Question 1

A young child's parents call the nurse after their child was bitten by a raccoon in the woods.The nurse's recommendation should be based on knowing that:

Accepted Answer

A) The child should be hospitalized for close observation. 
B) No treatment is necessary if thorough wound cleaning is done. 
C) Antirabies prophylaxis must be initiated. 
D) Antirabies prophylaxis must be initiated if clinical manifestations appear. 
A) The child should be hospitalized for close observation. 
B) No treatment is necessary if thorough wound cleaning is done. 
C) Antirabies prophylaxis must be initiated. 
D) Antirabies prophylaxis must be initiated if clinical manifestations appear.

Question 2

The mother of a 1-month-old infant tells the nurse that she worries that her baby will get meningitis like her oldest son did when he was an infant.The nurse should base her response on knowing that:

Accepted Answer

A) Meningitis rarely occurs during infancy. 
B) Often a genetic predisposition to meningitis is found. 
C) Vaccination to prevent all types of meningitis is now available. 
D) Vaccination to prevent Haemophilus influenzae type b meningitis has decreased the frequency of this disease in children. 
A) Meningitis rarely occurs during infancy. 
B) Often a genetic predisposition to meningitis is found. 
C) Vaccination to prevent all types of meningitis is now available. 
D) Vaccination to prevent Haemophilus influenzae type b meningitis has decreased the frequency of this disease in children.

Question 3

The nurse is caring for a neonate with suspected meningitis.Which clinical manifestations should the nurse prepare to assess if meningitis is confirmed (Select all that apply)?

Accepted Answer

A) Headache 
B) Photophobia 
C) Bulging anterior fontanel 
D) Weak cry 
E) Poor muscle tone 
A) Headache 
B) Photophobia 
C) Bulging anterior fontanel 
D) Weak cry 
E) Poor muscle tone

Question 4

The most common clinical manifestation of brain tumors in children is:

Accepted Answer

A) Irritability. 
B) Seizures. 
C) Headaches and vomiting. 
D) Fever and poor fine motor control. 
A) Irritability. 
B) Seizures. 
C) Headaches and vomiting. 
D) Fever and poor fine motor control.

Question 5

An important nursing intervention when caring for a child who is experiencing a seizure is to:

Accepted Answer

A) Describe and record the seizure activity observed. 
B) Restrain the child when 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 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 6

A child is unconscious after a motor vehicle accident.The watery discharge from the nose tests positive for glucose.The nurse should recognize that this suggests:

Accepted Answer

A) Diabetic coma. 
B) Brainstem injury. 
C) Upper respiratory tract infection. 
D) Leaking of cerebrospinal fluid (CSF). 
A) Diabetic coma. 
B) Brainstem injury. 
C) Upper respiratory tract infection. 
D) Leaking of cerebrospinal fluid (CSF).

Question 7

Which statement best describes a neuroblastoma?

Accepted Answer

A) 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 tumor in young children. 
D) It is the most common benign tumor in young children. 
A) 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 tumor in young children. 
D) It is the most common benign tumor in young children.

Question 8

The treatment of brain tumors in children consists of which therapies (Select all that apply)?

Accepted Answer

A) Surgery 
B) Bone marrow transplantation 
C) Chemotherapy 
D) Stem cell transplantation 
E) Radiation 
F)Myelography 
A) Surgery 
B) Bone marrow transplantation 
C) Chemotherapy 
D) Stem cell transplantation 
E) Radiation 
F)Myelography

Question 9

Clinical manifestations of increased intracranial pressure (ICP)in infants are (Select all that apply):

Accepted Answer

A) Low-pitched cry. 
B) Sunken fontanel. 
C) Diplopia and blurred vision. 
D) Irritability. 
E) Distended scalp veins.f. Increased blood pressure. 
A) Low-pitched cry. 
B) Sunken fontanel. 
C) Diplopia and blurred vision. 
D) Irritability. 
E) Distended scalp veins.f. Increased blood pressure.

Question 10

A 6-year-old child is having a generalized seizure in the classroom at school. Place in order the interventions the school nurse should implement, starting with the highest-priority intervention and sequencing to the lowest-priority intervention.

