Question 1

The treatment of brain tumours in children consists of which one of the following therapies?

Accepted Answer

A)  Radiation 
B)  Bone marrow transplantation 
C)  Myelography 
D)  Stem cell transplantation 
A)  Radiation 
B)  Bone marrow transplantation 
C)  Myelography 
D)  Stem cell transplantation

Question 2

Which type of seizure 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 3

A child is brought to the emergency department after experiencing a seizure at school.There is no previous history of seizures.The father tells the nurse that he cannot believe the child has epilepsy.What is the nurse's best response?

Accepted Answer

A)  "Epilepsy is easily treated." 
B)  "Very few children have actual epilepsy." 
C)  "The seizure may or may not mean that your child has epilepsy." 
D)  "Your child has had only one convulsion; it probably won't happen again." 
A)  "Epilepsy is easily treated." 
B)  "Very few children have actual epilepsy." 
C)  "The seizure may or may not mean that your child has epilepsy." 
D)  "Your child has had only one convulsion; it probably won't happen again."

Question 4

An infant with hydrocephalus is hospitalized for surgical placement of a ventriculoperitoneal shunt.What intervention should be included in the child's postoperative care?

Accepted Answer

A)  Monitor for abdominal distension. 
B)  Pump the shunt reservoir to maintain patency. 
C)  Administer sedation to decrease irritability. 
D)  Maintain Trendelenburg position to decrease pressure on the shunt. 
A)  Monitor for abdominal distension. 
B)  Pump the shunt reservoir to maintain patency. 
C)  Administer sedation to decrease irritability. 
D)  Maintain Trendelenburg position to decrease pressure on the shunt.

Question 5

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 6

What is the most common clinical manifestation(s)of brain tumours in children?

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 7

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

Accepted Answer

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

Question 8

When taking the history of a child hospitalized with Reye's syndrome,the nurse should not be surprised when the child indicates that a week ago she recovered from which of the following?

Accepted Answer

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

Question 9

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

Question 10

What is the priority nursing intervention when caring for a child with Reye's syndrome?

Accepted Answer

A)  Monitor intake and output. 
B)  Prevent skin breakdown. 
C)  Observe for petechiae. 
D)  Do range-of-motion (ROM) exercises. 
A)  Monitor intake and output. 
B)  Prevent skin breakdown. 
C)  Observe for petechiae. 
D)  Do range-of-motion (ROM) exercises.

Question 11

Which drug is used to treat a child who has increased intracranial pressure (ICP)resulting from cerebral edema?

Accepted Answer

A)  Mannitol 
B)  Epinephrine hydrochloride 
C)  Atropine sulfate 
D)  Sodium bicarbonate 
A)  Mannitol 
B)  Epinephrine hydrochloride 
C)  Atropine sulfate 
D)  Sodium bicarbonate

Question 12

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 13

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 14

The nurse is closely monitoring a child who is unconscious after a fall and notices that he suddenly has a fixed and dilated pupil.How should the nurse interpret this finding?

Accepted Answer

A)  Eye trauma 
B)  Neurosurgical emergency 
C)  Severe brainstem damage 
D)  Indication of brain death 
A)  Eye trauma 
B)  Neurosurgical emergency 
C)  Severe brainstem damage 
D)  Indication of brain death

Question 15

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 16

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 indicates that woman correctly understands 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 behavioural 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 behavioural changes after the accident." 
D)  "If I notice diplopia, I will have my child rest for 1 hour."

Exam 51: Cerebral Dysfunction

The treatment of brain tumours in children consists of which one of the following therapies?

Which type of seizure involves both hemispheres of the brain?

A child is brought to the emergency department after experiencing a seizure at school.There is no previous history of seizures.The father tells the nurse that he cannot believe the child has epilepsy.What is the nurse's best response?

An infant with hydrocephalus is hospitalized for surgical placement of a ventriculoperitoneal shunt.What intervention should be included in the child's postoperative care?

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

What is the most common clinical manifestation(s)of brain tumours in children?

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

When taking the history of a child hospitalized with Reye's syndrome,the nurse should not be surprised when the child indicates that a week ago she recovered from which of the following?

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

What is the priority nursing intervention when caring for a child with Reye's syndrome?

Which drug is used to treat a child who has increased intracranial pressure (ICP)resulting from cerebral edema?

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?

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

The nurse is closely monitoring a child who is unconscious after a fall and notices that he suddenly has a fixed and dilated pupil.How should the nurse interpret this finding?

Which statement best describes a subdural hematoma?

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 indicates that woman correctly understands the teaching?

Contemporary Perinatal Nursing in Canada

The Family and Culture

Community Care

Health Promotion

Health Assessment

Reproductive Health

Infertility, contraception, and Abortion

Preconception, genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care During Pregnancy

Maternal and Fetal Nutrition

Pregnancy Risk Factors and Assessment: Maternal and Fetal

Pregnancy at Risk: Gestational Conditions

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Comfort Measures for Labour

Fetal Health Surveillance During Labour

Nursing Care During Labour and Birth

Labour and Birth at Risk

Maternal Physiological Changes

Nursing Care During the Fourth Trimester

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn

Newborn Nutrition and Feeding

Infants With Gestational Age-Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Contemporary Pediatric Nursing in Canada

Community-Based Nursing Care of the Child and Family

Family Influences on Child Health Promotion

Social, cultural, and Religious Influences on Child Health Promotion

Developmental Influences on Child Health Promotion

Communication, history, physical, and Developmental Assessment

Pain Assessment and Management

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

Cognitive and Sensory Impairment

Family-Centred Home Care

Reaction to Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematological and Immunological Dysfunction

Genitourinary Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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