Question 1

The most common problem of children born with a myelomeningocele is

Accepted Answer

A)  Neurogenic bladder 
B)  Intellectual impairment 
C)  Respiratory compromise 
D)  Cranioschisis 
A)  Neurogenic bladder 
B)  Intellectual impairment 
C)  Respiratory compromise 
D)  Cranioschisis A

Question 2

If a child has a concussion,a second concussion will have no further ill effects.Is this statement true or false?

Accepted Answer

A) True 
 B)False  False

Question 3

What should the nurse teach parents when the child is taking phenytoin (Dilantin)to control seizures?

Accepted Answer

A)  The child should use a soft toothbrush and floss the teeth after every meal. 
B)  The child will require monitoring of renal function while taking this medication. 
C)  Dilantin should be taken with food because it causes gastrointestinal distress. 
D)  The medication can be stopped when the child has been seizure free for 1 month. 
A)  The child should use a soft toothbrush and floss the teeth after every meal. 
B)  The child will require monitoring of renal function while taking this medication. 
C)  Dilantin should be taken with food because it causes gastrointestinal distress. 
D)  The medication can be stopped when the child has been seizure free for 1 month. A

Question 4

A 14-year-old girl is in the intensive care unit after a spinal cord injury 2 days ago.Nursing care for this child includes (select all that apply)

Accepted Answer

A)  Monitoring and maintaining systemic blood pressure 
B)  Administering corticosteroids 
C)  Minimizing environmental stimuli 
D)  Discussing long-term care issues with the family 
E)  Monitoring for respiratory complications 
A)  Monitoring and maintaining systemic blood pressure 
B)  Administering corticosteroids 
C)  Minimizing environmental stimuli 
D)  Discussing long-term care issues with the family 
E)  Monitoring for respiratory complications

Question 5

The nurse should expect a child who has frequent tension type of headaches to describe headache pain as

Accepted Answer

A)  "There is a rubber-band squeezing my head." 
B)  "It's a throbbing pain over my left eye." 
C)  "My headaches are worse in the morning and get better later in the day." 
D)  "I have a stomachache and a headache at the same time." 
A)  "There is a rubber-band squeezing my head." 
B)  "It's a throbbing pain over my left eye." 
C)  "My headaches are worse in the morning and get better later in the day." 
D)  "I have a stomachache and a headache at the same time."

Question 6

How should the nurse explain positioning for a lumbar puncture to a 5-year-old child?

Accepted Answer

A)  "You will be on your knees with your head down on the table." 
B)  "You will be able to sit up with your chin against your chest." 
C)  "You will be on your side with the head of your bed slightly raised." 
D)  "You will lie on your side and bend your knees so that they touch your chin." 
A)  "You will be on your knees with your head down on the table." 
B)  "You will be able to sit up with your chin against your chest." 
C)  "You will be on your side with the head of your bed slightly raised." 
D)  "You will lie on your side and bend your knees so that they touch your chin."

Question 7

A child is brought to the emergency department in generalized tonic-clonic status epilepticus.Which medication should the nurse expect to be given initially in this situation?

Accepted Answer

A)  Clorazepate dipotassium (Tranxene) 
B)  Fosphenytoin (Cerebyx) 
C)  Phenobarbital 
D)  Lorazepam (Ativan) 
A)  Clorazepate dipotassium (Tranxene) 
B)  Fosphenytoin (Cerebyx) 
C)  Phenobarbital 
D)  Lorazepam (Ativan)

Question 8

A mother reports that her child has episodes where he appears to be staring into space.This behavior is characteristic of which type of seizure?

Accepted Answer

A)  Absence 
B)  Atonic 
C)  Tonic-clonic 
D)  Simple partial 
A)  Absence 
B)  Atonic 
C)  Tonic-clonic 
D)  Simple partial

Question 9

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

Accepted Answer

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

Question 10

What is the best response to a father who tells the nurse that his son "daydreams" at home and his teacher has observed this behavior at school?

