ATI RN
Pediatric Neurology Question Bank Questions
Question 1 of 5
A child with a seizure disorder has been having episodduring which she drops her pencil and appears to be daydreaming. This is most likely a/an:
Correct Answer: A
Rationale: Absence seizure fits dropping a pencil and daydreaming, per ILAE classification. Brief (<30 seconds), with staring and minor automatisms, its common in childhood. Akinetic involvfalls; non-epileptic psychogenic; spasms infantile. As EEG (3 Hz spike-wave) and presentation make it the correct answer.
Question 2 of 5
The mother of an unconscious child has been calling her name and gently shaking her shoulders to wake her. The nurse observthe child flexing her arms and wrists, drawing them closer to the midline. The mother asks, What is going on? Select the nursbest response.
Correct Answer: D
Rationale: A reflex from overstimulation is best, per neurology texts. Flexion toward midline (decorticate-like) in an unconscious child suggests a reflex to excessive stimuli, not purposeful response (A, B) or seizure . Ds explanation makes itthe correct answer.
Question 3 of 5
A 6-month-old infant diagnosed with meningitis is placed supine. When the infants neck is flexed, he also flexhis kneand hips. This sign is referred to as:
Correct Answer: A
Rationale: Brudzinski sign is neck flexion causing knee/hip flexion in meningitis, per infectious disease texts, indicating meningeal irritation. Cushing is ICP triad; Kernig leg extension pain; nuchal stiffness. As specificity makes itthe correct answer.
Question 4 of 5
An adolescent remains unconscious 24 hours after sustaining a closed-head injury in an MVA. She responds to deep, painful stimulation with decorticate posturing, and an intracranial monitor shows periodic increased ICP. With all other vital signs stable, what is the most appropriate nursing action?
Correct Answer: D
Rationale: Dark, quiet with minimal stimulation is most appropriate for unconsciousness with ICP, per neurocritical care, reducing oxygen demand and ICP spikes. Stimulation (A, B) or day/night cycling worsens it. Ds focus makes itthe correct answer.
Question 5 of 5
The nurse knows that young infants are at risk for injury from shaken baby syndrome (SBS) because:
Correct Answer: B
Rationale: Insufficient support and head-to-body ratio explain SBS risk, per pediatrics. Large heads and weak necks amplify shaking injury. Fontanel allows expansion, not cause; vascular and myelination are secondary. Bs mechanics make it the correct answer.