Pediatric ATI Practice Exam

What manifestation of increased intracranial pressure should a nurse look for in a school-age child with an infratentorial brain tumor?

1. Severe headache

2. Decreased attention span

3. Increased heart rate

4. Persistent vomiting

The correct answer is: Decreased attention span

The manifestation that the nurse should look for in a school-age child with an infratentorial brain tumor is a decreased attention span. Infratentorial brain tumors can affect the brainstem and cerebellum, which are critical areas for sensory, motor, and cognitive functions. As intracranial pressure increases, it can lead to alterations in consciousness and cognitive function. This might manifest as difficulties in concentrating or a noticeable decrease in attentiveness in school-age children, reflecting their struggles to process information and engage in tasks effectively. While severe headaches, increased heart rate, and persistent vomiting can also be associated with increased intracranial pressure and brain tumors, the attention span is particularly relevant in the context of cognitive and behavioral changes due to the tumor's location. Thus, monitoring for a decreased attention span can be an essential indicator of increased intracranial pressure in this scenario.