Question 1

Teaching parents about the use and application of an eye patch to treat strabismus should include which instruction?

Accepted Answer

A)  Check under the patch four times a day. 
B)  Apply the patch directly to the face. 
C)  Sometimes patching alone will straighten the eye. 
D)  Negotiate the number of hours per day that the patch is to be worn. 
A)  Check under the patch four times a day. 
B)  Apply the patch directly to the face. 
C)  Sometimes patching alone will straighten the eye. 
D)  Negotiate the number of hours per day that the patch is to be worn. B

Question 2

Which interventions should the nurse plan when caring for a child with a visual impairment? (Select all that apply.)

Accepted Answer

A)  Touch the child upon entering the room before speaking. 
B)  Keep items in the room in the same location. 
C)  Describe the placement of the eating utensils on the meal tray. 
D)  Face the child when speaking. 
E)  Identify noises for the child. 
A)  Touch the child upon entering the room before speaking. 
B)  Keep items in the room in the same location. 
C)  Describe the placement of the eating utensils on the meal tray. 
D)  Face the child when speaking. 
E)  Identify noises for the child. B,C,E

Question 3

Which interventions should the nurse plan when caring for a child with a hearing loss? (Select all that apply.)

Accepted Answer

A)  Speak loudly. 
B)  Speak slowly. 
C)  Have the child's full attention. 
D)  Use visual aids. 
E)  Eliminate background noise. 
A)  Speak loudly. 
B)  Speak slowly. 
C)  Have the child's full attention. 
D)  Use visual aids. 
E)  Eliminate background noise. B,C,D,E

Question 4

A 5-year-old diagnosed with chlamydial conjunctivitis should be carefully assessed for which of the following?

Accepted Answer

A)  Sexual abuse 
B)  Immune deficiency 
C)  Congenital cataract 
D)  Secondary glaucoma 
A)  Sexual abuse 
B)  Immune deficiency 
C)  Congenital cataract 
D)  Secondary glaucoma

Question 5

A 13-year-old adolescent is suspected to have a visual deficit and is scheduled for further evaluation.The teen asks the nurse to tell "the truth" about the tests.What is the nurse's best response?

Accepted Answer

A)  "Don't worry about anything. We're here to take good care of you." 
B)  "Ask your parents. They have talked with the physicians." 
C)  "Most of the vision tests are painless and noninvasive." 
D)  "Trust the doctors. They know what is best for you." 
A)  "Don't worry about anything. We're here to take good care of you." 
B)  "Ask your parents. They have talked with the physicians." 
C)  "Most of the vision tests are painless and noninvasive." 
D)  "Trust the doctors. They know what is best for you."

Question 6

A patient who has a hyphema is at risk for developing which condition?

Accepted Answer

A)  Glaucoma 
B)  Strabismus 
C)  Diplopia 
D)  Astigmatism 
A)  Glaucoma 
B)  Strabismus 
C)  Diplopia 
D)  Astigmatism

Question 7

The teaching plan for a 7-year-old boy with color deficiency should include what instruction?

Accepted Answer

A)  Buy only one color of clothing to ensure the child's ability to match items himself. 
B)  Patching the weaker eye will improve his color vision. 
C)  Teach him an alternate way to distinguish between the colors of traffic signals. 
D)  Botulism toxin drops must be administered every 2 months to improve color vision. 
A)  Buy only one color of clothing to ensure the child's ability to match items himself. 
B)  Patching the weaker eye will improve his color vision. 
C)  Teach him an alternate way to distinguish between the colors of traffic signals. 
D)  Botulism toxin drops must be administered every 2 months to improve color vision.

Question 8

On the second postoperative day of an eye surgery,the child has puffy eyes,increased tearing,and fever.What is the most applicable nursing diagnosis?

Accepted Answer

A)  Risk for Infection related to surgical procedure 
B)  Infection related to surgical procedure 
C)  Disturbed Sensory Perception (Visual) related to surgical procedure 
D)  Acute Pain related to recent surgical intervention 
A)  Risk for Infection related to surgical procedure 
B)  Infection related to surgical procedure 
C)  Disturbed Sensory Perception (Visual) related to surgical procedure 
D)  Acute Pain related to recent surgical intervention

Question 9

A nurse suspects possible visual impairment in a child who displays which problem?

Accepted Answer

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

Question 10

The nurse is caring for a 2-year-old child who has a history of meningitis as an infant.The child is not speaking and does not turn the head to the sound of a rattle.Which type of hearing loss in a child may have resulted from a previous infection with meningitis?

