ATI RN
Pediatric Neurology Practice Questions Questions
Question 1 of 5
A child diagnosed with meningitis is having a generalized tonic-clonic seizure. Which should the nurse do first?
Correct Answer: A
Rationale: Administering blow-by oxygen and calling for help is the priority for a child with meningitis seizing tonically-clonically, per ACLS pediatric protocols. Seizurspike oxygen demand; hypoxia worsens brain injury in meningitis. Blow-by oxygen stabilizwhile help ensurrapid intervention (e.g., anticonvulsants). Reassuring parents delays care; calling a code overreacts without initial stabilization; assessing vitals diverts from airway management. As focus on oxygenation and support, aligned with seizure management guidelines, makes itthe correct answer, addressing immediate life-threatening needs.
Question 2 of 5
A child with Reye syndrome is described in the nursnotas follows: 1200: Comatose with sluggish pupils; when stimulated, demonstratdecerebrate posturing. 1400: Unchanged except that now demonstratdecorticate posturing when stimulated. The nurse concludthat the childs condition is:
Correct Answer: C
Rationale: Improving to a less advanced stage fits shifting from decerebrate (brainstem) to decorticate (cortical) posturing in Reye syndrome, per neurology texts. Decerebrate is more severe; improvement reflects reduced ICP or edema. Worsening (A, B) contradicts this; similar reflexmisinterprets. Cs progression aligns with recovery, making it the correct answer.
Question 3 of 5
Select the best room assignment for a newly admitted child with bacterial meningitis.
Correct Answer: C
Rationale: A dark, quiet private room is best for bacterial meningitis, per nursing texts, reducing cerebral irritation from light/noise. Same-diagnosis roommatrisk cross-infection; treated roommate still sharspace; bright room overstimulates. Cs isolation and calm make it the correct answer.
Question 4 of 5
A 2-month-old infant at risk for cerebral palsy (CP) (due to extreme low birth weight and prematurity) is being cared for. The parents ask why a speech therapist is involved in his care. Select the nursbest response.
Correct Answer: C
Rationale: Assist with feeding is best, per CP care texts. Premature infants at CP risk often have oral-motor issues; speech therapy strengthens tongue/jaw for feeding, not babbling or speech at 2 months. Team involvement is vague. Cs focus makes itthe correct answer.
Question 5 of 5
A child with a skull fracture is unconscious and has severely increased intracranial pressure (ICP). The nurse notthe childs temperature is 104°F (40°C). Which should the nurse do first?
Correct Answer: A
Rationale: A cooling blanket is first for 104 °F with ICP, per PICU protocols, safely lowering temperature to reduce metabolic demand and ICP. Tylenol (B, C) is slower; ice packs less controlled. As efficiency makes itthe correct answer.