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CCRN question bank Neurology with
correct answers
Which of the following is true regarding scoliosis?
a) most cases have a juvenile onset
b) the 1st sign is a prominent scapula
c) it is congenital in origin - ANSWER✔✔-most cases have a juvenile onset
A 6 mof had a VP shunt placed today for hydrocephalus. The baby has become increasingly lethargic. As
a PICU RN, you know that
a) the shunt may be occluded
b) its not unusual for babies w/ hydrocephalus to fatigue easily
c) the shunt is functioning well
d) it is the baby's usual naptime - ANSWER✔✔-a) the shunt may be occluded
The most common cause of acquired hydrocephalus is
a) HIV infection
B) idiopathic
C) maternal rubella infection
d) bacterial meningitis - ANSWER✔✔-d) bacterial meningitis
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Common symptoms of hydrocephalus in a 4 mo old would include:
A) Macewaen's sign, fused fontanelles
B) macrocrania, rapid skull growth, FTT
c) flat scalp veins, split sutures
d) microcrania, hyperreflexia, bulging fonganelles - ANSWER✔✔-macrocrania, rapid skull growth, FTT
A 3yom w/ a vp shunt placement POD2 is febrile, tachycardic, & lethargic. You should anticipate what
orders?
a) CBC w/ diff, CRP, sed rate, ceftazidime, cooling measures
b) CSF cx, acetaminophen, azithromycin
C) CT scan, CSF cx, ciprofloxacin
D) levofloxacin, CT scan, CRP - ANSWER✔✔-a) CBC w/ diff, CRP, sed rate, ceftazidime, cooling measures
- need to establish presence of an infection via CBC; ceftazidime are broader spectrum coverage
Syringomyelia is most often seen in conjunction w/ which other neurologic problem?
a. syringomyelia occurs as a unique entity
b. myoclonic seizures
c. Chiari II malformation
d. schizenocephaly - ANSWER✔✔-c. Chiari II malformation. it creates cysts called syrinx that grow to
produce long cavities w/in the spinal cord; cavities damage the afferent spinal cord causing interruption
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of nerve conduction fromt he brain to the extremities which results in weakness & pain. Best identified
w/ MRI
Which assessments should be done for a 4mof w/ hydrocephalus after a vp shunt placement?
a. frequent NS, HOB 30 degrees, head midline
b. VS q 15 min; hob flat, positioned on L side
c. NS hourly, hob 30 degrees, positioned on R side
d. head midline, prone positioning - ANSWER✔✔-a. frequent NS, HOB 30 degrees, head midline
Which nursing diagnoses should be addressed for a child after a vp shunt is placed?
a) increased ICP, potential for inadequate oxygenation, potential for infection, pain
b. decreased ICP, potential for inadequate oxygenation, potential for infection, pain
c. potential for infection, pain management, potential for dehydration
d. potential for infection, pain management, alteration in nutrition - ANSWER✔✔-a) increased ICP,
potential for inadequate oxygenation, potential for infection, pain
What is the most common cause of hearing loss among children in the US?
a) syphilis
b) loud music
c) CMV infection
d) herpes simplex infection - ANSWER✔✔-c) CMV infection - can cause a myriad of neuro problems;
most common congenital infection in humans; most serious sequelae
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