ATI Pediatric Proctored Exam 4 2025
VERIFIED 100%
TheRnurseRisRcollectingRdataRfromRaRchildRwhoRmayRhaveRaRseizureRdisorder.RWhichR
nursingRobservationsRsuggestRanRabsenceRseizure?R-
RMinimalRorRnoRalterationRinRmuscleRtone,RwithRaRbriefRlossRofRresponsivenessRorRatte
ntion.
Reference:
ChapterR16:RNursingRCareRofRtheRChildRWithRanRAlterationRinRIntracranialRRegulation/
NeurologicRDisorderR-RPageR488
ARnurseRonRtheRneurologyRunitRisRmonitoringRanR8-year-
oldRchildRadmittedRwithRseizures.RTheRchildRexperiencesRaRprolongedRtonic-
clonicRseizure.
CompleteRtheRfollowingRsentence(s)RbyRchoosingRfromRtheRlistsRofRoptions.
TheRnurseRshouldRfirstR followedRby
.R-RTheRnurseRshouldRfirst:RensureRproperRoxygenation.
FollowedRby:RadministerRintravenousR(IV)RorRintramuscularR(IM)Rbenzodiazepine.
Reference:
ChapterR16:RNursingRCareRofRtheRChildRWithRanRAlterationRinRIntracranialRRegulation/
NeurologicRDisorderR-RPageR488-495
ARchildRwithRaRseizureRdisorderRisRbeingRadmittedRtoRtheRinpatientRunit.RWhenRprepari
ngRtheRroomRforRtheRchild,RwhatRshouldRbeRincluded?RSelectRallRthatRapply.
RA.)RoxygenRgaugeRandRtubing
RB.)RsuctionRatRbedside
RC.)RtongueRblade
RD.)RpaddingRforRsideRrails
RE.)RsmellingRsaltsR-RA.)RoxygenRgaugeRandRtubing
B.)RsuctionRatRbedside
D.)RpaddingRforRsideRrails
Reference:
ChapterR16:RNursingRCareRofRtheRChildRWithRanRAlterationRinRIntracranialRRegulation/
NeurologicRDisorderR-RPageR484
ARnurseRisRassessingRaR3-year-
oldRchildRforRpossibleRbacterialRmeningitis.RWhichRsignRwouldRindicateRirritationRofRthe
Rmeninges?R-RPositiveRKernigRsign.
Reference:
ChapterR16:RNursingRCareRofRtheRChildRWithRanRAlterationRinRIntracranialRRegulation/
NeurologicRDisorderR-RPageR504
AR1-year-
oldRinfantRhasRjustRundergoneRsurgeryRtoRcorrectRcraniosynostosis.RWhichRcommentRi
,sRtheRbestRpsychosocialRinterventionRforRtheRparents?R-
R"TheRsurgeryRwasRsuccessful.RDoRyouRhaveRanyRquestions?"
,Explanation:
OftenRwhatRparentsRneedRmostRisRsomeoneRtoRlistenRtoRtheirRconcerns.RAlthoughRthi
sRisRaRgoodRtimeRforReducation,RtheRparentsRareRmoreRconcernedRaboutRtheRsuccess
RofRtheRsurgeryRthanRtheirRinfant'sRappearance.RWatchingRtheRhemoglobin,Rhematocr
itRandRswellingRareRimportantRnursingRfunctionsRbutRtheyRdoRnotRaddressRtheRparents
'RpsychosocialRneeds.RTheRparentsRdoRnotRneedRtoRbeRtaughtRstatisticsRaboutRtheirRi
nfant'sRcondition.RTheyRmoreRthanRlikelyRknowRthisRfromRhealthRcareRproviderRvisits,R
theRInternet,RandRparentRsupportRgroups.RFollowingRsurgery,RthisRknowledgeRisRnotR
whatRparentsRareRconcernedRabout.RParentsRwantRtoRknowRtheirRinfantRisRsafeRandR
well.
