Nursing Care of the Child with a Neurologic
Disorder Peds Exam 2024 | Peds - Chapter 16:
Nursing Care of the Child With a Neurologic
Disorder 2024 Questions and Correct
Answers Rated A+
When compared with adults, why are infants and children at an
increased risk of head trauma?
1. The head of the infant and young child is large in proportion to the
body and the neck muscles are not well developed.
2. The development of the nervous system is complete at birth but
remains immature.
3. The spine is very immobile in infants and young children.
4. The skull is more flexible due to the presence of sutures and
fontanels. -ANSWER-The head of the infant and young child is large
in proportion to the body and the neck muscles are not well
developed.
At a well-child visit, hydrocephalus may be suspected in an infant if
upon assessment the nurse finds:
1. Narrow sutures
2. Sunken fontanels
3. A rapid increase in head circumference
4. Increase in weight since last visit -ANSWER-A rapid increase in
head circumference
A 10-year-old child is admitted to the hospital due to history of seizure
activity. As his nurse, you are called into the room by his mother, who
,states he is having a seizure. What would be the priority nursing
intervention?
1. Prevention of injury by removing the child from his bed
2. Prevention of injury by placing a tongue blade in the child's mouth
3. Prevention of injury by restraining the child
4. Prevention of injury by placing the child on his side and opening his
airway -ANSWER-Prevention of injury by placing the child on his side
and opening his airway
A 6-month-old infant is admitted to the hospital with suspected
bacterial meningitis. She is crying, irritable, and lying in the
opisthotonic position. The priority nursing intervention would be:
1. Educate the family on ways to prevent bacterial meningitis.
2. Initiate appropriate isolation precautions and begin intravenous
antibiotics.
3. Assess the infant's fontanels.
4. Encourage the mother to hold the infant and feed her. -ANSWER-
Initiate appropriate isolation precautions and begin intravenous
antibiotics.
The nurse is using the pediatric Glasgow Coma Scale to assess a
child's level of consciousness. What would the nurse assess? Select
all answers that apply.
a) Motor response
b) Posture
c) Eye opening
d) Verbal response
e) Fontanels -ANSWER-• Motor response
• Eye opening
,• Verbal response
The nurse is observing an infant who may have acute bacterial
meningitis. Which finding might the nurse look for?
a) Irritability, fever, and vomiting
b) Negative Kernig's sign
c) Flat fontanel
d) Jaundice, drowsiness, and refusal to eat -ANSWER-Irritability,
fever, and vomiting
A child is home with the caregivers following a treatment for a head
injury. If the child makes which of the following statements, the
caregiver should contact the care provider.
a) "I am glad that my headache is getting better."
b) "My stomach is upset. I feel like I might throw up."
c) "You look funny. Well, both of you do. I see two of you."
d) "It will be nice when you will let me take a long nap. I am sleepy." -
ANSWER-"You look funny. Well, both of you do. I see two of you."
Which of the following is consistent with increased ICP in the child?
a) Increased appetite
b) Bulging fontanel
c) Emotional lability
d) Narcolepsy -ANSWER-Bulging fontanel
A nurse is examining a boy with cerebral palsy. He has hypertonic
muscles and abnormal clonus in his legs and walks on his toes. Which
of the following is the type of cerebral palsy that this boy is
demonstrating?
, a) Spastic
b) Ataxic
c) Athetoid
d) Dyskinetic -ANSWER-Spastic
A child is diagnosed with bacterial meningitis. The nurse would
suspect which abnormality of cerebrospinal fluid (CSF)?
a) Cloudy appearance
b) Elevated sugar
c) Decreased pressure
d) Decreased leukocytes -ANSWER-Cloudy appearance
To detect complications as early as possible in a child with meningitis
who's receiving I.V. fluids, monitoring for which condition should be
the nurse's priority?
a) Cerebral edema
b) Cardiogenic shock
c) Left-sided heart failure
d) Renal failure -ANSWER-Cerebral edema
In caring for the child with meningitis, the nurse recognizes that which
of the following nursing diagnoses would be the most important to
include in this child's plan of care?
a) Delayed growth and development related to physical restrictions
b) Risk for acute pain related to surgical procedure
c) Ineffective airway clearance related to history of seizures
d) Risk for injury related to seizure activity -ANSWER-Risk for injury
related to seizure activity
Disorder Peds Exam 2024 | Peds - Chapter 16:
Nursing Care of the Child With a Neurologic
Disorder 2024 Questions and Correct
Answers Rated A+
When compared with adults, why are infants and children at an
increased risk of head trauma?
