A child is being admitted with the diagnosis of meningitis. Which procedure should the nurse perform first?

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Pediatric Neurology Practice Questions Questions

Question 1 of 5

A child is being admitted with the diagnosis of meningitis. Which procedure should the nurse perform first?

Correct Answer: D

Rationale: Sending spinal fluid and blood culturfirst is critical in meningitis, per IDSA guidelines. Culturidentify the pathogen (e.g., bacterial) before antibiotics obscure results, guiding therapy. Fluids and catheter follow diagnosis. Ds priority ensuraccurate treatment, making it the correct answer.

Question 2 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 3 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 4 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.

Question 5 of 5

When providing discharge teaching to the parents of a toddler who experienced a febrile seizure, the nurse recogniza need for clarification when the mother says:

Correct Answer: B

Rationale: 7-year-old at high risk needs clarification, per pediatric texts. Febrile seizuroccur in <5-year-olds; a 7-year-old is beyond risk. Recurrence , acetaminophen , and no medication are correct. Bs inaccuracy makes itthe correct answer.

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