Nokea
Which statement if made by the nurse indicates correct understanding of this disease?
- A. Amputation is the accepted treatment.'
- B. The disease is sensitive to radiation and chemotherapy.'
- C. Metastasis is rare.'
- D. The disease is more prevalent among toddlers and preschoolers.'
Correct Answer: B
Rationale: Ewing's sarcoma responds well to radiation and chemotherapy, unlike amputation, and it can metastasize, primarily affecting school-age children.
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What type of juvenile rheumatoid arthritis do these findings suggest?
- A. Psoriatic
- B. Enthesitis
- C. Systemic
- D. Acute febrile
Correct Answer: C
Rationale: Systemic juvenile rheumatoid arthritis presents with fever, joint swelling, warmth, tenderness, abdominal pain, and elevated inflammatory markers.
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.
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 intervention will the nurse caring for a child in Buck skin traction implement?
- A. Position in high Fowler's position.
- B. Assist the child to be pulled up in bed.
- C. Keep child's heel on the bed surface.
- D. Maintain child's feet against the foot of the bed.
Correct Answer: B
Rationale: Assisting the child to be pulled up in bed maintains proper alignment in Buck traction, using the child's weight as counterbalance.
The nurse performing a neurovascular check on a limb in traction would report and document which finding(s) as indicative of altered circulation?
- A. Pulse is equal to uncasted limb.
- B. Patient is aware of touch and warm and cold application.
- C. Limb is cool to the touch.
- D. Capillary refill is 5 seconds.
- E. Distal limb can flex and extend.
Correct Answer: C,D
Rationale: Cool limbs and capillary refill over 3 seconds indicate altered circulation, requiring immediate reporting.