ATI RN
Pediatric Neurology Practice Questions Questions
Question 1 of 5
The treatable degenerative condition that exhibits signs of cerebellar and basal ganglia dysfunction is
Correct Answer: B
Rationale: Wilson disease is treatable, per hepatology, with cerebellar (ataxia) and basal ganglia (dystonia) signs from copper accumulation, reversible with chelation. Rett , adrenoleukodystrophy , mitochondrial , and NCL lack cure. Wilsons therapy make B the correct answer.
Question 2 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 3 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 4 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.
Question 5 of 5
A 2-month-old infant at risk for cerebral palsy (CP) (due to extreme low birth weight and prematurity) is being cared for. The parents ask why a speech therapist is involved in his care. Select the nursbest response.
Correct Answer: C
Rationale: Assist with feeding is best, per CP care texts. Premature infants at CP risk often have oral-motor issues; speech therapy strengthens tongue/jaw for feeding, not babbling or speech at 2 months. Team involvement is vague. Cs focus makes itthe correct answer.