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Practice Question

A home health nurse is developing a plan of care for a child who has hemiplegic cerebral palsy. Which of the following goals is the priority for the nurse to include in the plan of care?

Answer Choices:

Correct Answer:

Modify the environment.

Rationale:

💠 A child with hemiplegic cerebral palsy has paralysis or significant weakness on one side of the body, which places them at high risk for injury in the home.

💠 The priority goal is to ensure safety by modifying the environment (removing hazards, adding adaptive equipment, ensuring accessible spaces).

💠 While fostering self-care, improving communication, and providing respite services are all important long-term goals, they do not take precedence over preventing injury and ensuring a safe environment.

💠 Safety and accessibility form the foundation of the care plan, allowing other goals to be achieved effectively.

💠 This aligns with Maslow’s hierarchy, where physiological needs and safety come before social or developmental goals.

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This question is from Custom: NSG2530_Exam3_Summer25_Wednesday which contains 60 questions.

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Answer Choices:

A. Support the casted arm with a firm grasp.
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C. Tell the child, "This Will make your arm feel better:
D. Wrap the arm of the child's doll or toy prior to the procedure.
An adolescent is admitted in the emergency department after being trapped in a garage fire at home. Partial-thickness burns are present on the side of the face, as well as on both arms. Which nursing action is the highest priority?

Answer Choices:

A. Remove all clothing from the patent.
B. Provide 100% humidified oxygen.
C. Give pan medication as ordered.
D. Apply cool, sterile compresses to the burns.
The nurse is caring for a preschool child with a cast applied recently for a fractured tibia. Which assessment findings indicate possible compartment syndrome? (Select all that apply.)

Answer Choices:

A. Palpable distal pulse
B. Inability to move extremity
C. Capillary refill to extremity less than 3 seconds
D. Severe pan not relieved by analgesics
E. Tingling of extremity
From Exam
Custom: NSG2530_Exam3_Summer25_Wednesday

60 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN Custom Exam(s)
  • Answer Choices: 4
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