Reference:
ChapterR16:RNursingRCareRofRtheRChildRWithRanRAlterationRinRIntracranialRRegulation/
NeurologicRDisorderR-RPageR502
AR9-year-
oldRclientRwhoRsufferedRaRheadRinjuryRhasRstrabismus.RTheRnurseRassessesRtheRclie
ntRforRintracranialRpressureR(ICP).RWhichRadditionalRinterventionRisRmostRimportantRf
orRtheRnurseRtoRperform?R-RAssessRtheRlevelRofRconsciousnessR(LOC).
Explanation:
DecreasedRLOCRisRfrequentlyRtheRfirstRsignRofRaRmajorRneurologicRproblemRafterRhea
dRtrauma.RTheRnurseRwouldRassessRtheRclient'sRLOCRbeforeRnotifyingRtheRhealthRcar
eRprovider.RTheRchildRmayRneedRtoRbeRplacedRonRfallRprecaution,RdependingRonRthe
RresultsRofRtheRassessment.RTheRchild'sReyesRwillRcorrectRthemselvesRwhenRtheRICP
RisRreduced;Rtherefore,RanReyeRpatchRisRnotRnecessary.
Reference:
ChapterR16:RNursingRCareRofRtheRChildRWithRanRAlterationRinRIntracranialRRegulation/
NeurologicRDisorderR-RPageR509
ToRdetectRcomplicationsRasRearlyRasRpossibleRinRaRchildRwithRmeningitisRwho'sRrecei
vingRIVRfluids,RmonitoringRforRwhichRconditionRshouldRbeRtheRnurse'sRpriority?R-
RCerebralRedema
Explanation:
TheRchildRwithRmeningitisRisRalreadyRatRincreasedRriskRforRcerebralRedemaRandRincrea
sedRintracranialRpressureRdueRtoRinflammationRofRtheRmeningealRmembranes;Rtherefo
re,RtheRnurseRshouldRcarefullyRmonitorRfluidRintakeRandRoutputRtoRavoidRfluidRvolumeR
overload.RRenalRfailureRandRcardiogenicRshockRaren'tRcomplicationsRofRIVRtherapy.RT
heRchildRwithRaRhealthyRheartRwouldn'tRbeRexpectedRtoRdevelopRleft-
sidedRheartRfailure.
Reference:
ChapterR16:RNursingRCareRofRtheRChildRWithRanRAlterationRinRIntracranialRRegulation/
NeurologicRDisorderR-RPageR486
TheRnurseRisRcaringRforRanRinfantRwhoRisRatRriskRforRincreasedRintracranialRpressure.R
WhatRstatementRbyRtheRparentRwouldRalertRtheRnurseRtoRfurtherRassessRtheRchild's
, neurologicalRstatus?R-R"SheRhasRbeenRirritableRforRtheRlastRhour. seemsRlikeRsheRis
justRupsetRforRsomeRreason."
Reference:
ChapterR16:RNursingRCareRofRtheRChildRWithRanRAlterationRinRIntracranialRRegulation/
NeurologicRDisorderR-RPageR479
TheRnurseRisRcaringRforRaRchildRwithRaRsuspectedRheadRinjury.RTheRnurseRobservesRf
orRwhatRresponseRtoRtheRchild'sReyeRreflexRexaminationRthatRwouldRindicateRpotentia
lRincreasedRintracranialRpressureR(ICP)?R-
RWhileRassessingRtheRchild'sRpupils,RthereRisRnoRchangeRinRdiameterRinRresponseRto
RaRlight.
Reference:
ChapterR16:RNursingRCareRofRtheRChildRWithRanRAlterationRinRIntracranialRRegulation/
NeurologicRDisorderR-RPageR509
TheRnurseRknowsRthatRtheRheadsRofRinfantsRandRtoddlersRareRlargeRinRproportionRtoR
theirRbodies,RplacingRthemRatRriskRforRwhatRproblem?R-RheadRtrauma
Explanation:
ARlargerRheadRsizeRinRrelationRtoRtheRrestRofRtheirRbodyRsizeRgivesRyoungRchildrenRaR
higherRcenterRofRgravity,RwhichRcausesRthemRtoRhitRtheirRheadRmoreRreadily,RthusRpl
acingRthemRatRriskRforRheadRtrauma.RFragileRcapillariesRinRtheRperiventricularRareaRof
RtheRbrainRputRpretermRinfantsRatRriskRforRintracranialRhemorrhage.RCongenitalRhydro
cephalusRmayRbeRcausedRbyRabnormalRintrauterineRdevelopmentRorRinfection.
