NUR2513 MATERNAL CHILD EXAM 2
NUR2513 MATERNAL CHILD EXAM
2025/2026 COMPLETE VERIFIED
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW
GUARANTEED PASS
1. Which term is used to describe a child's level of consciousness when the child can be
aroused with stimulation?
a. Stupor
b. Confusion
c. Obtundation
d. Disorientation
ANS: C
Obtundation describes a level of consciousness in which the child can be aroused with
stimulation. Stupor is a state in which the child remains in a deep sleep, responsive only to
vigorous and repeated stimulation. Confusion is impaired decision making. Disorientation is
confusion regarding time and place.
2. Which term is used when a patient remains in a deep sleep, responsive only to vigorous
and repeated stimulation?
a. Coma
b. Stupor
c. Obtundation
d. Persistent vegetative state
ANS: B
Stupor exists when the child remains in a deep sleep, responsive only to vigorous and
TEST BANK A+ 1
, NUR2513 MATERNAL CHILD EXAM 2
repeated stimulation. Coma is the state in which no motor or verbal response occurs to
noxious (painful) stimuli. Obtundation describes a level of consciousness in which the child
can be aroused with stimulation. Persistent vegetative state describes the permanent loss of
function of the cerebral cortex.
.!
3. The Glasgow Coma Scale consists of an assessment of what functions?
a. Pupil reactivity and motor response
b. Eye opening and verbal and motor responses
c. Level of consciousness and verbal response
d. Intracranial pressure (ICP) and level of consciousness
ANS: B
The Glasgow Coma Scale assesses eye opening and verbal and motor responses. Pupil
reactivity is not a part of the Glasgow Coma Scale but is included in the pediatric coma scale.
Level of consciousness and ICP are not part of the Glasgow Coma Scale.
4. The nurse, closely monitoring a child who is unconscious after a fall, notices that the child
suddenly has a fixed and dilated pupil. The nurse should interpret this as the indication of
what occurrence?
a. Eye trauma
b. Neurosurgical emergency
c. Severe brainstem damage
d. Indication of brain death
ANS: B
The sudden appearance of a fixed and dilated pupil(s) is a neurosurgical emergency. The nurse
should immediately report this finding. Although a dilated pupil may be associated with eye
trauma, this child has experienced a neurologic insult. Pinpoint pupils or fixed, bilateral pupils
for more than 5 minutes are indicative of brainstem damage. The unilateral fixed and dilated
pupil is suggestive of damage on the same side of the brain. One fixed and dilated pupil is not
suggestive of brain death.
5. Which test is never performed on a child who is awake?
a. Oculovestibular response
b. Doll's head maneuver
TEST BANK A+ 2
, NUR2513 MATERNAL CHILD EXAM 2
c. Funduscopic examination for papilledema
d. Assessment of pyramidal tract lesions
ANS: A
The oculovestibular response (caloric test) involves the instillation of ice water into the ear of
a comatose child. The caloric test is painful and is never performed on a child who is awake or
one who has a ruptured tympanic membrane. Doll's head maneuver, funduscopic
examination, and assessment of pyramidal tract lesions can be performed on children who
are awake.
.!
6. 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
include?
a. "Pain medication will be given."
b. "The scan will not hurt."
c. "You wiǁ be able to move once the equipment is in place."
d. "Unfortunately no one can remain in the room with you during the test"
ANS: B
For CT scans, the child will not be allowed to move and must be immobilized. It is important
to emphasize to the child that at no time is the procedure painful. Pain medication is not
required; however, sedation is sometimes necessary. Someone is able to remain with the
child during the procedure.
.!
7. Which neurologic diagnostic test gives a visualized horizontal and vertical cross section of
the brain at any axis?
a. Nuclear brain scan
b. Echoencephalography
c. Computed tomography (CT) scan
d. Magnetic resonance imaging (MRI)
TEST BANK A+ 3
, NUR2513 MATERNAL CHILD EXAM 2
ANS: C
A CT scan provides visualization of the horizontal and vertical cross sections of the brain at
any axis. A nuclear brain scan uses a radioisotope that accumulates where the blood-brain
barrier is defective. Echoencephalography identifies shifts in midline structures of the brain as
a result of intracranial lesions. MRI permits visualization of morphologic features of target
structures and tissue discrimination that is unavailable with any other techniques.
8. What is the priority nursing intervention when a child is unconscious after a fall?
a. Establish an adequate airway.
b. Perform neurologic assessment.
c. Monitor intercranial pressure.
d. Determine whether a neck injury is present.
ANS: A
Respiratory effectiveness is the primary concern in the care of the unconscious child.
Establishing an adequate airway is always the first priority. A neurologic assessment and
determination of neck injury are performed after breathing and circulation are stabilized.
Intracranial, not intercranial, pressure is monitored if indicated after airway, breathing, and
circulation are maintained.
.!
9. Which drug would be used to treat a child who has increased intracranial pressure (ICP)
resulting from cerebral edema?
a. Mannitol
b. Epinephrine hydrochloride
c. Atropine sulfate
d. Sodium bicarbonate
ANS: A
For increased ICP, mannitol, an osmotic diuretic, administered intravenously, is the drug used
most frequently for rapid reduction. Epinephrine, atropine sulfate, and sodium bicarbonate
are not used to decrease ICP.
.!
