NSG 451 FINAL EXAM TEST
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What term is used to describe a childs level of consciousness when the child is arousable with
stimulation?
a. Stupor
b. Confusion
c. Obtundation
d. Disorientation - correct answer c. Obtundation
The nurse is closely monitoring a child who is unconscious after a fall and notices that the child
suddenly has a fixed and dilated pupil. How should the nurse interpret this?
a. Eye trauma
b. Brain death
c. Severe brainstem damage
d. Neurosurgical emergency - correct answer d. Neurosurgical emergency
The nurse is caring for a child with severe head trauma after a car accident. What is an ominous
sign that often precedes death?
a. Delirium
b. Papilledema
c. Flexion posturing
d. Periodic or irregular breathing - correct answer d. Periodic or irregular breathing
,What test is never performed on a child who is awake?
a. Dolls head maneuver
b. Oculovestibular response
c. Assessment of pyramidal tract lesions
d. Funduscopic examination for papilledema - correct answer b. Oculovestibular response
The nurse is doing a neurologic assessment on a 2-month-old infant after a car accident. Moro,
tonic neck, and withdrawal reflexes are present. How should the nurse interpret these findings?
a. Neurologic health
b. Severe brain damage
c. Decorticate posturing
d. Decerebrate posturing - correct answer a. Neurologic health
The nurse is preparing a school-age child for computed tomography (CT) scan to assess cerebral
function. The nurse should include what statement in preparing the child?
a. The scan will not hurt.
b. Pain medication will be given.
c. You will be able to move once the equipment is in place.
d. Unfortunately no one can remain in the room with you during the test. - correct answer a.
The scan will not hurt.
What is a nursing intervention to reduce the risk of increasing intracranial pressure (ICP) in an
unconscious child?
a. Suction the child frequently.
b. Turn the childs head side to side every hour.
c. Provide environmental stimulation.
d. Avoid activities that cause pain or crying. - correct answer d. Avoid activities that cause pain
or crying.
,What nursing intervention is appropriate when caring for an unconscious child?
a. Avoid using narcotics or sedatives to provide comfort and pain relief.
b. Change the childs position infrequently to minimize the chance of increased intracranial
pressure (ICP).
c. Monitor fluid intake and output carefully to avoid fluid overload and cerebral edema.
d. Give tepid sponge baths to reduce fevers above 38.3 C (101 F) because antipyretics are
contraindicated. - correct answer c. Monitor fluid intake and output carefully to avoid fluid
overload and cerebral edema.
What statement is descriptive of a concussion?
a. Petechial hemorrhages cause amnesia.
b. Visible bruising and tearing of cerebral tissue occur.
c. It is a transient and reversible neuronal dysfunction.
d. It is a slight lesion that develops remote from the site of trauma. - correct answer c. It is a
transient and reversible neuronal dysfunction.
What statement best describes a subdural hematoma?
a. Bleeding occurs between the dura and the skull.
b. Bleeding occurs between the dura and the cerebrum.
c. Bleeding is generally arterial, and brain compression occurs rapidly.
d. The hematoma commonly occurs in the parietotemporal region. - correct answer b. Bleeding
occurs between the dura and the cerebrum.
A 10-year-old boy on a bicycle has been hit by a car in front of a school. The school nurse
immediately assesses airway, breathing, and circulation. What should be the next nursing
action?
a. Place the child on his side.
, b. Take the childs blood pressure.
c. Stabilize the childs neck and spine.
d. Check the childs scalp and back for bleeding. - correct answer c. Stabilize the childs neck and
spine.
A school-age child has sustained a head injury and multiple fractures after being thrown from a
horse. The childs level of consciousness is variable. The parents tell the nurse that they think
their child is in pain because of periodic crying and restlessness. What is the most appropriate
nursing action?
a. Explain that analgesia is contraindicated with a head injury.
b. Have the parents describe the childs previous experiences with pain.
c. Consult with a practitioner about what analgesia can be safely administered.
d. Teach the parents that analgesia is unnecessary when the child is not fully awake and alert. -
correct answer c. Consult with a practitioner about what analgesia can be safely administered.