Accepted Answer

A)  "Your son must have an active imagination." 
B)  "Can you tell me exactly how many times this occurs in one day?" 
C)  "Tell me about your son's activity when you notice the daydreams." 
D)  "He is probably overtired and needs more rest." 
A)  "Your son must have an active imagination." 
B)  "Can you tell me exactly how many times this occurs in one day?" 
C)  "Tell me about your son's activity when you notice the daydreams." 
D)  "He is probably overtired and needs more rest."

Question 11

What nursing actions are indicated when the nurse is administering phenytoin (Dilantin)by the intravenous route to control seizures? Select all that apply.

Accepted Answer

A)  It must be given with D51/2NS. 
B)  The child will require monitoring of therapeutic serum levels while taking this medication. 
C)  Dilantin should be given with food because it causes gastrointestinal distress. 
D)  It must be given in normal saline. 
E)  It must be filtered. 
A)  It must be given with D51/2NS. 
B)  The child will require monitoring of therapeutic serum levels while taking this medication. 
C)  Dilantin should be given with food because it causes gastrointestinal distress. 
D)  It must be given in normal saline. 
E)  It must be filtered.

Question 12

Which type of fractures describes traumatic separation of cranial sutures?

Accepted Answer

A)  Basilar 
B)  Linear 
C)  Commuted 
D)  Depressed 
A)  Basilar 
B)  Linear 
C)  Commuted 
D)  Depressed

Question 13

What is a sign of increased intracranial pressure (ICP)in a 10-year-old child?

Accepted Answer

A)  Headache 
B)  Bulging fontanel 
C)  Tachypnea 
D)  Increase in head circumference 
A)  Headache 
B)  Bulging fontanel 
C)  Tachypnea 
D)  Increase in head circumference

Question 14

A child with a head injury sleeps unless aroused,and when aroused responds briefly before falling back to sleep.What should the nurse chart for this child's level of consciousness?

Accepted Answer

A)  Disoriented 
B)  Obtunded 
C)  Lethargic 
D)  Stuporous 
A)  Disoriented 
B)  Obtunded 
C)  Lethargic 
D)  Stuporous

Question 15

What is the priority nursing intervention for the child with ascending paralysis as a result of Guillain-Barré syndrome (GBS)?

Accepted Answer

A)  Immunosuppressive medications 
B)  Respiratory assessment 
C)  Passive range-of-motion exercises 
D)  Anticoagulant therapy 
A)  Immunosuppressive medications 
B)  Respiratory assessment 
C)  Passive range-of-motion exercises 
D)  Anticoagulant therapy

Question 16

The Glasgow Coma Scale consists of an assessment of

Accepted Answer

A)  Pupil reactivity and motor response 
B)  Eye opening and verbal and motor responses 
C)  Level of consciousness and verbal response 
D)  ICP and level of consciousness 
A)  Pupil reactivity and motor response 
B)  Eye opening and verbal and motor responses 
C)  Level of consciousness and verbal response 
D)  ICP and level of consciousness

Question 17

A 5-year-old girl sustained a concussion when she fell out of a tree.In preparation for discharge,the nurse is discussing home care with her mother.Which statement made by the mother indicates a correct understanding of the teaching?

Accepted Answer

A)  "I should expect my child to have a few episodes of vomiting." 
B)  "If I notice sleep disturbances, I should contact the physician immediately." 
C)  "I should expect my child to have some behavioral changes after the accident." 
D)  "If I notice diplopia, I will have my child rest for 1 hour." 
A)  "I should expect my child to have a few episodes of vomiting." 
B)  "If I notice sleep disturbances, I should contact the physician immediately." 
C)  "I should expect my child to have some behavioral changes after the accident." 
D)  "If I notice diplopia, I will have my child rest for 1 hour."

Question 18

How much folic acid is recommended for women of childbearing age?

Accepted Answer

A)  1.0 mg 
B)  0.4 mg 
C)  1.5 mg 
D)  2.0 mg 
A)  1.0 mg 
B)  0.4 mg 
C)  1.5 mg 
D)  2.0 mg

Question 19

What should be the nurse's first action when a child with a head injury complains of double vision and a headache,and then vomits?

Accepted Answer

A)  Immobilize the child's neck. 
B)  Report this information to the physician. 
C)  Darken the room and put a cool cloth on the child's forehead. 
D)  Restrict the child's oral fluid intake. 
A)  Immobilize the child's neck. 
B)  Report this information to the physician. 
C)  Darken the room and put a cool cloth on the child's forehead. 
D)  Restrict the child's oral fluid intake.

