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Battle sign is an indicator of which type of injury? - CORRECT ANSWER-Basilar
skull fracture
Children younger than 1 year are most likely to drown where? - CORRECT
ANSWER-Bathtub
Toddlers and preschoolers are at risk for drowning where? - CORRECT
ANSWER-Swimming pools
Adolescents most commonly drown where? - CORRECT ANSWER-Natural
bodies of water
Survival at least 24 hours after submersion n water - CORRECT ANSWER-Near
drowning
What are the best predictors of good outcomes with drownings? - CORRECT
ANSWER-Submersion less than 5 minutes
Normal sinus rhythm
Reactive pupils
,Neurological responsiveness at the scene
Which of the following phrases describes a characteristic of most neonatal
seizures?
a. Generalized seizure
b. Tonic-clonic seizure
c. Well-organized seizure
d. Subtle and barely discernible seizure - CORRECT ANSWER-d. Subtle and
barely discernible seizure
What is a clinical manifestation of increased intracranial pressure (ICP) in
infants?
a. Shrill, high-pitched cry
b. Photophobia
c. Pulsating anterior fontanel
d. Vomiting and diarrhea - CORRECT ANSWER-a. Shrill, high-pitched cry
The nurse is doing a neurologic assessment on a child whose level of
consciousness has been variable since sustaining a cervical neck injury 12
hours ago. What is the priority assessment for this child?
a. Reactivity of pupils
b. Doll's head maneuver
c. Oculovestibular response
d. Funduscopic examination to identify papilledema - CORRECT ANSWER-a.
Reactivity of pupils
,The nurse is performing a neurologic assessment of a 2-month-old infant
after a car accident. Moro, tonic neck, and withdrawal reflexes are present.
The nurse should recognize that these reflexes suggest
a. neurologic health.
b. severe brain damage.
c. decorticate posturing.
d. decerebrate posturing. - CORRECT ANSWER-a. neurologic health.
The temperature of an unconscious adolescent is 105º F (40.5º C). The
priority nursing intervention is to
a. continue to monitor temperature.
b. initiate a pain assessment.
c. apply a hypothermia blanket.
d. administer aspirin stat. - CORRECT ANSWER-c. apply a hypothermia
blanket.
The nurse is caring for a comatose child with multiple injuries. The nurse
should recognize that pain
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. -
CORRECT ANSWER-c. requires astute nursing assessment and management.
What nursing intervention is used to prevent increased intracranial
pressure (ICP) in an unconscious child?
, a. Suction the child frequently.
b. Provide environmental stimulation.
c. Turn the head side to side every hour.
d. Avoid activities that cause pain or crying. - CORRECT ANSWER-d. Avoid
activities that cause pain or crying.
The nurse is caring for a 2-year-old child who is unconscious but stable
after a car accident. The child's parents are staying at the bedside most of
the time. What is an appropriate nursing intervention?
a. Suggest that the parents go home until the child is alert enough to know
they are present.
b. Use ointment on the lips but do not attempt to cleanse the teeth until
swallowing returns.
c. Encourage the parents to hold, talk to, and sing to the child as they
usually would.
d. Position the child with proper body alignment and the head of the bed
lowered 15 degrees. - CORRECT ANSWER-c. Encourage the parents to hold, talk
to, and sing to the child as they usually would.
The nurse is instructing a group of parents about head injuries in children.
The nurse should explain that infants are particularly vulnerable to
acceleration-deceleration head injuries because the
a. anterior fontanel is not yet closed.
b. nervous tissue is not well developed.
c. scalp of head has extensive vascularity.
d. musculoskeletal support of head is insufficient. - CORRECT ANSWER-d.
musculoskeletal support of head is insufficient.