Sample NCLEX Questions
1. The orthopedic device made of metal or leather applied to the child’s body, particularly the trunk and lower extremities to support the weight of the body, to correct or prevent deformities, and to prevent involuntary movements in a spastic condition is the:
a. Milwaukee brace worn 23 hours/day, removed once daily for bathing.
b. Jones’ brace worn continuously for 6 weeks.
c. Bryant brace extends from chin to feet.
d. Lee’s brace used to stabilize extremity.
Answer: A
Rationale:The Milwaukee brace is of steel and leather fitted and adapted to the child; used in scoliosis to correct curvature; worn 23 hours/ day, removed once daily for bathing; causes little interference with activity.
2. Nursing care of the child with a brace includes:
a. No more care than usual child care and comfort.
b. Increase observation of the child as for falling, particularly out of bed.
c. Increase calories to 2000+/24 hours.
d. Meticulous skin care and observation and adequate protein and fluid intake.
Answer D
Rationale: Nursing care of the child should include: meticulous observation of skin for breakdown; meticulous care for cleanliness; maintaining dry padding under brace; observing for child’s growth and adjustment of brace; maintaining adequate protein and fluid intake; making sure child experiences minimal discomfort; preventing injury; educating of parents or caretakers about child, care, and comfort.
3. Nursing intervention in a child with a clubfoot (Talipes) includes:
a. Assessment of child with cast/brace, diversional activities; passive exercises to correct position of foot.
b. Assessment of child with cast/brace, let child stand up and walk around bed.
c. Provide for skin care, diversional activities, educational information for cast/brace immobilization device.
d. Provide for comfort, nutrition, and ROM exercises.
Answer C
Rationale: Nursing interventions for a child with a clubfoot (Talipes) should include: constant assessment of child for discomfort, growth, and development; activities for the child and nutritional needs; skin care; no standing or walking during treatment; no ROM exercises to correct foot position; cast care; teaching.
4. Doug, age 3, has a fractured femur and is in Bryant’s traction. To evaluate the correct application of the traction, the nurse should note that:
a. Doug is being continuously and gradually pulled toward bottom of bed.
b. Doug’s buttocks are raised slightly.
c. Doug’s leg is in a 45-degree angle to the bed.
d. Doug can move the unaffected leg freely.
Answer B
Rationale: In Bryant’s traction both legs are in traction at a 90-degree angle, and the child buttocks are raised off the mattress. The child’s weight provides the counter traction. The child should not be pulled toward the bottom of the bed.
5. Ethel, age 14, is in a hip spica cast. To turn her correctly, the nurse should:
a. Use the cross bar.
b. Turn her upper body first and then turn the lower body.
c. Logroll her.
d. Tell her to pull on the trapeze and sit up to help in turning.
Answer: C
Rationale: The client in a hip spica cast should be turned as a unit. The stabilizing bar should not be handled.
NCLEX Questions for Basic Care and Comfort 1/4
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