NURS 307 (Pediatrics)
Neurological & Renal GI Disorders
WEEK 5 QUESTIONS AND ACTUAL
SOLUTIONS FOR EXAM WEST COAST
UNIVERSITY.
, Neurological Disorders
1. A 6-year-old child presents with a sudden high-pitched cry, bulging fontanels, and sunsetting
eyes. The nurse suspects hydrocephalus. Which postoperative nursing intervention is appropriate
following shunt placement?
A. Position the child on the operative side
B. Monitor for signs of infection
C. Apply ice packs over the shunt site
D. Keep the head of the bed flat for 72 hours
Answer: B. Monitor for signs of infection
2. A child is experiencing tonic-clonic seizures lasting over 30 minutes. What is the nurse’s
priority intervention?
A. Administer oral glucose
B. Begin IV antibiotic therapy
C. Protect airway and administer emergency seizure medication
D. Elevate head of bed to reduce intracranial pressure
Answer: C. Protect airway and administer emergency seizure medication
3. Which findings are associated with Cushing’s Triad, a late sign of increased intracranial
pressure?
A. Tachycardia, hypotension, irregular respirations
B. Bradycardia, increased systolic BP, irregular respirations
C. Hypertension, tachypnea, pinpoint pupils
D. Bradypnea, decreased systolic BP, increased pulse pressure
Answer: B. Bradycardia, increased systolic BP, irregular respirations
4. A child diagnosed with bacterial meningitis is being admitted. What is the priority isolation
precaution?
A. Contact
B. Droplet
C. Airborne
D. Standard
Neurological & Renal GI Disorders
WEEK 5 QUESTIONS AND ACTUAL
SOLUTIONS FOR EXAM WEST COAST
UNIVERSITY.
, Neurological Disorders
1. A 6-year-old child presents with a sudden high-pitched cry, bulging fontanels, and sunsetting
eyes. The nurse suspects hydrocephalus. Which postoperative nursing intervention is appropriate
following shunt placement?
A. Position the child on the operative side
B. Monitor for signs of infection
C. Apply ice packs over the shunt site
D. Keep the head of the bed flat for 72 hours
Answer: B. Monitor for signs of infection
2. A child is experiencing tonic-clonic seizures lasting over 30 minutes. What is the nurse’s
priority intervention?
A. Administer oral glucose
B. Begin IV antibiotic therapy
C. Protect airway and administer emergency seizure medication
D. Elevate head of bed to reduce intracranial pressure
Answer: C. Protect airway and administer emergency seizure medication
3. Which findings are associated with Cushing’s Triad, a late sign of increased intracranial
pressure?
A. Tachycardia, hypotension, irregular respirations
B. Bradycardia, increased systolic BP, irregular respirations
C. Hypertension, tachypnea, pinpoint pupils
D. Bradypnea, decreased systolic BP, increased pulse pressure
Answer: B. Bradycardia, increased systolic BP, irregular respirations
4. A child diagnosed with bacterial meningitis is being admitted. What is the priority isolation
precaution?
A. Contact
B. Droplet
C. Airborne
D. Standard
