ATI RN
Pediatric Neurological NCLEX Questions Questions
Question 1 of 5
Which of the following syndromof post traumatic intracranial hemorrhage cause neck stiffness?
Correct Answer: D
Rationale: Subarachnoid hemorrhage causneck stiffness, per neurology, from blood irritating meningpost-trauma. Subdural , epidural , intraparenchymal , and contusion lack meningeal involvement. SAHs meningism makes D the correct answer.
Question 2 of 5
A child fell off his bike and sustained a closed-head injury. Although the child is currently awake and alert, his mother reports that he passed out for approximately 2 minutes. The mother is highly anxious and tearful, and the child was not wearing a helmet. Which is the priority question for the triage nurse to ask at this time?
Correct Answer: C
Rationale: Asking about vomiting, seizures, or unusual behavior post-wakeup is the triage priority, per pediatric concussion guidelin(e.g., CDC). Loss of consciousness (2 minutes) after a closed-head injury raisconcern for traumatic brain injury (TBI). These symptoms signal increased ICP or neurologic deterioration, guiding urgent imaging or observation. Other injuriare secondary; accident details less specific; helmet inquiry irrelevant to acuity. Cs focus on red flags, critical for TBI assessment, makes itthe correct answer, ensuring timely escalation of care.
Question 3 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 4 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 5 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.