Question 1

A young child's parents call the nurse after their child is bitten by a raccoon in the woods.The nurse's recommendation should be based on what knowledge?

Accepted Answer

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

Question 2

A child is on phenytoin (Dilantin).What should the nurse encourage?

Accepted Answer

A)  Fluid restriction 
B)  Good dental hygiene 
C)  A decrease in vitamin D intake 
D)  Taking the medication with milk 
A)  Fluid restriction 
B)  Good dental hygiene 
C)  A decrease in vitamin D intake 
D)  Taking the medication with milk

Question 3

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.What sign or symptom is considered a manifestation of postconcussion syndrome and does not necessitate medical attention?

Accepted Answer

A)  Vomiting 
B)  Blurred vision 
C)  Behavioral changes 
D)  Temporary loss of consciousness 
A)  Vomiting 
B)  Blurred vision 
C)  Behavioral changes 
D)  Temporary loss of consciousness

Question 4

The nurse is assessing a child who was just admitted to the hospital for observation after a head injury.What clinical manifestation 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 neurologic signs 
D)  Level of consciousness 
A)  Posturing 
B)  Vital signs 
C)  Focal neurologic signs 
D)  Level of consciousness

Question 5

The nurse is planning care for a school-age child with bacterial meningitis.What intervention should be included?

Accepted Answer

A)  Keep environmental stimuli to a minimum. 
B)  Have the child move her head from side to side at least every 2 hours. 
C)  Avoid giving pain medications that could dull sensorium. 
D)  Measure head circumference to assess developing complications. 
A)  Keep environmental stimuli to a minimum. 
B)  Have the child move her head from side to side at least every 2 hours. 
C)  Avoid giving pain medications that could dull sensorium. 
D)  Measure head circumference to assess developing complications.

Question 6

The health care provider has prescribed carbamazepine (Tegretol)20 mg/kg/day divided bid for a child with a seizure disorder.The child weighs 33 lb.The nurse is preparing to administer the 0900 dose.Calculate the dose the nurse should administer in milligrams.Record your answer below in a whole number.
__________

Accepted Answer

150
The correct calculation is

Question 7

Match the level of consciousness to its description.
-Impaired decision making

Accepted Answer

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

Question 8

The nurse is teaching the parents of a 3-year-old child who has been diagnosed with tonic-clonic seizures.What statement by the parent should indicate a correct understanding of the teaching?

Accepted Answer

A)  "I should attempt to restrain my child during a seizure." 
B)  "My child will need to avoid contact sports until adulthood." 
C)  "I should place a pillow under my child's head during a seizure." 
D)  "My child will need to be taken to the emergency department [ED] after each seizure." 
A)  "I should attempt to restrain my child during a seizure." 
B)  "My child will need to avoid contact sports until adulthood." 
C)  "I should place a pillow under my child's head during a seizure." 
D)  "My child will need to be taken to the emergency department [ED] after each seizure."

Question 9

The nurse is caring for a child with meningitis.What acute complications of meningitis should the nurse continuously assess the child for?

Accepted Answer

A)  Seizures 
B)  Cerebral palsy 
C)  Cerebral edema 
D)  Hydrocephalus 
E)  Cognitive impairments 
A)  Seizures 
B)  Cerebral palsy 
C)  Cerebral edema 
D)  Hydrocephalus 
E)  Cognitive impairments

Question 10

The nurse is preparing to admit a 7-year-old child with complex partial seizures.What clinical features of complex partial seizures should the nurse recognize?

Accepted Answer

A)  They last less than 10 seconds. 
B)  There is usually no aura. 
C)  Mental disorientation is common. 
D)  There is frequently a postictal state. 
E)  There is usually an impaired consciousness. 
A)  They last less than 10 seconds. 
B)  There is usually no aura. 
C)  Mental disorientation is common. 
D)  There is frequently a postictal state. 
E)  There is usually an impaired consciousness.

Question 11

A 6-year-old child is admitted for revision of a ventriculoperitoneal shunt for noncommunicating hydrocephalus.What sign or symptom does the child have that indicates a revision is necessary?

