PEDS Final - Neurology

32 Questions | Total Attempts: 131

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Neurology Quizzes & Trivia

Questions and Answers
  • 1. 
    When using the Glasgow scale, which of the following is not a part of the assessment?
    • A. 

      Blanching

    • B. 

      Eye Opening

    • C. 

      Verbal Response

    • D. 

      Motor Response

  • 2. 
    Of the four patient assessment scores listed below, which patient would have no response.
    • A. 

      GCS=3

    • B. 

      GCS

    • C. 

      GCS

    • D. 

      GCS=14

  • 3. 
    An Infant with ICP should be experiencing which of the following symptoms. (select all that apply)
    • A. 

      Poor feeding

    • B. 

      Irritability

    • C. 

      Lethargy

    • D. 

      Bulging anterior fontanel

    • E. 

      Sun Setting Sign

    • F. 

      Headache

    • G. 

      Mood Swings

  • 4. 
    A 4yr old male with ICP should be experiencing which of the following symptom? (select all that apply)
    • A. 

      Mood Swing

    • B. 

      Headache

    • C. 

      Diplopia

    • D. 

      AM Nausea & Vomiting

    • E. 

      Altered LOC

    • F. 

      Eyes deviated downward

    • G. 

      Increased head circumference

  • 5. 
    A parent explains to the nurse that her son "started acting funny 2 days ago".  The nurse suspects ICP.  When the nurse assesses the child's eyes, she should expect to see?
    • A. 

      Papiledema

    • B. 

      Diplopia

    • C. 

      Eyes deviated downward

    • D. 

      Jaundice sclera

  • 6. 
    To induce cerebral vasoconstriction in a pediatric patient with ICP, which therapeutic method is used?
    • A. 

      Maintain patent airway

    • B. 

      Keep patient supine with HOB at 30 degrees

    • C. 

      Administer Manitol

    • D. 

      Hyperventilation

  • 7. 
    You are about to administer a diuretic to an ICP patient when you notice the provider ordered Lasix.  When calling the provider, the nurse should ask for
  • 8. 
    When dealing with an 10yr old unconscious child, what findings alert the nurse to a medical emergency?   (Patient baseline: BP 120/81, HR 99, RR 21, Temp 37.1°C)
    • A. 

      BP 121/79, HR 100, RR 21, Temp 37°C

    • B. 

      BP 135/60, HR 110, RR 18, Temp 36.5°C

    • C. 

      BP 139/95, HR 55, RR 13, Temp 38.5°C

    • D. 

      BP 111/75, HR 90, RR 20, Temp 37.2°C

  • 9. 
    A parent questions the nurse about her unconscious toddler's sudden rise in temperature.  The nurse should explain;
    • A. 

      The hypothalamus that regulates temperature is now under pressure

    • B. 

      It is the bodies natural response to vascular issues

    • C. 

      Sometimes they will spike a sudden temperature but it fades away

    • D. 

      The body is fighting of a new infection

  • 10. 
    Nursing interventions for an unconcious include; (select all that apply)
    • A. 

      Active ROM

    • B. 

      Seizure precautions

    • C. 

      Cooling blanket

    • D. 

      T&P q2h

  • 11. 
    After using artificial tears for an unconscious patient with eyelids that don't close, the nurse should use____________ to prevent corneal abrasions.
  • 12. 
    Ataxia, positive Babinski, increased ICP, and hemiparesis are symptoms of
    • A. 

      Glioblastoma

    • B. 

      Seizure Disorder

    • C. 

      Status Epileptus

    • D. 

      Menigitis

  • 13. 
    Which is not a post-op intervention for Glioblastoma?
    • A. 

      Assess developmental milestones

    • B. 

      Glasgow Coma Scale

    • C. 

      Restrict fluids

    • D. 

      Increase HOB 5°/hr

  • 14. 
    What are the primary etiology factors for seizure disorder?  (select all that apply)
    • A. 

      Genetic predisposition

    • B. 

      Birth to early infancy trauma

    • C. 

      Structural or metabolic abnormality

    • D. 

      Meningitis

  • 15. 
    What are the secondary etiology factors for seizure disorder?  (select all that apply)
    • A. 

      Febrile

    • B. 

      Trauma or congenital defects from birth to early infancy

    • C. 

      Cerebral lesions

    • D. 

      Metabolic disorders

  • 16. 
    Which lab test is not used to diagnose seizure disorders?
    • A. 

      Alkaline Phosphatase

    • B. 

      Serum Calcium

    • C. 

      Glucose

    • D. 

      Magnesium

  • 17. 
    A generalized seizure is marked in     (select all that apply)  
    • A. 

      Both cerebral hemispheres with a change in LOC

    • B. 

      One hemisphere with minimal change in LOC

    • C. 

      Both cerebral hemispheres with symptoms occurring on opposite side

    • D. 

      One Hemisphere with no change in LOC

  • 18. 
    When a patient has sudden arrest of activity with no memory of event and brief LOC that is mistaken for daydreaming, the patient is experiencing _______________ seizures.
    • A. 

      Petit-mal

    • B. 

      Gran-mal

    • C. 

      Tonic clonic

    • D. 

      Complex partial

  • 19. 
    Partial seizures are distinguished by the following; (select all that apply)
    • A. 

      Localized motor symptoms

    • B. 

      Repeated purposeless activities

    • C. 

      Eyes deviate towards opposite sides

    • D. 

      Lip smacking, chewing, drooling

  • 20. 
    Psychomotor seizures that last 5-10 minutes with periods of altered behavior are classified as;
    • A. 

      Complex partial seizures

    • B. 

      Simple partial seizures

    • C. 

      Gran-Mal

    • D. 

      Status Epilepticus

  • 21. 
    Patient is seizing, becoming hypoxic, and reaching the 30 minute mark.  What would be the appropriate actions for the nurse?  (select all that apply)
    • A. 

      Administer Ativan

    • B. 

      Maintain airway

    • C. 

      Administer Valium

    • D. 

      Start CPR

  • 22. 
    The protocol for discontinuing seizure meds does not include;
    • A. 

      Patient should be seizure free for 2yrs

    • B. 

      Normal EEG

    • C. 

      Slowly taper of medications

    • D. 

      EKG's Q6H

  • 23. 
    When a patient is on seizure precautions, the nurse can; (select all that apply)
    • A. 

      Pad the bad rails

    • B. 

      O2 and suction

    • C. 

      Use bed restraints

    • D. 

      Allow patient OOB ADLIB

  • 24. 
    With meningitis, blood pressure increase more than 15 points can be a sign of increased ICP?
    • A. 

      True

    • B. 

      False

  • 25. 
    CSF analysis suggests a positive meningitis result with which lab findings?  (select all that apply)
    • A. 

      Increased protein

    • B. 

      Decrease glucose

    • C. 

      Increased WBC

    • D. 

      Increase RBC

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