Pediatric Nursing | Musculoskeletal And Neuromuscular Disorders NCLEX Quiz 12
The Pediatric Nursing NCLEX Quiz 12 focuses on musculoskeletal and neuromuscular disorders commonly seen in children. The quiz covers a range of topics, including conditions like muscular dystrophy, scoliosis, developmental dysplasia of the hip, and cerebral palsy.
Additionally, the quiz touches on cerebral palsy, a neurological condition affecting muscle control and movement. Questions related to the early signs and symptoms of cerebral palsy and its impact on developmental milestones are included.
By taking this quiz, nursing students and professionals can test their knowledge and understanding of musculoskeletal and neuromuscular disorders in pediatric patients. It provides an opportunity to review key Read moreconcepts, enhance critical thinking skills, and prepare for the NCLEX examination or pediatric nursing practice.
- 1.
Mr. and Mrs. Andrews’ child was diagnosed with Duchenne’s muscular dystrophy; which of the following is usually the first indication of the condition?
- A.
Inability to suck in the newborn
- B.
Lateness in walking in the toddler
- C.
Difficulty running in the preschooler
- D.
Decreasing coordination in the school-age child
Correct Answer
C. Difficulty running in the preschoolerExplanation
Difficulty running in the preschooler is usually the first indication of Duchenne's muscular dystrophy. This is because the condition affects the muscles, causing weakness and progressive muscle degeneration. As the child grows older, they may experience difficulty with activities that require muscle strength, such as running. This symptom is often noticed in the preschool years, making it an early sign of the condition. Other symptoms, such as delayed walking or decreasing coordination, may also be present, but difficulty running is typically the first indication.Rate this question:
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- 2.
A spica cast was put on Baby Betty after an unfortunate incident to immobilize her hips and thighs; which of the following is the priority nursing action immediately after application?
- A.
Keep the cast dry and clean.
- B.
Cover the perineal area.
- C.
Elevate the cast.
- D.
Perform neurovascular checks
Correct Answer
D. Perform neurovascular checksExplanation
Performing neurovascular checks is the priority nursing action immediately after applying a spica cast on Baby Betty. This is because a spica cast can cause compression and compromise the circulation and nerve function in the affected area. By performing neurovascular checks, the nurse can assess for any signs of impaired circulation or nerve damage, such as changes in skin color, temperature, sensation, and movement. Early detection of any issues allows for prompt intervention and prevention of complications.Rate this question:
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- 3.
Veronica is a 14-year-old girl who wears a brace for structural scoliosis; which of the following statements indicate effective use of the brace?
- A.
“I sure am glad that I only have to wear this awful thing at night.”
- B.
“I’m really glad that I can take this thing off whenever I get tired.”
- C.
“I wonder if I can take the brace off when I go to the homecoming dance.”
- D.
None of the above
Correct Answer
D. None of the aboveExplanation
The correct answer is "None of the above" because all three statements indicate that Veronica is not wearing the brace consistently or as prescribed. Wearing the brace only at night, taking it off when tired, or considering removing it for a social event like a dance would not be effective in treating structural scoliosis. Effective use of the brace would involve wearing it consistently and for the recommended duration to provide the necessary support and correction for the spinal curvature.Rate this question:
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- 4.
Which of the following is the most common permanent disability in childhood?
- A.
Scoliosis
- B.
Muscular dystrophy
- C.
Cerebral palsy
- D.
Developmental dysplasia of the hip (DDH)
Correct Answer
C. Cerebral palsyExplanation
Cerebral palsy is the most common permanent disability in childhood. This condition affects movement, muscle tone, and posture due to damage to the developing brain. It can occur before, during, or shortly after birth, and is often caused by factors such as premature birth, infections, or brain injuries. Scoliosis is a condition characterized by an abnormal curvature of the spine, but it is not as common as cerebral palsy in childhood. Muscular dystrophy is a group of genetic disorders that cause progressive muscle weakness, but it is also less common than cerebral palsy. Developmental dysplasia of the hip (DDH) is a condition where the hip joint is improperly formed, but it is not as prevalent as cerebral palsy.Rate this question:
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- 5.
Among toddlers and children up to age five, femur fractures usually result from a low-energy fall. Approximately how many weeks does it take for a fractured femur to heal in a 3-year-old?
- A.
2 weeks
- B.
4 weeks
- C.
8 weeks
- D.
