Question 1

What may be beneficial in reducing the risk of Reye's syndrome?

Accepted Answer

A)  Immunization against the disease 
B)  Medical attention for all head injuries 
C)  Prompt treatment of bacterial meningitis 
D)  Avoidance of aspirin for children with varicella or influenza 
A)  Immunization against the disease 
B)  Medical attention for all head injuries 
C)  Prompt treatment of bacterial meningitis 
D)  Avoidance of aspirin for children with varicella or influenza

Question 2

What is the initial clinical manifestation of generalized seizures?

Accepted Answer

A)  Being confused 
B)  Feeling frightened 
C)  Losing consciousness 
D)  Seeing flashing lights 
A)  Being confused 
B)  Feeling frightened 
C)  Losing consciousness 
D)  Seeing flashing lights

Question 3

What clinical manifestations would suggest hydrocephalus in a newborn?

Accepted Answer

A)  Bulging fontanel and dilated scalp veins 
B)  Closed fontanel and high-pitched cry 
C)  Constant low-pitched cry and restlessness 
D)  Depressed fontanel and decreased blood pressure 
A)  Bulging fontanel and dilated scalp veins 
B)  Closed fontanel and high-pitched cry 
C)  Constant low-pitched cry and restlessness 
D)  Depressed fontanel and decreased blood pressure

Question 4

What is the priority nursing intervention when a child is unconscious after a fall?

Accepted Answer

A)  Establish adequate airway. 
B)  Perform neurological assessment. 
C)  Monitor intercranial pressure. 
D)  Determine whether a neck injury is present. 
A)  Establish adequate airway. 
B)  Perform neurological assessment. 
C)  Monitor intercranial pressure. 
D)  Determine whether a neck injury is present.

Question 5

What type of fracture involves fragmented bone that is pushed inward and causes pressure on the brain?

Accepted Answer

A)  Basilar 
B)  Compound 
C)  Open 
D)  Depressed 
A)  Basilar 
B)  Compound 
C)  Open 
D)  Depressed

Question 6

The nurse is assessing a child who was just admitted to the hospital for observation after a head injury.What is the most essential part of the nursing assessment to detect early signs of a worsening condition?

Accepted Answer

A)  Posturing 
B)  Vital signs 
C)  Focal neurological signs 
D)  Level of consciousness 
A)  Posturing 
B)  Vital signs 
C)  Focal neurological signs 
D)  Level of consciousness

Question 7

A toddler fell out of a second-story window.She briefly lost consciousness and vomited four times.Since admission,she has been alert and oriented.Her mother asks why a computed tomography (CT)scan is required when she "seems fine." What knowledge should the nurse base her response on?

Accepted Answer

A)  She may have a brain injury. 
B)  She needs this because of her age. 
C)  She may start having seizures. 
D)  She probably has a skull fracture. 
A)  She may have a brain injury. 
B)  She needs this because of her age. 
C)  She may start having seizures. 
D)  She probably has a skull fracture.

Question 8

Which of the following describes a concussion?

Accepted Answer

A)  Petechial hemorrhages that cause amnesia and cognitive delay 
B)  Visible bruising and tearing of cerebral tissue occurs 
C)  An alteration in neurological or cognitive function with or without loss of consciousness 
D)  A slight lesion that develops remote from the site of trauma with immediate loss of consciousness 
A)  Petechial hemorrhages that cause amnesia and cognitive delay 
B)  Visible bruising and tearing of cerebral tissue occurs 
C)  An alteration in neurological or cognitive function with or without loss of consciousness 
D)  A slight lesion that develops remote from the site of trauma with immediate loss of consciousness

Question 9

What term is used when a patient remains in a deep sleep,responsive only to vigorous and repeated stimulation?

Accepted Answer

A)  Coma 
B)  Stupor 
C)  Obtundation 
D)  Persistent vegetative state 
A)  Coma 
B)  Stupor 
C)  Obtundation 
D)  Persistent vegetative state

Question 10

When taking the history of a child hospitalized with Reye's syndrome,which would the nurse anticipate that the child experienced in the recent past?

Accepted Answer

A)  Measles 
B)  Varicella 
C)  Meningitis 
D)  Hepatitis 
A)  Measles 
B)  Varicella 
C)  Meningitis 
D)  Hepatitis

Question 11

An adolescent boy is brought to the emergency department after a motorcycle accident.His respirations are deep,periodic,and gasping.There are extreme fluctuations in his blood pressure.Pupils are dilated and fixed.What type of head injury should the nurse suspect?

Accepted Answer

A)  Brainstem injury 
B)  Skull fracture 
C)  Subdural hemorrhage 
D)  Epidural hemorrhage 
A)  Brainstem injury 
B)  Skull fracture 
C)  Subdural hemorrhage 
D)  Epidural hemorrhage

Question 12

Which statement best describes a neuroblastoma?

