1. An ophthalmologist examining the eyes of a patient explains to the nurse that the patient has an irregular curvature or uneven contour of the eye,
... [Show More] resulting in impaired light refraction that causes blurred vision at all distances. Which condition does the nurse inform the parents about?
A. Astigmatism
B. Hyperopia
C. Myopia
D. Strabismus
2. A nurse is caring for a child with suspected epilepsy. Which diagnostic test does the nurse facilitate as the priority for this child?
A. Cerebral angiogram
B. Electrocardiogram (ECG)
C. Electroencephalogram (EEG)
D. Lumbar puncture (LP)
3. A hospitalized child is having a seizure. Which action by the nurse takes priority?
A. Apply oxygen and oximeter.
B. Give anti-seizure medications.
C. Pad the side rails of the bed.
D. Turn the child on his or her side.
4. A nurse admits a 5-year-old child with bacterial meningitis to the pediatric intensive care unit. Which information obtained by the nurse during the intake history is most helpful for the nurse to document?
A. Fell off swing hitting head 2 months ago
B. History of recent sinus infection
C. Mother with history of herpes simplex
D. Sibling with upper respiratory infection
5. A nurse admits a child experiencing drowsiness and vomiting who has had a seizure at home. The parents state the child was healthy until 2 weeks ago when she had a viral illness. Which diagnostic testing does the nurse facilitate as a priority?
A. Complete blood count
B. Liver biopsy
C. Lumbar puncture
D. Serum glucose
6. A neonate receives a diagnosis of hydrocephalus. The pediatric nurse assesses for congenital anomalies related to this condition. Which condition is inconsistent with the nurse's knowledge of hydrocephalus?
A. Aqueductal stenosis
B. Chiari I and II malformations
C. Dandy-Walker malformation
D. Folic acid deficiency
7. A child is prescribed baclofen (Lioresal) via intrathecal pump to treat severe muscle spasms related to cerebral palsy. What teaching does the nurse provide the child and parents?
A. Do not let this prescription run out.
B. The medication may cause gingival hyperplasia.
C. Periodic serum drug levels are needed.
D. Watch for excessive facial hair growth.
8. A school-aged child wishes to learn embroidery from her grandmother, but the grandmother reports that the child can only concentrate on the projects for a short time and seems frustrated. What action by the nurse is the most appropriate?
A. Advise that the child needs more physical activity.
B. Explain that the child is too young for this project.
C. Suggest that the child have a routine vision exam.
D. Teach behavior modification to the grandmother.
9. The pediatric nurse caring for hearing-impaired children teaches parents the recommended guidelines for communicating with their children. Which instruction is inconsistent with current guidelines?
A. Ignoring any related stigmas
B. Obtaining the child's attention before speaking
C. Positioning yourself at the child's eye level
D. Talking slowly and loudly to the child
10. The student nurse studying the neurological system learns that areas of gray matter are found deep in the brain. To determine damage to the basal ganglia, what will the nurse assess?
A. Blood pressure
B. Homeostasis
C. Movement
D. Sensory impulses
11. The pediatric nurse explains to the parents of a comatose child that which structure controls the child's level of consciousness?
A. Basal ganglia
B. Brainstem
C. Central nervous system
D. Reticular activating system
12. The pediatric nurse carefully monitors a patient's status by assessing the child's level of consciousness. The nurse understands that the Glasgow Coma Scale provides clues to which of the following?
A. Encephalitis
B. Irreversible coma
C. Neurological impairment
D. Neurological status
13. The pediatric nurse caring for patients in a trauma center examines a patient who has increased intracranial pressure as a result of a motor vehicle crash. The nurse is aware that secondary brain injuries can result from which factor?
A. Acidosis
B. Ischemia
C. Infections
D. Reduced oxygen
14. The pediatric nurse caring for a patient with encephalitis explains to the parents that the most common origin of encephalitis is which of the following?
A. Bacterial
B. Fungal
C. Parasitic
D. Viral
15. A pediatric nurse performs a physical examination on a neonate and notes a spinal lesion with the meninges protruding through the defect that contains spinal cord elements. The nurse documents which condition as being present?
A. Hydrocephalus
B. Meningitis
C. Meningocele
D. Myelomeningocele
E. Spina bifida occulta [Show Less]