Question 1

A new nurse is caring for a child who had a ventriculoperitoneal shunt placed 2 days ago for hydrocephalus.Which action by the new nurse causes the experienced nurse to intervene?

Accepted Answer

A)  Administers IV antibiotics
B)  Asks for medication to treat nausea
C)  Palpates the shunt tract with assessments
D)  Raises the head of the bed to 30°

Question 2

A neonate receives a diagnosis of hydrocephalus.The pediatric nurse assesses for congenital anomalies related to this condition.Which condition is inconsistent with the nurse's knowledge of hydrocephalus?

Accepted Answer

A)  Aqueductal stenosis
B)  Chiari I and II malformations
C)  Dandy-Walker malformation
D)  Folic acid deficiency

Question 3

A pediatric nurse caring for patients in an emergency room performs an assessment of a child who survived a drowning incident.Which does the nurse assess when using the Orlowski scale on this child? (Select all that apply.)

Accepted Answer

A)  Arterial pH 
B)  Comatose on admission to the emergency room
C)  No resuscitation efforts for more than 10 minutes after rescue
D)  Submersion time > 20 minutes
E)  Used for children who are 10 years of age or older

Question 4

A child is brought to the pediatric clinic by her mother,who reports redness,swelling,and pain around the child's right eye.Which information does the nurse give the mother?

Accepted Answer

A)  A steroid injection may be needed to reduce swelling.
B)  Intravenous antibiotic treatment for 7 days is usually curative.
C)  See an ophthalmologist to assess for any corneal damage.
D)  Use warm wet compresses to remove any crusting.

Question 5

The high school nurse is teaching a healthy living class to high school seniors.One student asks why she should take folic acid now when she is not planning to become pregnant.Which response by the nurse is the most appropriate?

Accepted Answer

A)  "It is a good habit to get into while you are young and can develop good habits."
B)  "Most people in this country have a serious deficiency of vitamins and folic acid."
C)  "Neural tube defects occur so early that you might not know you are even pregnant."
D)  "There are no foods that contain folic acid so you have to take a supplement."

Question 6

A woman is considering a second pregnancy,but tells the nurse she is not sure she wants to get pregnant again because her first child was born with spina bifida.She is taking folic acid on the advice of her health-care provider.Which information can the nurse provide this woman?

Accepted Answer

A)  Alpha-fetoprotein testing can be done in pregnancy.
B)  Genetic testing is available for this condition.
C)  It is rare for two children in one family to be affected.
D)  Usually spina bifida affects only female children.

Question 7

A student nurse is preparing to give a 48.5-lb(22-kg) child IV mannitol (Osmitrol) .What action by the student causes the nursing instructor to intervene?

Accepted Answer

A)  Assesses child's pain including report of headache
B)  Confirms the dose of 66 g in a 20% solution
C)  Double-checks child's urine output for the shift
D)  Explains to the child that nausea may occur

Question 8

A child has been admitted with bacterial meningitis.Which action by the nurse takes priority?

Accepted Answer

A)  Administering broad-spectrum antibiotics
B)  Assessing and treating pain aggressively
C)  Facilitating blood cultures and lumbar puncture
D)  Maintaining a quiet,nonstimulating environment

Question 9

A camp nurse reads on a medical history form that a camper has "drop attacks." What does the nurse understand about this condition?

Accepted Answer

A)  Atonic seizure activity
B)  Fainting spells
C)  Loss of consciousness
D)  Sudden muscle weakness

Question 10

The pediatric nurse caring for a 3-year-old child with cerebral palsy (CP) prepares a home care teaching plan for the caregivers on discharge.Which items will the nurse include in the teaching plan? (Select all that apply.)

Accepted Answer

A)  Apply splints and braces to facilitate muscle control.
B)  Buy toys that are appropriate for the child's abilities.
C)  Encourage the child to perform self-care tasks.
D)  Ensure the clothing has buttons to stimulate dexterity.
E)  Use skeletal muscle relaxants for short-term control.

Question 11

The pediatric nurse caring for patients in a trauma center examines a patient who has increased intracranial pressure as a result of a motor vehicle crash.The nurse is aware that secondary brain injuries can result from which factor?

Accepted Answer

A)  Acidosis
B)  Ischemia
C)  Infections
D)  Reduced oxygen

Question 12

A child has had an episode of lip smacking while staring into space,but did not seem to lose consciousness.She was confused afterward but said her hands felt tingly before the other symptoms started.How should the nurse document this event?

Accepted Answer

A)  Alteration in consciousness
B)  Convulsion
C)  Focal seizure
D)  Generalized seizure

Question 13

The nurse is admitting an adolescent with known myasthenia gravis to the intensive care unit with respiratory failure.Which questions would be most important for the nurse to ask to attempt to find the cause of the problem? (Select all that apply.)

Accepted Answer

A)  "Could your child have skipped doses of his medication?"
B)  "Do you know if your child uses drugs or drinks alcohol?"
C)  "Has your child been sick or overly fatigued recently?"
D)  "How long has your child been diagnosed with myasthenia gravis?"
E)  "Is it possible that your child took too much medication?"

Question 14

A nurse is caring for a child with suspected epilepsy.Which diagnostic test does the nurse facilitate as the priority for this child?

Accepted Answer

A)  Cerebral angiogram
B)  Electrocardiogram (ECG) 
C)  Electroencephalogram (EEG) 
D)  Lumbar puncture (LP)

Question 15

A nurse assesses a 1-month old's Glasgow Coma Scale (GCS)and finds the following: opens eyes to pain,irritable cry,localizes pain.Your calculation indicates that this child's GCS is ____________________.

Accepted Answer

11 (eyes =...

Question 16

A nurse is teaching a parent group about caring for their infants and toddlers.What does the nurse teach to prevent a serious neurological problem in infants?

