Ch.27 Child With A Neurological Condition Full Test Bank 2e - Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack by Luanne Linnard Palmer. DOCX document preview.
Chapter 27: Child With a Neurological Condition
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Which statement reflects an appropriate understanding of the anatomy and physiology of the nervous system?
1) | The brain is a network of nerve cells called axons. |
2) | The central nervous system consists of the brain only. |
3) | The peripheral nervous system consists of the cranial nerves and the spinal nerves. |
4) | Gray matter consists of axons that are coated with myelin, which allows nerve impulses to travel rapidly. |
____ 2. Which area of the brain is responsible for sensory coordination, interpretation, and taste?
1) | Parietal lobe |
2) | Frontal lobe |
3) | Thalamus |
4) | Hypothalamus |
____ 3. Which teaching point should be included in the plan of care for a school-aged patient to decrease the risk of traumatic brain injury (TBI)?
1) | Using an appropriate forward-facing car seat |
2) | Using head support devices when placed in a car seat |
3) | Wearing a helmet when riding a bicycle |
4) | Teaching appropriate technique for diving |
____ 4. The physician has recommended the ketogenic diet for a child with poorly controlled seizures, despite multiple anticonvulsant therapies. Which of the following is NOT recommended for this type of diet?
1) | Canola oil |
2) | Heavy whipping cream |
3) | Olive oil |
4) | Garlic bread with butter |
____ 5. A child with a history of seizures arrives in the emergency department (ED) in status epilepticus. Which is the priority nursing action?
1) | Taking vital signs |
2) | Maintaining a patent airway |
3) | Establishing an IV line |
4) | Performing a rapid neurological assessment |
____ 6. Which nursing action is appropriate when providing care to a toddler-aged patient whose lead level is 8 mcg/dL?
1) | Conducting a survey of the environment |
2) | Following up as needed during future appointments |
3) | Administering prescribed edetate calcium-disodium (EDTA) |
4) | Preparing the patient for hospital admission for a full medical workup |
____ 7. Which action by the nurse is most appropriate for a child who presents with a history of migraine headaches?
1) | Administering a prescribed opioid analgesic by intramuscular injection |
2) | Determining when the child’s last eye examination was conducted |
3) | Conducting a weight assessment and documenting the information in the medical record |
4) | Asking the parent if the child is experiencing night terrors |
____ 8. The nurse is completing an assessment of a 2-month-old infant. Which reflex is being assessed when the area around the infant’s mouth is touched?
1) | Moro |
2) | Sucking |
3) | Tonic neck |
4) | Startle |
____ 9. The nurse is providing care to a school-aged child who was treated with aspirin during a viral infection. Which data should the LPN report to the charge nurse?
1) | Eupnea |
2) | Lethargy |
3) | Urine output 30 mL/hr |
4) | Pupils equal and reactive to light |
____ 10. A 9-month-old has been diagnosed with dyskinetic cerebral palsy (CP). Which clinical manifestation does the nurse expect to see in the baby?
1) | Hypertonicity |
2) | Muscle dystrophy |
3) | Poor muscle coordination |
4) | Involuntary wormlike movements |
____ 11. A pediatric patient is admitted to the ED with a traumatic brain injury (TBI) that caused a loss of consciousness. The last set of vital signs showed a heart rate of 48 bpm, a BP of 148/74 mm Hg, and a respiratory rate of 12 breaths per minute and irregular. Which does the nurse suspect?
1) | Improvement |
2) | Typical for sleep |
3) | Spinal cord injury |
4) | Increased intracranial pressure |
____ 12. A 10-year-old child presents to the school nurse with a migraine. Which information collected by the nurse is MOST important in determining the type of headache this child is experiencing?
1) | Health history, diet, caffeine intake |
2) | Health history, physical examination, associated symptoms |
3) | Physical examination, CT scan, diet |
4) | Health history, diet, last eye examination |
____ 13. A teacher states to the school nurse, “I have a student who often just stares at me for 15 seconds after being asked a question; then the student blinks and asks me to repeat the question. Should I be concerned?” Which statement should the nurse include in the response to the teacher?
