,NSG 2530 Exam 3 Pediatric Nursing Care Care Questions And
Answers 2026/2027 South College
Q1. A seven-year-old child is brought to the emergency department
after experiencing a generalized tonic-clonic seizure lasting two
minutes. The seizure has stopped, but the child remains drowsy and
confused. Which nursing intervention is most appropriate?
A) Immediately offer oral fluids.
B) Restrain the child to prevent further movement.
C) Insert an oral airway while the child is recovering.
D) Position the child to maintain airway patency, assess breathing and
circulation, and monitor neurological recovery.
Correct Answer: D) Position the child to maintain airway patency, assess
breathing and circulation, and monitor neurological recovery.
Rationale: Following a generalized seizure, children may experience a
postictal period characterized by confusion, drowsiness, and reduced
responsiveness. Airway protection, positioning, oxygenation assessment, and
neurological monitoring are priorities. Oral intake should be withheld until
the child is sufficiently alert to swallow safely.
Q2. A five-year-old child suddenly develops generalized rhythmic
jerking, loss of consciousness, and excessive salivation while
playing. Which nursing action should be implemented during the
seizure?
A) Protect the child from injury, position safely when possible, and record
seizure duration and characteristics.
B) Insert a padded tongue blade between the teeth.
C) Hold the child's arms and legs firmly against the floor.
D) Administer oral medication during active convulsions.
Correct Answer: A) Protect the child from injury, position safely when
possible, and record seizure duration and characteristics.
Rationale: During an active seizure, nursing priorities include preventing
injury, maintaining a safe environment, monitoring breathing, and recording
seizure activity. Objects should never be inserted into the mouth, and
,forceful restraint may cause injury. Seizure characteristics provide important
diagnostic information.
Q3. A six-year-old child with epilepsy experiences continuous
generalized convulsions lasting six minutes. The child has not
regained consciousness. Which intervention takes priority?
A) Continue observation until the seizure has lasted 30 minutes.
B) Encourage the child to drink water.
C) Activate emergency seizure management, support airway and breathing,
check glucose, and prepare prescribed benzodiazepine treatment.
D) Perform a complete developmental assessment before administering
medication.
Correct Answer: C) Activate emergency seizure management, support airway
and breathing, check glucose, and prepare prescribed benzodiazepine
treatment.
Rationale: A convulsive seizure lasting five minutes or longer is treated as
convulsive status epilepticus because spontaneous termination becomes less
likely. Immediate priorities include airway and circulatory assessment,
glucose evaluation, and prompt benzodiazepine therapy according to
emergency protocols.
Q4. A nine-year-old child with prolonged seizure activity receives
intravenous lorazepam. Which adverse effect requires the most
immediate monitoring?
A) Increased appetite
B) Respiratory depression
C) Mild hair loss
D) Increased urinary frequency
Correct Answer: B) Respiratory depression
Rationale: Benzodiazepines enhance inhibitory gamma-aminobutyric acid
activity and rapidly suppress seizures. They may also cause sedation,
hypotension, and respiratory depression. Continuous respiratory and
cardiovascular monitoring and readiness to provide ventilation are essential.
, Q5. An eight-year-old child experiences brief episodes of staring,
eyelid fluttering, and sudden interruption of classroom activities.
Each episode lasts approximately ten seconds, and the child
resumes activity without confusion. Which seizure type is most
likely?
A) Generalized tonic-clonic seizure
B) Focal to bilateral tonic-clonic seizure
C) Atonic seizure
D) Typical absence seizure
Correct Answer: D) Typical absence seizure
Rationale: Typical absence seizures involve sudden, brief interruptions of
awareness, sometimes accompanied by subtle eyelid movements. Episodes
often last only seconds and end without a postictal period.
Electroencephalography commonly demonstrates generalized three-hertz
spike-and-wave activity.
Q6. A ten-year-old child is diagnosed with childhood absence
epilepsy. Which medication is commonly considered first-line when
absence seizures are the only seizure type?
A) Ethosuximide
B) Carbamazepine
C) Gabapentin
D) Phenytoin
Correct Answer: A) Ethosuximide
Rationale: Ethosuximide is commonly preferred for childhood absence
epilepsy when other generalized seizure types are absent. It reduces
thalamic T-type calcium channel activity associated with absence seizures.
Adverse effects may include gastrointestinal discomfort, fatigue, and
behavioral changes.
Q7. A twelve-year-old child taking valproic acid for epilepsy
develops persistent vomiting, severe abdominal pain, and unusual
lethargy. Which complication should the nurse consider?
