Break RoomScrubs NCLEX practice exam – set 3 – pediatric neurology By Scrubs October 1, 2013 ShareTweet 0 iStockphoto | ThinkStock + Scrubs Do you think you could pass the NCLEX? Take this quiz with these sample exam questions on pediatric neurology to see how you score! [10 questions] Congenital myelomeningocele is commonly associated with which of the following conditions?HydrocephalusMicroencephalyCranial suture overlapAbsence of the cranial vaultWhat notable sign may indicate increased intercranial pressure in an infant?Overflow voidingBulging fontanel when cryingHigh-pitched cryMinimal lower extremity movement Which nursing action should be a priority when the parents first meet their infant with an open spinal defect?Have the parents feed the infantEncourage discussion of fears and concernsProvide written information reinforcing health care provider educationEmphasize the infant’s normal and positive featuresWhen talking with the parents of a Down syndrome child, which of the following goals would be most appropriate for the child and family?Teaching the child one new thing every dayEncouraging self-care skills in the childEstablishing more lenient behavior standardsAchieving age-appropriate social skillsA child with a known seizure disorder is hospitalized for an unrelated procedure. Upon walking the child back from the restroom, the nurse notes tonic-clonic movements. Which action should the nurse take first?Note the timeEase the child to the floorClear the area of objects and pad the headRoll the child to side-lying position to protect the airwayWhich of the following is the best indicator of brain function in a child with a moderate brain injury?Pupil responseVital signsLevel of consciousnessGross motor strengthThe health care provider has ordered mannitol (Osmitrol) for a child with a head injury. The best indicator that this medication has been effective is:Increased urine outputImproved level of consciousnessDecreased facial swellingDecreased intercranial pressureA 10-year-old child is admitted for suspected infratentorial brain tumor. During the child’s admission, which action should the nurse anticipate doing first?Implement seizure precautionsIntroduce child to other children the same agePrepare child and parents for diagnostic proceduresEliminate the child’s anxiety using distraction techniquesWhich assessment detail is most important for the clinic nurse to make regarding a school-age child who has a sore throat, arm weakness, muscle tenderness, and generally feeling unwell?Diet intake for last 24 hoursExposure to illnessesDifficulty urinatingSwallowing abilityWhich of the following findings would indicate to the nurse that spinal shock was resolving in an adolescent with a spinal cord injury?Widening pulse pressureHyperactive reflexesAtonic urinary bladderFlaccid paralysis Post Views: 4,965
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