Test bank Hockenberry Chapter 30 –
Evolve
mr wong
What is a clinical manifestation of increased intracranial pressure (ICP) in infants?
a. Irritability
b. Photophobia
c. Vomiting and diarrhea
d. Pulsating anterior fontanel A
What is included in the assessment for the Glasgow Coma Scale?
a. Pupil reactivity and motor response
b. Level of consciousness and verbal response
c. Eye opening and verbal and motor response
d. Intracranial pressure and level of consciousness C
The nurse is doing a neurologic assessment on a child whose level of consciousness has been
variable since sustaining a cervical neck injury 12 hr ago. What is the most essential in this
assessment?
a. Reactivity of pupils
b. Doll's head maneuver
c. Oculovestibular response
d. Funduscopic examination to identify papilledemaA
The nurse is caring for a child with multiple injuries who is comatose. What information is
accurate related to pain in this child?
a. Cannot occur if the child is comatose.
b. May occur if the child regains consciousness.
c. Requires astute nursing assessment and management.
d. Is best assessed by family members who are familiar with the child. C
Evolve
mr wong
What is a clinical manifestation of increased intracranial pressure (ICP) in infants?
a. Irritability
b. Photophobia
c. Vomiting and diarrhea
d. Pulsating anterior fontanel A
What is included in the assessment for the Glasgow Coma Scale?
a. Pupil reactivity and motor response
b. Level of consciousness and verbal response
c. Eye opening and verbal and motor response
d. Intracranial pressure and level of consciousness C
The nurse is doing a neurologic assessment on a child whose level of consciousness has been
variable since sustaining a cervical neck injury 12 hr ago. What is the most essential in this
assessment?
a. Reactivity of pupils
b. Doll's head maneuver
c. Oculovestibular response
d. Funduscopic examination to identify papilledemaA
The nurse is caring for a child with multiple injuries who is comatose. What information is
accurate related to pain in this child?
a. Cannot occur if the child is comatose.
b. May occur if the child regains consciousness.
c. Requires astute nursing assessment and management.
d. Is best assessed by family members who are familiar with the child. C