Accepted Answer

A)  Conductive 
B)  Sensorineural 
C)  Central 
D)  Mixed 
A)  Conductive 
B)  Sensorineural 
C)  Central 
D)  Mixed

Question 11

A parent brings an 18-month-old to the pediatrician for a routine well-child visit and reports the child has been babbling and cooing since 6 months of age but is not yet saying any words.Which response by the nurse is the most appropriate?

Accepted Answer

A)  "Don't worry, your child should catch up soon." 
B)  "The doctor will want to refer your child to an audiologist and speech pathologist." 
C)  "This is normal speech development for an 18-month-old child." 
D)  "Your child has an expressive language disorder and needs further evaluation." 
A)  "Don't worry, your child should catch up soon." 
B)  "The doctor will want to refer your child to an audiologist and speech pathologist." 
C)  "This is normal speech development for an 18-month-old child." 
D)  "Your child has an expressive language disorder and needs further evaluation."

Question 12

Discharge planning for an 8-year-old child with a patched eye after a large corneal abrasion should include which instruction?

Accepted Answer

A)  Removing the patch after 8 hours for instillation of antibiotic ointment 
B)  Gently massaging the affected eye to prevent edema 
C)  Keeping the patch in place for 24 hours 
D)  Returning after 7 days of patching for reassessment 
A)  Removing the patch after 8 hours for instillation of antibiotic ointment 
B)  Gently massaging the affected eye to prevent edema 
C)  Keeping the patch in place for 24 hours 
D)  Returning after 7 days of patching for reassessment

Question 13

Which teaching guideline helps prevent eye injuries during sports and play activities?

Accepted Answer

A)  Restrict helmet use to those who wear eye glasses or contact lenses. 
B)  Discourage the use of goggles with helmets so the child can see better. 
C)  Wear eye protection when participating in high-risk sports such as paintball. 
D)  Wear a face mask when playing any sport or playing roughly. 
A)  Restrict helmet use to those who wear eye glasses or contact lenses. 
B)  Discourage the use of goggles with helmets so the child can see better. 
C)  Wear eye protection when participating in high-risk sports such as paintball. 
D)  Wear a face mask when playing any sport or playing roughly.

Question 14

Which statement by a parent about conjunctivitis indicates that further teaching is needed?

Accepted Answer

A)  "I'll have separate towels and washcloths for each family member." 
B)  "I'll notify my doctor if the eye gets redder or the drainage increases." 
C)  "When the eye drainage improves, we'll stop giving the antibiotic ointment." 
D)  "After taking the antibiotic for 24 hours, my child can return to school." 
A)  "I'll have separate towels and washcloths for each family member." 
B)  "I'll notify my doctor if the eye gets redder or the drainage increases." 
C)  "When the eye drainage improves, we'll stop giving the antibiotic ointment." 
D)  "After taking the antibiotic for 24 hours, my child can return to school."

Question 15

A 2-year-old has excessive tearing and corneal haziness.The nurse knows that these symptoms may indicate which of the following?

Accepted Answer

A)  Viral conjunctivitis 
B)  Paralytic strabismus 
C)  Congenital cataract 
D)  Infantile glaucoma 
A)  Viral conjunctivitis 
B)  Paralytic strabismus 
C)  Congenital cataract 
D)  Infantile glaucoma

Question 16

Which statement by a parent indicates understanding of instructions on the care of a child with conjunctivitis?

Accepted Answer

A)  "I should treat my other children with these eye drops to prevent spread of the disease." 
B)  "My child must remain home from school until she has received 72 hours of antibiotic drops." 
C)  "I should avoid touching the tip of the ointment tube to my child's eye." 
D)  "My child may go back to wearing her contact lenses 24 hours after treatment has started." 
A)  "I should treat my other children with these eye drops to prevent spread of the disease." 
B)  "My child must remain home from school until she has received 72 hours of antibiotic drops." 
C)  "I should avoid touching the tip of the ointment tube to my child's eye." 
D)  "My child may go back to wearing her contact lenses 24 hours after treatment has started."

Question 17

The most common type of hearing loss,which results from interference of transmission of sound to the middle ear,is called

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 18

The correct position for the postoperative child who has had a cataract removed from the right eye is the ________ position.

Accepted Answer

A)  supine 
B)  prone 
C)  knee-chest 
D)  right lateral Sims 
A)  supine 
B)  prone 
C)  knee-chest 
D)  right lateral Sims

Question 19

The nurse should know that the results of untreated amblyopia ("lazy eye")in the child may include which of the following?

