NEUROLOGICAL AND MUSCULOSKELETAL MANAGEMENT
PRACTICE QUESTIONS & ANSWERS
. The nurse is palpating the fontanelles of an infant hospitalized with a head injury. Which
area should the nurse palpate to assess the posterior tbntanelle? Place an X on the posterior
fontanel.
8. The pregnant client learns that her unborn child might have a neural tube defect. In
response to the woman’s question about neural tube defects, the nurse describes one
possible defect. Which neural tube defect is the nurse describing when stating that the
vertebral arch fails to close and the spinal cord and meninges stay within the vertebral
canal?
A. Meningocele
B. Spina bifida occulta
C. Spina bifida cystica
D. Myelomeningocele
ANSWER: B
9. The nurse is caring for a child who had spina bifida (myelodysplasia) at birth and has knee
deformities, detrusor hyperreflexia, dyssynergia, and problems with constipation. Which is
most important for the nurse to include in the child’s plan of care?
A. Avoid the child’s exposure to latex.
B. Do intermittent urinary catheterization.
C. Provide dietary fiber supplements daily.
D. Complete a referral for physical therapy.
ANSWER: A
, 10. The child had a myelomeningocele that was diagnosed at birth and surgically corrected.
Which instruction should the nurse include when reinforcing teaching with the parents
about safety considerations?
A. Make sure braces lie smoothly against the child’s skin.
B. Ensure that the child shifts position at least every 3 hours.
C. Place a blanket between the child and the wheel- chair seat.
D. Check all of the child’s skin daily for redness or irritation.
ANSWER: D
11 . The child is being screened for hydrocephalus. In teaching the parents about the
condition, the nurse illustrates the location of the lateral ventricle. Place an X on the area the
nurse should point out to the parents.
12. The nurse is caring for multiple hospitalized children. In which conditions might the
nurse assess for the presence of papilledema? Select all that apply.
A. Eczema
B. Craniosynostosis
C. Shaken baby syndrome
D. Hydrocephalus
E. Chest trauma
ANSWER: B, C, D
PRACTICE QUESTIONS & ANSWERS
. The nurse is palpating the fontanelles of an infant hospitalized with a head injury. Which
area should the nurse palpate to assess the posterior tbntanelle? Place an X on the posterior
fontanel.
8. The pregnant client learns that her unborn child might have a neural tube defect. In
response to the woman’s question about neural tube defects, the nurse describes one
possible defect. Which neural tube defect is the nurse describing when stating that the
vertebral arch fails to close and the spinal cord and meninges stay within the vertebral
canal?
A. Meningocele
B. Spina bifida occulta
C. Spina bifida cystica
D. Myelomeningocele
ANSWER: B
9. The nurse is caring for a child who had spina bifida (myelodysplasia) at birth and has knee
deformities, detrusor hyperreflexia, dyssynergia, and problems with constipation. Which is
most important for the nurse to include in the child’s plan of care?
A. Avoid the child’s exposure to latex.
B. Do intermittent urinary catheterization.
C. Provide dietary fiber supplements daily.
D. Complete a referral for physical therapy.
ANSWER: A
, 10. The child had a myelomeningocele that was diagnosed at birth and surgically corrected.
Which instruction should the nurse include when reinforcing teaching with the parents
about safety considerations?
A. Make sure braces lie smoothly against the child’s skin.
B. Ensure that the child shifts position at least every 3 hours.
C. Place a blanket between the child and the wheel- chair seat.
D. Check all of the child’s skin daily for redness or irritation.
ANSWER: D
11 . The child is being screened for hydrocephalus. In teaching the parents about the
condition, the nurse illustrates the location of the lateral ventricle. Place an X on the area the
nurse should point out to the parents.
12. The nurse is caring for multiple hospitalized children. In which conditions might the
nurse assess for the presence of papilledema? Select all that apply.
A. Eczema
B. Craniosynostosis
C. Shaken baby syndrome
D. Hydrocephalus
E. Chest trauma
ANSWER: B, C, D
