ATI RN
Pediatric Neurology Questions Questions
Question 1 of 5
A 6-month-old infant was just diagnosed with craniosynostosis. The infants father asks the nurse for more information about reconstructive surgery. Select the nursbest response.
Correct Answer: B
Rationale: The best response explains craniosynostosis surgerys purpose allowing brain growth while acknowledging risks like bleeding or increased ICP, requiring PICU monitoring, per neurosurgical standards. Cosmetic focus alone is inaccurate; surgery corrects restricted brain development from premature suture fusion. Waiting until 3 years (C, D) delays intervention; surgery is typically done at 6-12 months when brain growth is rapid, not complete. Option Ds claim of finished head growth is false skull growth continupast infancy. Bs balance of purpose, timing (implicitly early), and complication awareness, aligned with pediatric neurosurgery texts, makes itthe correct answer, addressing the fathers need for accurate, comprehensive information.
Question 2 of 5
A child with a ventriculoperitoneal (VP) shunt complains of headache, blurry vision, irritability, and increased sleep. The parents ask what they should do. Select the nursbest response.
Correct Answer: D
Rationale: Take her to the ER immediately is best for headache, blurry vision, irritability, and sleepiness in a VP shunt child, per neurosurgery texts. These signal shunt malfunction (e.g., obstruction), raising ICP, requiring urgent imaging. Acetaminophen delays; menstrual link is irrelevant; 9-year function doesnt rule out failure. Ds urgency makes itthe correct answer.
Question 3 of 5
An infant is born with a sac protruding through the spine containing cerebrospinal fluid (CSF), a portion of the meninges, and nerve roots. This condition is referred to as:
Correct Answer: B
Rationale: Myelomeningocele is a sac with CSF, meninges, and nerve roots, per pediatric neurosurgery, a severe spina bifida type. Meningocele excludnerves; occulta is hidden; anencephaly brain absence. Bs definition makes itthe correct answer.
Question 4 of 5
The nurse is aware that cloudy cerebrospinal fluid (CSF) most likely indicates:
Correct Answer: B
Rationale: Cloudy CSF likely indicatbacterial meningitis , per infectious disease texts, from high white cells and protein. Viral is clear; normal CSF isnt cloudy; sepsis systemic. Bs specificity makes itthe correct answer.
Question 5 of 5
A child receiving radiation therapy for a brain tumor is being monitored by the nurse. The parents ask if their child will likely have any learning disabilities. Select the nursbest answer.
Correct Answer: C
Rationale: Varies, but younger children tend to have learning disabilitiis best, per oncology texts. Radiation disrupts developing brains, with younger age increasing risk, not decreasing . All overstates; no problems understates. Cs nuance makes itthe correct answer.