Accepted Answer

A)  Impaired depth perception 
B)  Strabismus 
C)  Color deficiency 
D)  Ptosis 
A)  Impaired depth perception 
B)  Strabismus 
C)  Color deficiency 
D)  Ptosis

Question 20

Initial care of the child with a chemical burn to the eye(s)is focused on which of the following?

Accepted Answer

A)  Irrigation of the affected eye(s) 
B)  Application of topical steroids 
C)  Administration of an analgesic 
D)  Administration of medication to constrict the pupils 
A)  Irrigation of the affected eye(s) 
B)  Application of topical steroids 
C)  Administration of an analgesic 
D)  Administration of medication to constrict the pupils

Exam 55: The Child with a Sensory Alteration

Teaching parents about the use and application of an eye patch to treat strabismus should include which instruction?

Which interventions should the nurse plan when caring for a child with a visual impairment? (Select all that apply.)

Which interventions should the nurse plan when caring for a child with a hearing loss? (Select all that apply.)

A 5-year-old diagnosed with chlamydial conjunctivitis should be carefully assessed for which of the following?

A 13-year-old adolescent is suspected to have a visual deficit and is scheduled for further evaluation.The teen asks the nurse to tell "the truth" about the tests.What is the nurse's best response?

A patient who has a hyphema is at risk for developing which condition?

The teaching plan for a 7-year-old boy with color deficiency should include what instruction?

On the second postoperative day of an eye surgery,the child has puffy eyes,increased tearing,and fever.What is the most applicable nursing diagnosis?

A nurse suspects possible visual impairment in a child who displays which problem?

The nurse is caring for a 2-year-old child who has a history of meningitis as an infant.The child is not speaking and does not turn the head to the sound of a rattle.Which type of hearing loss in a child may have resulted from a previous infection with meningitis?

A parent brings an 18-month-old to the pediatrician for a routine well-child visit and reports the child has been babbling and cooing since 6 months of age but is not yet saying any words.Which response by the nurse is the most appropriate?

Discharge planning for an 8-year-old child with a patched eye after a large corneal abrasion should include which instruction?

Which teaching guideline helps prevent eye injuries during sports and play activities?

Which statement by a parent about conjunctivitis indicates that further teaching is needed?

A 2-year-old has excessive tearing and corneal haziness.The nurse knows that these symptoms may indicate which of the following?

Which statement by a parent indicates understanding of instructions on the care of a child with conjunctivitis?

The most common type of hearing loss,which results from interference of transmission of sound to the middle ear,is called

The correct position for the postoperative child who has had a cataract removed from the right eye is the ________ position.

The nurse should know that the results of untreated amblyopia ("lazy eye")in the child may include which of the following?

Initial care of the child with a chemical burn to the eye(s)is focused on which of the following?

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating with Children and Families

Health Promotion for the Developing Child

Health Promotion for the Infant

Health Promotion During Early Childhood

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Prenatal Diagnostic Tests

Giving Birth

Intrapartum Fetal Surveillance

Pain Management for Childbirth

Nursing Care during Obstetric Procedures

Postpartum Adaptations

The Normal Newborn: Adaptation and Assessment

The Normal Newborn: Nursing Care

Newborn Feeding

The Childbearing Family with Special Needs

Pregnancy-Related Complications

Concurrent Disorders during Pregnancy

The Woman with an Intrapartum Complication

The Woman with a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High-Risk Newborn: Acquired and Congenital Conditions

Management of Fertility and Infertility

Women’s HealthCare

Physical Assessment of Children

Emergency Care of the Child

The Ill Child in the Hospital and Other Care Settings

The Child with a Chronic Condition or Terminal Illness

Principles and Procedures for Nursing Care of Children

Medication Administration and Safety for Infants and Children

Pain Management for Children

The Child with a Fluid and Electrolyte Alteration

The Child with an Infectious Disease

The Child with an Immunologic Alteration

The Child with a Gastrointestinal Alteration

The Child with a Genitourinary Alteration

The Child with a Respiratory Alteration

The Child with a Cardiovascular Alteration

The Child with a Hematologic Alteration

The Child with Cancer

The Child with an Alteration in Tissue Integrity

The Child with a Musculoskeletal Alteration

The Child with an Endocrine or Metabolic Alteration

The Child with a Neurologic Alteration

Psychosocial Problems in Children and Families

The Child With an Intellectual Disability or Developmental Disability

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