Question 1

A nurse should expect which cerebral spinal fluid (CSF)laboratory results on a child diagnosed with bacterial meningitis? Select all that apply.

Accepted Answer

A)  Elevated white blood count (WB
C)  
B)  Decreased protein 
C)  Decreased glucose 
D)  Cloudy in color 
E)  Increase in red blood cells (RB
C)  
A)  Elevated white blood count (WB
C)  
B)  Decreased protein 
C)  Decreased glucose 
D)  Cloudy in color 
E)  Increase in red blood cells (RB
C)

Question 2

After a tonic-clonic seizure,it would not be unusual for a child to display

Accepted Answer

A)  Irritability and hunger 
B)  Lethargy and confusion 
C)  Nausea and vomiting 
D)  Nervousness and excitability 
A)  Irritability and hunger 
B)  Lethargy and confusion 
C)  Nausea and vomiting 
D)  Nervousness and excitability

Question 3

A nurse is explaining to parents how the central nervous system of a child differs from that of an adult.Which statement accurately describes these differences?

Accepted Answer

A)  The infant has 150 mL of CSF compared with 50 mL in the adult. 
B)  Papilledema is a common manifestation of ICP in the very young child. 
C)  The brain of a term infant weighs less than half of the weight of the adult brain. 
D)  Coordination and fine motor skills develop as myelinization of peripheral nerves progresses. 
A)  The infant has 150 mL of CSF compared with 50 mL in the adult. 
B)  Papilledema is a common manifestation of ICP in the very young child. 
C)  The brain of a term infant weighs less than half of the weight of the adult brain. 
D)  Coordination and fine motor skills develop as myelinization of peripheral nerves progresses.

Question 4

Latex allergy is suspected in a child with spina bifida.Appropriate nursing interventions include

Accepted Answer

A)  Avoiding using any latex product 
B)  Using only nonallergenic latex products 
C)  Administering medication for long-term desensitization 
D)  Teaching family about long-term management of asthma 
A)  Avoiding using any latex product 
B)  Using only nonallergenic latex products 
C)  Administering medication for long-term desensitization 
D)  Teaching family about long-term management of asthma

Question 5

Which change in status should alert the nurse to increased intracranial pressure (ICP)in a child with a head injury?

Accepted Answer

A)  Rapid, shallow breathing 
B)  Irregular, rapid heart rate 
C)  Increased diastolic pressure with narrowing pulse pressure 
D)  Confusion and altered mental status 
A)  Rapid, shallow breathing 
B)  Irregular, rapid heart rate 
C)  Increased diastolic pressure with narrowing pulse pressure 
D)  Confusion and altered mental status

Question 6

Which 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 7

What finding should cause the nurse to suspect a diagnosis of spastic cerebral palsy?

Accepted Answer

A)  Tremulous movements at rest and with activity 
B)  Sudden jerking movement caused by stimuli 
C)  Writhing, uncontrolled, involuntary movements 
D)  Clumsy, uncoordinated movements 
A)  Tremulous movements at rest and with activity 
B)  Sudden jerking movement caused by stimuli 
C)  Writhing, uncontrolled, involuntary movements 
D)  Clumsy, uncoordinated movements

Question 8

What is an appropriate nursing intervention for the child with a tension headache?

Accepted Answer

A)  Assess for an aura. 
B)  Maintain complete bed rest. 
C)  Administer pharmacologic headache relief measures. 
D)  Assess for nausea and vomiting. 
A)  Assess for an aura. 
B)  Maintain complete bed rest. 
C)  Administer pharmacologic headache relief measures. 
D)  Assess for nausea and vomiting.

Question 9

Nursing care of the infant who has had a myelomeningocele repair should include

Accepted Answer

A)  Securely fastening the diaper 
B)  Measurement of pupil size 
C)  Measurement of head circumference 
D)  Administration of seizure medications 
A)  Securely fastening the diaper 
B)  Measurement of pupil size 
C)  Measurement of head circumference 
D)  Administration of seizure medications

Question 10

Which statement by an adolescent indicates an understanding about factors that can trigger migraine headaches?

Accepted Answer

A)  "I should avoid loud noises because this is a common migraine trigger." 
B)  "Exercise can cause a migraine. I guess I won't have to take gym anymore." 
C)  "I think I'll get a migraine if I go to bed at 9 PM on week nights." 
D)  "I am learning to relax because I get headaches when I am worried about stuff." 
A)  "I should avoid loud noises because this is a common migraine trigger." 
B)  "Exercise can cause a migraine. I guess I won't have to take gym anymore." 
C)  "I think I'll get a migraine if I go to bed at 9 PM on week nights." 
D)  "I am learning to relax because I get headaches when I am worried about stuff."

Question 11

Which neurologic diagnostic test gives a visualized horizontal and vertical cross section of the brain at any axis?

Accepted Answer

A)  Nuclear brain scan 
B)  Echoencephalography 
C)  CT scan. 
D)  MRI 
A)  Nuclear brain scan 
B)  Echoencephalography 
C)  CT scan. 
D)  MRI

Question 12

When a 2-week-old infant is seen for irritability,poor appetite,and rapid head growth with observable distended scalp veins,the nurse recognizes these signs as indicative of

Accepted Answer

A)  Hydrocephalus 
B)  Syndrome of inappropriate antidiuretic hormone (SIADH) 
C)  Cerebral palsy 
D)  Reye's syndrome 
A)  Hydrocephalus 
B)  Syndrome of inappropriate antidiuretic hormone (SIADH) 
C)  Cerebral palsy 
D)  Reye's syndrome

Question 13

What is the most appropriate nursing response to the father of a newborn infant with myelomeningocele who asks about the cause of this condition?

