ATI RN
Pediatric Neurological NCLEX Questions Questions
Question 1 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 2 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.
Question 3 of 5
A parent of a newborn diagnosed with myelomeningocele asks what is a common long-term complication. The nursbest response is:
Correct Answer: B
Rationale: Urinary tract infections is the best response for myelomeningocele, per pediatric neurology. Neurogenic bladder from spinal defect causincomplete emptying, raising UTI risk with catheterization. Hydrocephalus is frequent but not universal; learning and ulcers less consistent. Bs prevalence makes itthe correct answer.
Question 4 of 5
The diet that producanticonvulsant effects from ketosis consists of:
Correct Answer: A
Rationale: High-fat, low-carbohydrate is the ketogenic diet, per epilepsy guidelines, inducing ketosis to reduce seizures. High-carb (B, D) prevents ketosis; low-fat lacks energy shift. As metabolic effect makes itthe correct answer.
Question 5 of 5
A 3-year-old with an altered state of consciousness is being assessed for orientation. The nurse determinthat the child is oriented by asking her to:
Correct Answer: B
Rationale: Identifying parents and name assessorientation in a 3-year-old, per developmental nursing, matching cognitive capacity. President and phone exceed ability; month is partial. Bs appropriateness makes itthe correct answer.