NUR 336: Exam 5 (REVIEW) with
complete solutions.
NUR 336: Exam 5 (REVIEW) with
complete solutions.
What should the nurse anticipate for a tonic-clonic seizure? What is the goal? -
CORRECT ANSWER - Lorazepam PRN
- Goal: To stop the seizure and further brain damage doesn't occur
Caring for a Child at Home with a Seizure Disorder: What medication should be
administered if the seizure is >2? - CORRECT ANSWER Rectal diazepam
Remember: Stopping the seizure helps prevent further brain damage.
Seizure First Aid: What are the six steps if a child has a convulsive seizure? -
CORRECT ANSWER 1) Do not panic
2) Turn on their side and start timing the seizure
3) Stay with child, don't restrain
4) Place something softer under head
5) Do not put anything in mouth
6) Call 911 if seizure last longer than 5 minutes
Describe generalized seizures. - CORRECT ANSWER Caused by electrical impulses
moving through the entire brain.
What are the symptoms of a tonic-clonic (grand mal) seizure? - CORRECT ANSWER
Rhythmic jerking of the extremities with muscle rigidity and loss of consciousness,
incontinence.
What are the symptoms of an absence seizure? - CORRECT ANSWER Brief loss of
consciousness
What are the symptoms of a myoclonic seizure? - CORRECT ANSWER Brief, isolated
jerking movements
What are the symptoms of a clonic seizure? - CORRECT ANSWER Repetitive, rhythmic
jerking movements
What are the symptoms of a tonic seizure? - CORRECT ANSWER Muscle rigidity
What are the symptoms of an atonic seizure? - CORRECT ANSWER Loss of muscle
tone
, NUR 336: Exam 5 (REVIEW) with
complete solutions.
True or False: Sunsetting eyes indicated a neurological issue which warrants immediate
follow-up. - CORRECT ANSWER True!
Describe hydrocephalus. - CORRECT ANSWER Abnormal accumulation of (CSF) fluid
in the brain.
Head trauma in children, what is the nurse most concerned about? - CORRECT
ANSWER ICP (subdural hematoma)
What are three signs and symptoms of increased ICP? - CORRECT ANSWER - High
B/P
- Low pulse
- Low respirations (Cushing Triad)
What are three signs and symptoms of shock? - CORRECT ANSWER - Low B/P
- High pulse
- High respirations
Describe chiari malformation - CORRECT ANSWER A structural defect in the
cerebellum, the part of the brain that controls balance.
Side Note: Type I is the most common.
How is chiari malformation diagnosed? - CORRECT ANSWER MRI
True or False: Children with chiari malformation should be allowed to participate in all
sports, including contact! - CORRECT ANSWER False: Contact sports can be life-
altering and should be avoided!
What assessment finding indicates that an infant is microcephalic? - CORRECT
ANSWER Head circumference > than 2 standard deviations below the normal.
How is hydrocephalus treated? - CORRECT ANSWER VP Shunt: This type of shunt
allows for the drainage from the ventricles of the brain to the abdomen where the fluid
can be reabsorbed into the bloodstream.
Hydrocephalus: Name one important education that is imperative for parents/guardians
to know? Can you name a few more? - CORRECT ANSWER - S/S of shunt malfunction
(ex. increase in head circumference, vomiting, irritability)
- S/S of infection
- Sutures/staples removed 7 to 14 days following surgery
-Sponge bathing until given permission from the surgeon
-Shunt revisions will be needed due to growth of a child
complete solutions.
NUR 336: Exam 5 (REVIEW) with
complete solutions.
What should the nurse anticipate for a tonic-clonic seizure? What is the goal? -
CORRECT ANSWER - Lorazepam PRN
- Goal: To stop the seizure and further brain damage doesn't occur
Caring for a Child at Home with a Seizure Disorder: What medication should be
administered if the seizure is >2? - CORRECT ANSWER Rectal diazepam
Remember: Stopping the seizure helps prevent further brain damage.
Seizure First Aid: What are the six steps if a child has a convulsive seizure? -
CORRECT ANSWER 1) Do not panic
2) Turn on their side and start timing the seizure
3) Stay with child, don't restrain
4) Place something softer under head
5) Do not put anything in mouth
6) Call 911 if seizure last longer than 5 minutes
Describe generalized seizures. - CORRECT ANSWER Caused by electrical impulses
moving through the entire brain.
What are the symptoms of a tonic-clonic (grand mal) seizure? - CORRECT ANSWER
Rhythmic jerking of the extremities with muscle rigidity and loss of consciousness,
incontinence.
What are the symptoms of an absence seizure? - CORRECT ANSWER Brief loss of
consciousness
What are the symptoms of a myoclonic seizure? - CORRECT ANSWER Brief, isolated
jerking movements
What are the symptoms of a clonic seizure? - CORRECT ANSWER Repetitive, rhythmic
jerking movements
What are the symptoms of a tonic seizure? - CORRECT ANSWER Muscle rigidity
What are the symptoms of an atonic seizure? - CORRECT ANSWER Loss of muscle
tone
, NUR 336: Exam 5 (REVIEW) with
complete solutions.
True or False: Sunsetting eyes indicated a neurological issue which warrants immediate
follow-up. - CORRECT ANSWER True!
Describe hydrocephalus. - CORRECT ANSWER Abnormal accumulation of (CSF) fluid
in the brain.
Head trauma in children, what is the nurse most concerned about? - CORRECT
ANSWER ICP (subdural hematoma)
What are three signs and symptoms of increased ICP? - CORRECT ANSWER - High
B/P
- Low pulse
- Low respirations (Cushing Triad)
What are three signs and symptoms of shock? - CORRECT ANSWER - Low B/P
- High pulse
- High respirations
Describe chiari malformation - CORRECT ANSWER A structural defect in the
cerebellum, the part of the brain that controls balance.
Side Note: Type I is the most common.
How is chiari malformation diagnosed? - CORRECT ANSWER MRI
True or False: Children with chiari malformation should be allowed to participate in all
sports, including contact! - CORRECT ANSWER False: Contact sports can be life-
altering and should be avoided!
What assessment finding indicates that an infant is microcephalic? - CORRECT
ANSWER Head circumference > than 2 standard deviations below the normal.
How is hydrocephalus treated? - CORRECT ANSWER VP Shunt: This type of shunt
allows for the drainage from the ventricles of the brain to the abdomen where the fluid
can be reabsorbed into the bloodstream.
Hydrocephalus: Name one important education that is imperative for parents/guardians
to know? Can you name a few more? - CORRECT ANSWER - S/S of shunt malfunction
(ex. increase in head circumference, vomiting, irritability)
- S/S of infection
- Sutures/staples removed 7 to 14 days following surgery
-Sponge bathing until given permission from the surgeon
-Shunt revisions will be needed due to growth of a child
