PrepU Questions of Neurological Disorder
A 6-year-old has had a viral infection for the past 5 days and is now having severe vomiting, confusion, and irritability, although he is now afebrile. During the assessment, the nurse should ask the parent which of the following questions?
"Did you use any medications like aspirin for the fever?"
A child is home with the caregivers following a treatment for a head injury. If the child makes which of the following statements, the caregiver should contact the care provider.
"You look funny. Well, both of you do. I see two of you."
A child has been diagnosed with a basilar skull fracture. The nurse identifies ecchymosis behind the patient's ear. This would be documented as which of the following?
battle sign
Which of the following is consistent with increased ICP in the child?
bulging fontanel
A child is diagnosed with bacterial meningitis. The nurse would suspect which abnormality of cerebrospinal fluid (CSF)?
cloudy appearance
The nurse and an adolescent are reviewing the adolescent's record of her headaches and activities surrounding them. Which of the following would the nurse identify as a possible trigger?
drinking three cans of diet cola
A child is diagnosed with aseptic meningitis. The child's mother states, "I don't know where she would have picked this up." The nurse prepares to respond to the mother, based on the understanding that this disorder is most likely caused by which of the following?
enterovirus
The nurse is using the pediatric Glasgow Coma Scale to assess a child's level of consciousness. Which of the following would the nurse assess? (Select all that apply.)
eye opening; verbal response; motor response
The nurse is caring for a 12-month-old infant diagnosed with Haemophilus influenzae meningitis. Which of the following clinical manifestations would likely have been noted in this child?
high-pitched cry and nuchal rigidity
Which of the following is a true statement regarding status epilepticus?
it is a common neurological emergency in children
Absence seizures are marked by which of the following clinical manifestations?
loss of motor activity accompanied by a blank stare
When assisting a child while she is having a tonic-clonic seizure, it would be important to
protect the child from hitting her arms against furniture
A panicked mother calls the physician's office and tells the nurse that her 5-year-old boy has just had a seizure. She says that the boy has a high fever. She asks the nurse what to do. Which of the following should the nurse tell the woman?
sponge the child with tepid water
Dexamethasone (Decadron) is often prescribed for the child who has sustained a severe head injury. Decadron is a(n)
steroid
In caring for a child with a seizure disorder, the highest priority goal is which of the following?
the child will be free from injury during a seizure
Which of the following age groups of children have the highest actual rate of death from drowning?
toddlers
The best way to evaluate a child's level of consciousness is through conversation.
true