Question 20

Which finding in an analysis of cerebrospinal fluid (CSF)is consistent with a diagnosis of bacterial meningitis?

Accepted Answer

A)  CSF appears cloudy. 
B)  CSF pressure is decreased. 
C)  Few leukocytes are present. 
D)  Glucose level is increased compared with blood. 
A)  CSF appears cloudy. 
B)  CSF pressure is decreased. 
C)  Few leukocytes are present. 
D)  Glucose level is increased compared with blood.

Exam 52: The Child With a Neurologic Alteration

The most common problem of children born with a myelomeningocele is

If a child has a concussion,a second concussion will have no further ill effects.Is this statement true or false?

What should the nurse teach parents when the child is taking phenytoin (Dilantin)to control seizures?

A 14-year-old girl is in the intensive care unit after a spinal cord injury 2 days ago.Nursing care for this child includes (select all that apply)

The nurse should expect a child who has frequent tension type of headaches to describe headache pain as

How should the nurse explain positioning for a lumbar puncture to a 5-year-old child?

A child is brought to the emergency department in generalized tonic-clonic status epilepticus.Which medication should the nurse expect to be given initially in this situation?

A mother reports that her child has episodes where he appears to be staring into space.This behavior is characteristic of which type of seizure?

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

What is the best response to a father who tells the nurse that his son "daydreams" at home and his teacher has observed this behavior at school?

What nursing actions are indicated when the nurse is administering phenytoin (Dilantin)by the intravenous route to control seizures? Select all that apply.

Which type of fractures describes traumatic separation of cranial sutures?

What is a sign of increased intracranial pressure (ICP)in a 10-year-old child?

A child with a head injury sleeps unless aroused,and when aroused responds briefly before falling back to sleep.What should the nurse chart for this child's level of consciousness?

What is the priority nursing intervention for the child with ascending paralysis as a result of Guillain-Barré syndrome (GBS)?

The Glasgow Coma Scale consists of an assessment of

A 5-year-old girl sustained a concussion when she fell out of a tree.In preparation for discharge,the nurse is discussing home care with her mother.Which statement made by the mother indicates a correct understanding of the teaching?

How much folic acid is recommended for women of childbearing age?

What should be the nurse's first action when a child with a head injury complains of double vision and a headache,and then vomits?

Which finding in an analysis of cerebrospinal fluid (CSF)is consistent with a diagnosis of bacterial meningitis?

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating With Children and Families

Health Promotion for the Developing Child

Health Promotion for the Infant

Health Promotion during Early Childhood

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Prenatal Diagnostic Tests

Giving Birth

Intrapartum Fetal Surveillance

Pain Management for Childbirth

Nursing Care during Obstetric Procedures

Postpartum Adaptations

The Normal Newborn: Adaptation and Assessment

The Normal Newborn: Nursing Care

Newborn Feeding

The Childbearing Family With Special Needs

Pregnancy-Related Complications

Concurrent Disorders During Pregnancy

The Woman With an Intrapartum Complication

The Woman With a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High Risk Newborn: Acquired and Congenital Conditions

Management of Fertility and Infertility

Women’s Health Care

Physical Assessment of Children

Emergency Care of the Child

The Ill Child in the Hospital and Other Care Settings

The Child With a Chronic Condition or Terminal Illness

Principles and Procedures for Nursing Care of Children

Medication Administration and Safety for Infants and Children

Pain Management for Children

The Child With a Fluid and Electrolyte Alteration

The Child With an Infectious Disease

The Child With an Immunologic Alteration

The Child With a Gastrointestinal Alteration

The Child With a Genitourinary Alteration

The Child With a Respiratory Alteration

The Child With a Cardiovascular Alteration

The Child With a Hematologic Alteration

The Child With Cancer

The Child With an Alteration in Tissue Integrity

The Child With a Musculoskeletal Alteration

The Child With an Endocrine or Metabolic Alteration

Psychosocial Problems in Children and Families

The Child With a Developmental Disability

The Child With a Sensory Alteration

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