ANSWERS
The nurse is collecting data about a child who has been admitted to the hospital with a
diagnosis of seizures. Which action would best assist in determining the causes of the seizure?
Obtaining a history regarding factors that may occur before the seizure activity
A child has a basilar skull fracture. Which health care provider's prescription should the nurse
question?
Suction via the nasotracheal route as needed.
The nurse is assisting to develop a plan of care for a child who is at risk for seizures. Which
interventions apply if the child has a seizure? Select all that apply.
Time the seizure.
Stay with the child.
Move furniture away from the child.
The parents of a child recently diagnosed with cerebral palsy ask the nurse about the disorder.
The nurse bases the response on the understanding that cerebral palsy is which type of
condition?
A chronic disability characterized by impaired muscle movement and posture
, The nurse is assisting with data collection from an infant who has been diagnosed with
hydrocephalus. If the infant's level of consciousness diminishes, which is a priority intervention?
Palpating the anterior fontanel
The nurse is reviewing the record of a child with increased intracranial pressure and notes that
the child has exhibited signs of decerebrate posturing. On data collection of the child, the nurse
expects to note which characteristic of this type of posturing?
Rigid extension and pronation of the arms and legs
A child is diagnosed with Reye's syndrome. The nurse assists to develop a nursing care plan for
the child and should include which intervention in the plan?
Providing a quiet atmosphere with dimmed lighting
Which represents a primary characteristic of an autism spectrum disorder?
Lack of social interaction and awareness
To ensure a safe environment for a child admitted to the hospital for a craniotomy to remove a
brain tumor, the nurse should include which in the plan of care?
Initiating seizure precautions