NURS 232 - EXAM 3 | QUESTIONS AND ANSWERS | 2026
UPDATE | WITH COMPLETE SOLUTION
A child is hospitalized diagnosed with bacterial meningitis. What can the nurse
anticipate will be included in the plan of care and treatment? (Select all that
apply.)
A. Antibiotic therapy
B. Ice packs to the back of the neck and feet to reduce body temperature
C. Antiviral medications
D. Administering tepid baths as needed
E. Acetaminophen Answer - A
D
E
,Rationale:
Bacterial meningitis involves a multifaceted plan of care and treatment. Ice
packs will sharply reduce temperature and should not be used. Measures that
promote shivering should be avoided as they will increase the metabolic rate.
Acetaminophen will be prescribed in effort to reduce the body temperature.
Tepid baths can be instituted as needed to reduce body temperature. Antibiotic
therapy will be initiated to eradicate the pathogens. Antiviral medications are
not indicated as this is not a viral infection.
The nurse knows that the heads of infants and toddlers are large in proportion
to their bodies, placing them at risk for what problem?
A. Positional plagiocephaly
B. Intracranial hemorrhaging
C. Head trauma
D. Congenital hydrocephalus Answer - C.
Rationale: A larger head size in relation to the rest of their body size gives
young children a higher center of gravity, which causes them to hit their head
more readily, thus placing them at risk for head trauma. Fragile capillaries in
,the periventricular area of the brain put preterm infants at risk for intracranial
hemorrhage. Congenital hydrocephalus may be caused by abnormal
intrauterine development or infection. Positional plagiocephaly is caused by an
infant's head remaining in the same position for too long.
A nurse is providing care to a child with status epilepticus. Which medications
would the nurse identify as appropriate to give in this situation? (Select all that
apply.)
A. Carbamazepine
B. Gabapentin
C. Fosphenytoin
D. Lorazepam
E. Diazepam Answer - C.
D.
E.
, Rationale: Commonly used medications for treating status epilepticus include
lorazepam, diazepam, and fosphenytoin. Gabapentin and carbamazepine are
anticonvulsants used to treat and prevent seizures in general.
A 6-year-old has had a viral infection for the past 5 days and is having severe
vomiting, confusion, and irritability, although he is now afebrile. During the
assessment, the nurse should ask the parent which question?
1. "How high did his temperature rise when he was ill?"
2. "Did you use any medications like aspirin for the fever?"
3. "What type of fluids did your child take when he had a fever?"
4. "Did you give your child any acetaminophen, such as Tylenol?" Answer -
Rationale: Severe and continual vomiting, changes in mental status, lethargy,
and irritability are some of the signs and symptoms of Reye syndrome, which
can occur as a result of ingesting aspirin or aspirin-containing products during a
viral infection. Tylenol (acetaminophen) is allowed for viral infections in the
school-age child. The type of fluids consumed during the illness has nothing to
do with Reye syndrome. The temperature rise would be important for a much
younger child because of the chance of febrile seizures, but not in this age
child.
A group of nursing students are reviewing cerebral vascular disorders and risk
factors in children. The students demonstrate understanding of the material
when they identify which as a risk factor(s) for ischemic stroke? Select all that
apply.
A. Arteriovenous malformations (AVMs)
B. Meningitis
C. Sickle cell disease
D. Congenital heart defect Answer - B.
UPDATE | WITH COMPLETE SOLUTION
A child is hospitalized diagnosed with bacterial meningitis. What can the nurse
anticipate will be included in the plan of care and treatment? (Select all that
apply.)
A. Antibiotic therapy
B. Ice packs to the back of the neck and feet to reduce body temperature
C. Antiviral medications
D. Administering tepid baths as needed
E. Acetaminophen Answer - A
D
E
,Rationale:
Bacterial meningitis involves a multifaceted plan of care and treatment. Ice
packs will sharply reduce temperature and should not be used. Measures that
promote shivering should be avoided as they will increase the metabolic rate.
Acetaminophen will be prescribed in effort to reduce the body temperature.
Tepid baths can be instituted as needed to reduce body temperature. Antibiotic
therapy will be initiated to eradicate the pathogens. Antiviral medications are
not indicated as this is not a viral infection.
The nurse knows that the heads of infants and toddlers are large in proportion
to their bodies, placing them at risk for what problem?
A. Positional plagiocephaly
B. Intracranial hemorrhaging
C. Head trauma
D. Congenital hydrocephalus Answer - C.
Rationale: A larger head size in relation to the rest of their body size gives
young children a higher center of gravity, which causes them to hit their head
more readily, thus placing them at risk for head trauma. Fragile capillaries in
,the periventricular area of the brain put preterm infants at risk for intracranial
hemorrhage. Congenital hydrocephalus may be caused by abnormal
intrauterine development or infection. Positional plagiocephaly is caused by an
infant's head remaining in the same position for too long.
A nurse is providing care to a child with status epilepticus. Which medications
would the nurse identify as appropriate to give in this situation? (Select all that
apply.)
A. Carbamazepine
B. Gabapentin
C. Fosphenytoin
D. Lorazepam
E. Diazepam Answer - C.
D.
E.
, Rationale: Commonly used medications for treating status epilepticus include
lorazepam, diazepam, and fosphenytoin. Gabapentin and carbamazepine are
anticonvulsants used to treat and prevent seizures in general.
A 6-year-old has had a viral infection for the past 5 days and is having severe
vomiting, confusion, and irritability, although he is now afebrile. During the
assessment, the nurse should ask the parent which question?
1. "How high did his temperature rise when he was ill?"
2. "Did you use any medications like aspirin for the fever?"
3. "What type of fluids did your child take when he had a fever?"
4. "Did you give your child any acetaminophen, such as Tylenol?" Answer -
Rationale: Severe and continual vomiting, changes in mental status, lethargy,
and irritability are some of the signs and symptoms of Reye syndrome, which
can occur as a result of ingesting aspirin or aspirin-containing products during a
viral infection. Tylenol (acetaminophen) is allowed for viral infections in the
school-age child. The type of fluids consumed during the illness has nothing to
do with Reye syndrome. The temperature rise would be important for a much
younger child because of the chance of febrile seizures, but not in this age
child.
A group of nursing students are reviewing cerebral vascular disorders and risk
factors in children. The students demonstrate understanding of the material
when they identify which as a risk factor(s) for ischemic stroke? Select all that
apply.
A. Arteriovenous malformations (AVMs)
B. Meningitis
C. Sickle cell disease
D. Congenital heart defect Answer - B.
