ATI RN
Pediatric Neurology Test Questions Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A 6-year-old with a severe closed-head injury is unconscious. His heart rate has dropped from 120 to 55, blood pressure increased from 110/44 to 195/62, and respirations are becoming more irregular. After calling the physician, which action should the nurse take first?
Correct Answer: A
Rationale: Prepare mannitol with help is first for Cushing triad (bradycardia, hypertension, irregular breathing) in head injury, per neurocritical care, indicating severe ICP needing osmotic reduction. Fluids worsen ICP; antihypertensive mistreats; oxygen insufficient. As urgency makes itthe correct answer.
Question 5 of 5
The nurse tells the family of a child with cerebral palsy (CP) that since the 1960s the incidence of CP has:
Correct Answer: A
Rationale: Increased is correct, per CP epidemiology. Improved survival of preterm/low-birth-weight infants since the 1960s raisincidence. Decreased (B, D) and stable contradict data. As trend makes itthe correct answer.