ATI RN
Pediatric Neurological NCLEX Questions Questions
Question 1 of 5
Migraine is characterized by all the following EXCEPT
Correct Answer: D
Rationale: Migraine featurepisodic attacks , moderate-severe pain , often unilateral/focal , and nausea . Constant quality is false; migrainare throbbing, unlike steady tension headaches. This pulsatile nature (ICHD-3) makes D the exception and correct answer.
Question 2 of 5
All the following can be used for treatment of cerebral palsy (CP) EXCEPT
Correct Answer: D
Rationale: CP treatments include benzodiazepin, baclofen , dantrolene , and botulinum toxin for spasticity. Hyperbaric oxygen lacks evidence for CP (AAP), unlike proven muscle relaxants. This efficacy gap makes D the exception and correct answer.
Question 3 of 5
Bilateral cortical visual dysfunction, encephalopathy, and seizurare seen in
Correct Answer: A
Rationale: Global hypoxic-ischemic encephalopathy causbilateral visual loss, encephalopathy, and seizurfrom diffuse brain hypoxia. Herpis focal; MS relapsing; hypertensive and hypoglycemia lack this triad. HImechanism makes A the correct answer.
Question 4 of 5
T-lymphocyte defects (congenital or acquired by chemotherapy, AIDS, or malignancy) are associated with an increased risk of infections of the CNS with
Correct Answer: A
Rationale: Listeria monocytogenthrivin T-cell deficiency (e.g., AIDS), causing CNS infections like meningitis. Pneumococcus , meningococcus , H. flu , and staph rely less on T-cell immunity. Listerias immune link makes A the correct answer.
Question 5 of 5
Seizurare common during the course of bacterial meningitis. Immediate therapy for seizurincludintravenous diazepam (0.1-0.2 mg/kg/dose) or lorazepam (0.05-0.10 mg/kg/dose). After immediate management of seizures, patients should receive the following anticonvulsant to reduce the likelihood of recurrence
Correct Answer: B
Rationale: Phenytoin is used post-acute seizure in meningitis for recurrence prevention, per guidelines, due to IV availability and efficacy. Valproate and phenobarbital are less acute; lorazepam is short-acting. Phenytoins profile make B the correct answer.