PNR204 Exam 2 Practice Questions With
Complete Solutions
The nurse has documented that a child's level of consciousness is obtunded. Which describes this level of consciousness?
A. Slow response to vigorous and repeated stimulation
B. Impaired decision making
C. Arousable with stimulation
D. Confusion regarding time and place correct answer: C. Arousable with stimulation
Which statement best describes a subdural hematoma?
A. Bleeding occurs between the dura and the skull
B. Bleeding occurs between the dura and the cerebrum
C. Bleeding generally arterial, and brain compression occurs rapidly
D. The hematoma commonly occurs in the parietotemporal region. correct answer: B. Bleeding occurs between the dura and the cerebrum
An appropriate nursing intervention when caring for an unconscious child should be to:
A. Change the child's position infrequently to minimize the chance of ICP
B. Avoid using narcotics or sedatives to provide comfort and pain relief C. Monitor fluid I&O carefully to avoid fluid overload and cerebral edema
D. Give tepid sponge baths to reduce fever because antipyretics are contraindicated correct answer: C. Monitor fluid I&O carefully to avoid fluid overload and cerebral edema
When taking the history of a child hospitalized with Reye syndrome, the nurse is not surprised that a week ago the child:
A. had measles
B. had varicella
C. had meningitis
D. had hepatitis correct answer: B. had varicella
A child has no seizures for 2 years. A father asks the nurse how much longer the child will need to take medication:
A. Medication can be discontinued at this time
B. The child will need to take the drugs for 5 years after the last seizure
C. A stepwise approach will be used to reduce the dosage gradually
D. Seizure disorders are lifelong problem. Medications cannot be discontinued correct answer: C. A stepwise approach will be used to reduce the dosage gradually
The most common clinical manifestation of brain tumors in children is:
A. Irritability
B. Seizures C. Fever and poor fine motor control
D. Headaches and vomiting correct answer: D. Headaches and vomiting
The nurse should recommend medical attention if a child with a slight head injury experiences:
A. Sleepiness
B. Confusion or abnormal behavior
C. Headache, even if slight
D. Vomiting, even once correct answer: B. Confusion or abnormal behavior
The initial clinical manifestation of generalized seizures is:
A. Losing consciousness
B. Feeling frightened
C. Being confused
D. Seeing flashing lights correct answer: A. Losing consciousness
An important nursing intervention when caring for a child who is experiencing a seizure is to:
A. Describe and record the seizure activity observed
B. Restrain the child when seizure occurs to prevent bodily harm
C. Place a tongue blade between the teeth if they become clenched
D. Suction the child during a seizure to prevent aspiration correct answer: A. Describe and record the seizure activity observed
Complete Solutions
The nurse has documented that a child's level of consciousness is obtunded. Which describes this level of consciousness?
A. Slow response to vigorous and repeated stimulation
B. Impaired decision making
C. Arousable with stimulation
D. Confusion regarding time and place correct answer: C. Arousable with stimulation
Which statement best describes a subdural hematoma?
A. Bleeding occurs between the dura and the skull
B. Bleeding occurs between the dura and the cerebrum
C. Bleeding generally arterial, and brain compression occurs rapidly
D. The hematoma commonly occurs in the parietotemporal region. correct answer: B. Bleeding occurs between the dura and the cerebrum
An appropriate nursing intervention when caring for an unconscious child should be to:
A. Change the child's position infrequently to minimize the chance of ICP
B. Avoid using narcotics or sedatives to provide comfort and pain relief C. Monitor fluid I&O carefully to avoid fluid overload and cerebral edema
D. Give tepid sponge baths to reduce fever because antipyretics are contraindicated correct answer: C. Monitor fluid I&O carefully to avoid fluid overload and cerebral edema
When taking the history of a child hospitalized with Reye syndrome, the nurse is not surprised that a week ago the child:
A. had measles
B. had varicella
C. had meningitis
D. had hepatitis correct answer: B. had varicella
A child has no seizures for 2 years. A father asks the nurse how much longer the child will need to take medication:
A. Medication can be discontinued at this time
B. The child will need to take the drugs for 5 years after the last seizure
C. A stepwise approach will be used to reduce the dosage gradually
D. Seizure disorders are lifelong problem. Medications cannot be discontinued correct answer: C. A stepwise approach will be used to reduce the dosage gradually
The most common clinical manifestation of brain tumors in children is:
A. Irritability
B. Seizures C. Fever and poor fine motor control
D. Headaches and vomiting correct answer: D. Headaches and vomiting
The nurse should recommend medical attention if a child with a slight head injury experiences:
A. Sleepiness
B. Confusion or abnormal behavior
C. Headache, even if slight
D. Vomiting, even once correct answer: B. Confusion or abnormal behavior
The initial clinical manifestation of generalized seizures is:
A. Losing consciousness
B. Feeling frightened
C. Being confused
D. Seeing flashing lights correct answer: A. Losing consciousness
An important nursing intervention when caring for a child who is experiencing a seizure is to:
A. Describe and record the seizure activity observed
B. Restrain the child when seizure occurs to prevent bodily harm
C. Place a tongue blade between the teeth if they become clenched
D. Suction the child during a seizure to prevent aspiration correct answer: A. Describe and record the seizure activity observed