Accepted Answer

A)  "One of the parents carries a defective gene that causes myelomeningocele." 
B)  "A deficiency in folic acid in the father is the most likely cause." 
C)  "Offspring of parents who have a spinal abnormality are at greater risk for myelomeningocele." 
D)  "There may be no definitive cause identified." 
A)  "One of the parents carries a defective gene that causes myelomeningocele." 
B)  "A deficiency in folic acid in the father is the most likely cause." 
C)  "Offspring of parents who have a spinal abnormality are at greater risk for myelomeningocele." 
D)  "There may be no definitive cause identified."

Question 14

The nurse teaches parents to alert their health care provider about which adverse effect when a child receives valproic acid (Depakene)to control generalized seizures?

Accepted Answer

A)  Weight loss 
B)  Bruising 
C)  Anorexia 
D)  Drowsiness 
A)  Weight loss 
B)  Bruising 
C)  Anorexia 
D)  Drowsiness

Question 15

Which information should the nurse give to a child who is to have magnetic resonance imaging (MRI)of the brain?

Accepted Answer

A)  "Your head will be restrained during the procedure." 
B)  "You will have to drink a special fluid before the test." 
C)  "You will have to lie flat after the test is finished." 
D)  "You will have electrodes placed on your head with glue." 
A)  "Your head will be restrained during the procedure." 
B)  "You will have to drink a special fluid before the test." 
C)  "You will have to lie flat after the test is finished." 
D)  "You will have electrodes placed on your head with glue."

Question 16

A recommendation to prevent neural tube defects is the supplementation of

Accepted Answer

A)  Vitamin A throughout pregnancy 
B)  Multivitamin preparations as soon as pregnancy is suspected 
C)  Folic acid for all women of childbearing age 
D)  Folic acid during the first and second trimesters of pregnancy 
A)  Vitamin A throughout pregnancy 
B)  Multivitamin preparations as soon as pregnancy is suspected 
C)  Folic acid for all women of childbearing age 
D)  Folic acid during the first and second trimesters of pregnancy

Question 17

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 cerebrum. 
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 cerebrum. 
C)  Bleeding is generally arterial, and brain compression occurs rapidly. 
D)  The hematoma commonly occurs in the parietotemporal region.

Question 18

Which type of seizures involves both hemispheres of the brain?

Accepted Answer

A)  Focal 
B)  Partial 
C)  Generalized 
D)  Acquired 
A)  Focal 
B)  Partial 
C)  Generalized 
D)  Acquired

Question 19

What is the most appropriate nursing action when a child is in the tonic phase of a generalized tonic-clonic seizure?

Accepted Answer

A)  Guide the child to the floor if standing and go for help. 
B)  Turn the child's body on the side. 
C)  Place a padded tongue blade between the teeth. 
D)  Quickly slip soft restraints on the child's wrists. 
A)  Guide the child to the floor if standing and go for help. 
B)  Turn the child's body on the side. 
C)  Place a padded tongue blade between the teeth. 
D)  Quickly slip soft restraints on the child's wrists.

Question 20

Prolonged seizure activity,in the form of either a single seizure lasting 30 minutes or recurrent seizures lasting more than 30 minutes,with no return to a normal level of consciousness is known as _________________.

Accepted Answer

status epilepticus
The nurse caring for

Exam 52: The Child With a Neurologic Alteration

A nurse should expect which cerebral spinal fluid (CSF)laboratory results on a child diagnosed with bacterial meningitis? Select all that apply.

After a tonic-clonic seizure,it would not be unusual for a child to display

A nurse is explaining to parents how the central nervous system of a child differs from that of an adult.Which statement accurately describes these differences?

Latex allergy is suspected in a child with spina bifida.Appropriate nursing interventions include

Which change in status should alert the nurse to increased intracranial pressure (ICP)in a child with a head injury?

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

What finding should cause the nurse to suspect a diagnosis of spastic cerebral palsy?

What is an appropriate nursing intervention for the child with a tension headache?

Nursing care of the infant who has had a myelomeningocele repair should include

Which statement by an adolescent indicates an understanding about factors that can trigger migraine headaches?

Which neurologic diagnostic test gives a visualized horizontal and vertical cross section of the brain at any axis?

When a 2-week-old infant is seen for irritability,poor appetite,and rapid head growth with observable distended scalp veins,the nurse recognizes these signs as indicative of

What is the most appropriate nursing response to the father of a newborn infant with myelomeningocele who asks about the cause of this condition?

The nurse teaches parents to alert their health care provider about which adverse effect when a child receives valproic acid (Depakene)to control generalized seizures?

Which information should the nurse give to a child who is to have magnetic resonance imaging (MRI)of the brain?

A recommendation to prevent neural tube defects is the supplementation of

Which statement best describes a subdural hematoma?

Which type of seizures involves both hemispheres of the brain?

What is the most appropriate nursing action when a child is in the tonic phase of a generalized tonic-clonic seizure?

Prolonged seizure activity,in the form of either a single seizure lasting 30 minutes or recurrent seizures lasting more than 30 minutes,with no return to a normal level of consciousness is known as _________________.

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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