1. The head of the infant and young child is large in proportion to the
body and the neck muscles are not well developed.
2. The development of the nervous system is complete at birth but
remains immature.
3. The spine is very immobile in infants and young children.
4. The skull is more flexible due to the presence of sutures and
fontanels. -ANSWER-The head of the infant and young child is large
in proportion to the body and the neck muscles are not well
developed.
At a well-child visit, hydrocephalus may be suspected in an infant if
upon assessment the nurse finds:
1. Narrow sutures
2. Sunken fontanels
3. A rapid increase in head circumference
4. Increase in weight since last visit -ANSWER-A rapid increase in
head circumference
A 10-year-old child is admitted to the hospital due to history of seizure
activity. As his nurse, you are called into the room by his mother, who
,states he is having a seizure. What would be the priority nursing
intervention?
1. Prevention of injury by removing the child from his bed
2. Prevention of injury by placing a tongue blade in the child's mouth
3. Prevention of injury by restraining the child
4. Prevention of injury by placing the child on his side and opening his
airway -ANSWER-Prevention of injury by placing the child on his side
and opening his airway
A 6-month-old infant is admitted to the hospital with suspected
bacterial meningitis. She is crying, irritable, and lying in the
opisthotonic position. The priority nursing intervention would be:
1. Educate the family on ways to prevent bacterial meningitis.
2. Initiate appropriate isolation precautions and begin intravenous
antibiotics.
3. Assess the infant's fontanels.
4. Encourage the mother to hold the infant and feed her. -ANSWER-
Initiate appropriate isolation precautions and begin intravenous
antibiotics.
The nurse is using the pediatric Glasgow Coma Scale to assess a
child's level of consciousness. What would the nurse assess? Select
all answers that apply.
a) Motor response
b) Posture
c) Eye opening
d) Verbal response
e) Fontanels -ANSWER-• Motor response
• Eye opening
,• Verbal response
The nurse is observing an infant who may have acute bacterial
meningitis. Which finding might the nurse look for?
a) Irritability, fever, and vomiting
b) Negative Kernig's sign
c) Flat fontanel
d) Jaundice, drowsiness, and refusal to eat -ANSWER-Irritability,
fever, and vomiting
A child is home with the caregivers following a treatment for a head
injury. If the child makes which of the following statements, the
caregiver should contact the care provider.
a) "I am glad that my headache is getting better."
b) "My stomach is upset. I feel like I might throw up."
c) "You look funny. Well, both of you do. I see two of you."
d) "It will be nice when you will let me take a long nap. I am sleepy." -
ANSWER-"You look funny. Well, both of you do. I see two of you."
Which of the following is consistent with increased ICP in the child?
a) Increased appetite
b) Bulging fontanel
c) Emotional lability
d) Narcolepsy -ANSWER-Bulging fontanel
A nurse is examining a boy with cerebral palsy. He has hypertonic
muscles and abnormal clonus in his legs and walks on his toes. Which
of the following is the type of cerebral palsy that this boy is
demonstrating?
, a) Spastic
b) Ataxic
c) Athetoid
d) Dyskinetic -ANSWER-Spastic
A child is diagnosed with bacterial meningitis. The nurse would
suspect which abnormality of cerebrospinal fluid (CSF)?
a) Cloudy appearance
b) Elevated sugar
c) Decreased pressure
d) Decreased leukocytes -ANSWER-Cloudy appearance
To detect complications as early as possible in a child with meningitis
who's receiving I.V. fluids, monitoring for which condition should be
the nurse's priority?
a) Cerebral edema
b) Cardiogenic shock
c) Left-sided heart failure
d) Renal failure -ANSWER-Cerebral edema
In caring for the child with meningitis, the nurse recognizes that which
of the following nursing diagnoses would be the most important to
include in this child's plan of care?
a) Delayed growth and development related to physical restrictions
b) Risk for acute pain related to surgical procedure
c) Ineffective airway clearance related to history of seizures
d) Risk for injury related to seizure activity -ANSWER-Risk for injury
related to seizure activity