PositionalRplagiocephalyRisRcausedRbyRanRinfant'sRheadRremainingRinRtheRsameRposi
tionRforRtooRlong.
Reference:
ChapterR16:RNursingRCareRofRtheRChildRWithRanRAlterationRinRIntracranialRRegulation/
NeurologicRDisorderR-RPageR509
ARchildRisRhomeRwithRtheRcaregiversRfollowingRaRtreatmentRforRaRheadRinjury.RTheRc
aregiverRshouldRcontactRtheRcareRproviderRifRtheRchildRmakesRwhichRstatement?R-
R"YouRlookRfunny.RWell,RbothRofRyouRdo.RIRseeRtwoRofRyou."
Reference:
ChapterR16:RNursingRCareRofRtheRChildRWithRanRAlterationRinRIntracranialRRegulation/
NeurologicRDisorderR-RPageR511
TheRnurseRandRanRadolescentRareRreviewingRtheRadolescent'sRrecordRofRherRheadac
hesRandRactivitiesRsurroundingRthem.RWhatRactivityRwouldRtheRnurseRidentifyRasRaRpo
ssibleRtrigger?R-RDrinkingRthreeRcansRofRdietRcola.
Reference:
ChapterR16:RNursingRCareRofRtheRChildRWithRanRAlterationRinRIntracranialRRegulation/
NeurologicRDisorderR-RPageR518
TheRparentsRofRaR17-year-
oldRadolescentRdiagnosedRwithRbacterialRmeningitisRtellRtheRnurse,R"WeRjustRdoRnotRu
nderstandRhowRthisRcouldRhaveRhappened.ROurRadolescent
VERIFIED 100%
TheRnurseRisRcollectingRdataRfromRaRchildRwhoRmayRhaveRaRseizureRdisorder.RWhichR
nursingRobservationsRsuggestRanRabsenceRseizure?R-
RMinimalRorRnoRalterationRinRmuscleRtone,RwithRaRbriefRlossRofRresponsivenessRorRatte
ntion.
Reference:
ChapterR16:RNursingRCareRofRtheRChildRWithRanRAlterationRinRIntracranialRRegulation/
NeurologicRDisorderR-RPageR488
ARnurseRonRtheRneurologyRunitRisRmonitoringRanR8-year-
oldRchildRadmittedRwithRseizures.RTheRchildRexperiencesRaRprolongedRtonic-
clonicRseizure.
CompleteRtheRfollowingRsentence(s)RbyRchoosingRfromRtheRlistsRofRoptions.
TheRnurseRshouldRfirstR followedRby
.R-RTheRnurseRshouldRfirst:RensureRproperRoxygenation.
FollowedRby:RadministerRintravenousR(IV)RorRintramuscularR(IM)Rbenzodiazepine.
Reference:
ChapterR16:RNursingRCareRofRtheRChildRWithRanRAlterationRinRIntracranialRRegulation/
NeurologicRDisorderR-RPageR488-495
ARchildRwithRaRseizureRdisorderRisRbeingRadmittedRtoRtheRinpatientRunit.RWhenRprepari
ngRtheRroomRforRtheRchild,RwhatRshouldRbeRincluded?RSelectRallRthatRapply.
RA.)RoxygenRgaugeRandRtubing
RB.)RsuctionRatRbedside
RC.)RtongueRblade
RD.)RpaddingRforRsideRrails
RE.)RsmellingRsaltsR-RA.)RoxygenRgaugeRandRtubing
B.)RsuctionRatRbedside
D.)RpaddingRforRsideRrails
Reference:
ChapterR16:RNursingRCareRofRtheRChildRWithRanRAlterationRinRIntracranialRRegulation/
NeurologicRDisorderR-RPageR484
ARnurseRisRassessingRaR3-year-
oldRchildRforRpossibleRbacterialRmeningitis.RWhichRsignRwouldRindicateRirritationRofRthe
Rmeninges?R-RPositiveRKernigRsign.
