Nclex-Rn Practice Questions-Care Of The Child - Neurosensory Disorders Part 3
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Question 1 |
The parents of a child newly diagnosed with seizures ask the nurse at what time seizure activity is most likely to occur. Which response by the nurse would be the most accurate?
A | During the rapid eye movement (REM) stage of sleep |
B | During long periods of excitement |
C | While falling asleep and on awakening |
D | While eating, particularly if the client is hurried |
Question 2 |
A school-age child with a diagnosis of epilepsy is admitted to the pediatric unit of a local hospital for evaluation of his anticonvulsant medications. As a nurse enters the child’s room, the child begins to have a seizure. Which nursing action should the nurse do first?
A | Push the call bell and ask for help. |
B | Hold the child down so he doesn’t injure himself. |
C | Loosen any restrictive clothing. |
D | Force the jaw open to maintain an open airway. |
Question 3 |
Children with spina bifida are at high risk for developing intraoperative anaphylaxis linked to an allergic response to latex. Which risk factor leads to this allergic response?
A | Weakened immune response |
B | Need for lifelong steroid therapy |
C | Need for numerous bladder catheterizations |
D | Use of large amounts of adhesive tape to attach sac dressings |
Question 4 |
Large body areas of sensory and motor impairment associated with myelomeningocele necessitate which nursing intervention?
A | Gentle stretching of contractures |
B | Vigorous active range-of-motion exercises |
C | Frequent turning side-to-side and prone-to-supine |
D | Keeping skin dry and avoiding the use of emollients and lubricants |
Question 5 |
The parents of a child newly diagnosed with myelomeningocele ask the nurse why surgical repair needs to be done immediately. Which response would be the most accurate?
A | “It’s done for rapid restoration of the neural pathways to the legs.” |
B | “It’s done to decrease the possibility of infection and further cord damage.” |
C | “It’s done to expose the spinal cord defect to individualize the therapeutic strategy.” |
D | “It’s done for removal of excess nerve tissue from the vertebral canal to decrease pressure on the cord.” |
Question 6 |
The nurse is caring for an infant with myelomeningocele and notices a change in the assessment that may indicate the infant has a Chiari II malformation. Which change was noted in the assessment?
A | Rapidly progressing scoliosis |
B | Changes in urological functioning |
C | Back pain below the site of the sac closure |
D | Respiratory stridor |
Question 7 |
Common deformities occurring in the child with spina bifida are related to the muscles of the lower extremities that are active or inactive. These may include which complication?
A | Club feet |
B | Hip extension |
C | Ankylosis of the knee |
D | Abduction and external rotation of the hip |
Question 8 |
Which nursing intervention should be included to support the goal of avoiding injury, respiratory distress, or aspiration during a seizure?
A | Positioning the child with the head hyperextended |
B | Placing a hand under the child’s head for support |
C | Using pillows to prop the child into the sitting position |
D | Working a padded tongue blade or small plastic airway between the teeth |
Question 9 |
A child with myelomeningocele and hydrocephalus may demonstrate problems related to damage of the white matter caused by ventricular enlargement. This damage may manifest itself in which condition?
A | Inability to speak |
B | Early hand dominance |
C | Impaired intellectual functions |
D | Flaccid paralysis of the lower extremities |
Question 10 |
A nurse is teaching the parents of a child who has been diagnosed with spina bifida. Which statement by the nurse would be the most accurate description of spina bifida?
A | “It has little influence on the intellectual and perceptual abilities of the child.” |
B | “It’s a simple neurological defect that’s completely corrected surgically within 1 to 2 days after birth.” |
C | “Its presence means that many areas of the central nervous system (CNS) may not develop or function adequately.” |
D | “It’s a complex neurological disability that involves a collaborative health care team effort for the entire first year of life.” |
Question 11 |
Which explanation about how to avoid the incidence of a second child with spina bifida is most accurate?
A | There’s no known way to avoid it; adoption is recommended. |
B | A previous pregnancy affected by a neural tube defect isn’t a factor. |
C | Prepregnancy intake of 4 mg of folic acid daily reduces the recurrence rate. |
D | Aerobic exercise in the first trimester decreases the chance of a positive alpha-fetoprotein (AFP). |
Question 12 |
Identifying factors that trigger seizure activity could lead to which alteration in the child’s environment or activities of daily living?
A | Avoiding striped wallpaper and ceiling fans |
B | Having the child sleep alone to prevent sleep interruption |
C | Including extended periods of intense physical activity daily |
D | Allowing the child to drink soda only between noon and 5 p.m. |
Question 13 |
A nurse is planning care for a 9-year-old boy with Down syndrome. What is the most appropriate statement regarding nursing intervention?
A | Nursing interventions should be planned at a 9-year-old developmental level. |
B | Nursing interventions should be planned at a 7-year-old developmental level. |
C | The nurse should assess the child’s developmental level before planning interventions. |
D | The developmental level of the child is not important in planning care. |
Question 14 |
What is the nurse’s priority when caring for a 10-month-old infant with meningitis?
A | Maintaining an adequate airway |
B | Maintaining fluid and electrolyte balance |
C | Controlling seizures |
D | Controlling hyperthermia |
Question 15 |
Which diagnostic measure is the most accurate in detecting neural tube defects?
A | Flat plate of the lower abdomen after the 23rd week of gestation |
B | Significant level of alpha-fetoprotein present in the amniotic fluid |
C | Amniocentesis for lecithin-sphingomyelin (L/S) ratio |
D | Presence of high maternal levels of albumin after 12th week of gestation |
Question 16 |
When educating the family of a child with seizures, it’s appropriate to tell them to call emergency medical services in the event of a seizure if which complication occurs?
A | Continuous vomiting for 30 minutes after the seizure |
B | Stereotypic or automatous body movements during the onset |
C | Lack of expression, pallor, or flushing of the face during the seizure |
D | Unilateral or bilateral posturing of one or more extremities during the onset |
Question 17 |
The nurse is providing preoperative care for an infant with a myelomeningocele. The nurse is aware that most appropriate position for the nurse to place the client in is:
A | prone position with head turned to the side for feeding. |
B | side-lying position with the head at a 30-degree angle to the feet. |
C | prone position with a nasogastric (NG) tube inserted for feedings. |
D | supported by diaper rolls, both anterior and posterior, in the side-lying position. |
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