Question 1

The nurse is teaching parents the signs of a hearing impairment in infants.What should the nurse include as signs?

Accepted Answer

A)  Lack of a fencing reflex 
B)  Lack of a startle reflex to a loud sound 
C)  Awakened by loud environmental noises 
D)  Failure to localize a sound by 6 months of age 
E)  Response to loud noises as opposed to the voice 
A)  Lack of a fencing reflex 
B)  Lack of a startle reflex to a loud sound 
C)  Awakened by loud environmental noises 
D)  Failure to localize a sound by 6 months of age 
E)  Response to loud noises as opposed to the voice B,D,E

Question 2

The nurse is teaching parents the signs of a hearing impairment in a child.What should the nurse include as signs?

Accepted Answer

A)  Outgoing behavior 
B)  Yelling to express pleasure 
C)  Asking to have statements repeated 
D)  Foot stamping for vibratory sensation 
E)  Failure to develop intelligible speech by age 24 months 
A)  Outgoing behavior 
B)  Yelling to express pleasure 
C)  Asking to have statements repeated 
D)  Foot stamping for vibratory sensation 
E)  Failure to develop intelligible speech by age 24 months B,C,D,E

Question 3

Match the type of visual impairment to its definition.
-Different refractive strength in each eye

Accepted Answer

A) Myopia 
B) Hyperopia 
C) Astigmatism 
D) Anisometropia 
E) Amblyopia 
A) Myopia 
B) Hyperopia 
C) Astigmatism 
D) Anisometropia 
E) Amblyopia D

Question 4

A 5-year-old child has bilateral eye patches in place after surgery yesterday morning.Today he can be out of bed.What nursing intervention is most important at this time?

Accepted Answer

A)  Speak to him when entering the room. 
B)  Allow him to assist in feeding himself. 
C)  Orient him to his immediate surroundings. 
D)  Reassure him and allow his parents to stay with him. 
A)  Speak to him when entering the room. 
B)  Allow him to assist in feeding himself. 
C)  Orient him to his immediate surroundings. 
D)  Reassure him and allow his parents to stay with him.

Question 5

What technique facilitates lip reading by a hearing-impaired child?

Accepted Answer

A)  Speak at an even rate. 
B)  Avoid using facial expressions. 
C)  Exaggerate pronunciation of words. 
D)  Repeat in exactly the same way if child does not understand. 
A)  Speak at an even rate. 
B)  Avoid using facial expressions. 
C)  Exaggerate pronunciation of words. 
D)  Repeat in exactly the same way if child does not understand.

Question 6

The nurse is assessing a child with Down syndrome.The nurse recognizes that which are possible comorbidities that can occur with Down syndrome?

Accepted Answer

A)  Diabetes mellitus 
B)  Hodgkin's disease 
C)  Congenital heart defects 
D)  Respiratory tract infections 
E)  Acute megakaryoblastic leukemia 
A)  Diabetes mellitus 
B)  Hodgkin's disease 
C)  Congenital heart defects 
D)  Respiratory tract infections 
E)  Acute megakaryoblastic leukemia

Question 7

The parents of a child with cognitive impairment ask the nurse for guidance with discipline.What should the nurse's recommendation be based on?

Accepted Answer

A)  Discipline is ineffective with cognitively impaired children. 
B)  Cognitively impaired children do not require discipline. 
C)  Behavior modification is an excellent form of discipline. 
D)  Physical punishment is the most appropriate form of discipline. 
A)  Discipline is ineffective with cognitively impaired children. 
B)  Cognitively impaired children do not require discipline. 
C)  Behavior modification is an excellent form of discipline. 
D)  Physical punishment is the most appropriate form of discipline.

Question 8

The nurse is teaching feeding strategies to a parent of a 12-month-old infant with Down syndrome.What statement made by the parent indicates a need for further teaching?

Accepted Answer

A)  "If the food is thrust out, I will reefed it." 
B)  "I will use a small, long, straight-handled spoon." 
C)  "I will place the food on the top of the tongue." 
D)  "I know the tongue thrust doesn't indicate a refusal of the food." 
A)  "If the food is thrust out, I will reefed it." 
B)  "I will use a small, long, straight-handled spoon." 
C)  "I will place the food on the top of the tongue." 
D)  "I know the tongue thrust doesn't indicate a refusal of the food."

Question 9

Secondary prevention for cognitive impairment includes what activity?

Accepted Answer

A)  Genetic counseling 
B)  Avoidance of prenatal rubella infection 
C)  Preschool education and counseling services 
D)  Newborn screening for treatable inborn errors of metabolism 
A)  Genetic counseling 
B)  Avoidance of prenatal rubella infection 
C)  Preschool education and counseling services 
D)  Newborn screening for treatable inborn errors of metabolism

Question 10

What are indications for a referral regarding a communication impairment in a school-age child?

Accepted Answer

A)  Barely audible voice quality 
B)  Vocal pitch inappropriate for age 
C)  Intonation noted during speaking 
D)  Maintains a rhythm while speaking 
E)  Distortion of sounds after age 7 years 
A)  Barely audible voice quality 
B)  Vocal pitch inappropriate for age 
C)  Intonation noted during speaking 
D)  Maintains a rhythm while speaking 
E)  Distortion of sounds after age 7 years

Question 11

The nurse understands that which gestational disorders can cause a cognitive impairment in the newborn?

Accepted Answer

A)  Prematurity 
B)  Postmaturity 
C)  Low birth weight 
D)  Physiological jaundice 
E)  Large for gestational age 
A)  Prematurity 
B)  Postmaturity 
C)  Low birth weight 
D)  Physiological jaundice 
E)  Large for gestational age

Question 12

What action should the school nurse take for a child who has a hematoma (black eye)with no hemorrhage into the anterior chamber?

Accepted Answer

A)  Apply a warm moist pack. 
B)  Have the child keep the eyes open. 
C)  Apply ice for the first 24 hours. 
D)  Refer to an ophthalmologist immediately. 
A)  Apply a warm moist pack. 
B)  Have the child keep the eyes open. 
C)  Apply ice for the first 24 hours. 
D)  Refer to an ophthalmologist immediately.

Question 13

The nurse is preparing an education program on hearing impairment for a group of new staff nurses.What concepts should be included?

Accepted Answer

A)  A child with a slight hearing loss is usually unaware of a hearing difficulty. 
B)  A clinical manifestation of a hearing impairment in children is avoidance of social interaction. 
C)  A child with a severe hearing loss may hear a loud voice if nearby. 
D)  Children with sensorineural hearing loss can benefit from the use of a hearing aid. 
E)  A clinical manifestation of hearing impairment in an infant is lack of the startle reflex.
F) Identification of a hearing loss after the first year is essential to facilitate language development in children. 
A)  A child with a slight hearing loss is usually unaware of a hearing difficulty. 
B)  A clinical manifestation of a hearing impairment in children is avoidance of social interaction. 
C)  A child with a severe hearing loss may hear a loud voice if nearby. 
D)  Children with sensorineural hearing loss can benefit from the use of a hearing aid. 
E)  A clinical manifestation of hearing impairment in an infant is lack of the startle reflex.
F) Identification of a hearing loss after the first year is essential to facilitate language development in children.

Question 14

The nurse is teaching parents of a child with cataracts about the upcoming treatment.The nurse should give the parents what information about the treatment of cataracts?

Accepted Answer

A)  "The treatment may require more than one surgery." 
B)  "It is corrected with biconcave lenses that focus rays on the retina." 
C)  "Cataracts require surgery to remove the cloudy lens and replace it." 
D)  "Treatment is with a corrective lenses; no surgery is necessary." 
A)  "The treatment may require more than one surgery." 
B)  "It is corrected with biconcave lenses that focus rays on the retina." 
C)  "Cataracts require surgery to remove the cloudy lens and replace it." 
D)  "Treatment is with a corrective lenses; no surgery is necessary."

Question 15

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 intervention is the most appropriate nursing action?

Accepted Answer

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

Question 16

The school nurse is caring for a child with a penetrating eye injury.Emergency treatment includes what intervention?

Accepted Answer

A)  Place a cool compress on eye during transport to the emergency department. 
B)  Irrigate the eye copiously with a sterile saline solution. 
C)  Remove the object with a lightly moistened gauze pad. 
D)  Apply a Fox shield to the affected eye and any type of patch to the other eye. 
A)  Place a cool compress on eye during transport to the emergency department. 
B)  Irrigate the eye copiously with a sterile saline solution. 
C)  Remove the object with a lightly moistened gauze pad. 
D)  Apply a Fox shield to the affected eye and any type of patch to the other eye.

Question 17

Match the type of visual impairment to its definition.
-Reduced visual acuity in one eye

Accepted Answer

A) Myopia 
B) Hyperopia 
C) Astigmatism 
D) Anisometropia 
E) Amblyopia 
A) Myopia 
B) Hyperopia 
C) Astigmatism 
D) Anisometropia 
E) Amblyopia

Question 18

The American Association on Intellectual and Developmental Disabilities (AAIDD),formerly the American Association on Cognitive Impairment,classifies cognitive impairment based on what parameter?

Accepted Answer

A)  Age of onset 
B)  Subaverage intelligence 
C)  Adaptive skill domains 
D)  Causative factors for cognitive impairment 
A)  Age of onset 
B)  Subaverage intelligence 
C)  Adaptive skill domains 
D)  Causative factors for cognitive impairment

Question 19

The nurse should plan which actions to assist the stuttering child?

Accepted Answer

A)  Ask the child to stop and start over. 
B)  Promise a reward for proper speech. 
C)  Set a good example by speaking clearly. 
D)  Give the child plenty of time to finish sentences. 
E)  Look directly at the child while he or she is speaking. 
A)  Ask the child to stop and start over. 
B)  Promise a reward for proper speech. 
C)  Set a good example by speaking clearly. 
D)  Give the child plenty of time to finish sentences. 
E)  Look directly at the child while he or she is speaking.

Question 20

The clinic nurse is assessing an infant.What are early signs of cognitive impairment the nurse should discuss with the health care provider?

Accepted Answer

A)  Head lag at 11 months of age 
B)  No pincer grasp at 4 months of age 
C)  Colicky incidents at 3 months of age 
D)  Unable to speak two to three words at 24 months of age 
E)  Unresponsiveness to the environment at 12 months of age 
A)  Head lag at 11 months of age 
B)  No pincer grasp at 4 months of age 
C)  Colicky incidents at 3 months of age 
D)  Unable to speak two to three words at 24 months of age 
E)  Unresponsiveness to the environment at 12 months of age

Exam 21: The Child With Cognitive, sensory, or Communication Impairment

The nurse is teaching parents the signs of a hearing impairment in infants.What should the nurse include as signs?

The nurse is teaching parents the signs of a hearing impairment in a child.What should the nurse include as signs?

Match the type of visual impairment to its definition. -Different refractive strength in each eye

A 5-year-old child has bilateral eye patches in place after surgery yesterday morning.Today he can be out of bed.What nursing intervention is most important at this time?

What technique facilitates lip reading by a hearing-impaired child?

The nurse is assessing a child with Down syndrome.The nurse recognizes that which are possible comorbidities that can occur with Down syndrome?

The parents of a child with cognitive impairment ask the nurse for guidance with discipline.What should the nurse's recommendation be based on?

The nurse is teaching feeding strategies to a parent of a 12-month-old infant with Down syndrome.What statement made by the parent indicates a need for further teaching?

Secondary prevention for cognitive impairment includes what activity?

What are indications for a referral regarding a communication impairment in a school-age child?

The nurse understands that which gestational disorders can cause a cognitive impairment in the newborn?

What action should the school nurse take for a child who has a hematoma (black eye)with no hemorrhage into the anterior chamber?

The nurse is preparing an education program on hearing impairment for a group of new staff nurses.What concepts should be included?

The nurse is teaching parents of a child with cataracts about the upcoming treatment.The nurse should give the parents what information about the treatment of cataracts?

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 intervention is the most appropriate nursing action?

The school nurse is caring for a child with a penetrating eye injury.Emergency treatment includes what intervention?

Match the type of visual impairment to its definition. -Reduced visual acuity in one eye

The American Association on Intellectual and Developmental Disabilities (AAIDD),formerly the American Association on Cognitive Impairment,classifies cognitive impairment based on what parameter?

The nurse should plan which actions to assist the stuttering child?

The clinic nurse is assessing an infant.What are early signs of cognitive impairment the nurse should discuss with the health care provider?

Perspectives of Pediatric Nursing

Social,cultural,religious,and Family Influences on Child Health Promotion

Hereditary Influences on Health Promotion of the Child and Family

Communication, physical, and Developmental Assessment

Pain Assessment and Management in Children

Childhood Communicable and Infectious Diseases

Health Promotion of the Newborn and Family

Health Problems of Newborns

The High-Risk Newborn and Family

Health Promotion of the Infant and Family

Health Problems of the Infant

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Problems of Early Childhood

Health Promotion of the School-Age Child and Family

Health Problems of the School-Age Child

Health Promotion of the Adolescent and Family

Health Problems of the Adolescent

Family-Centered Care of the Child With Chronic Illness or Disability

Family-Centered Palliative Care

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Nursing Interventions and Skills

The Child With Fluid and Electrolyte Imbalance

The Child With Renal Dysfunction

The Child With Gastrointestinal Dysfunction

Overview of Oxygen and Carbon Dioxide Exchange

The Child With Respiratory Dysfunction

The Child With Cardiovascular Dysfunction

The Child With Hematologic or Immunologic Dysfunction

The Child With Cancer

The Child With Cerebral Dysfunction

The Child With Endocrine Dysfunction

The Child With Musculoskeletal or Articular Dysfunction

The Child With Neuromuscular or Muscular Dysfunction

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