1) | The child may have Reye syndrome. |
2) | The child may have had a head injury. |
3) | The child is experiencing absence seizures. |
4) | The child has increased ICP. |
____ 14. All of the following tests are used in diagnosing childhood seizures EXCEPT which diagnostic study?
1) | Head CT |
2) | EEG |
3) | Chest CT |
4) | Brain MRI |
____ 15. Infants are born with some intact sensory organs and some that mature over time. Which of the following senses is NOT considered intact at birth?
1) | Visual acuity |
2) | Hearing |
3) | Touch |
4) | Smell |
____ 16. When care is provided to an infant, which clinical manifestation supports the diagnosis of meningococcal meningitis?
1) | Hypothermia |
2) | Soft, flat fontanel |
3) | Purplish rash or petechial rash |
4) | Cries that are consoled when held |
____ 17. An infant is admitted with an enlarged head circumference, bulging fontanelles, and sunset eyes. Which neurological condition does the nurse suspect?
1) | Microcephaly |
2) | Intraventricular hemorrhage (IVH) |
3) | Reye syndrome |
4) | Hydrocephalus |
____ 18. Which nursing action is appropriate to assist in the assessment of CN VI?
1) | Asking the patient to smile |
2) | Asking the patient to identify different tastes |
3) | Asking the patient to follow finger commands to move the eyes left and right |
4) | Testing the patient’s response to cotton ball sensations on the face |
____ 19. A 6-year-old child presents to the ED with belly pain and bluish discoloration around the gums. The parents report that the child has been easily distracted and has been complaining of a metallic taste for the past week. The nurse also learns that the family is in the process of renovating their home. What should the nurse immediately suspect is causing the child’s symptoms?
1) | Meningitis |
2) | Lead poisoning |
3) | Intraventricular hemorrhage (IVH) |
4) | Reye syndrome |
____ 20. Upon entering a patient’s room, the nurse witnesses a brief episode of sudden, spasmodic movement of the child’s entire body. Which term best describes the type of seizure that this child is experiencing?
1) | Complex partial seizure |
2) | Tonic-clonic seizure |
3) | Febrile seizure |
4) | Myoclonic seizure |
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 21. The nurse is planning a teaching session for the parents of a child who has been diagnosed with simple partial seizures. Which characteristics of this type of seizure should the nurse include in the session? (Select all that apply.)
1) | This type of seizure lasts less than 30 seconds. |
2) | Pain or numbness may occur. |
3) | Sudden stiffening is followed by jerking. |
4) | Chewing and lip-smacking are common. |
5) | The patient remains conscious with no postictal period. |
____ 22. Which information should the nurse collect during the health history portion of the comprehensive neurological assessment for a pediatric patient? (Select all that apply.)
1) | Accidents |
2) | Vital signs |
3) | Family history of seizures |
4) | Exposure to perinatal infection |
5) | Glasgow Coma Scale assessment |
____ 23. The nurse is putting together an educational program at the community health center on the prevention of unintentional injuries in children. Which pediatric patient should the nurse provide focused teaching regarding near drowning (Select all that apply.)
1) | Early adolescence |
2) | Newborns |
3) | Toddlers |
4) | Late adolescence |
5) | Infants |
____ 24. The nurse is performing an initial assessment of a pediatric patient with cerebral palsy (CP). What does the nurse expect to see when completing the patient’s assessment? (Select all that apply.)
1) | Inability to vocalize |
2) | Tight muscles that do not stretch |
3) | Inability to listen |
4) | The presence of tremors |
5) | “Scissors” movements of arms and legs |
____ 25. The parents of an infant visit the ED with complaints that their son is experiencing a high fever and a lack of interest in breastfeeding. Upon examination, the nurse records the following symptoms of meningitis: nuchal rigidity, a bulging fontanel, and photophobia. Which tests does the nurse explain to the parents are necessary to confirm a diagnosis of meningitis? (Select all that apply.)
1) | Kernig’s sign |
2) | Blood cultures |
3) | Rooting reflex |
4) | Lumbar puncture |
5) | Computed tomography scan |
Chapter 27: Child With a Neurological Condition
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Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack
By Luanne Linnard Palmer
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