Nokea
Which assessment performed by a nursing student performing a neurovascular check alerts the instructor that further education is necessary?
- A. Pulses
- B. Capillary refill
- C. Movement
- D. Pupils
Correct Answer: D
Rationale: Pupil assessment is part of a neurological check, not a neurovascular check, which includes pulses, capillary refill, and movement.
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How long does it take for the toe to regain color if adequate perfusion is assessed?
- A. 3 seconds
- B. 4 seconds
- C. 5 seconds
- D. 6 seconds
Correct Answer: A
Rationale: Capillary refill in 3 seconds or less indicates adequate perfusion in a child in Bryant's traction.
What would the nurse consider an abnormal finding on a musculoskeletal assessment of a 4-year-old child?
- A. Has inward-turned knees while standing.
- B. Walks on the toes.
- C. Appears to have flat feet.
- D. Swings his arms when walking.
Correct Answer: B
Rationale: Toe walking after age 3 may indicate a muscle problem, unlike other findings which are typical in young children.
What statement by the mother does the nurse recognize as indicative of a need for additional teaching?
- A. Apply warm compresses to the ankle for the first 24 hours.'
- B. Put an ice pack on the ankle, alternating 30 minutes on with 30 minutes off.'
- C. Wrap the ankle in an Ace bandage for support.'
- D. Keep the leg elevated when sitting.'
Correct Answer: A
Rationale: Warm compresses are incorrect for sprained ankle treatment; rest, ice, compression, and elevation are the appropriate interventions.
What will the nurse include when caring for a child in Buck's extension?
- A. Positioning the child with hips flexed 90 degrees at all times
- B. Keeping the weights in contact with the floor
- C. Checking for skin irritation from traction equipment
- D. Releasing the weights on a schedule
Correct Answer: C
Rationale: Checking for skin irritation prevents breakdown due to friction from traction equipment in Buck's extension.
Why does a child's fracture heal more rapidly than the adult's?
- A. A child's bones are less porous than adult bone.
- B. A child's bones are covered by a thicker periosteum.
- C. A child's bones are not affected by bone overgrowth.
- D. A child's bones have faster callus formation.
Correct Answer: D
Rationale: Faster callus formation in children accelerates fracture healing compared to adults.