Practice Question
A nurse is assessing an infant following a motor vehicle crash. Which of the following findings should the nurse monitor to identify increased intracranial pressure?
Answer Choices:
Correct Answer:
Increased sleeping
Rationale:
💎 Early signs of increased ICP in infants include lethargy, irritability, bulging fontanel, poor feeding, and increased sleeping.
💎 As pressure rises, neurological responses slow, leading to decreased consciousness.
💎 Depressed fontanels indicate dehydration, not ICP. Brisk pupillary reaction and tachycardia are normal or unrelated to intracranial pressure changes.
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This question is from Custom Peds - Exam 4 which contains 21 questions.
More Questions from This Exam
A nurse is caring for a preschooler who has a partial-thickness burn on her right forearm. Which of the following findings should the nurse expect? (Select all that apply.)
Answer Choices:
A. Wound blanches with pressure
B. Blisters
C. Dry surface
D. Intact epidermis
E. Sensitive to touch
A nurse is admitting a child who has leukemia. Which of the following clients should the nurse place in the same room with this child?
Answer Choices:
A. A child who has cystic fibrosis
B. A child who has nephrotic syndrome
C. A child who has rheumatic fever
D. A child recovering from a ruptured appendix
A nurse is assessing an 11-month-old infant. Which of the following manifestations is associated with a CNS infection?
Answer Choices:
A. Negative Brudzinski sign
B. Jaundice
C. Bulging fontanel
D. Oliguria
A nurse is caring for a child who ingested kerosene. Which of the following assessments is the nurse's priority?
Answer Choices:
A. Respiratory rate
B. Burns of the mouth
C. Visual acuity
D. Bowel sounds
A nurse is providing teaching to a parent of a preschooler who has eczema. Which of the following instructions should the nurse include in the teaching?
Answer Choices:
A. Dress the child in woolen clothes during cold months.
B. Give the child a bubble baths every day.
C. Launder the child's clothing with fabric softener.
D. Apply a topical corticosteroid ointment to the affected area.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Pediatrics
- Answer Choices: 4