Test 6, Nursing 227 Review Questions
and Correct Answers
1. A child is admitted to the pediatric unit with spastic CP. Which would the nurse expect
a child with spastic CP to demonstrate? Select all that apply.
1. Increased deep tendon reflexes.
2. Decreased muscle tone.
3. Scoliosis.
4. Contractures.
5. Scissoring.
6. Good control of posture.
7. Good fine motor skills ✅1,3,4,5
increased deep tendon reflexes
scoliosis
contractures
scissoring
cerebral palsy complications due to immobility ✅contracture
seizures
aspiration pneunomia
1. An adolescent with scoliosis is fitted for a Milwaukee brace. Which statement made
by the client indicates successful teaching?
a. "I'll only have to wear the brace for a few months."
b. "I can take the brace off only for special occasions like the prom."
c. "I can take the brace off for 1 hour per day while I bathe."
d. "The brace will correct the curve if I wear it all the time." ✅c. i can take the brace off
for 1 hour per day while i bathe
2. The nurse is providing education related to the use of a brace that was ordered for an
adolescent girl with idiopathic scoliosis. Which statement by the teen means further
teaching is needed?
A. I will take my brace off 1 hr a day for showering
B. I may take my brace off for special occasions
C. I may wear a t-shirt under the brace for comfort
D. Wearing the brace every day is required to prevent further curving of my spine ✅b. i
may take my brace off for special occasions
clinical manifestations of cerebral palsy ✅characterized by abnormal muscle tone and
coordination
delayed gross motor development
, abnormal motor performance
alterations in muscle tone (rigid and unbending at the hip and knee)**** early sign
abnormal postures
reflex abnormalitilies
altered learning and reasoning
seizures
1. The parents of a 5 week old have just been told that their child has CF.
The mother had a sister who died of CF when she was 19. the parents
are sad and ask the nurse about the current projected life expectancy.
What is the nurse's best response? (Pediatric Success book)
a. life expectancy for CF patients has improved over the years
b. your child might not follow the same course that the mothers sisters did
c. the physician will come to speak to you about treatment options
d. the nurse answers their questions briefly, listens to their concerns and is available
later after they've processed the information ✅d. the nurse answers their questions
briefly, listens to their concerns and is available later after they have processed the
information
2. A child's diagnosis of CF was made 13 yrs. ago and he has been hospitalized several
times. On the latest admission, the child has labored respirations, fatigue, malnutrition,
and poor weight gain. Which nursing actions are most important initially?
A. Starting a high calorie, high protein diet
B. Applying a pulse oximeter
C. Inserting an IV line to start antibiotics
D. Placing the child on bed rest ✅b. applying a pulse oximeter
diet for cystic fibrosis ✅well balanced, high protein, high caloric diet with unrestricted
fat
1. What does the therapeutic management of CF patients include?
Select all that apply.
A. Encouraging exercise
B. Providing a high fat, high carb diet
C. Minimizing pulmonary complications
D. Encouraging medication compliance
E. Providing a high protein, high calorie diet ✅a, c, d, e
2. A 9 month old child with CF does not like taking pancreatic enzymes with meals and
snacks. The mother does not like to force the child to take the supplement. The most
important reason for the child to take the pancreatic enzyme supplement with meals and
snacks is:
and Correct Answers
1. A child is admitted to the pediatric unit with spastic CP. Which would the nurse expect
a child with spastic CP to demonstrate? Select all that apply.
1. Increased deep tendon reflexes.
2. Decreased muscle tone.
3. Scoliosis.
4. Contractures.
5. Scissoring.
6. Good control of posture.
7. Good fine motor skills ✅1,3,4,5
increased deep tendon reflexes
scoliosis
contractures
scissoring
cerebral palsy complications due to immobility ✅contracture
seizures
aspiration pneunomia
1. An adolescent with scoliosis is fitted for a Milwaukee brace. Which statement made
by the client indicates successful teaching?
a. "I'll only have to wear the brace for a few months."
b. "I can take the brace off only for special occasions like the prom."
c. "I can take the brace off for 1 hour per day while I bathe."
d. "The brace will correct the curve if I wear it all the time." ✅c. i can take the brace off
for 1 hour per day while i bathe
2. The nurse is providing education related to the use of a brace that was ordered for an
adolescent girl with idiopathic scoliosis. Which statement by the teen means further
teaching is needed?
A. I will take my brace off 1 hr a day for showering
B. I may take my brace off for special occasions
C. I may wear a t-shirt under the brace for comfort
D. Wearing the brace every day is required to prevent further curving of my spine ✅b. i
may take my brace off for special occasions
clinical manifestations of cerebral palsy ✅characterized by abnormal muscle tone and
coordination
delayed gross motor development
, abnormal motor performance
alterations in muscle tone (rigid and unbending at the hip and knee)**** early sign
abnormal postures
reflex abnormalitilies
altered learning and reasoning
seizures
1. The parents of a 5 week old have just been told that their child has CF.
The mother had a sister who died of CF when she was 19. the parents
are sad and ask the nurse about the current projected life expectancy.
What is the nurse's best response? (Pediatric Success book)
a. life expectancy for CF patients has improved over the years
b. your child might not follow the same course that the mothers sisters did
c. the physician will come to speak to you about treatment options
d. the nurse answers their questions briefly, listens to their concerns and is available
later after they've processed the information ✅d. the nurse answers their questions
briefly, listens to their concerns and is available later after they have processed the
information
2. A child's diagnosis of CF was made 13 yrs. ago and he has been hospitalized several
times. On the latest admission, the child has labored respirations, fatigue, malnutrition,
and poor weight gain. Which nursing actions are most important initially?
A. Starting a high calorie, high protein diet
B. Applying a pulse oximeter
C. Inserting an IV line to start antibiotics
D. Placing the child on bed rest ✅b. applying a pulse oximeter
diet for cystic fibrosis ✅well balanced, high protein, high caloric diet with unrestricted
fat
1. What does the therapeutic management of CF patients include?
Select all that apply.
A. Encouraging exercise
B. Providing a high fat, high carb diet
C. Minimizing pulmonary complications
D. Encouraging medication compliance
E. Providing a high protein, high calorie diet ✅a, c, d, e
2. A 9 month old child with CF does not like taking pancreatic enzymes with meals and
snacks. The mother does not like to force the child to take the supplement. The most
important reason for the child to take the pancreatic enzyme supplement with meals and
snacks is:
