Saunders Neuro/Cognitive

The parents of a child recently diagnosed with cerebral palsy ask the nurse about the limitations of the disorder. Thenurse responds by explaining that the limitations occur as a result of which pathophysiological process

A chronic disability characterized by impaired muscle movement and posture

A nursing student is assisting a school nurse in performing scoliosis screening on the children in the school. The nurse assesses the student's prepararon for conducting the screening. Thenurse determines that the student demonstrates understanding of the disorder when the student states that scoliosis is characterized by which finding

Abnormal lateral curvature of the spine

The nursing student is writing a plan of care for a child who presents with an acute head injury. The nursing instructor reviews the plan of care and praises the student for identifying which assessment as a priority

Airway and breathing

The nurse is creating a plan of care for a newborn infant with spina bifida. The nurse includes assessment measures in the plan to monitor for increased ICP. which assessment technique should be performed that will best detect the presence of an increased ICP

Assess anterior fontanel for bulging

The nurse is providing home care instructions to the mother of a child who is recovering from Reye's syndrome. Which instruction should the nurse provide to the mother

Check the skin and eyes everyday for a yellow discoloration

A school age child with Down Syndrome is brought to the ambulatory care center by the mother. The child has bruising all over the body. To work most effectively with this child, the nurse first addresses which complication associated with DS

Children with DS are more likely to develop acute leukemia than the average child

A LP is performed on a child suspected to have bacterial meningitis and CSF is obtained for analysis. The nurse reviews the results of the CSF analysis and determines that which results would verify the dx

Cloudy CSF, elevated protein and decreased glucose level

The nurse is performing an assessment on a child with a head injury. The nurse notes an abnormal flexion of the upper extremities and an extension of the lower extremities. What should the nurse document that the child is experiencing

Decorticate posturing

The nurse is performing an assessment of a 7 year old child who is suspected of having episodes of absence seizures. Which assessment question to the mother will assist in providing information that will identify the symptoms associated with this type of seizure

Does the child have a blank expression during these episodes

The nurse is caring for an infant with spina bifida who had a sac on the back containing CSF, meninges and the nerves surgically removed. The nursing plan of care for the post op period should include which action to maintain the infant's safety

Elevating the head with the infant in the prone position

The nurse is assessing a client with fragile X syndrome. The nurse anticipates noting which physical assessment finding

Long, narrow face with a prominent jaw

The nurse is planning care for a child with acute bacterial meningitis. Based on the mode of transmission of this infection, which precautionary intervention should be included in the plan of care

Maintain resp isolation precautions for at least 24 hours after the initiation of abx

The nurse is caring for a child diagnosed with Down's Syndrome. Which explanation of this syndrome should the nurse provide the parents

Moderate to severe intellectual disability and linkage to an extra chromosome 21, group G

The nurse is assigned to care for an 8 year old child with a diagnosis of a basilar skull fracture. The nurse reviews the pediatrician's rx and should contact the HCP to question which rx

Nasotracheal suction as needed

The nurse is reviewing a chart for a child with a head injury. The nurse notes that the level of consciousness has been documented as obtunded. Which finding should the nurse expect to note on assessment of the child

Not easily arousable and limited interaction

A child is diagnosed with Reye's syndrome. The Nurse creates a nursing care plan for the child and should include which intervention in the plan

Providing a quiet atmosphere with dimmed lighting

The nurse is assessing Kernig's sign in a child with a suspected dx of meningitis. Which action should the nurse perform for this test

Raise the child's leg with the knee flexed and then extend the leg at the knee and assess for pain

An infant with a dx of hydrocephalus is scheduled for surgery. Which is the priority nursing intervention in the pre op period

Reposition the infant frequently

The nurse is reviewing the record of a child with increased ICP and notes that the child has exhibited signs of decerebrate posturing. On assessment of he child, the nurse expects to note which characteristic of this type of posturing

Rigid extension and pronation of the arms

The nurse notes that an infant with the dx of hydrocephalus has a head that is heavier than that of the average infant. The nurse should determine that special safety precautions are needed when moving the infant with hydrocephalus. Which statement should the nurse plan to include in the d/c teaching with the parents to reflect this safety need

When picking up your infant, support the infant's head and neck with the open palm of your hand

Cerebralpalsy is suspected in a child and the parents ask the nurse about the potential warning signs of CP. the nurse should provide which information SATA a) The infant's arms or legs are stiff or rigid b) A high risk factor for CP is very LBW c) By 8 months of age, the infant can sit without support d) The infant has strong head control but a limp body posture e) The infant has feeding difficulties such as poor sucking and swallowing f) If the infant is able to crawl, only one side is used to propel himself/herself

a, b, e

The nurse is assigned to care for a child with a brain injury who has a temporal lobe herniation and increased ICP. which signs should the nurse identify as indicative of this type of injury SATA a) Flaccid paralysis b) Pupil response to light c) Ipsilateral pupil dilation d) Compression of CN 6 e) Shifting of the temporal lobe laterally across the tentorial notch

a, c, e

The nurse is creating a plan of care for a child who is at risk for seizures. Which interventions apply if the child has a seizure SATA a) Time the seizure b) Restrain the child c) Stay with the child d) Place the child in a prone position e) Move furniture away from the child f) Insert a padded tongue blade in the child's mouth

a, c, e

A mother arrives at the ED with her 5 year old child and states that the child fell off the bunk bed. A head injury is suspected. The Nurse checks the child's airway status and assesses the child for late and early signs of increased ICP. which is a late sign of increased ICP

bradycardia

The nurse caring for a child who has sustained a head injury in an MVA is monitoring the child for signs of increased ICP. for which early sign of increased ICP should the nurse monitor

change in LOC

The nurse is caring for a child after surgical removal of a brain tumor. The nurse should assess the child for which sign that would indicate that brainstem involvement occurred during the surgical procedure

elevated temp

The nurse is caring for a newborn infant with spina bifida (myelomeningocele) who is scheduled for surgical closure of the sac. In the preop periods, which is the priority problem

infection

A nurse notes documentation that a child is exhibiting an inability to flex the leg when the thigh is flex anteriorly at the hip. Which condition does the nurse suspect

meningitis

The nurse creates a plan of care for a child at risk for tonic-clonic seizures. In the plan of care, the nurse identifies seizure precautions and documents that which item(s) need to be placed at the child's beside

suctioning equipment and oxygen