RNSG 2201 Care of Children and
Family Evolve 32 Test Questions And
All Correct Answers.
Which is the most common type of head injury in children? - Answer Acceleration-
deceleration injuries
(The most common type of head injury in infants is the acceleration-deceleration injury, not
deceleration injury, deformation injury, or acceleration injury.)
Which laboratory finding is appropriate when distinguishing bacterial meningitis from viral
meningitis? - Answer Positive Gram stain
(The CSF of a child with bacterial meningitis is positive for Gram stain, whereas viral meningitis
is negative. The CSF is cloudy, with decreased glucose content and elevated protein content. The
CSF in viral meningitis is clear, with normal glucose content, and normal or slightly increased
protein content.)
Which nursing information is appropriate for the patient having a positron emission tomography
(PET) scan following the removal of a tumor in the skull when discussing the importance of this
scan? Select all that apply. - Answer It measures the blood flow to the brain.
It detects biochemical changes in tissue.
It detects the metabolic activity in the brain.
(PET scans measure and detect the blood volume and flow to the brain. A PET scan is also
helpful in assessing the biochemical changes in the target tissue. The metabolic activity of the
brain may also be assessed by PET scan. An electroencephalogram is useful in assessing the
electrical activity of the brain. The morphologic features of the brain are assessed by magnetic
resonance imaging (MRI) and computed tomography (CT) scan.)
Which reason is appropriate for replacing intravenous (IV) phenytoin with fosphenytoin in a
patient with seizures? Select all that apply. - Answer Is suitable with saline solutions.
Is suitable with glucose solutions.
Can be administered at a higher push rate.
Can be given by the intramuscular route.
, no variation in allergic manifestation between fosphenytoin and phenytoin. Fosphenytoin can
be administered through the intramuscular route, whereas phenytoin cannot.)
Which type of seizure is indicated when a child has a seizure lasting 35 minutes and loss of
consciousness? - Answer Status epilepticus
(Status epilepticus is a generalized seizure that lasts more than 30 minutes. This is considered a
medical emergency and requires immediate treatment. Absence seizures are generalized
seizures that are characterized by brief loss of consciousness, blank staring, and fluttering of the
eyelids. Generalized seizures are the most common form of seizures. They include tonic-clonic
(grand mal) seizures and absence (petit mal) seizures. Tonic-clonic seizures involve tonic-clonic
activity and loss of consciousness and affect both hemispheres of the brain. Simple partial
seizures are characterized by varying sensations and motor behaviors.)
Which reason is appropriate when explaining to parents why infants are particularly vulnerable
to acceleration-deceleration head injuries? - Answer The musculoskeletal support of the head
is insufficient.
(The infant's relatively large head size, coupled with insufficient musculoskeletal support,
increases the risk to infants of acceleration-deceleration head injuries. The lack of closure of the
anterior fontanel, lack of well-developed nervous tissue, and vascularity of the scalp are not
relevant to the risk for acceleration-deceleration injuries in infants.)
Which findings are appropriate when describing a postoperative child's level of consciousness
(LOC) as "lethargic"? Select all that apply. - Answer Sluggish speech.
Limited spontaneous movement.
Drowsy and falls asleep quickly.
(Level of consciousness is determined by observations of the child's responses to the
environment. The "lethargic" child has sluggish speech and limited spontaneous movement. The
child is drowsy and falls asleep quickly. The child is not fully conscious. A "disoriented" child has
decreased LOC and is confused about the time and place. In the "persistent vegetative state"
the child has permanently lost function of the cerebral cortex. The eyes of this child follow
objects only by reflex.)
Which manifestations of the clonic phase differ from those of the tonic phase in a child who has
generalized tonic-clonic seizures? - Answer Foaming at the mouth
Family Evolve 32 Test Questions And
All Correct Answers.
Which is the most common type of head injury in children? - Answer Acceleration-
deceleration injuries
(The most common type of head injury in infants is the acceleration-deceleration injury, not
deceleration injury, deformation injury, or acceleration injury.)
Which laboratory finding is appropriate when distinguishing bacterial meningitis from viral
meningitis? - Answer Positive Gram stain
(The CSF of a child with bacterial meningitis is positive for Gram stain, whereas viral meningitis
is negative. The CSF is cloudy, with decreased glucose content and elevated protein content. The
CSF in viral meningitis is clear, with normal glucose content, and normal or slightly increased
protein content.)
Which nursing information is appropriate for the patient having a positron emission tomography
(PET) scan following the removal of a tumor in the skull when discussing the importance of this
scan? Select all that apply. - Answer It measures the blood flow to the brain.
It detects biochemical changes in tissue.
It detects the metabolic activity in the brain.
(PET scans measure and detect the blood volume and flow to the brain. A PET scan is also
helpful in assessing the biochemical changes in the target tissue. The metabolic activity of the
brain may also be assessed by PET scan. An electroencephalogram is useful in assessing the
electrical activity of the brain. The morphologic features of the brain are assessed by magnetic
resonance imaging (MRI) and computed tomography (CT) scan.)
Which reason is appropriate for replacing intravenous (IV) phenytoin with fosphenytoin in a
patient with seizures? Select all that apply. - Answer Is suitable with saline solutions.
Is suitable with glucose solutions.
Can be administered at a higher push rate.
Can be given by the intramuscular route.
, no variation in allergic manifestation between fosphenytoin and phenytoin. Fosphenytoin can
be administered through the intramuscular route, whereas phenytoin cannot.)
Which type of seizure is indicated when a child has a seizure lasting 35 minutes and loss of
consciousness? - Answer Status epilepticus
(Status epilepticus is a generalized seizure that lasts more than 30 minutes. This is considered a
medical emergency and requires immediate treatment. Absence seizures are generalized
seizures that are characterized by brief loss of consciousness, blank staring, and fluttering of the
eyelids. Generalized seizures are the most common form of seizures. They include tonic-clonic
(grand mal) seizures and absence (petit mal) seizures. Tonic-clonic seizures involve tonic-clonic
activity and loss of consciousness and affect both hemispheres of the brain. Simple partial
seizures are characterized by varying sensations and motor behaviors.)
Which reason is appropriate when explaining to parents why infants are particularly vulnerable
to acceleration-deceleration head injuries? - Answer The musculoskeletal support of the head
is insufficient.
(The infant's relatively large head size, coupled with insufficient musculoskeletal support,
increases the risk to infants of acceleration-deceleration head injuries. The lack of closure of the
anterior fontanel, lack of well-developed nervous tissue, and vascularity of the scalp are not
relevant to the risk for acceleration-deceleration injuries in infants.)
Which findings are appropriate when describing a postoperative child's level of consciousness
(LOC) as "lethargic"? Select all that apply. - Answer Sluggish speech.
Limited spontaneous movement.
Drowsy and falls asleep quickly.
(Level of consciousness is determined by observations of the child's responses to the
environment. The "lethargic" child has sluggish speech and limited spontaneous movement. The
child is drowsy and falls asleep quickly. The child is not fully conscious. A "disoriented" child has
decreased LOC and is confused about the time and place. In the "persistent vegetative state"
the child has permanently lost function of the cerebral cortex. The eyes of this child follow
objects only by reflex.)
Which manifestations of the clonic phase differ from those of the tonic phase in a child who has
generalized tonic-clonic seizures? - Answer Foaming at the mouth
