WCF Neuro Quiz

The nurse is caring for a hospitalized infant at risk for developing increased intracranial pressure. Which assessment finding(s) would the nurse communicate to the health care provider for further intervention? Select all that apply.

• Increased head circumference

• Pulse rate of 60 beats/min and regular

• Vomiting

• Blood pressure at baseline

• Parent states, "My infant does not act right."

The nurse is collecting data on an 18-month-old child admitted with a diagnosis of possible seizures. When interviewing the caregivers, which questions would be most important for the nurse to ask?

• “Is your child up to date on his immunizations?”

• “Has anyone in your family been sick recently”

• “What type of activities was your child doing today?”

• “Have you checked your child's temperature?”

A child is brought to the emergency department after sustaining a concussion. The child is to be discharged home with his parents. Which of the following would the nurse NOT include in the child's discharge instructions? Select all that apply.

• “Expect his headache to get worse initially and then disappear.”

• “Wake him every 2 hours to check his movement and responses.”

• “Call your medical provider if he vomits more than 4 times.”

• “Any watery fluid draining from his ears is normal.”

• “Stay with the child for the first 24 hours & closely watch for days after.”

Which is the most common type of seizure seen in a 2-year-old?

• Febrile seizure

• Tonic-clonic seizure

• Petit mal seizure

• GTCS

According to the picture, what would the condition on the far right be called?

• Spina bifida occulta

• Myelocele

• Meningocele

• Myelomeningocele

Which of the following are signs and symptoms that patients with spinal bifida may experience? Select all that apply.

• Weakness of the legs or being unable to move the legs

• Problems with the feet, knees, hips, legs, or spine

• Problems controlling bladder or bowel

• Problems with learning, attention and memory

• Problems building relationships

A lumbar puncture can be used to diagnose or rule out:

• Meningitis

• Pancreatitis

• Lewy Body Dementia

• Osteosarcoma

The school nurse notes a 6 year old running across the playground with his friends. The child stops mid-stride, freezing for a few seconds. Then the child resumes his progress across the playground. The school nurse may suspect what in this child?

• a tonic-clonic seizure
• an absence seizure
• parkinson's disease
• huntington's chorea

Which of the following MOST accurately describes what the patient will experience during the postictal state that follows a seizure?

• Hyperventilation and hypersalivation

• A rapidly improving level of consciousness

• Confusion and fatigue

• A gradually decreasing level of consciousness

Febrile seizures:

• often result in permanent brain damage.

• are also referred to as absence seizures.

• are usually benign but should be evaluated.

• occur when a child's fever rises slowly.