ATI PEDS EXAM 4 QUESTIONS AND
ANSWERS71
What is the goal of the maintenance therapy phase? - ANSWERS-to preserve remission
Most common bone cancer in children - ANSWERS-Osteosarcoma
What is a very important detail to obtain from a seizure? - ANSWERS-need to know how long it
lasted
Want children to be sleep deprived before this procedure to prevent unwanted movement so
only brain activity is being seen - ANSWERS-EEG
When is it safe for patients to discontinue anticonvulsants? - ANSWERS-if complete seizure
control is maintained on the drug for 2 years
- must taper med
Most important factor of prognosis of seizures - ANSWERS-underlying etiology
Why is a child having a seizure at risk for aspiration and airway obstruction? - ANSWERS--
swelling reflex is lost
- Salivation increased
- Tongue is hypotonic
What is used to drain hydrocephalus fluid? - ANSWERS-shunt
,Characterized by fever, cerebral edema, and hepatic dysfunction - ANSWERS-Reye Syndrome
What has been linked to spina bifida? - ANSWERS-maternal folic acid deficiency
- need 0.4 mg daily
Mildest form of spina bifida - ANSWERS-spina bifida occulta
- defect covered by skin and not open
most severe form of spina bifida - ANSWERS-myelomeningocele
A nurse is caring for a client who has suspected meningitis and a decreased level of
consciousness. Which of the following actions should the nurse take?
A. Place the client on NPO status
B. Prepare the client for a liver biopsy.
C. Position the client dorsal recumbent.
D. Put the client in a protective environment. - ANSWERS-A. Place the client on NPO status
A nurse is reviewing cerebrospinal fluid analysis for a client who has suspected meningitis.
Which of the following findings should the nurse identify as indicating viral meningitis? (Select
all that apply.)
A. Negative gram stain
B. Normal glucose content
C. Cloudy color
D. Decreased WBC count
E. Normal protein content - ANSWERS-A. Negative gram stain
,B. Normal glucose content
E. Normal protein content
A nurse is caring for a 4-month-old infant who has meningitis. Which of the following
manifestations should the nurse expect?
A. Depressed anterior fontanel
B. Constipation
C. Presence of the rooting reflex
D. High-pitched cry - ANSWERS-D. High-pitched cry
A nurse reviewing the medical record of a client who has Reye syndrome. Which of the
following findings should the nurse identify as a risk factor for Reye syndrome?
A. Recent history of infectious cystitis caused by Candida
B. Recent history of bacterial otitis media
C. Recent episode of gastroenteritis
D. Recent episode of Haemophilus influenzae meningitis - ANSWERS-C. Recent episode of
gastroenteritis
A nurse is developing an educational program about viral and bacterial meningitis. The nurse
should include that the introduction of which of the following immunizations decreased the
incidence of bacterial meningitis in children? (Select all that apply.)
A. Inactivated polio vaccine (IPV)
B. Pneumococcal conjugate vaccine (PCV)
C. Diphtheria and tetanus toxoids and acellular pertussis vaccine (DTaP)
D. Haemophilus influenzae type B (Hib) vaccine
, E. Trivalent inactivated influenza vaccine (TIV) - ANSWERS-B. Pneumococcal conjugate vaccine
(PCV)
D. Haemophilus influenzae type B (Hib) vaccine
A nurse is caring for a child who has absence seizures. Which of the following findings can the
nurse expect? (Select all that apply.)
A. Loss of consciousness
B. Appearance of daydreaming
C. Dropping held objects
D. Falling to the floor
E. Having a piercing cry - ANSWERS-A. Loss of consciousness
B. Appearance of daydreaming
C. Dropping held objects
A nurse is caring for a child who just experienced a generalized seizure. Which of the following is
the priority action for the nurse to take?
A. Position the child in a side-lying position.
B. Try to determine the seizure trigger
C. Reorient the child to the environment.
D. Note the time of the postictal period - ANSWERS-A. Position the child in a side-lying position.
A nurse is providing teaching to the parent of a child who is to have an electroencephalogram
(EEG). Which of the following statements, by a guardian indicates teaching was effective?
