ATI RN
Pediatric Neurology Practice Questions Questions
Question 1 of 5
The onset of clinical and radiologic characteristics of post traumatic intracranial hemorrhage occur over minutto hours in
Correct Answer: B
Rationale: Epidural hemorrhage onset is minutto hours post-trauma, per neurosurgery, from arterial (e.g., middle meningeal) bleeding with lucid interval. Subdural slower; intraparenchymal variable; SAH instant; contusion immediate. Epidurals timing make B the correct answer.
Question 2 of 5
A child diagnosed with meningitis is having a generalized tonic-clonic seizure. Which should the nurse do first?
Correct Answer: A
Rationale: Administering blow-by oxygen and calling for help is the priority for a child with meningitis seizing tonically-clonically, per ACLS pediatric protocols. Seizurspike oxygen demand; hypoxia worsens brain injury in meningitis. Blow-by oxygen stabilizwhile help ensurrapid intervention (e.g., anticonvulsants). Reassuring parents delays care; calling a code overreacts without initial stabilization; assessing vitals diverts from airway management. As focus on oxygenation and support, aligned with seizure management guidelines, makes itthe correct answer, addressing immediate life-threatening needs.
Question 3 of 5
A child is being admitted with the diagnosis of meningitis. Which procedure should the nurse perform first?
Correct Answer: D
Rationale: Sending spinal fluid and blood culturfirst is critical in meningitis, per IDSA guidelines. Culturidentify the pathogen (e.g., bacterial) before antibiotics obscure results, guiding therapy. Fluids and catheter follow diagnosis. Ds priority ensuraccurate treatment, making it the correct answer.
Question 4 of 5
A child with Reye syndrome is described in the nursnotas follows: 1200: Comatose with sluggish pupils; when stimulated, demonstratdecerebrate posturing. 1400: Unchanged except that now demonstratdecorticate posturing when stimulated. The nurse concludthat the childs condition is:
Correct Answer: C
Rationale: Improving to a less advanced stage fits shifting from decerebrate (brainstem) to decorticate (cortical) posturing in Reye syndrome, per neurology texts. Decerebrate is more severe; improvement reflects reduced ICP or edema. Worsening (A, B) contradicts this; similar reflexmisinterprets. Cs progression aligns with recovery, making it the correct answer.
Question 5 of 5
Select the best room assignment for a newly admitted child with bacterial meningitis.
Correct Answer: C
Rationale: A dark, quiet private room is best for bacterial meningitis, per nursing texts, reducing cerebral irritation from light/noise. Same-diagnosis roommatrisk cross-infection; treated roommate still sharspace; bright room overstimulates. Cs isolation and calm make it the correct answer.