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CPN Practice Questions Latest Update Questions and 100% Verified Correct Answers Guaranteed A+
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CPN Practice Questions Latest Update 2024 -2025 500 Questions and 100% Verified Correct Answers Guaranteed A+ 10.1 An infant is diagnosed with developmental dysplasia of the hip; on assessment, the nurse expects to note: A. Symmetrical thigh and gluteal folds B. Ortolani sign C. Increased hip abduction D. Femoral lengthening - CORRECT ANSWER: B. Ortolani sign The clicking sound that occurs when the healthcare provider manually abducts the hip through a frog -legged position causing the affected hip to slide out of the acetabulum 10.10 The nurse is caring for a 16 year old who has just had a spinal fusion to correct scoliosis; which of the following should the nurse include in the patient's immediate plan of care during the first 24 hours after surgery? A. Encourage the use of the inspirometer to avoid any pulmonary complications and ensure lung expansion B. Encourage the patient's parent to assist with administration of morphine via patient controlled analgesics (PCA) pump while the patient is sleeping to assure a cont - CORRECT ANSWER: A. Encourage the use of the inspirometer to avoid any pulmonary complications and ensure lung expansion The child is the only person allowed to push the PCA button The child will be able to ambulated 8 hours after surgery Discoloration of the teeth occurs as the enamel cracks away 10.11 Which of the following describes the technique the nurse would use to screen the school age child for scoliosis? A. Have the child stand firmly on both feet and bend forward at the hips with the trunk exposed B. Listen for clicking sound as the child abducts the hips C. Have the child run the heel on one foot down the shin of the other leg while standing D. Have the child shrug their shoulders as the nurse applies mild pressure to the shoulders - CORRECT ANSWER: A. Have the child stand firmly on both feet and bend forward at the hips with the trunk exposed If the child has scoliosis, the nurse notes that the spine fails to straighten when the child bends foward 10.2 Which of the following assessments would the nurse expect to see in an infant with development dysplasia of the hip? A. Asymmetric gluteal folds B. Symmetric gluteal folds C. Trendelenburg's sign D. Bone growth disruption - CORRECT ANSWER: A. Asymmetric gluteal fold Developmental dysplasia of the hip is a condition involving displacement of the femoral head from the acetabulum - the acetabulum is not deep enough for the femoral head to remain in the proper position Clinical manifestations - asymmetric gluteal folds, Ortolani's sign (clicking of the femoral head and dislocation upon abduction in a frog -leg position), limited abduction of the affected hip 10.3 The nurse is preparing to teach a health maintenance class on bones; While reviewing the material, the nurse questions which of the following statements? A. Most fracture in a 4 year old will heal in 4 weeks B. Injuries that damage the epiphyseal plate usually result in infection C. Clavicular fractures are one of the most common fractures in children D. Toddlers with fractures tend to heal quicker than adolescents with fractures - CORRECT ANSWER: B. Injuries that damage the epiphyseal plate usually result in infection Damage to the epiphyseal plate can result in bone growth abnormalities 10.4 A 3 month old has been diagnosed with developmental dysplasia of the hip and is to be placed in a Pavlik harness, the parents appear hesitant and ask the nurse what its purpose is; which of the following is the nurse's best response? A. "The Pavlik harness will help enlarge the hip socket by keeping the child's legs in an abducted." B. "The Pavlik harness will help reduce the hip socket by keeping the child's legs in an abducted position." C. "The Pavlik harness will help enlarge the hip s - CORRECT ANSWER: A. "The Pavlik harness will help enlarge the hip socket by keeping the child's legs in an abducted." 10.5 The nurse helps apply a cast to a 6 year old's fractured arm; which of the following is most important to remember while helping with the application of the cast and caring for it afterwards? A. Use only the fingertips while holding the cast B. Petal the rough edges by applying tape from the outside to the inside of the cast C. Assess the child's ability to wiggle fingers D. Encourage the use of powder to absorb any orders and help with discomfort - CORRECT ANSWER: C. Assess the child's ability to wiggle fingers This is to monitor neurovascular status 10.6 A 4 year old is being cared for and placed in skeletal traction until their femur fracture can be surgically connected; which of the following should be included in the care plan? A. Limit fluids so that the discomfort of toileting can be minimized B. Give the child bubbles to blow C. Rearrange traction weights every 4 hours D. Administer sedatives to help the child stay still and sleep more - CORRECT ANSWER: B. Give the child bubbles to blow This is an excellent diversional activity that also promotes lung expansion 10.7 The nurse is caring for a 5 year old with Duchenne's muscular dystrophy (MD), while documenting assessment, the nurse notes that Gower's sign was observed; which of the following best describes Gower's sign? A. A waddling gait noted while ambulating B. Oxygen saturation drop during sleep due to hypoventilationThe benefits of buying summaries with Stuvia:
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