A. "My child should remain quiet and still during this procedure."
ANSWERS71
What is the goal of the maintenance therapy phase? - ANSWERS-to preserve remission
Most common bone cancer in children - ANSWERS-Osteosarcoma
What is a very important detail to obtain from a seizure? - ANSWERS-need to know how long it
lasted
Want children to be sleep deprived before this procedure to prevent unwanted movement so
only brain activity is being seen - ANSWERS-EEG
When is it safe for patients to discontinue anticonvulsants? - ANSWERS-if complete seizure
control is maintained on the drug for 2 years
- must taper med
Most important factor of prognosis of seizures - ANSWERS-underlying etiology
Why is a child having a seizure at risk for aspiration and airway obstruction? - ANSWERS--
swelling reflex is lost
- Salivation increased
- Tongue is hypotonic
What is used to drain hydrocephalus fluid? - ANSWERS-shunt
,Characterized by fever, cerebral edema, and hepatic dysfunction - ANSWERS-Reye Syndrome
What has been linked to spina bifida? - ANSWERS-maternal folic acid deficiency
- need 0.4 mg daily
Mildest form of spina bifida - ANSWERS-spina bifida occulta
- defect covered by skin and not open
most severe form of spina bifida - ANSWERS-myelomeningocele
A nurse is caring for a client who has suspected meningitis and a decreased level of
consciousness. Which of the following actions should the nurse take?
A. Place the client on NPO status
B. Prepare the client for a liver biopsy.
C. Position the client dorsal recumbent.
D. Put the client in a protective environment. - ANSWERS-A. Place the client on NPO status
A nurse is reviewing cerebrospinal fluid analysis for a client who has suspected meningitis.
Which of the following findings should the nurse identify as indicating viral meningitis? (Select
all that apply.)
A. Negative gram stain
B. Normal glucose content
C. Cloudy color
D. Decreased WBC count
E. Normal protein content - ANSWERS-A. Negative gram stain
,B. Normal glucose content
E. Normal protein content
A nurse is caring for a 4-month-old infant who has meningitis. Which of the following
manifestations should the nurse expect?
A. Depressed anterior fontanel
B. Constipation
C. Presence of the rooting reflex
D. High-pitched cry - ANSWERS-D. High-pitched cry
A nurse reviewing the medical record of a client who has Reye syndrome. Which of the
following findings should the nurse identify as a risk factor for Reye syndrome?
A. Recent history of infectious cystitis caused by Candida
B. Recent history of bacterial otitis media
C. Recent episode of gastroenteritis
D. Recent episode of Haemophilus influenzae meningitis - ANSWERS-C. Recent episode of
gastroenteritis
A nurse is developing an educational program about viral and bacterial meningitis. The nurse
should include that the introduction of which of the following immunizations decreased the
incidence of bacterial meningitis in children? (Select all that apply.)
A. Inactivated polio vaccine (IPV)
B. Pneumococcal conjugate vaccine (PCV)
C. Diphtheria and tetanus toxoids and acellular pertussis vaccine (DTaP)
D. Haemophilus influenzae type B (Hib) vaccine
, E. Trivalent inactivated influenza vaccine (TIV) - ANSWERS-B. Pneumococcal conjugate vaccine
(PCV)
D. Haemophilus influenzae type B (Hib) vaccine
A nurse is caring for a child who has absence seizures. Which of the following findings can the
nurse expect? (Select all that apply.)
A. Loss of consciousness
B. Appearance of daydreaming
C. Dropping held objects
D. Falling to the floor
E. Having a piercing cry - ANSWERS-A. Loss of consciousness
B. Appearance of daydreaming
C. Dropping held objects
A nurse is caring for a child who just experienced a generalized seizure. Which of the following is
the priority action for the nurse to take?
A. Position the child in a side-lying position.
B. Try to determine the seizure trigger
C. Reorient the child to the environment.
D. Note the time of the postictal period - ANSWERS-A. Position the child in a side-lying position.
A nurse is providing teaching to the parent of a child who is to have an electroencephalogram
(EEG). Which of the following statements, by a guardian indicates teaching was effective?
A. "My child should remain quiet and still during this procedure."
