ATI RN
Pediatric Neurological NCLEX Questions Questions
Question 1 of 5
A child presents with acute, focal neurologic deficits (hemiparesis) with visual, speech, and sensory deficits. Radiological imaging is consistent with hemorrhagic stroke (HS). Of the following, the MOST common cause of HS is
Correct Answer: B
Rationale: Sickle cell anemia is the most common cause of pediatric hemorrhagic stroke, per AHA, from vaso-occlusion and vessel fragility. Heart disease risks embolism; anemia rare; vasculitis inflammatory; dissection traumatic. Sickle prevalence make B the correct answer.
Question 2 of 5
Which of the following syndromof post traumatic intracranial hemorrhage cause neck stiffness?
Correct Answer: D
Rationale: Subarachnoid hemorrhage causneck stiffness, per neurology, from blood irritating meningpost-trauma. Subdural , epidural , intraparenchymal , and contusion lack meningeal involvement. SAHs meningism makes D the correct answer.
Question 3 of 5
A patient with a history of recurrent seizures, on examination you find a hypomelanotic macules, acne-like small red nodulover the nose and cheeks, and elevated, rough plaquof skin over the lumbar area. Of the following, the MOST likely brain lesions in this case is
Correct Answer: D
Rationale: Subependymal nodulare likely in tuberous sclerosis, per neurology, with seizures, ash-leaf spots, angiofibromas (facial nodules), and shagreen patch(lumbar). Schwannomas NF2; meningiomas adults; gliomas nonspecific. Nodulspecificity makes D the correct answer.
Question 4 of 5
A child fell off his bike and sustained a closed-head injury. Although the child is currently awake and alert, his mother reports that he passed out for approximately 2 minutes. The mother is highly anxious and tearful, and the child was not wearing a helmet. Which is the priority question for the triage nurse to ask at this time?
Correct Answer: C
Rationale: Asking about vomiting, seizures, or unusual behavior post-wakeup is the triage priority, per pediatric concussion guidelin(e.g., CDC). Loss of consciousness (2 minutes) after a closed-head injury raisconcern for traumatic brain injury (TBI). These symptoms signal increased ICP or neurologic deterioration, guiding urgent imaging or observation. Other injuriare secondary; accident details less specific; helmet inquiry irrelevant to acuity. Cs focus on red flags, critical for TBI assessment, makes itthe correct answer, ensuring timely escalation of care.
Question 5 of 5
A child recently diagnosed with epilepsy is being evaluated for anticonvulsant medication therapy. The child will likely be placed on which type of regimen?
Correct Answer: B
Rationale: One oral anticonvulsant is the likely regimen for new epilepsy, per AAN guidelines. Monotherapy controls seizurwhile minimizing side effects, with efficacy monitored via levels. Polytherapy increasrisks; rectal gel is rescue; IV inpatient. Bs simplicity and safety make it the correct answer.