Accepted Answer

A)  Always treat any temperature elevation to prevent seizures.
B)  Avoid vaccinations with live,attenuated viruses.
C)  Do not use artificial sweeteners in your baby's food.
D)  Never give honey to a child less than 1 year of age.

Question 17

The pediatric nurse carefully monitors a patient's status by assessing the child's level of consciousness.The nurse understands that the Glasgow Coma Scale provides clues to which of the following?

Accepted Answer

A)  Encephalitis
B)  Irreversible coma
C)  Neurological impairment
D)  Neurological status

Question 18

An infant born with spina bifida with a repaired myelomeningocele is brought the emergency department,where the parents report that the infant is very fussy and is feeding poorly.Which nursing action takes priority?

Accepted Answer

A)  Assess the baby's fontanels for bulging.
B)  Attach a cardiac and respiratory monitor.
C)  Obtain and document the baby's vital signs.
D)  Try feeding the baby with sucrose water.

Question 19

The pediatric nurse caring for hearing-impaired children teaches parents the recommended guidelines for communicating with their children.Which instruction is inconsistent with current guidelines?

Accepted Answer

A)  Ignoring any related stigmas
B)  Obtaining the child's attention before speaking
C)  Positioning yourself at the child's eye level
D)  Talking slowly and loudly to the child

Question 20

A nurse in a well-child clinic notes that a 5-month-old is not able to hold her head up.Which action by the nurse is the most appropriate?

Accepted Answer

A)  Ask about other developmental milestones .
B)  Document the finding in the child's chart.
C)  Measure the child's head circumference.
D)  Obtain the child's length and weight.

Exam 28: Caring for the Child With a Neurological or Sensory Condition

An infant born with spina bifida with a repaired myelomeningocele is brought the emergency department,where the parents report that the infant is very fussy and is feeding poorly.Which nursing action takes priority?

Correct AnswerverifiedShow Answer

A new nurse is caring for a child who had a ventriculoperitoneal shunt placed 2 days ago for hydrocephalus.Which action by the new nurse causes the experienced nurse to intervene?

Correct AnswerverifiedShow Answer

The pediatric nurse caring for hearing-impaired children teaches parents the recommended guidelines for communicating with their children.Which instruction is inconsistent with current guidelines?

Correct AnswerverifiedShow Answer

The nurse is admitting an adolescent with known myasthenia gravis to the intensive care unit with respiratory failure.Which questions would be most important for the nurse to ask to attempt to find the cause of the problem? (Select all that apply.)

Correct AnswerverifiedShow Answer

A child is brought to the pediatric clinic by her mother,who reports redness,swelling,and pain around the child's right eye.Which information does the nurse give the mother?

Correct AnswerverifiedShow Answer

A pediatric nurse caring for patients in an emergency room performs an assessment of a child who survived a drowning incident.Which does the nurse assess when using the Orlowski scale on this child? (Select all that apply.)

Correct AnswerverifiedShow Answer

A child has been admitted with bacterial meningitis.Which action by the nurse takes priority?

Correct AnswerverifiedShow Answer

The pediatric nurse caring for patients in a trauma center examines a patient who has increased intracranial pressure as a result of a motor vehicle crash.The nurse is aware that secondary brain injuries can result from which factor?

Correct AnswerverifiedShow Answer

A nurse assesses a 1-month old's Glasgow Coma Scale (GCS)and finds the following: opens eyes to pain,irritable cry,localizes pain.Your calculation indicates that this child's GCS is ____________________.

Correct Answerverified11 (eyes =...View AnswerShow Answer

A student nurse is preparing to give a 48.5-lb(22-kg) child IV mannitol (Osmitrol) .What action by the student causes the nursing instructor to intervene?

Correct AnswerverifiedShow Answer

The pediatric nurse carefully monitors a patient's status by assessing the child's level of consciousness.The nurse understands that the Glasgow Coma Scale provides clues to which of the following?

Correct AnswerverifiedShow Answer

A child has had an episode of lip smacking while staring into space,but did not seem to lose consciousness.She was confused afterward but said her hands felt tingly before the other symptoms started.How should the nurse document this event?

Correct AnswerverifiedShow Answer

A woman is considering a second pregnancy,but tells the nurse she is not sure she wants to get pregnant again because her first child was born with spina bifida.She is taking folic acid on the advice of her health-care provider.Which information can the nurse provide this woman?

Correct AnswerverifiedShow Answer

The high school nurse is teaching a healthy living class to high school seniors.One student asks why she should take folic acid now when she is not planning to become pregnant.Which response by the nurse is the most appropriate?

Correct AnswerverifiedShow Answer

A neonate receives a diagnosis of hydrocephalus.The pediatric nurse assesses for congenital anomalies related to this condition.Which condition is inconsistent with the nurse's knowledge of hydrocephalus?

Correct AnswerverifiedShow Answer

A camp nurse reads on a medical history form that a camper has "drop attacks." What does the nurse understand about this condition?

Correct AnswerverifiedShow Answer

The pediatric nurse caring for a 3-year-old child with cerebral palsy (CP) prepares a home care teaching plan for the caregivers on discharge.Which items will the nurse include in the teaching plan? (Select all that apply.)

Correct AnswerverifiedShow Answer

A nurse is caring for a child with suspected epilepsy.Which diagnostic test does the nurse facilitate as the priority for this child?

Correct AnswerverifiedShow Answer

A nurse is teaching a parent group about caring for their infants and toddlers.What does the nurse teach to prevent a serious neurological problem in infants?

Correct AnswerverifiedShow Answer

A nurse in a well-child clinic notes that a 5-month-old is not able to hold her head up.Which action by the nurse is the most appropriate?

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
11 (eyes =...
View Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified