Question 1

A nurse suspects possible visual impairment in a child who displays which one of the following?

Accepted Answer

A)  Excessive rubbing of the eyes 
B)  Rapid lateral movement of the eyes 
C)  Delay in speech development 
D)  Lack of interest in casual conversation with peers 
A)  Excessive rubbing of the eyes 
B)  Rapid lateral movement of the eyes 
C)  Delay in speech development 
D)  Lack of interest in casual conversation with peers A

Question 2

An adolescent gets hit in the eye during a fight.The school nurse,using a flashlight,notes the presence of a gross hyphema (hemorrhage into anterior chamber).What should the nurse do?

Accepted Answer

A)  Apply a Fox shield. 
B)  Instruct the adolescent to apply ice for 24 hours. 
C)  Have the adolescent rest with eye closed and ice applied. 
D)  Notify the parents that the adolescent needs to see an ophthalmologist. 
A)  Apply a Fox shield. 
B)  Instruct the adolescent to apply ice for 24 hours. 
C)  Have the adolescent rest with eye closed and ice applied. 
D)  Notify the parents that the adolescent needs to see an ophthalmologist. D

Question 3

What is the most common clinical manifestation of retinoblastoma?

Accepted Answer

A)  Glaucoma 
B)  Amblyopia 
C)  White eye reflex 
D)  Sunken eye socket 
A)  Glaucoma 
B)  Amblyopia 
C)  White eye reflex 
D)  Sunken eye socket C

Question 4

Which one of the following is an implanted ear prosthesis for children with sensorineural hearing loss?

Accepted Answer

A)  Hearing aid 
B)  Cochlear implant 
C)  Auditory implant 
D)  Amplification device 
A)  Hearing aid 
B)  Cochlear implant 
C)  Auditory implant 
D)  Amplification device

Question 5

What is the major consideration when selecting toys for a child who is cognitively impaired?

Accepted Answer

A)  Safety 
B)  Age appropriateness 
C)  Ability to provide exercise 
D)  Ability to teach useful skills 
A)  Safety 
B)  Age appropriateness 
C)  Ability to provide exercise 
D)  Ability to teach useful skills

Question 6

Autism is a complex developmental disorder.The diagnostic criteria for autism include delayed or abnormal functioning in which area with onset before age 3 years?

Accepted Answer

A)  Symbolic or imaginative play 
B)  Parallel play 
C)  Gross motor development 
D)  Growth below the 5th percentile for height and weight 
A)  Symbolic or imaginative play 
B)  Parallel play 
C)  Gross motor development 
D)  Growth below the 5th percentile for height and weight

Question 7

Which term refers to opacity of the crystalline lens that prevents light rays from entering the eye and refracting on the retina?

Accepted Answer

A)  Myopia 
B)  Amblyopia 
C)  Cataract 
D)  Glaucoma 
A)  Myopia 
B)  Amblyopia 
C)  Cataract 
D)  Glaucoma

Question 8

A newborn assessment shows separated sagittal suture,oblique palpebral fissures,depressed nasal bridge,protruding tongue,and transverse palmar creases.What are these findings most suggestive of?

Accepted Answer

A)  Microcephaly 
B)  Down syndrome 
C)  Cerebral palsy 
D)  Fragile X syndrome 
A)  Microcephaly 
B)  Down syndrome 
C)  Cerebral palsy 
D)  Fragile X syndrome

Question 9

The nurse is talking with a 10-year-old boy who wears bilateral hearing aids.The left hearing aid is making an annoying whistling sound that the child cannot hear.What is the most appropriate nursing action?

Accepted Answer

A)  Ignore the sound. 
B)  Ask him to reverse the hearing aids in his ears. 
C)  Suggest that he reinsert the hearing aid. 
D)  Suggest that he raise the volume of the hearing aid. 
A)  Ignore the sound. 
B)  Ask him to reverse the hearing aids in his ears. 
C)  Suggest that he reinsert the hearing aid. 
D)  Suggest that he raise the volume of the hearing aid.

Question 10

When a child with mild cognitive impairment reaches the end of adolescence,which level of skill development is expected?

Accepted Answer

A)  Achieves a mental age of 3 to 7 years 
B)  Achieves a mental age of 8 to 12 years 
C)  Unable to progress in functional reading or arithmetic 
D)  Acquires practical skills, useful reading, and arithmetic to an eighth-grade level 
A)  Achieves a mental age of 3 to 7 years 
B)  Achieves a mental age of 8 to 12 years 
C)  Unable to progress in functional reading or arithmetic 
D)  Acquires practical skills, useful reading, and arithmetic to an eighth-grade level

Question 11

Hearing is expressed in decibels,or units of loudness.What is the softest sound a normal ear can hear,in decibels?

Accepted Answer

A)  0 
B)  10 
C)  40 to 50 
D)  100 
A)  0 
B)  10 
C)  40 to 50 
D)  100

Question 12

The school nurse is caring for a child with a penetrating eye injury.Which one of the following is included in emergency treatment?

Accepted Answer

A)  Apply a regular eye patch. 
B)  Apply a Fox shield to the affected eye and any type of patch to the other eye. 
C)  Apply ice until the physician is seen. 
D)  Irrigate the eye copiously with a sterile saline solution. 
A)  Apply a regular eye patch. 
B)  Apply a Fox shield to the affected eye and any type of patch to the other eye. 
C)  Apply ice until the physician is seen. 
D)  Irrigate the eye copiously with a sterile saline solution.

Question 13

Which of the following should be included in the care of a child with Down syndrome?

Accepted Answer

A)  Delay feeding solid foods until the tongue thrust has stopped. 
B)  Modify diet as necessary to minimize the diarrhea that often occurs. 
C)  Provide calories appropriate to the child's age. 
D)  Use a cool-mist vaporizer to keep mucous membranes moist. 
A)  Delay feeding solid foods until the tongue thrust has stopped. 
B)  Modify diet as necessary to minimize the diarrhea that often occurs. 
C)  Provide calories appropriate to the child's age. 
D)  Use a cool-mist vaporizer to keep mucous membranes moist.

Question 14

Mark,a 9-year-old with Down syndrome,is mainstreamed into a regular Grade 3 class for part of the school day.His mother asks the school nurse about programs such as Cub Scouts that he might join.What knowledge should the nurse's recommendation be based upon?

Accepted Answer

A)  Programs such as Cub Scouts are inappropriate for children who are cognitively impaired. 
B)  Children with Down syndrome have the same need for socialization as other children. 
C)  Children with Down syndrome socialize better with children who have similar disabilities. 
D)  Parents of children with Down syndrome want access to programs such as Scouts because they deny that their children have disabilities. 
A)  Programs such as Cub Scouts are inappropriate for children who are cognitively impaired. 
B)  Children with Down syndrome have the same need for socialization as other children. 
C)  Children with Down syndrome socialize better with children who have similar disabilities. 
D)  Parents of children with Down syndrome want access to programs such as Scouts because they deny that their children have disabilities.

Question 15

Preventing hearing impairment in children is a major goal for a nurse.What is one way that this can be achieved?

Accepted Answer

A)  Be involved in immunization clinics for children. 
B)  Assess a newborn for hearing loss. 
C)  Answer parents' questions about hearing aids. 
D)  Participate in hearing screening in the community. 
A)  Be involved in immunization clinics for children. 
B)  Assess a newborn for hearing loss. 
C)  Answer parents' questions about hearing aids. 
D)  Participate in hearing screening in the community.

Question 16

What is the most common type of hearing loss that results from interference of transmission of sound to the middle ear?

Accepted Answer

A)  Conductive 
B)  Sensorineural 
C)  Mixed conductive-sensorineural 
D)  Central auditory imperceptive 
A)  Conductive 
B)  Sensorineural 
C)  Mixed conductive-sensorineural 
D)  Central auditory imperceptive

Question 17

A father calls the emergency department nurse,saying that his daughter's eyes burn after getting some dishwasher detergent in them.The nurse recommends that the child be seen in the emergency department or by an ophthalmologist.What should the nurse recommend the parents do before transporting the child?

Accepted Answer

A)  Keep the eyes closed. 
B)  Apply cold compresses. 
C)  Irrigate eyes copiously with tap water for 20 minutes. 
D)  Prepare a normal saline solution (salt and water) and irrigate eyes for 20 minutes. 
A)  Keep the eyes closed. 
B)  Apply cold compresses. 
C)  Irrigate eyes copiously with tap water for 20 minutes. 
D)  Prepare a normal saline solution (salt and water) and irrigate eyes for 20 minutes.

Question 18

When caring for a newborn with Down syndrome,the nurse should be aware that the most common congenital anomaly is which one of the following?

Accepted Answer

A)  Hypospadias 
B)  Pyloric stenosis 
C)  Congenital heart disease 
D)  Congenital hip dysplasia 
A)  Hypospadias 
B)  Pyloric stenosis 
C)  Congenital heart disease 
D)  Congenital hip dysplasia

Question 19

Distortion of sound and problems in discrimination are characteristic of which type of hearing loss?

Accepted Answer

A)  Conductive 
B)  Sensorineural 
C)  Mixed conductive-sensorineural 
D)  Central auditory imperceptive 
A)  Conductive 
B)  Sensorineural 
C)  Mixed conductive-sensorineural 
D)  Central auditory imperceptive

Question 20

Which term refers to the ability to see objects clearly at close range but not at a distance?

Accepted Answer

A)  Myopia 
B)  Amblyopia 
C)  Cataract 
D)  Glaucoma 
A)  Myopia 
B)  Amblyopia 
C)  Cataract 
D)  Glaucoma

Exam 42: Cognitive and Sensory Impairment

A nurse suspects possible visual impairment in a child who displays which one of the following?

An adolescent gets hit in the eye during a fight.The school nurse,using a flashlight,notes the presence of a gross hyphema (hemorrhage into anterior chamber).What should the nurse do?

What is the most common clinical manifestation of retinoblastoma?

Which one of the following is an implanted ear prosthesis for children with sensorineural hearing loss?

What is the major consideration when selecting toys for a child who is cognitively impaired?

Autism is a complex developmental disorder.The diagnostic criteria for autism include delayed or abnormal functioning in which area with onset before age 3 years?

Which term refers to opacity of the crystalline lens that prevents light rays from entering the eye and refracting on the retina?

A newborn assessment shows separated sagittal suture,oblique palpebral fissures,depressed nasal bridge,protruding tongue,and transverse palmar creases.What are these findings most suggestive of?

The nurse is talking with a 10-year-old boy who wears bilateral hearing aids.The left hearing aid is making an annoying whistling sound that the child cannot hear.What is the most appropriate nursing action?

When a child with mild cognitive impairment reaches the end of adolescence,which level of skill development is expected?

Hearing is expressed in decibels,or units of loudness.What is the softest sound a normal ear can hear,in decibels?

The school nurse is caring for a child with a penetrating eye injury.Which one of the following is included in emergency treatment?

Which of the following should be included in the care of a child with Down syndrome?

Mark,a 9-year-old with Down syndrome,is mainstreamed into a regular Grade 3 class for part of the school day.His mother asks the school nurse about programs such as Cub Scouts that he might join.What knowledge should the nurse's recommendation be based upon?

Preventing hearing impairment in children is a major goal for a nurse.What is one way that this can be achieved?

What is the most common type of hearing loss that results from interference of transmission of sound to the middle ear?

When caring for a newborn with Down syndrome,the nurse should be aware that the most common congenital anomaly is which one of the following?

Distortion of sound and problems in discrimination are characteristic of which type of hearing loss?

Which term refers to the ability to see objects clearly at close range but not at a distance?

Contemporary Perinatal Nursing in Canada

The Family and Culture

Community Care

Health Promotion

Health Assessment

Reproductive Health

Infertility, contraception, and Abortion

Preconception, genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care During Pregnancy

Maternal and Fetal Nutrition

Pregnancy Risk Factors and Assessment: Maternal and Fetal

Pregnancy at Risk: Gestational Conditions

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Comfort Measures for Labour

Fetal Health Surveillance During Labour

Nursing Care During Labour and Birth

Labour and Birth at Risk

Maternal Physiological Changes

Nursing Care During the Fourth Trimester

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn

Newborn Nutrition and Feeding

Infants With Gestational Age-Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Contemporary Pediatric Nursing in Canada

Community-Based Nursing Care of the Child and Family

Family Influences on Child Health Promotion

Social, cultural, and Religious Influences on Child Health Promotion

Developmental Influences on Child Health Promotion

Communication, history, physical, and Developmental Assessment

Pain Assessment and Management

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, disability, and End-Of-Life Care

Family-Centred Home Care

Reaction to Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematological and Immunological Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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