ATI END OF CHAPTER QUESTIONS FOR
PEDS EXAM 1 (SHANEL HOURLIER
ANTHIAN) with Answers, 22 pages
A nurse is caring for a client who has suspected meningitis and a decreased level of consciousness. What
is the appropriate action for the nurse to take? - Place client on NPO status
Change in level of consciousness is common and could lead to aspiration if PO
A nurse is reviewing cerebrospinal fluid analysis for a client who has suspected meningitis. What are 3
indicators of viral meningitis? - Negative gram stain
Normal glucose content
Normal protein content
A nurse is caring for a 4 month old infant who has meningitis. What is associated with the diagnosis -
High-pitched cry
A nurse is caring for a school age client who possibly has Reye syndrome. What is a risk factor for
developing this syndrome? - Recent episode of gastroenteritis
A nurse is developing an in-service about viral and bacterial meningitis. What are 2 immunizations that
could decrease the incidence of meningitis. - Pneumococcal vaccine (PCV)
Haemophilus influenzae type B vaccine (Hib)
A nurse is caring for a child who has absence seizures. What are 3 findings the nurse can expect to find?
- Loss of consciousness
Appearance of daydreaming
Dropping held objects
,A nurse is caring for a child who just experienced a generalized seizure. What is the priority action for
the nurse to take? - Maintain the child in a side lying position
To prevent aspiration *ABCs*
A nurse is providing teaching to the parent of a child who is to have an EEG. What should the nurse
include in the teaching? - Decaffeinated beverages should be offered on the morning of the procedure
A nurse is teaching a group of parents about the risk factors for seizures. What 3 things should the nurse
include in the teaching? - Febrile episodes
Hypoglycemia
Sodium imbalances
A nurse is reviewing treatment options with the parents of a child who has worsening seizures. What 4
treatment options should the nurse include in the discussion? - Vagal nerve stimulator
Additional antiepileptic medications
Corpus callosotomy
Focal resection
A nurse is in the ED and assessing a child following a motor-vehicle accident. The child is unresponsive,
has spontaneous respirations of 22/minute and has a laceration on the forehead that is bleeding. What
is the first action the nurse should take? - Stabilize the child's neck
A nurse is caring for an adolescent who has a closed head injury. What are 3 indications of increased
intracranial pressure? - Report of headache
Alteration in pupillary response
Increased sleeping
A nurse is caring for a child who has ICP. What are 3 actions the nurse should take? - Maintain a quiet
environment
Administer a stool softener
, Maintain body alignment
A nurse is assessing a child who has a concussion. What are 4 things the nurse should expect? - Amnesia
Bradycardia
Respiratory depression
Confusion
A nurse is caring for a child who is taking mannitol for cerebral edema. What adverse effect should the
nurse report to the provider? - Confusion
A nurse is planning to perform a peripheral vision test on a child. What action should the nurse plan to
take? - Have the child focus on an object while performing the test
A nurse is teaching a group of parents about possible manifestations of downs syndrome. What 3 things
should the nurse include in her teaching? - Protruding abdomen
Broad, short feet and hands
Hypotonia
A nurse is assessing a child who has myopia. What 3 things should the nurse expect? - Headaches
Difficulty reading
Poor school performance
A nurse is assessing a toddler for possible hearing loss. What 3 things are indications of hearing
impairment? - Uses monotone speech
Speaks loudly
Appears shy
A nurse is teaching the parent of an infant who has down syndrome. What is an indication of
understanding of the teaching? - I should place a cool mist humidifier in his room
PEDS EXAM 1 (SHANEL HOURLIER
ANTHIAN) with Answers, 22 pages
A nurse is caring for a client who has suspected meningitis and a decreased level of consciousness. What
is the appropriate action for the nurse to take? - Place client on NPO status
Change in level of consciousness is common and could lead to aspiration if PO
A nurse is reviewing cerebrospinal fluid analysis for a client who has suspected meningitis. What are 3
indicators of viral meningitis? - Negative gram stain
Normal glucose content
Normal protein content
A nurse is caring for a 4 month old infant who has meningitis. What is associated with the diagnosis -
High-pitched cry
A nurse is caring for a school age client who possibly has Reye syndrome. What is a risk factor for
developing this syndrome? - Recent episode of gastroenteritis
A nurse is developing an in-service about viral and bacterial meningitis. What are 2 immunizations that
could decrease the incidence of meningitis. - Pneumococcal vaccine (PCV)
Haemophilus influenzae type B vaccine (Hib)
A nurse is caring for a child who has absence seizures. What are 3 findings the nurse can expect to find?
- Loss of consciousness
Appearance of daydreaming
Dropping held objects
,A nurse is caring for a child who just experienced a generalized seizure. What is the priority action for
the nurse to take? - Maintain the child in a side lying position
To prevent aspiration *ABCs*
A nurse is providing teaching to the parent of a child who is to have an EEG. What should the nurse
include in the teaching? - Decaffeinated beverages should be offered on the morning of the procedure
A nurse is teaching a group of parents about the risk factors for seizures. What 3 things should the nurse
include in the teaching? - Febrile episodes
Hypoglycemia
Sodium imbalances
A nurse is reviewing treatment options with the parents of a child who has worsening seizures. What 4
treatment options should the nurse include in the discussion? - Vagal nerve stimulator
Additional antiepileptic medications
Corpus callosotomy
Focal resection
A nurse is in the ED and assessing a child following a motor-vehicle accident. The child is unresponsive,
has spontaneous respirations of 22/minute and has a laceration on the forehead that is bleeding. What
is the first action the nurse should take? - Stabilize the child's neck
A nurse is caring for an adolescent who has a closed head injury. What are 3 indications of increased
intracranial pressure? - Report of headache
Alteration in pupillary response
Increased sleeping
A nurse is caring for a child who has ICP. What are 3 actions the nurse should take? - Maintain a quiet
environment
Administer a stool softener
, Maintain body alignment
A nurse is assessing a child who has a concussion. What are 4 things the nurse should expect? - Amnesia
Bradycardia
Respiratory depression
Confusion
A nurse is caring for a child who is taking mannitol for cerebral edema. What adverse effect should the
nurse report to the provider? - Confusion
A nurse is planning to perform a peripheral vision test on a child. What action should the nurse plan to
take? - Have the child focus on an object while performing the test
A nurse is teaching a group of parents about possible manifestations of downs syndrome. What 3 things
should the nurse include in her teaching? - Protruding abdomen
Broad, short feet and hands
Hypotonia
A nurse is assessing a child who has myopia. What 3 things should the nurse expect? - Headaches
Difficulty reading
Poor school performance
A nurse is assessing a toddler for possible hearing loss. What 3 things are indications of hearing
impairment? - Uses monotone speech
Speaks loudly
Appears shy
A nurse is teaching the parent of an infant who has down syndrome. What is an indication of
understanding of the teaching? - I should place a cool mist humidifier in his room