Reference:
ChapterR16:RNursingRCareRofRtheRChildRWithRanRAlterationRinRIntracranialRRegulation/
NeurologicRDisorderR-RPageR504
AR1-year-
oldRinfantRhasRjustRundergoneRsurgeryRtoRcorrectRcraniosynostosis.RWhichRcommentRi
,sRtheRbestRpsychosocialRinterventionRforRtheRparents?R-
R"TheRsurgeryRwasRsuccessful.RDoRyouRhaveRanyRquestions?"
,Explanation:
OftenRwhatRparentsRneedRmostRisRsomeoneRtoRlistenRtoRtheirRconcerns.RAlthoughRthi
sRisRaRgoodRtimeRforReducation,RtheRparentsRareRmoreRconcernedRaboutRtheRsuccess
RofRtheRsurgeryRthanRtheirRinfant'sRappearance.RWatchingRtheRhemoglobin,Rhematocr
itRandRswellingRareRimportantRnursingRfunctionsRbutRtheyRdoRnotRaddressRtheRparents
'RpsychosocialRneeds.RTheRparentsRdoRnotRneedRtoRbeRtaughtRstatisticsRaboutRtheirRi
nfant'sRcondition.RTheyRmoreRthanRlikelyRknowRthisRfromRhealthRcareRproviderRvisits,R
theRInternet,RandRparentRsupportRgroups.RFollowingRsurgery,RthisRknowledgeRisRnotR
whatRparentsRareRconcernedRabout.RParentsRwantRtoRknowRtheirRinfantRisRsafeRandR
well.
Reference:
ChapterR16:RNursingRCareRofRtheRChildRWithRanRAlterationRinRIntracranialRRegulation/
NeurologicRDisorderR-RPageR502
AR9-year-
oldRclientRwhoRsufferedRaRheadRinjuryRhasRstrabismus.RTheRnurseRassessesRtheRclie
ntRforRintracranialRpressureR(ICP).RWhichRadditionalRinterventionRisRmostRimportantRf
orRtheRnurseRtoRperform?R-RAssessRtheRlevelRofRconsciousnessR(LOC).
Explanation:
DecreasedRLOCRisRfrequentlyRtheRfirstRsignRofRaRmajorRneurologicRproblemRafterRhea
dRtrauma.RTheRnurseRwouldRassessRtheRclient'sRLOCRbeforeRnotifyingRtheRhealthRcar
eRprovider.RTheRchildRmayRneedRtoRbeRplacedRonRfallRprecaution,RdependingRonRthe
RresultsRofRtheRassessment.RTheRchild'sReyesRwillRcorrectRthemselvesRwhenRtheRICP
RisRreduced;Rtherefore,RanReyeRpatchRisRnotRnecessary.
Reference:
ChapterR16:RNursingRCareRofRtheRChildRWithRanRAlterationRinRIntracranialRRegulation/
NeurologicRDisorderR-RPageR509
ToRdetectRcomplicationsRasRearlyRasRpossibleRinRaRchildRwithRmeningitisRwho'sRrecei
vingRIVRfluids,RmonitoringRforRwhichRconditionRshouldRbeRtheRnurse'sRpriority?R-
RCerebralRedema
Explanation:
TheRchildRwithRmeningitisRisRalreadyRatRincreasedRriskRforRcerebralRedemaRandRincrea
sedRintracranialRpressureRdueRtoRinflammationRofRtheRmeningealRmembranes;Rtherefo
re,RtheRnurseRshouldRcarefullyRmonitorRfluidRintakeRandRoutputRtoRavoidRfluidRvolumeR
overload.RRenalRfailureRandRcardiogenicRshockRaren'tRcomplicationsRofRIVRtherapy.RT
heRchildRwithRaRhealthyRheartRwouldn'tRbeRexpectedRtoRdevelopRleft-
sidedRheartRfailure.
