MATERNAL CHILD NURSING 5TH EDITION MCKINNEY TEST BANK
Test Bank - Maternal-Child Nursing (5th Edition by McKinney) 986
Chapter 55: The Child with a Sensory Alteration
MULTIPLE CHOICE
1. An adolescent boy goes to his primary care provider complaining of difficulty with his vision. When the
nurse asks the adolescent to explain what visual deficits he is experiencing, the adolescent states, I am having
difficulty seeing distant objects; they are less clear than things that are close. What disorder does the nurse
suspect the adolescent has?
a. Hyphema
b. Astigmatism
c. Amblyopia
d. Myopia
ANS: D
Feedback
A Hyphema includes hemorrhage in the anterior chamber and is not a refractive disorder.
B Astigmatism is caused by anNURSINGTB.COM
abnormal curvature of the cornea or lens.
C Amblyopia is a problem of reduced visual acuity not correctable by refraction.
D Myopic patients have the ability to see near objects more clearly than those at a distance; it is
caused by the image focusing beyond the retina.
PTS: 1 DIF: Cognitive Level: Application REF: p. 1503 | Table 55-1
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
2. A 10-year-old patient is talking to the nurse about wanting to try contact lenses instead of wearing glasses.
She states that the other children at her school call her four-eyes. Contact lenses should be prescribed for a
child who is
a. At least 12 years of age
b. Able to read all the written information and instructions
c. Able to independently care for the lenses in a responsible manner
d. Confident that she really wants contact lenses
ANS: C
NURSINGTB.COM
, MATERNAL CHILD NURSING 5TH EDITION MCKINNEY TEST BANK
Test Bank - Maternal-Child Nursing (5th Edition by McKinney) 987
Feedback
A Chronologic age is not the major determinant. A responsible 10-year-old child might be
permitted to wear contact lenses.
B The ability to read does not indicate understanding of the instructions.
C The child must be able to care for the lenses independently. Serious eye damage can occur
with irresponsible use of contact lenses.
D Confidence and wanting do not equal responsibility.
PTS: 1 DIF: Cognitive Level: Application REF: p. 1504
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
3. Which statement best describes how a cataract affects a childs vision?
a. It increases intraocular pressure.
b. It alters the ability to distinguish between colors.
c. It causes double vision. NURSINGTB.COM
d. It prevents a clear image from forming on the retina.
ANS: D
Feedback
A Coughing, straining, or vomiting can increase intraocular pressure postoperatively.
B Nystagmus and strabismus are clinical signs of a cataract. Color deficiency is not a sign.
C A cataract usually does not cause double vision.
D A cataract is an opacity of the lens or loss of transparency of the lens.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 1506
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
4. Which statement by a parent about conjunctivitis indicates that further teaching is needed?
a. Ill have separate towels and washcloths for each family member.
NURSINGTB.COM
, MATERNAL CHILD NURSING 5TH EDITION MCKINNEY TEST BANK
Test Bank - Maternal-Child Nursing (5th Edition by McKinney) 988
b. Ill notify my doctor if the eye gets redder or the drainage increases.
c. When the eye drainage improves, well stop giving the antibiotic ointment.
d. After taking the antibiotic for 24 hours, my child can return to school.
ANS: C
Feedback
A Maintaining separate towels and washcloths will prevent the other family members from
acquiring the infection.
B If the infection proliferates, the physician should be contacted.
C The antibiotic should be continued for the full prescription.
D The child should be kept home from school or day care until the child receives the antibiotic
for 24 hours.
PTS: 1 DIF: Cognitive Level: Application REF: p. 1509
NURSINGTB.COM
OBJ: Nursing Process: Evaluation MSC: Client Needs: Physiologic Integrity
5. Which teaching guideline helps prevent eye injuries during sports and play activities?
a. Restrict helmet use to those who wear eye glasses or contact lenses.
b. Discourage the use of goggles with helmets.
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.
ANS: C
Feedback
A All children who play games should be protected by the appropriate headgear.
B Goggles and helmets can and should be used concurrently.
C High-risk sports such as paintball can cause penetrating eye injuries. Eye protection should
be worn.