TEST BANK A+ 4
NUR2513 MATERNAL CHILD EXAM
2025/2026 COMPLETE VERIFIED
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW
GUARANTEED PASS
1. Which term is used to describe a child's level of consciousness when the child can be
aroused with stimulation?
a. Stupor
b. Confusion
c. Obtundation
d. Disorientation
ANS: C
Obtundation describes a level of consciousness in which the child can be aroused with
stimulation. Stupor is a state in which the child remains in a deep sleep, responsive only to
vigorous and repeated stimulation. Confusion is impaired decision making. Disorientation is
confusion regarding time and place.
2. Which term is used when a patient remains in a deep sleep, responsive only to vigorous
and repeated stimulation?
a. Coma
b. Stupor
c. Obtundation
d. Persistent vegetative state
ANS: B
Stupor exists when the child remains in a deep sleep, responsive only to vigorous and
TEST BANK A+ 1
, NUR2513 MATERNAL CHILD EXAM 2
repeated stimulation. Coma is the state in which no motor or verbal response occurs to
noxious (painful) stimuli. Obtundation describes a level of consciousness in which the child
can be aroused with stimulation. Persistent vegetative state describes the permanent loss of
function of the cerebral cortex.
.!
3. The Glasgow Coma Scale consists of an assessment of what functions?
a. Pupil reactivity and motor response
b. Eye opening and verbal and motor responses
c. Level of consciousness and verbal response
d. Intracranial pressure (ICP) and level of consciousness
ANS: B
The Glasgow Coma Scale assesses eye opening and verbal and motor responses. Pupil
reactivity is not a part of the Glasgow Coma Scale but is included in the pediatric coma scale.
Level of consciousness and ICP are not part of the Glasgow Coma Scale.
4. The nurse, closely monitoring a child who is unconscious after a fall, notices that the child
suddenly has a fixed and dilated pupil. The nurse should interpret this as the indication of
what occurrence?
a. Eye trauma
b. Neurosurgical emergency
c. Severe brainstem damage
d. Indication of brain death
ANS: B
The sudden appearance of a fixed and dilated pupil(s) is a neurosurgical emergency. The nurse
should immediately report this finding. Although a dilated pupil may be associated with eye
trauma, this child has experienced a neurologic insult. Pinpoint pupils or fixed, bilateral pupils
for more than 5 minutes are indicative of brainstem damage. The unilateral fixed and dilated
pupil is suggestive of damage on the same side of the brain. One fixed and dilated pupil is not
suggestive of brain death.
5. Which test is never performed on a child who is awake?
a. Oculovestibular response
b. Doll's head maneuver
TEST BANK A+ 2
, NUR2513 MATERNAL CHILD EXAM 2
c. Funduscopic examination for papilledema
d. Assessment of pyramidal tract lesions
ANS: A
The oculovestibular response (caloric test) involves the instillation of ice water into the ear of
a comatose child. The caloric test is painful and is never performed on a child who is awake or
one who has a ruptured tympanic membrane. Doll's head maneuver, funduscopic
examination, and assessment of pyramidal tract lesions can be performed on children who
are awake.
.!
6. 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
include?
a. "Pain medication will be given."
b. "The scan will not hurt."
c. "You wiǁ be able to move once the equipment is in place."
d. "Unfortunately no one can remain in the room with you during the test"
ANS: B
For CT scans, the child will not be allowed to move and must be immobilized. It is important
to emphasize to the child that at no time is the procedure painful. Pain medication is not
required; however, sedation is sometimes necessary. Someone is able to remain with the
child during the procedure.
.!
7. Which neurologic diagnostic test gives a visualized horizontal and vertical cross section of
the brain at any axis?
a. Nuclear brain scan
b. Echoencephalography
c. Computed tomography (CT) scan
d. Magnetic resonance imaging (MRI)
TEST BANK A+ 3
, NUR2513 MATERNAL CHILD EXAM 2
ANS: C
A CT scan provides visualization of the horizontal and vertical cross sections of the brain at
any axis. A nuclear brain scan uses a radioisotope that accumulates where the blood-brain
barrier is defective. Echoencephalography identifies shifts in midline structures of the brain as
a result of intracranial lesions. MRI permits visualization of morphologic features of target
structures and tissue discrimination that is unavailable with any other techniques.
8. What is the priority nursing intervention when a child is unconscious after a fall?
a. Establish an adequate airway.
b. Perform neurologic assessment.
c. Monitor intercranial pressure.
d. Determine whether a neck injury is present.
ANS: A
Respiratory effectiveness is the primary concern in the care of the unconscious child.
Establishing an adequate airway is always the first priority. A neurologic assessment and
determination of neck injury are performed after breathing and circulation are stabilized.
Intracranial, not intercranial, pressure is monitored if indicated after airway, breathing, and
circulation are maintained.
.!
9. Which drug would be used to treat a child who has increased intracranial pressure (ICP)
resulting from cerebral edema?
a. Mannitol
b. Epinephrine hydrochloride
c. Atropine sulfate
d. Sodium bicarbonate
ANS: A
For increased ICP, mannitol, an osmotic diuretic, administered intravenously, is the drug used
most frequently for rapid reduction. Epinephrine, atropine sulfate, and sodium bicarbonate
are not used to decrease ICP.
.!
TEST BANK A+ 4
