Pediatric Nursing Exam 3: Neuro, Cerebral,
Cognitive Dysfunction With Questions And
Well Verified Answers Actual Exam!!!
2026
Earliest concerning neurologic finding? - ANSWER -Change in baseline interaction or
arousability.
Late Cushing response? - ANSWER -Bradycardia, widened pulse pressure, irregular
respirations.
Infant ICP cues? - ANSWER -Bulging fontanel, increasing head size, high-pitched cry,
sunset eyes.
Head/neck with increased ICP? - ANSWER -Midline; avoid obstructing venous return.
LP when mass/increased ICP suspected? - ANSWER -Hold pending evaluation because
herniation risk.
Antibiotics delayed for LP? - ANSWER -No, if LP is unsafe or cannot be done promptly.
Active seizure first action? - ANSWER -Stay, side-position if possible and protect the
head while timing.
What never goes in the mouth? - ANSWER -Any object, fingers or oral airway during
convulsions.
Ongoing seizure around 5 minutes? - ANSWER -Emergency response, ABCs and
prescribed rescue medication.
, Shunt child with vomiting and increasing sleepiness? - ANSWER -Immediate neurologic
assessment and rapid provider notification.
May nurse pump shunt reservoir? - ANSWER -Only if specifically prescribed.
Seizure will not stop / no recovery - ANSWER -Emergency response, ABCs, glucose,
prescribed benzodiazepine.
Morning headache + emesis + sleepy with VP shunt - ANSWER -Suspect
malfunction/increased ICP; assess neuro status and notify rapidly.
Fever + neck stiffness / altered LOC - ANSWER -Suspect meningitis; precautions and
prompt antibiotics as ordered.
Open myelomeningocele position? - ANSWER -Prone, with sac protected and no diaper
pressure.
GBS with normal SpO2 but weak cough? - ANSWER -Urgent respiratory assessment and
escalation.
Gowers sign points to? - ANSWER -Duchenne muscular dystrophy.
Weak cry, poor cough and feeding fatigue? - ANSWER -Spinal muscular atrophy
respiratory/bulbar risk.
New self-injury in a nonverbal child? - ANSWER -Ask caregiver baseline and assess pain
or illness.
Suspected abusive head trauma? - ANSWER -Stabilize, document objectively and report
suspicion.
SIADH vs DI urine? - ANSWER -SIADH concentrated and less output; DI large-volume
dilute.
Cognitive Dysfunction With Questions And
Well Verified Answers Actual Exam!!!
2026
Earliest concerning neurologic finding? - ANSWER -Change in baseline interaction or
arousability.
Late Cushing response? - ANSWER -Bradycardia, widened pulse pressure, irregular
respirations.
Infant ICP cues? - ANSWER -Bulging fontanel, increasing head size, high-pitched cry,
sunset eyes.
Head/neck with increased ICP? - ANSWER -Midline; avoid obstructing venous return.
LP when mass/increased ICP suspected? - ANSWER -Hold pending evaluation because
herniation risk.
Antibiotics delayed for LP? - ANSWER -No, if LP is unsafe or cannot be done promptly.
Active seizure first action? - ANSWER -Stay, side-position if possible and protect the
head while timing.
What never goes in the mouth? - ANSWER -Any object, fingers or oral airway during
convulsions.
Ongoing seizure around 5 minutes? - ANSWER -Emergency response, ABCs and
prescribed rescue medication.
, Shunt child with vomiting and increasing sleepiness? - ANSWER -Immediate neurologic
assessment and rapid provider notification.
May nurse pump shunt reservoir? - ANSWER -Only if specifically prescribed.
Seizure will not stop / no recovery - ANSWER -Emergency response, ABCs, glucose,
prescribed benzodiazepine.
Morning headache + emesis + sleepy with VP shunt - ANSWER -Suspect
malfunction/increased ICP; assess neuro status and notify rapidly.
Fever + neck stiffness / altered LOC - ANSWER -Suspect meningitis; precautions and
prompt antibiotics as ordered.
Open myelomeningocele position? - ANSWER -Prone, with sac protected and no diaper
pressure.
GBS with normal SpO2 but weak cough? - ANSWER -Urgent respiratory assessment and
escalation.
Gowers sign points to? - ANSWER -Duchenne muscular dystrophy.
Weak cry, poor cough and feeding fatigue? - ANSWER -Spinal muscular atrophy
respiratory/bulbar risk.
New self-injury in a nonverbal child? - ANSWER -Ask caregiver baseline and assess pain
or illness.
Suspected abusive head trauma? - ANSWER -Stabilize, document objectively and report
suspicion.
SIADH vs DI urine? - ANSWER -SIADH concentrated and less output; DI large-volume
dilute.
