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WorksheetsWeek 7 Practice Quiz
Total questions: 14
Worksheet time: 14mins
The parents of a preschooler diagnosed with muscular dystrophy are asking questions about the course of their child’s disease. Which should the nurse tell them?
“Muscular dystrophies usually result in progressive weakness.”
“The weakness that your child is having will probably not increase.”
“Your child will be able to function normally and not need any special accommodations.”
“The extent of weakness depends on doing daily physical therapy.”
“Your child may have pain in his legs with muscle weakness.”
The nurse should tell the parents of a child with Duchenne muscular dystrophy that some of the progressive complications include: (Select all that apply.)
Dry skin and hair, hirsutism, protruding tongue, and mental retardation.
Anorexia, gingival hyperplasia, dry skin and hair.
Contractures, obesity, and pulmonary infections.
Trembling, frequent loss of consciousness, and slurred speech.
Increasing difficulty swallowing and shallow breathing.
Which foods would be best for a child with Duchenne muscular dystrophy?
High-carbohydrate, high-protein foods.
No special food combinations.
Extra protein to help strengthen muscles.
Low-calorie foods to prevent weight gain.
Thickened liquids and smaller portions that are cut up.
Which will help a school-age child with muscular dystrophy stay active longer?
Normal activities, such as swimming.
Using a treadmill every day.
Several periods of rest every day.
Using a wheelchair upon getting tired.
Sleeping as late as needed.
The mother of a child with Duchenne muscular dystrophy asks the nurse who in the family should have genetic screening. Who should the nurse say must be tested?
Mother.
Sister.
Brother.
Aunts and all female cousins.
Uncles and all male cousins.
The nurse is caring for a school-age child with Duchenne muscular dystrophy in the elementary school. Which would be an appropriate nursing diagnosis?
Anticipatory grieving.
Anxiety reduction.
Increased pain.
Activity intolerance.
Which should the nurse tell the parent of an infant with spina bifida?
“Bone growth will be more than that of babies who are not sick because your baby will be less active.”
“Physical and occupational therapy will be helpful to stimulate the senses and improve cognitive skills.”
“Nutritional needs for your infant will be calculated based on activity level.”
“Fine motor skills will be delayed because of the disability.”
Which should the nurse prepare the parents of an infant for following surgical repair and closure of a myelomeningocele shortly after birth? The infant will:
Not need any long-term management and should be considered cured.
Not be at risk for urinary tract infections or movement problems.
Have continual drainage of cerebrospinal fluid, needing frequent dressing changes.
Need lifelong management of urinary, orthopedic, and neurological problems.
A newborn with a repaired myelomeningocele is assessed for hydrocephalus. Which would the nurse expect in an infant with hydrocephalus?
Low-pitched cry and depressed fontanel.
Low-pitched cry and bulging fontanel.
Bulging fontanel and downwardly rotated eyes.
Depressed fontanel and upwardly rotated eyes.
The nurse is developing a plan of care for a child recently diagnosed with cerebral palsy (CP). Which should be the nurse’s priority goal?
Ensure the ingestion of sufficient calories for growth.
Decrease intracranial pressure.
Teach appropriate parenting strategies for a special-needs child.
Ensure the child reaches their full potential
The nurse evaluates teaching of parents of a child newly diagnosed with CP as successful when the parents state that CP is which of the following?
Inability to speak and uncontrolled drooling.
Involuntary movements of lower extremities only.
Involuntary movements of upper extremities only.
An increase in muscle tone and deep tendon reflexes.
The parent of a toddler newly diagnosed with CP asks the nurse what caused it. The nurse should answer with which of the following?
Most cases are caused by unknown prenatal factors.
It is commonly caused by perinatal factors.
The exact cause is not known.
The exact cause is known in every instance.
The parent of a young child with CP brings the child to the clinic for a checkup. Which parent’s statement indicates an understanding of the child’s long-term needs?
“My child will need all my attention for the next 10 years.”
“Once in school, my child will catch up and be like the other children.”
“My child will grow up and need to learn to do things independently.”
“I’m the one who knows the most about my child and can do the most for my child.”
A 3-year-old child with CP is admitted for dehydration following an episode of diarrhea. The nurse’s assessment follows: awake; pale, thin child lying in bed; multiple contractures; drooling; coughing spells noted when parent feeds. T 97.8°F (36.5°C), P 75, R 25, weight 7.2 kg, no diarrheal stool for 48 hours. Which nursing diagnosis is most important?
Potential for skin breakdown: lying in one position.
Alteration in nutrition: less than body requirements.
Potential for impaired social support: parent sole caretaker.
Alteration in elimination: diarrhea.
