TESTBANK
JERSEY COLLEGE PEDS EXAM 2/FINAL EXAM NEWEST ACTUAL
EXAM TESTBANK COMPLETE QUESTIONS AND CORRECT
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The nurse is caring for a 3-year-old child who experienced a febrile seizure for the
first time. What statements by the parents of the child should the nurse address
further? - Correct Answer-I am afraid that our 10-year-old will start having febrile
seizures, It is so scary to think that our child will likely develop epilepsy now
A mother has just given birth to an infant born with anencephaly. The mother
states, "With all of the technological advances in medicine, I am hopeful of a good
prognosis for my baby." How should the nurse respond? - Correct Answer-It must
be very difficult to deal with this diagnosis. Tell me what you know about the
prognosis
A 9-year-old client who suffered a head injury has strabismus. The nurse assesses
the client for intracranial pressure (ICP). Which additional intervention is most
important for the nurse to perform? - Correct Answer-Assess the level of
consciousness (LOC)
A nurse is assessing a 3-year-old child for possible bacterial meningitis. Which sign
would indicate irritation of the meninges? - Correct Answer-Positive Kernig sign
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, JERSEY COLLEGE PEDS EXAM 2/FINAL EXAM NEWEST ACTUAL EXAM
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Preterm infants have more fragile capillaries in the periventricular area than term
infants. This put these infants at risk for which problem? - Correct Answer-
intracranial hemorrhaging
A 1-year-old infant has just undergone surgery to correct craniosynostosis. Which
comment is the best psychosocial intervention for the parents? - Correct Answer-
The surgery was successful. Do you have any questions?
A pregnant client asks if there is any danger to the development of her fetus in the
first few weeks of her pregnancy. How should the nurse respond? - Correct
Answer-During the first 3 to 4 weeks of pregnancy, brain and spinal cord
development occur and are affected by nutrition, drugs, infection, or trauma
A child with a seizure disorder is being admitted to the inpatient unit. When
preparing the room for the child, what should be included? - Correct Answer-
oxygen gauge and tubing, suction at bedside, padding for side rails
The parents of a 17-year-old adolescent diagnosed with bacterial meningitis tell
the nurse, "We just do not understand how this could have happened. Our
adolescent has always been healthy and just received a booster vaccine last year."
How should the nurse respond? - Correct Answer-I understand your frustration.
Unfortunately, immunizations are not 100% effective in preventing the infection
Antibiotic therapy to treat meningitis should be instituted immediately after which
event? - Correct Answer-Collection of cerebrospinal fluid (CSF) and blood for
culture
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, JERSEY COLLEGE PEDS EXAM 2/FINAL EXAM NEWEST ACTUAL EXAM
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A nurse on the neurology unit is monitoring an 8-year-old child admitted with
seizures. The child experiences a prolonged tonic-clonic seizure. What should the
nurse do next? - Correct Answer-The nurse should first ensure proper oxygenation
followed by administer intravenous (IV) or intramuscular (IM) benzodiazepine
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? - Correct Answer-
Did you use any medications, like aspirin, for the fever?
A child has been diagnosed with a basilar skull fracture. The nurse identifies
ecchymosis behind the child's ear. This would be documented as: - Correct
Answer-Battle sign
The mother of a toddler tells the nurse during a routine well-child appointment
that she is concerned because, "It seems like my son is falling and hitting his head
all of the time." What is the best response by the nurse? - Correct Answer-Due to
the size of their heads and immature neck muscles falling is common, but I will let
the physician know your concerns
The nurse is collecting data from a child who may have a seizure disorder. Which
nursing observations suggest an absence seizure? - Correct Answer-Minimal or no
alteration in muscle tone, with a brief loss of responsiveness or attention
The nurse is educating the family of a 7-year-old with epilepsy about care and
safety for this child. What comment will be most valuable in helping the parent
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, JERSEY COLLEGE PEDS EXAM 2/FINAL EXAM NEWEST ACTUAL EXAM
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and the child cope? - Correct Answer-Use this information to teach family and
friends
The nurse is preparing a child experiencing new-onset seizures for an
electroencephalogram (EEG) test. How can the nurse best explain this procedure
to the child? - Correct Answer-Use a doll with electrodes attached to the head
Any individual taking phenobarbital for a seizure disorder should be taught: -
Correct Answer-never to discontinue the drug abruptly
Which nursing action should be included in the care plan to promote comfort in a
4-year-old child hospitalized with meningitis? - Correct Answer-Avoid making
noise when in the child's room
The nurse is interviewing the caregivers of a child brought to the emergency unit.
The caregiver states, "She has a history of seizures but this time it lasted more
than 30 minutes and she just keeps having them." The most accurate description
of this child's condition would be: - Correct Answer-The child is in status
epilepticus
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 for hemorrhagic stroke? - Correct Answer-
arteriovenous malformations (AVMs)
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