Accepted Answer

A)  The diagnosis is usually made after metastasis occurs. 
B)  Early diagnosis is usually possible because of the obvious clinical manifestations. 
C)  It is the most common brain tumour in young children. 
D)  It is the most common benign tumour in young children. 
A)  The diagnosis is usually made after metastasis occurs. 
B)  Early diagnosis is usually possible because of the obvious clinical manifestations. 
C)  It is the most common brain tumour in young children. 
D)  It is the most common benign tumour in young children.

Question 13

Which term is used to describe the level of consciousness when a child can be aroused with stimulation?

Accepted Answer

A)  Stupor 
B)  Confusion 
C)  Obtundation 
D)  Disorientation 
A)  Stupor 
B)  Confusion 
C)  Obtundation 
D)  Disorientation

Question 14

Which statement best describes a subdural hematoma?

Accepted Answer

A)  Bleeding occurs between the dura and the skull. 
B)  Bleeding occurs between the dura and the arachnoid membrane. 
C)  Bleeding is generally arterial,and brain compression occurs rapidly. 
D)  The hematoma commonly occurs in the parietotemporal region. 
A)  Bleeding occurs between the dura and the skull. 
B)  Bleeding occurs between the dura and the arachnoid membrane. 
C)  Bleeding is generally arterial,and brain compression occurs rapidly. 
D)  The hematoma commonly occurs in the parietotemporal region.

Question 15

What is one important nursing intervention when caring for a child who is experiencing a seizure?

Accepted Answer

A)  Describe and record the seizure activity observed. 
B)  Restrain the child when the seizure occurs to prevent bodily harm. 
C)  Place a tongue blade between the teeth if they become clenched. 
D)  Suction the child during a seizure to prevent aspiration. 
A)  Describe and record the seizure activity observed. 
B)  Restrain the child when the seizure occurs to prevent bodily harm. 
C)  Place a tongue blade between the teeth if they become clenched. 
D)  Suction the child during a seizure to prevent aspiration.

Question 16

Which are the key reflexes that demonstrate healthy neurological status in young infants? Select all that apply.Express answer in small letters followed by a comma and a space-e.g. ,a,b,c

Accepted Answer

A)  Plantar reflex 
B)  Moro reflex 
C)  Tonic neck reflex 
D)  Corneal reflex 
E)  Withdrawal reflex
F) Babinski reflex 
A)  Plantar reflex 
B)  Moro reflex 
C)  Tonic neck reflex 
D)  Corneal reflex 
E)  Withdrawal reflex
F) Babinski reflex

Exam 50: Cerebral Dysfunction

What may be beneficial in reducing the risk of Reye's syndrome?

What is the initial clinical manifestation of generalized seizures?

What clinical manifestations would suggest hydrocephalus in a newborn?

What is the priority nursing intervention when a child is unconscious after a fall?

What type of fracture involves fragmented bone that is pushed inward and causes pressure on the brain?

The nurse is assessing a child who was just admitted to the hospital for observation after a head injury.What is the most essential part of the nursing assessment to detect early signs of a worsening condition?

A toddler fell out of a second-story window.She briefly lost consciousness and vomited four times.Since admission,she has been alert and oriented.Her mother asks why a computed tomography (CT)scan is required when she "seems fine." What knowledge should the nurse base her response on?

Which of the following describes a concussion?

What term is used when a patient remains in a deep sleep,responsive only to vigorous and repeated stimulation?

When taking the history of a child hospitalized with Reye's syndrome,which would the nurse anticipate that the child experienced in the recent past?

An adolescent boy is brought to the emergency department after a motorcycle accident.His respirations are deep,periodic,and gasping.There are extreme fluctuations in his blood pressure.Pupils are dilated and fixed.What type of head injury should the nurse suspect?

Which statement best describes a neuroblastoma?

Which term is used to describe the level of consciousness when a child can be aroused with stimulation?

Which statement best describes a subdural hematoma?

What is one important nursing intervention when caring for a child who is experiencing a seizure?

Which are the key reflexes that demonstrate healthy neurological status in young infants? Select all that apply.Express answer in small letters followed by a comma and a space-e.g. ,a,b,c

Contemporary Perinatal and Pediatric Nursing in Canada

The Family and Culture

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Perinatal Nursing in Canada

Health Promotion

Health Assessment

Reproductive Health

Infertility, Contraception, and Abortion

Preconception, Genetics, Conception, and Fetal Development

Anatomy and Physiology of Pregnancy

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Pregnancy Risk Factors and Assessment

Pregnancy at Risk: Gestational Conditions

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Nursing Care of the Family During Labour and Birth

Pain Management During Labour

Fetal Health Surveillance During Labour

Labour and Birth at Risk

Maternal Physiological Changes

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Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

Infants with Gestational Age Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Pediatric Nursing in Canada

Family, Social, Cultural, and Religious Influences on Children’s Health

Developmental Influences on Child Health Promotion

Communication, History, Physical, and Developmental Assessment

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The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

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Chronic Illness, Complex Conditions, and End-of-Life Care

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Reaction to Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

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