A) Uncomplicated medication effectiveness
Answers 2026/2027 South College
Q1. A seven-year-old child is brought to the emergency department
after experiencing a generalized tonic-clonic seizure lasting two
minutes. The seizure has stopped, but the child remains drowsy and
confused. Which nursing intervention is most appropriate?
A) Immediately offer oral fluids.
B) Restrain the child to prevent further movement.
C) Insert an oral airway while the child is recovering.
D) Position the child to maintain airway patency, assess breathing and
circulation, and monitor neurological recovery.
Correct Answer: D) Position the child to maintain airway patency, assess
breathing and circulation, and monitor neurological recovery.
Rationale: Following a generalized seizure, children may experience a
postictal period characterized by confusion, drowsiness, and reduced
responsiveness. Airway protection, positioning, oxygenation assessment, and
neurological monitoring are priorities. Oral intake should be withheld until
the child is sufficiently alert to swallow safely.
Q2. A five-year-old child suddenly develops generalized rhythmic
jerking, loss of consciousness, and excessive salivation while
playing. Which nursing action should be implemented during the
seizure?
A) Protect the child from injury, position safely when possible, and record
seizure duration and characteristics.
B) Insert a padded tongue blade between the teeth.
C) Hold the child's arms and legs firmly against the floor.
D) Administer oral medication during active convulsions.
Correct Answer: A) Protect the child from injury, position safely when
possible, and record seizure duration and characteristics.
Rationale: During an active seizure, nursing priorities include preventing
injury, maintaining a safe environment, monitoring breathing, and recording
seizure activity. Objects should never be inserted into the mouth, and
,forceful restraint may cause injury. Seizure characteristics provide important
diagnostic information.
Q3. A six-year-old child with epilepsy experiences continuous
generalized convulsions lasting six minutes. The child has not
regained consciousness. Which intervention takes priority?
A) Continue observation until the seizure has lasted 30 minutes.
B) Encourage the child to drink water.
C) Activate emergency seizure management, support airway and breathing,
check glucose, and prepare prescribed benzodiazepine treatment.
D) Perform a complete developmental assessment before administering
medication.
Correct Answer: C) Activate emergency seizure management, support airway
and breathing, check glucose, and prepare prescribed benzodiazepine
treatment.
Rationale: A convulsive seizure lasting five minutes or longer is treated as
convulsive status epilepticus because spontaneous termination becomes less
likely. Immediate priorities include airway and circulatory assessment,
glucose evaluation, and prompt benzodiazepine therapy according to
emergency protocols.
Q4. A nine-year-old child with prolonged seizure activity receives
intravenous lorazepam. Which adverse effect requires the most
immediate monitoring?
A) Increased appetite
B) Respiratory depression
C) Mild hair loss
D) Increased urinary frequency
Correct Answer: B) Respiratory depression
Rationale: Benzodiazepines enhance inhibitory gamma-aminobutyric acid
activity and rapidly suppress seizures. They may also cause sedation,
hypotension, and respiratory depression. Continuous respiratory and
cardiovascular monitoring and readiness to provide ventilation are essential.
, Q5. An eight-year-old child experiences brief episodes of staring,
eyelid fluttering, and sudden interruption of classroom activities.
Each episode lasts approximately ten seconds, and the child
resumes activity without confusion. Which seizure type is most
likely?
A) Generalized tonic-clonic seizure
B) Focal to bilateral tonic-clonic seizure
C) Atonic seizure
D) Typical absence seizure
Correct Answer: D) Typical absence seizure
Rationale: Typical absence seizures involve sudden, brief interruptions of
awareness, sometimes accompanied by subtle eyelid movements. Episodes
often last only seconds and end without a postictal period.
Electroencephalography commonly demonstrates generalized three-hertz
spike-and-wave activity.
Q6. A ten-year-old child is diagnosed with childhood absence
epilepsy. Which medication is commonly considered first-line when
absence seizures are the only seizure type?
A) Ethosuximide
B) Carbamazepine
C) Gabapentin
D) Phenytoin
Correct Answer: A) Ethosuximide
Rationale: Ethosuximide is commonly preferred for childhood absence
epilepsy when other generalized seizure types are absent. It reduces
thalamic T-type calcium channel activity associated with absence seizures.
Adverse effects may include gastrointestinal discomfort, fatigue, and
behavioral changes.
Q7. A twelve-year-old child taking valproic acid for epilepsy
develops persistent vomiting, severe abdominal pain, and unusual
lethargy. Which complication should the nurse consider?
A) Uncomplicated medication effectiveness