Reference:
ChapterR16:RNursingRCareRofRtheRChildRWithRanRAlterationRinRIntracranialRRegulation/
NeurologicRDisorderR-RPageR486
TheRnurseRisRcaringRforRanRinfantRwhoRisRatRriskRforRincreasedRintracranialRpressure.R
WhatRstatementRbyRtheRparentRwouldRalertRtheRnurseRtoRfurtherRassessRtheRchild's
, neurologicalRstatus?R-R"SheRhasRbeenRirritableRforRtheRlastRhour. seemsRlikeRsheRis
justRupsetRforRsomeRreason."
Reference:
ChapterR16:RNursingRCareRofRtheRChildRWithRanRAlterationRinRIntracranialRRegulation/
NeurologicRDisorderR-RPageR479
TheRnurseRisRcaringRforRaRchildRwithRaRsuspectedRheadRinjury.RTheRnurseRobservesRf
orRwhatRresponseRtoRtheRchild'sReyeRreflexRexaminationRthatRwouldRindicateRpotentia
lRincreasedRintracranialRpressureR(ICP)?R-
RWhileRassessingRtheRchild'sRpupils,RthereRisRnoRchangeRinRdiameterRinRresponseRto
RaRlight.
Reference:
ChapterR16:RNursingRCareRofRtheRChildRWithRanRAlterationRinRIntracranialRRegulation/
NeurologicRDisorderR-RPageR509
TheRnurseRknowsRthatRtheRheadsRofRinfantsRandRtoddlersRareRlargeRinRproportionRtoR
theirRbodies,RplacingRthemRatRriskRforRwhatRproblem?R-RheadRtrauma
Explanation:
ARlargerRheadRsizeRinRrelationRtoRtheRrestRofRtheirRbodyRsizeRgivesRyoungRchildrenRaR
higherRcenterRofRgravity,RwhichRcausesRthemRtoRhitRtheirRheadRmoreRreadily,RthusRpl
acingRthemRatRriskRforRheadRtrauma.RFragileRcapillariesRinRtheRperiventricularRareaRof
RtheRbrainRputRpretermRinfantsRatRriskRforRintracranialRhemorrhage.RCongenitalRhydro
cephalusRmayRbeRcausedRbyRabnormalRintrauterineRdevelopmentRorRinfection.
PositionalRplagiocephalyRisRcausedRbyRanRinfant'sRheadRremainingRinRtheRsameRposi
tionRforRtooRlong.
Reference:
ChapterR16:RNursingRCareRofRtheRChildRWithRanRAlterationRinRIntracranialRRegulation/
NeurologicRDisorderR-RPageR509
ARchildRisRhomeRwithRtheRcaregiversRfollowingRaRtreatmentRforRaRheadRinjury.RTheRc
aregiverRshouldRcontactRtheRcareRproviderRifRtheRchildRmakesRwhichRstatement?R-
R"YouRlookRfunny.RWell,RbothRofRyouRdo.RIRseeRtwoRofRyou."
Reference:
ChapterR16:RNursingRCareRofRtheRChildRWithRanRAlterationRinRIntracranialRRegulation/
NeurologicRDisorderR-RPageR511
TheRnurseRandRanRadolescentRareRreviewingRtheRadolescent'sRrecordRofRherRheadac
hesRandRactivitiesRsurroundingRthem.RWhatRactivityRwouldRtheRnurseRidentifyRasRaRpo
ssibleRtrigger?R-RDrinkingRthreeRcansRofRdietRcola.
Reference:
ChapterR16:RNursingRCareRofRtheRChildRWithRanRAlterationRinRIntracranialRRegulation/
NeurologicRDisorderR-RPageR518
TheRparentsRofRaR17-year-
oldRadolescentRdiagnosedRwithRbacterialRmeningitisRtellRtheRnurse,R"WeRjustRdoRnotRu
nderstandRhowRthisRcouldRhaveRhappened.ROurRadolescent