10 weeks
Correct Answer
B. 4 weeksExplanation
Femur fractures in toddlers and children up to age five usually occur due to low-energy falls. The healing time for a fractured femur in a 3-year-old is typically around 4 weeks. During this period, the bone will gradually repair itself and regain its strength. This healing time may vary depending on the severity of the fracture and the individual's overall health.Rate this question:
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- 6.
Nurse Cheryl is assessing Fred, a 14-year-old boy who had scoliosis surgery; besides checking neurologic status directly after surgery, she should be concerned with which of the following factors?
- A.
Comfort level
- B.
Dietary tolerance
- C.
Physical therapy needs
- D.
Understanding of the procedure
Correct Answer
A. Comfort levelExplanation
After scoliosis surgery, it is important for Nurse Cheryl to be concerned with Fred's comfort level. This is because surgery can be a painful and uncomfortable experience, and it is crucial for the nurse to ensure that Fred is as comfortable as possible. This may involve providing pain medication, monitoring his pain levels, and implementing strategies to alleviate discomfort such as repositioning or providing a supportive environment. By prioritizing Fred's comfort, Nurse Cheryl can help promote his overall well-being and aid in his recovery process.Rate this question:
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- 7.
When a child injures the epiphyseal plate from a fracture, the damage may result in which of the following?
- A.
Rheumatoid arthritis
- B.
Permanent nerve damage
- C.
Osteomyelitis
- D.
Bone growth disruption
Correct Answer
D. Bone growth disruptionExplanation
When a child injures the epiphyseal plate from a fracture, it can disrupt the normal growth of the bone. The epiphyseal plate is responsible for the lengthening of bones during growth, and any damage to it can interfere with this process. This disruption can lead to abnormal bone growth, such as one leg or arm being shorter than the other. Therefore, the correct answer is bone growth disruption.Rate this question:
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- 8.
Mrs. Lodge’s child requires the use of a Pavlik harness; which of the following would Nurse Betty do to best assess the mother’s ability to care for her child?
- A.
Demonstrate to the mother how to remove and reapply the device.
- B.
Have the mother remove and reapply the harness before discharge.
- C.
Have the mother verbalize the purpose for using the device.
- D.
Request a home health care nurse visit after discharge.
Correct Answer
B. Have the mother remove and reapply the harness before discharge.Explanation
Nurse Betty would have the mother remove and reapply the harness before discharge in order to assess her ability to care for her child. This would allow Nurse Betty to observe if the mother is able to correctly and confidently handle the device, ensuring that the child's needs can be met at home. It would also provide an opportunity for Nurse Betty to provide any necessary guidance or instruction to the mother.Rate this question:
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- 9.
Nurse Kevin is assessing a newborn for developmental dysplasia of the hip (DDH); he would expect to assess which of the following?
- A.
Characteristic limp
- B.
Ortolani’s sign
- C.
Symmetrical gluteal folds
- D.
Trendelenburg‘s signs
Correct Answer
B. Ortolani’s signExplanation
When assessing a newborn for developmental dysplasia of the hip (DDH), Nurse Kevin would expect to assess Ortolani's sign. Ortolani's sign is a physical examination maneuver used to detect hip instability or dislocation in infants. It involves gently abducting the hips and applying gentle pressure to feel for a "clunk" or a palpable click as the femoral head relocates into the acetabulum. This sign is indicative of a positive finding for DDH and requires further evaluation and management. The other options, such as characteristic limp, symmetrical gluteal folds, and Trendelenburg's sign, are not specific to DDH assessment.Rate this question:
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- 10.
Mrs. Cooper is concerned about her 4-month-old son’s unusual condition; which of the following statements made by her would indicate that the child may have cerebral palsy?
- A.
“He holds his left leg so stiff that I have a hard time putting on his diapers.”
- B.
“My baby won’t lift his head up and look at me; he’s so floppy.”
- C.
“My baby’s left hip tilts when I pull him to a standing position.”
- D.
“I’m very worried because my baby has not rolled all the way over yet.”
Correct Answer
B. “My baby won’t lift his head up and look at me; he’s so floppy.”Explanation
The statement "My baby won’t lift his head up and look at me; he’s so floppy" indicates that the child may have cerebral palsy. Cerebral palsy is a neurological disorder that affects muscle control and movement. Floppiness or low muscle tone is a common symptom of cerebral palsy, and the inability to lift the head up is another motor milestone that may be delayed in children with this condition. The other statements do not specifically suggest cerebral palsy.Rate this question:
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Jul 31, 2023Quiz Edited by
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Sep 20, 2017Quiz Created by
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