ATI RN
Pediatric Neurology Question Bank Questions
Question 1 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 2 of 5
The parents of a 12-month-old with a neurogenic bladder ask if their child will always have to be catheterized. Select the nursbest response.
Correct Answer: D
Rationale: Alternativlike vesicostomy is best, per urology texts. Neurogenic bladder prevents full emptying; vesicostomy offers drainage without catheters. Always catheterized limits options; sensation (B, C) unlikely. Ds practicality makes itthe correct answer.
Question 3 of 5
To treat a common manifestation of Reye syndrome, which medication would the nurse expect to have readily available?
Correct Answer: C
Rationale: Glucose treats hypoglycemia in Reye syndrome, per pediatric texts, a frequent issue from liver dysfunction. Lasix diuresis, insulin diabetes, morphine pain are unrelated. Cs relevance makes itthe correct answer.
Question 4 of 5
Which intervention is included in the postoperative plan of care for a child with myelomeningocele following ligament release?
Correct Answer: C
Rationale: Frequent position changare in the plan post-myelomeningocele ligament release, per nursing texts, preventing skin breakdown in sensory-impaired areas. Diet (A, D) and balloons are unrelated. Cs focus makes itthe correct answer.
Question 5 of 5
Which order should the nurse question for a child just admitted with the diagnosis of bacterial meningitis?
Correct Answer: B
Rationale: IV fluids at 1½ timmaintenance should be questioned, per meningitis care texts. Excess fluid risks ICP increase in bacterial meningitis. Isolation , neuro checks , and acetaminophen are standard. Bs risk makes itthe correct answer.