The nurse is assessing a child who was just admitted to the hospital for observation after a head
injury. What clinical manifestation is the most essential part of the nursing assessment to detect
early signs of a worsening condition?
a. Posturing
b. Vital signs
c. Focal neurologic signs
d. Level of consciousness - correct answer d. Level of consciousness
A 5-year-old girl sustained a concussion when she fell out of a tree. In preparation for discharge,
the nurse is discussing home care with her mother. What sign or symptom is considered a
manifestation of postconcussion syndrome and does not necessitate medical attention?
a. Vomiting
b. Blurred vision
c. Behavioral changes
BANK! Questions And Verified
Answers
What term is used to describe a childs level of consciousness when the child is arousable with
stimulation?
a. Stupor
b. Confusion
c. Obtundation
d. Disorientation - correct answer c. Obtundation
The nurse is closely monitoring a child who is unconscious after a fall and notices that the child
suddenly has a fixed and dilated pupil. How should the nurse interpret this?
a. Eye trauma
b. Brain death
c. Severe brainstem damage
d. Neurosurgical emergency - correct answer d. Neurosurgical emergency
The nurse is caring for a child with severe head trauma after a car accident. What is an ominous
sign that often precedes death?
a. Delirium
b. Papilledema
c. Flexion posturing
d. Periodic or irregular breathing - correct answer d. Periodic or irregular breathing
,What test is never performed on a child who is awake?
a. Dolls head maneuver
b. Oculovestibular response
c. Assessment of pyramidal tract lesions
d. Funduscopic examination for papilledema - correct answer b. Oculovestibular response
The nurse is doing a neurologic assessment on a 2-month-old infant after a car accident. Moro,
tonic neck, and withdrawal reflexes are present. How should the nurse interpret these findings?
a. Neurologic health
b. Severe brain damage
c. Decorticate posturing
d. Decerebrate posturing - correct answer a. Neurologic health
The nurse is preparing a school-age child for computed tomography (CT) scan to assess cerebral
function. The nurse should include what statement in preparing the child?
a. The scan will not hurt.
b. Pain medication will be given.
c. You will be able to move once the equipment is in place.
d. Unfortunately no one can remain in the room with you during the test. - correct answer a.
The scan will not hurt.
What is a nursing intervention to reduce the risk of increasing intracranial pressure (ICP) in an
unconscious child?
a. Suction the child frequently.
b. Turn the childs head side to side every hour.
c. Provide environmental stimulation.
d. Avoid activities that cause pain or crying. - correct answer d. Avoid activities that cause pain
or crying.
,What nursing intervention is appropriate when caring for an unconscious child?
a. Avoid using narcotics or sedatives to provide comfort and pain relief.
b. Change the childs position infrequently to minimize the chance of increased intracranial
pressure (ICP).
c. Monitor fluid intake and output carefully to avoid fluid overload and cerebral edema.
d. Give tepid sponge baths to reduce fevers above 38.3 C (101 F) because antipyretics are
contraindicated. - correct answer c. Monitor fluid intake and output carefully to avoid fluid
overload and cerebral edema.
What statement is descriptive of a concussion?
a. Petechial hemorrhages cause amnesia.
b. Visible bruising and tearing of cerebral tissue occur.
c. It is a transient and reversible neuronal dysfunction.
d. It is a slight lesion that develops remote from the site of trauma. - correct answer c. It is a
transient and reversible neuronal dysfunction.
What statement best describes a subdural hematoma?
a. Bleeding occurs between the dura and the skull.
b. Bleeding occurs between the dura and the cerebrum.
c. Bleeding is generally arterial, and brain compression occurs rapidly.
d. The hematoma commonly occurs in the parietotemporal region. - correct answer b. Bleeding
occurs between the dura and the cerebrum.
A 10-year-old boy on a bicycle has been hit by a car in front of a school. The school nurse
immediately assesses airway, breathing, and circulation. What should be the next nursing
action?
a. Place the child on his side.
, b. Take the childs blood pressure.
c. Stabilize the childs neck and spine.
d. Check the childs scalp and back for bleeding. - correct answer c. Stabilize the childs neck and
spine.
A school-age child has sustained a head injury and multiple fractures after being thrown from a
horse. The childs level of consciousness is variable. The parents tell the nurse that they think
their child is in pain because of periodic crying and restlessness. What is the most appropriate
nursing action?
a. Explain that analgesia is contraindicated with a head injury.
b. Have the parents describe the childs previous experiences with pain.
c. Consult with a practitioner about what analgesia can be safely administered.
d. Teach the parents that analgesia is unnecessary when the child is not fully awake and alert. -
correct answer c. Consult with a practitioner about what analgesia can be safely administered.
The nurse is assessing a child who was just admitted to the hospital for observation after a head
injury. What clinical manifestation is the most essential part of the nursing assessment to detect
early signs of a worsening condition?
a. Posturing
b. Vital signs
c. Focal neurologic signs
d. Level of consciousness - correct answer d. Level of consciousness
A 5-year-old girl sustained a concussion when she fell out of a tree. In preparation for discharge,
the nurse is discussing home care with her mother. What sign or symptom is considered a
manifestation of postconcussion syndrome and does not necessitate medical attention?
a. Vomiting
b. Blurred vision
c. Behavioral changes