Accepted Answer

A)  Tachycardia 
B)  Gastrointestinal upset 
C)  Hypotension 
D)  Alteration in level of consciousness 
A)  Tachycardia 
B)  Gastrointestinal upset 
C)  Hypotension 
D)  Alteration in level of consciousness

Question 12

A child develops syndrome of inappropriate antidiuretic hormone secretion (SIADH)as a complication to meningitis.What action should be verified before implementing?

Accepted Answer

A)  Forcing fluids 
B)  Daily weights with strict input and output (I and O) 
C)  Strict monitoring of urine volume and specific gravity 
D)  Close observation for signs of increasing cerebral edema 
A)  Forcing fluids 
B)  Daily weights with strict input and output (I and O) 
C)  Strict monitoring of urine volume and specific gravity 
D)  Close observation for signs of increasing cerebral edema

Question 13

The nurse is preparing to admit a 10-year-old child with absence seizures.What clinical features of absence seizures should the nurse recognize?

Accepted Answer

A)  There is no aura. 
B)  There is a postictal state. 
C)  They usually last longer than 30 seconds. 
D)  There is a brief loss of consciousness. 
E)  There is an occasional clonic movement. 
A)  There is no aura. 
B)  There is a postictal state. 
C)  They usually last longer than 30 seconds. 
D)  There is a brief loss of consciousness. 
E)  There is an occasional clonic movement.

Exam 32: The Child With Cerebral Dysfunction

A young child's parents call the nurse after their child is bitten by a raccoon in the woods.The nurse's recommendation should be based on what knowledge?

A child is on phenytoin (Dilantin).What should the nurse encourage?

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.What sign or symptom is considered a manifestation of postconcussion syndrome and does not necessitate medical attention?

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

The nurse is planning care for a school-age child with bacterial meningitis.What intervention should be included?

Match the level of consciousness to its description. -Impaired decision making

The nurse is teaching the parents of a 3-year-old child who has been diagnosed with tonic-clonic seizures.What statement by the parent should indicate a correct understanding of the teaching?

The nurse is caring for a child with meningitis.What acute complications of meningitis should the nurse continuously assess the child for?

The nurse is preparing to admit a 7-year-old child with complex partial seizures.What clinical features of complex partial seizures should the nurse recognize?

A 6-year-old child is admitted for revision of a ventriculoperitoneal shunt for noncommunicating hydrocephalus.What sign or symptom does the child have that indicates a revision is necessary?

A child develops syndrome of inappropriate antidiuretic hormone secretion (SIADH)as a complication to meningitis.What action should be verified before implementing?

The nurse is preparing to admit a 10-year-old child with absence seizures.What clinical features of absence seizures should the nurse recognize?

Perspectives of Pediatric Nursing

Social,cultural,religious,and Family Influences on Child Health Promotion

Hereditary Influences on Health Promotion of the Child and Family

Communication, physical, and Developmental Assessment

Pain Assessment and Management in Children

Childhood Communicable and Infectious Diseases

Health Promotion of the Newborn and Family

Health Problems of Newborns

The High-Risk Newborn and Family

Health Promotion of the Infant and Family

Health Problems of the Infant

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Problems of Early Childhood

Health Promotion of the School-Age Child and Family

Health Problems of the School-Age Child

Health Promotion of the Adolescent and Family

Health Problems of the Adolescent

Family-Centered Care of the Child With Chronic Illness or Disability

Family-Centered Palliative Care

The Child With Cognitive, sensory, or Communication Impairment

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Nursing Interventions and Skills

The Child With Fluid and Electrolyte Imbalance

The Child With Renal Dysfunction

The Child With Gastrointestinal Dysfunction

Overview of Oxygen and Carbon Dioxide Exchange

The Child With Respiratory Dysfunction

The Child With Cardiovascular Dysfunction

The Child With Hematologic or Immunologic Dysfunction

The Child With Cancer

The Child With Endocrine Dysfunction

The Child With Musculoskeletal or Articular Dysfunction

The Child With Neuromuscular or Muscular Dysfunction

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