Which should the nurse include when assessing the central nervous system (CNS) of a child who is acutely ill? Select one that does not apply.

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Pediatric Nursing Practice Test Questions Questions

Question 1 of 5

Which should the nurse include when assessing the central nervous system (CNS) of a child who is acutely ill? Select one that does not apply.

Correct Answer: C

Rationale: CNS assessment includes irritability , lethargy , vomiting , and seizures as signs of dysfunction. Hypoventilation is respiratory, though related.

Question 2 of 5

A 2-year-old is in for an annual examination. Which comment by the mother alerts the nurse to a risk for lead poisoning?

Correct Answer: A

Rationale: Eating paint (A) is a major lead poisoning risk, especially from old homes. Toilet training (B), messy eating (C), and tantrums (D) are normal toddler behaviors. Document: 'Eating paint is one of the major risk factors for lead poisoning.'

Question 3 of 5

Children who have been diagnosed with infantile eczema have an increased risk for which of the following?

Correct Answer: D

Rationale: Infantile eczema increases asthma risk (D) due to atopic triad (eczema, asthma, allergies). Pneumonia (A), acne (B), and sun sensitivity (C) are unrelated. Document: 'Some children with eczema also develop asthma and hay-fever type allergies.'

Question 4 of 5

A 13-year-old girl has been hospitalized for the past week. When discussing the girl's feelings about her illness, the nurse would expect the girl to express the most concern about:

Correct Answer: C

Rationale: Early adolescents (12-15) prioritize body image (C) during illness. Procedures (A), control (B), and separation (D) are secondary. Document: 'Illness during early adolescence… is seen mainly as a threat to body image.'

Question 5 of 5

A 3-month-old infant dies shortly after arrival in the emergency department. The infant has subdural and retinal hemorrhages but no external signs of trauma. The nurse should suspect:

Correct Answer: D

Rationale: Shaken-baby syndrome (D) causes subdural and retinal hemorrhages without external trauma due to violent shaking. SIDS (A), injury (B), and congenital issues (C) don’t match. Document: 'Shaken-baby syndrome causes internal bleeding but may have no external signs.'

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