ATI RN
Pediatric Neurology Test Questions Questions
Question 1 of 5
A 6-month-old male has been diagnosed with positional brachycephaly. The nurse is providing teaching about the use of a helmet for his therapy. Which statement indicatthat the parents understand the education?
Correct Answer: C
Rationale: Wearing the helmet 23 hours daily reflects proper understanding of positional brachycephaly treatment, per orthotic guidelines. Helmets reshape the skull by consistent pressure, removed only for bathing or brief cleaning, optimizing efficacy at 6-12 months when skull molding is most effective. Awake-only use reducduration, delaying correction. Waiting until 9 months missthe optimal 4-12-month window. Duration is factual but doesnt confirm usage understanding. Cs adherence to 23-hour protocol, supported by AAP and craniofacial studies, makes itthe correct answer, ensuring therapeutic success.
Question 2 of 5
A child with cerebral palsy (CP) has been fitted for bracand is beginning physical therapy to assist with ambulation. The parents ask why he needs bracwhen he was previously crawling without any assistive devices. Select the nursbest response.
Correct Answer: B
Rationale: As your child grows, different muscle groups may need more assistance is best, per CP literature. CP is nonprogressive (A false), but spasticity or weakness shifts with growth, necessitating bracfor ambulation. Most children overgeneralizes; fall prevention is secondary. Bs developmental focus makes itthe correct answer.
Question 3 of 5
Brain damage in a child who sustained a closed-head injury can be caused by which factor?
Correct Answer: D
Rationale: Decreased perfusion and increased metabolic needs cause brain damage in closed-head injury, per trauma texts. Edema or hematoma reducblood flow while injury spikdemand, leading to ischemia. Other options (A-C) mismatch physiology. Ds mechanism makes itthe correct answer.
Question 4 of 5
A 1-year-old diagnosed with viral encephalitis is being cared for. The parents ask if their child will be admitted to the hospital. Select the nursbest response.
Correct Answer: C
Rationale: PICU admission for monitoring is best for viral encephalitis in a 1-year-old, per pediatric texts, due to risks like ICP or respiratory compromise. Home (A, D) underestimatseverity; antibiotics are for bacteria. Cs vigilance makes itthe correct answer.
Question 5 of 5
A child in a motor vehicle accident (MVA) falls asleep unless her name is called or she is gently shaken. This state of consciousness is referred to as:
Correct Answer: C
Rationale: Obtunded is needing stimulation to stay awake post-MVA, per neurology texts, between lethargy and coma . Delirium is agitated; confusion less severe. Cs definition makes itthe correct answer.