check following cast application to check circulation,
motion, and sensation of the lower extremities.
B. Keep the client's leg in a dependent position.
Rationale: The nurse should keep the client's leg elevated to promote venous return and minimize swelling.
C. Discourage the client from ambulating.
Rationale: After the cast dries, the nurse should assist the client to ambulate using crutches to promote
general circulation and prevent complications of immobility.
D. Use a hair dryer on a hot setting to dry the cast.
Rationale: The nurse should not expose the cast to heat, such as from a dryer or a fan, because heat
conduction can result in skin burns under the cast.
3. A nurse is caring for a 4-year-old child who refuses to take his medication because of the bad taste. Which of the
following strategies should the nurse use to elicit the child's cooperation?
Created on:02/16/2022 Page 1
