Question 1

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 2

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 3

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 4

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 5

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 6

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.

Question 7

What is the best response to a father who tells the nurse that his son "daydreams" at home and that 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 8

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 9

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 10

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 11

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 mild pain medication. 
D)  Assess for nausea and vomiting. 
A)  Assess for an aura. 
B)  Maintain complete bed rest. 
C)  Administer mild pain medication. 
D)  Assess for nausea and vomiting.

Question 12

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 13

Which type of fracture describes traumatic separation of cranial sutures?

Accepted Answer

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

Question 14

The most common problem of children born with a myelomeningocele is

Accepted Answer

A)  bladder incontinence. 
B)  intellectual impairment. 
C)  respiratory compromise. 
D)  cranioschisis. 
A)  bladder incontinence. 
B)  intellectual impairment. 
C)  respiratory compromise. 
D)  cranioschisis.

Question 15

The father of a newborn infant with myelomeningocele asks about the cause of this condition.What response by the nurse is most appropriate?

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 16

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 17

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 18

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 19

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 20

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.

Exam 52: The Child with a Neurologic Alteration

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

Which statement best describes a subdural hematoma?

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

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

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

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

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?

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?

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?

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

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 type of fracture describes traumatic separation of cranial sutures?

The most common problem of children born with a myelomeningocele is

The father of a newborn infant with myelomeningocele asks about the cause of this condition.What response by the nurse is most appropriate?

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

Which type of seizure 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?

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

The Glasgow Coma Scale consists of an assessment of

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 HealthCare

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 an Intellectual Disability or Developmental Disability

The Child with a Sensory Alteration

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