-Second priority

Accepted Answer

A) Take vital signs. 
B) Ease child to the floor. 
C) Allow child to rest. 
D) Turn child to the side. 
E) Integrate child back into the school environment. 
A) Take vital signs. 
B) Ease child to the floor. 
C) Allow child to rest. 
D) Turn child to the side. 
E) Integrate child back into the school environment.

Question 11

A 6-year-old child is having a generalized seizure in the classroom at school. Place in order the interventions the school nurse should implement, starting with the highest-priority intervention and sequencing to the lowest-priority intervention.

-Fifth priority

Accepted Answer

A) Take vital signs. 
B) Ease child to the floor. 
C) Allow child to rest. 
D) Turn child to the side. 
E) Integrate child back into the school environment. 
A) Take vital signs. 
B) Ease child to the floor. 
C) Allow child to rest. 
D) Turn child to the side. 
E) Integrate child back into the school environment.

Question 12

Which test is never performed on a child who is awake?

Accepted Answer

A) Oculovestibular response 
B) Doll's head maneuver 
C) Funduscopic examination for papilledema 
D) Assessment of pyramidal tract lesions 
A) Oculovestibular response 
B) Doll's head maneuver 
C) Funduscopic examination for papilledema 
D) Assessment of pyramidal tract lesions

Question 13

A 6-year-old child is having a generalized seizure in the classroom at school. Place in order the interventions the school nurse should implement, starting with the highest-priority intervention and sequencing to the lowest-priority intervention.

-First priority

Accepted Answer

A) Take vital signs. 
B) Ease child to the floor. 
C) Allow child to rest. 
D) Turn child to the side. 
E) Integrate child back into the school environment. 
A) Take vital signs. 
B) Ease child to the floor. 
C) Allow child to rest. 
D) Turn child to the side. 
E) Integrate child back into the school environment.

Exam 45: Cerebral Dysfunction

A young child's parents call the nurse after their child was bitten by a raccoon in the woods.The nurse's recommendation should be based on knowing that:

The mother of a 1-month-old infant tells the nurse that she worries that her baby will get meningitis like her oldest son did when he was an infant.The nurse should base her response on knowing that:

The nurse is caring for a neonate with suspected meningitis.Which clinical manifestations should the nurse prepare to assess if meningitis is confirmed (Select all that apply)?

The most common clinical manifestation of brain tumors in children is:

An important nursing intervention when caring for a child who is experiencing a seizure is to:

A child is unconscious after a motor vehicle accident.The watery discharge from the nose tests positive for glucose.The nurse should recognize that this suggests:

Which statement best describes a neuroblastoma?

The treatment of brain tumors in children consists of which therapies (Select all that apply)?

Clinical manifestations of increased intracranial pressure (ICP)in infants are (Select all that apply):

A 6-year-old child is having a generalized seizure in the classroom at school. Place in order the interventions the school nurse should implement, starting with the highest-priority intervention and sequencing to the lowest-priority intervention. -Second priority

A 6-year-old child is having a generalized seizure in the classroom at school. Place in order the interventions the school nurse should implement, starting with the highest-priority intervention and sequencing to the lowest-priority intervention. -Fifth priority

Which test is never performed on a child who is awake?

A 6-year-old child is having a generalized seizure in the classroom at school. Place in order the interventions the school nurse should implement, starting with the highest-priority intervention and sequencing to the lowest-priority intervention. -First priority

21st Century Maternity Nursing

Community Care: the Family and Culture

Assessment and Health Promotion

Reproductive System Concerns

Infertility,contraception,and Abortion

Genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Assessment of High Risk Pregnancy

Pregnancy at Risk: Preexisting Conditions

Pregnancy at Risk: Gestational Conditions

Labor and Birth Processes

Pain Management

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Labor and Birth Complications

Maternal Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

The High Risk Newborn

21st Century Pediatric Nursing

Family, social, cultural, and Religious Influences on Child Health Promotion

Developmental and Genetic Influences on Child Health Promotion

Communication, history, and Physical Assessment

Pain Assessment and Management in Children

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, disability, and End-Of-Life Care

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematologic and Immunologic Dysfunction

Genitourinary Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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