NSG 3107 FINAL EXAM ACTUAL QUESTIONS AND
SOLUTIONS GRADED A+
✔✔When does idiopathic scoliosis become most noticeable?
A) during the newborn period
B) when child starts to walk
C) during preadolescent growth spurt
D) in adolescence - ✔✔C) during preadolescent growth spurt
✔✔which set of the following symptoms are characteristics of spastic cerebral palsy?
A) hypertonicity and poor control of posture
B) athetosis and dystonic movements
C) wide-based gait and poor performance of rapid repetitive movements
D) tremors and a lack of active movement - ✔✔A) hypertonicity and poor control of
posture
✔✔the parents of a child with cerebral palsy ask the nurse if any drugs can decrease
their child's spasticity. what knowledge should the nurse base their response on?
A) anticonvulsant medications are sometimes useful for controlling spasticity
B) medications that would be useful in reducing spasticity are too toxic for use in
children
C) many different medications can be highly effective in controlling spasticity
D) a pump can be implanted that delivers medication into the intrathecal space to
decrease spasticity - ✔✔D) a pump can be implanted that delivers medication into the
intrathecal space to decrease spasticity
✔✔what term is used for a hernial protrusion of a saclike cyst of meninges, spinal fluid,
and a portion of the spinal cord with its nerves through a defect in the vertebral column?
A) rachischisis
B) encephalocele
C) meningocele
D) myelomeningocele - ✔✔D) myelomeningocele
✔✔which of the following supplements is recommended to prevent neural tube defects?
A) vitamin a throughout pregnancy
B) multivitamin preparations as soon as pregnancy is suspected
C) folic acid for all women of childbearing age
D) folic acid during the first and second trimesters of pregnancy - ✔✔C) folic acid for all
women of childbearing age
✔✔a young boy has just been diagnosed with duchenne muscular dystrophy. what
should the management plan include?
A) recommend genetic counselling
B) explain that the disease is easily treated
C) suggest ways to limit the use of his muscles
, D) assist the family in finding a nursing facility to provide his care - ✔✔A) recommend
genetic counselling
✔✔the glasgow coma scale assesses which of the following?
A) pupil reactivity
B) eye-opening
C) level of consciousness and verbal response
D) intracranial pressure (ICP) and level of consciousness - ✔✔B) eye-opening
✔✔the nurse is preparing a school-age child for a computed tomography (CT scan) to
assess cerebral function. when preparing the child for the scan, which statement should
the nurse make?
A) pain medication will be given.
B) the scan will not hurt.
C) you will be able to move around once the equipment is in place.
D) unfortunately, no one can remain in the room with you during the test. - ✔✔B) the
scan will not hurt.
✔✔what is the priority nursing intervention when a child is unconscious after a fall?
A) establish adequate airway
B) perform neurological assessment
C) monitor intercranial pressure
D) determine whether a neck injury is present - ✔✔A) establish adequate airway
✔✔which one of the following sentences describes a concussion?
A) petechial hemorrhages that cause amnesia
B) visible bruising and tearing of cerebral tissue occurs
C) a transient, reversible neuronal dysfunction
D) a slight lesion that develops remote from the site of trauma - ✔✔C) a transient,
reversible neuronal dysfunction
✔✔the nurse should recommend immediate medical attention if a child with a slight
head injury experiences which of the following?
A) visible bruising
B) vomiting
C) headache
D) confusion or abnormal behaviour - ✔✔D) confusion or abnormal behaviour
✔✔a school-aged child has sustained a head injury and multiple fractures after being
thrown from a horse. the child's level of consciousness is variable. the parents tell the
nurse they think their child is in pain because of periodic crying and restlessness. what
is the most appropriate action for the nurse to take?
A) discuss with the parents that the child will be fine
B) discuss with the practitioner what analgesia can be safely administered
C) explain that analgesia is contraindicated with a head injury
SOLUTIONS GRADED A+
✔✔When does idiopathic scoliosis become most noticeable?
A) during the newborn period
B) when child starts to walk
C) during preadolescent growth spurt
D) in adolescence - ✔✔C) during preadolescent growth spurt
✔✔which set of the following symptoms are characteristics of spastic cerebral palsy?
A) hypertonicity and poor control of posture
B) athetosis and dystonic movements
C) wide-based gait and poor performance of rapid repetitive movements
D) tremors and a lack of active movement - ✔✔A) hypertonicity and poor control of
posture
✔✔the parents of a child with cerebral palsy ask the nurse if any drugs can decrease
their child's spasticity. what knowledge should the nurse base their response on?
A) anticonvulsant medications are sometimes useful for controlling spasticity
B) medications that would be useful in reducing spasticity are too toxic for use in
children
C) many different medications can be highly effective in controlling spasticity
D) a pump can be implanted that delivers medication into the intrathecal space to
decrease spasticity - ✔✔D) a pump can be implanted that delivers medication into the
intrathecal space to decrease spasticity
✔✔what term is used for a hernial protrusion of a saclike cyst of meninges, spinal fluid,
and a portion of the spinal cord with its nerves through a defect in the vertebral column?
A) rachischisis
B) encephalocele
C) meningocele
D) myelomeningocele - ✔✔D) myelomeningocele
✔✔which of the following supplements is recommended to prevent neural tube defects?
A) vitamin a throughout pregnancy
B) multivitamin preparations as soon as pregnancy is suspected
C) folic acid for all women of childbearing age
D) folic acid during the first and second trimesters of pregnancy - ✔✔C) folic acid for all
women of childbearing age
✔✔a young boy has just been diagnosed with duchenne muscular dystrophy. what
should the management plan include?
A) recommend genetic counselling
B) explain that the disease is easily treated
C) suggest ways to limit the use of his muscles
, D) assist the family in finding a nursing facility to provide his care - ✔✔A) recommend
genetic counselling
✔✔the glasgow coma scale assesses which of the following?
A) pupil reactivity
B) eye-opening
C) level of consciousness and verbal response
D) intracranial pressure (ICP) and level of consciousness - ✔✔B) eye-opening
✔✔the nurse is preparing a school-age child for a computed tomography (CT scan) to
assess cerebral function. when preparing the child for the scan, which statement should
the nurse make?
A) pain medication will be given.
B) the scan will not hurt.
C) you will be able to move around once the equipment is in place.
D) unfortunately, no one can remain in the room with you during the test. - ✔✔B) the
scan will not hurt.
✔✔what is the priority nursing intervention when a child is unconscious after a fall?
A) establish adequate airway
B) perform neurological assessment
C) monitor intercranial pressure
D) determine whether a neck injury is present - ✔✔A) establish adequate airway
✔✔which one of the following sentences describes a concussion?
A) petechial hemorrhages that cause amnesia
B) visible bruising and tearing of cerebral tissue occurs
C) a transient, reversible neuronal dysfunction
D) a slight lesion that develops remote from the site of trauma - ✔✔C) a transient,
reversible neuronal dysfunction
✔✔the nurse should recommend immediate medical attention if a child with a slight
head injury experiences which of the following?
A) visible bruising
B) vomiting
C) headache
D) confusion or abnormal behaviour - ✔✔D) confusion or abnormal behaviour
✔✔a school-aged child has sustained a head injury and multiple fractures after being
thrown from a horse. the child's level of consciousness is variable. the parents tell the
nurse they think their child is in pain because of periodic crying and restlessness. what
is the most appropriate action for the nurse to take?
A) discuss with the parents that the child will be fine
B) discuss with the practitioner what analgesia can be safely administered
C) explain that analgesia is contraindicated with a head injury