NURSINGTB.COM
Test Bank - Maternal-Child Nursing (5th Edition by McKinney) 986
Chapter 55: The Child with a Sensory Alteration
MULTIPLE CHOICE
1. An adolescent boy goes to his primary care provider complaining of difficulty with his vision. When the
nurse asks the adolescent to explain what visual deficits he is experiencing, the adolescent states, I am having
difficulty seeing distant objects; they are less clear than things that are close. What disorder does the nurse
suspect the adolescent has?
a. Hyphema
b. Astigmatism
c. Amblyopia
d. Myopia
ANS: D
Feedback
A Hyphema includes hemorrhage in the anterior chamber and is not a refractive disorder.
B Astigmatism is caused by anNURSINGTB.COM
abnormal curvature of the cornea or lens.
C Amblyopia is a problem of reduced visual acuity not correctable by refraction.
D Myopic patients have the ability to see near objects more clearly than those at a distance; it is
caused by the image focusing beyond the retina.
PTS: 1 DIF: Cognitive Level: Application REF: p. 1503 | Table 55-1
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
2. A 10-year-old patient is talking to the nurse about wanting to try contact lenses instead of wearing glasses.
She states that the other children at her school call her four-eyes. Contact lenses should be prescribed for a
child who is
a. At least 12 years of age
b. Able to read all the written information and instructions
c. Able to independently care for the lenses in a responsible manner
d. Confident that she really wants contact lenses
ANS: C
NURSINGTB.COM
, MATERNAL CHILD NURSING 5TH EDITION MCKINNEY TEST BANK
Test Bank - Maternal-Child Nursing (5th Edition by McKinney) 987
Feedback
A Chronologic age is not the major determinant. A responsible 10-year-old child might be
permitted to wear contact lenses.
B The ability to read does not indicate understanding of the instructions.
C The child must be able to care for the lenses independently. Serious eye damage can occur
with irresponsible use of contact lenses.
D Confidence and wanting do not equal responsibility.
PTS: 1 DIF: Cognitive Level: Application REF: p. 1504
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
3. Which statement best describes how a cataract affects a childs vision?
a. It increases intraocular pressure.
b. It alters the ability to distinguish between colors.
c. It causes double vision. NURSINGTB.COM
d. It prevents a clear image from forming on the retina.
ANS: D
Feedback
A Coughing, straining, or vomiting can increase intraocular pressure postoperatively.
B Nystagmus and strabismus are clinical signs of a cataract. Color deficiency is not a sign.
C A cataract usually does not cause double vision.
D A cataract is an opacity of the lens or loss of transparency of the lens.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 1506
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
4. Which statement by a parent about conjunctivitis indicates that further teaching is needed?
a. Ill have separate towels and washcloths for each family member.
NURSINGTB.COM
, MATERNAL CHILD NURSING 5TH EDITION MCKINNEY TEST BANK
Test Bank - Maternal-Child Nursing (5th Edition by McKinney) 988
b. Ill notify my doctor if the eye gets redder or the drainage increases.
c. When the eye drainage improves, well stop giving the antibiotic ointment.
d. After taking the antibiotic for 24 hours, my child can return to school.
ANS: C
Feedback
A Maintaining separate towels and washcloths will prevent the other family members from
acquiring the infection.
B If the infection proliferates, the physician should be contacted.
C The antibiotic should be continued for the full prescription.
D The child should be kept home from school or day care until the child receives the antibiotic
for 24 hours.
PTS: 1 DIF: Cognitive Level: Application REF: p. 1509
NURSINGTB.COM
OBJ: Nursing Process: Evaluation MSC: Client Needs: Physiologic Integrity
5. Which teaching guideline helps prevent eye injuries during sports and play activities?
a. Restrict helmet use to those who wear eye glasses or contact lenses.
b. Discourage the use of goggles with helmets.
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.
ANS: C
Feedback
A All children who play games should be protected by the appropriate headgear.
B Goggles and helmets can and should be used concurrently.
C High-risk sports such as paintball can cause penetrating eye injuries. Eye protection should
be worn.
NURSINGTB.COM
