Chapter 20: Care of children and young people with neurological problems

1. In patients with suspected raised ICP, the nursing care includes:

  1. Nursing them in the supine position with their legs elevated
  2. Nursing them in a 30 degree head up position
  3. Nursing them with the head in a midline in a 30 degree head up position
  4. Nursing them in the recovery position

Answer: C

2. Which of the following is NOT thought to be an appropriate physical stimulus to assess a head injured child aged 7 years?

  1. Verbal stimulus
  2. Supraorbital pressure
  3. Applying pressure to nail bed
  4. Sternal rub

Answer: D

3. Which type of scan would be most appropriate in the acute phase of head injury?

  1. MRI scan
  2. Ultrasound scan
  3. CT scan
  4. Skull x-ray

Answer: C

4. According to the Munro-Kelly doctrine the components within the cranial vault are:

  1. Blood, cerebral spinal fluid and brain
  2. Bone, blood, cerebral spinal fluid and brain
  3. Meninges, blood, cerebral spinal fluid and brain
  4. Subarachnoid spaces, blood, cerebral spinal fluid and brain

Answer: A

5. Which of the following statements is NOT true?

  1. Broca's area is associated with the expressive aspect of speech
  2. Broca's area is located in the left frontal lobe
  3. Broca's area is located in the left temporal lobe
  4. Wernicke's area is associated with speech and comprehension

Answer: C