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EDAPT: Nursing Care - Pediatric
Neuromuscular Alterations Questions and
Answers Latest Update
The nurse is caring for an 11-year-old recently diagnosed with juvenile
idiopathic arthritis. Which is the best activity for the nurse to suggest? Ans:
Swimming
Match the cerebral palsy classification type with the associated clinical
manifestations. Ans: Spastic - Increased muscle tone resulting in stiff
muscles and awkward movement.
Ataxic - Lack of muscle tone resulting in difficulty with balance and
coordination.
Dyskinetic - Muscle tone varies resulting in difficulty controlling movement
of hands, arms, feet, and legs.
The nurse is caring for a 2-year-old with spastic cerebral palsy. Indicate
whether each assessment finding is expected or unanticipated. Ans:
Expected:
Difficulty holding objects
Difficulty sitting without using both hands for support
Inability to walk
Toes angle inward
Unanticipated:
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, 2 | Page
Low muscle tone
The nurse is caring for a child with cerebral palsy, seizures, and severe
mental retardation in an acute care setting. The child has a complex home
regimen and requires total care. The child has a gastrostomy tube for
feedings, multiple medications, a specialized wheelchair, and hand splints.
Indicate whether each nursing action is indicated or contraindicated. Ans:
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.
The nurse is caring for a child with cerebral palsy, seizures, and severe
mental retardation in an acute care setting. The child has a complex home
regimen and requires total care. The child has a gastrostomy tube for
feedings, multiple medications, a specialized wheelchair, and hand splints.
Which safety interventions should the nurse implement? Select all that
apply. Ans: Keep bag valve mask, suction equipment, and oxygen equipment
at the bedside.
Complete a thorough medication reconciliation upon admission.
Identify client by name and date of birth.
Keep bedside rails up at all times.
The nurse is caring for a child with cerebral palsy, seizures, and severe
mental retardation in an acute care setting. The child has a complex home
© 2025 All rights reserved
, 3 | Page
regimen and requires total care. The child has a gastrostomy tube for
feedings, multiple medications, a specialized wheelchair, and hand splints.
For each body system, highlight which potential nursing action is most
appropriate. Ans: Leave child in upright position for 30 minutes after
feedings.
Apply hand splints per home schedule.
Reposition client every 2 hours.
The nurse is providing education for a female adolescent client newly
diagnosed with juvenile idiopathic arthritis who is prescribed methotrexate.
For each teaching point, indicate whether it is indicated or contraindicated.
Ans: Indicated:
Application of heat may help pain and stiffness.
Follow a regular exercise program.
Use birth control measures and document menstrual cycle.
Contraindicated:
Complete pain relief is achievable.
Home schooling will be needed.
The nurse is providing education for a female adolescent client newly
diagnosed with juvenile idiopathic arthritis who is prescribed methotrexate.
Which statement by the client indicates further education is needed? Ans:
"The methotrexate treatment will cure my arthritis."
The nurse is caring for a child with juvenile idiopathic arthritis who is
prescribed prednisone. The client reports pain in the knee and the nurse
© 2025 All rights reserved
EDAPT: Nursing Care - Pediatric
Neuromuscular Alterations Questions and
Answers Latest Update
The nurse is caring for an 11-year-old recently diagnosed with juvenile
idiopathic arthritis. Which is the best activity for the nurse to suggest? Ans:
Swimming
Match the cerebral palsy classification type with the associated clinical
manifestations. Ans: Spastic - Increased muscle tone resulting in stiff
muscles and awkward movement.
Ataxic - Lack of muscle tone resulting in difficulty with balance and
coordination.
Dyskinetic - Muscle tone varies resulting in difficulty controlling movement
of hands, arms, feet, and legs.
The nurse is caring for a 2-year-old with spastic cerebral palsy. Indicate
whether each assessment finding is expected or unanticipated. Ans:
Expected:
Difficulty holding objects
Difficulty sitting without using both hands for support
Inability to walk
Toes angle inward
Unanticipated:
© 2025 All rights reserved
, 2 | Page
Low muscle tone
The nurse is caring for a child with cerebral palsy, seizures, and severe
mental retardation in an acute care setting. The child has a complex home
regimen and requires total care. The child has a gastrostomy tube for
feedings, multiple medications, a specialized wheelchair, and hand splints.
Indicate whether each nursing action is indicated or contraindicated. Ans:
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.
The nurse is caring for a child with cerebral palsy, seizures, and severe
mental retardation in an acute care setting. The child has a complex home
regimen and requires total care. The child has a gastrostomy tube for
feedings, multiple medications, a specialized wheelchair, and hand splints.
Which safety interventions should the nurse implement? Select all that
apply. Ans: Keep bag valve mask, suction equipment, and oxygen equipment
at the bedside.
Complete a thorough medication reconciliation upon admission.
Identify client by name and date of birth.
Keep bedside rails up at all times.
The nurse is caring for a child with cerebral palsy, seizures, and severe
mental retardation in an acute care setting. The child has a complex home
© 2025 All rights reserved
, 3 | Page
regimen and requires total care. The child has a gastrostomy tube for
feedings, multiple medications, a specialized wheelchair, and hand splints.
For each body system, highlight which potential nursing action is most
appropriate. Ans: Leave child in upright position for 30 minutes after
feedings.
Apply hand splints per home schedule.
Reposition client every 2 hours.
The nurse is providing education for a female adolescent client newly
diagnosed with juvenile idiopathic arthritis who is prescribed methotrexate.
For each teaching point, indicate whether it is indicated or contraindicated.
Ans: Indicated:
Application of heat may help pain and stiffness.
Follow a regular exercise program.
Use birth control measures and document menstrual cycle.
Contraindicated:
Complete pain relief is achievable.
Home schooling will be needed.
The nurse is providing education for a female adolescent client newly
diagnosed with juvenile idiopathic arthritis who is prescribed methotrexate.
Which statement by the client indicates further education is needed? Ans:
"The methotrexate treatment will cure my arthritis."
The nurse is caring for a child with juvenile idiopathic arthritis who is
prescribed prednisone. The client reports pain in the knee and the nurse
© 2025 All rights reserved
