Origin: Chapter 17, 1
1. The nurse is developing a plan of care for a 5-year-old child with a severe hearing
impairment focusing on psychosocial interventions based on assessment findings. Which
behavior would the nurse have most likely assessed?
A) Immature emotional behavior
B) Self-stimulatory actions
C) Inattention and vacant stare
D) Head tilt or forward
thrust Ans: A
Feedback:
Immature emotional behavior would be seen most frequently. The inability to hear impacts
the socialization process and causes social problems for the child because the hearing
impairment has inhibited normal development. Self-stimulatory actions, inattention, vacant
stare, head tilt, or forward thrust may also cause problems with socialization, but they are
typical of visually impaired children.
Origin: Chapter 17, 2
2. The nurse is caring for a 3-month-old with nasolacrimal duct obstruction. Which
intervention would be most appropriate for the nurse to implement?
A) Being careful to prevent spread of infection
B) Teaching the parents how to gently massage the duct
C) Applying hot, moist compresses to the affected eye
D) Referring the child to an
ophthalmologist Ans: B
Feedback:
Massaging the nasolacrimal duct can cause it to open and drain. Teaching the parents how to
do this would be part of the nurse's plan of care. Nasolacrimal duct obstruction is not
infectious. Applying hot, moist compresses to the eye is an intervention for conjunctivitis.
Nasolacrimal duct obstruction is often self-resolving, so there would be no need for a
specialist's care.
Page 1
, Origin: Chapter 17, 3
3. The nurse is caring for a 10-year-old with allergic conjunctivitis. The nurse would be alert to
the child's increased risk for what issue?
A) Atopic dermatitis
B) Insect bite sensitivity
C) Acute otitis media
D) Frequent sore
throats Ans: A
Feedback:
Atopic dermatitis is a risk factor specifically for allergic conjunctivitis because of repeated
exposure to the particular allergens. Acute otitis media, insect bite sensitivity, and frequent
sore throats can occur but are not related to the allergic conjunctivitis.
Origin: Chapter 17, 4
4. The nurse is caring for a 6-year-old visually impaired boy and is about to begin the
physical examination. Which intervention would be most appropriate to promote
effective communication with the child?
A) Show him the stethoscope.
B) Describe the examination room.
C) Use his name before touching him.
D) Allow him to explore the exam
room. Ans: C
Feedback:
When interacting with a visually impaired child, it is a good communication technique to use
his name to gain his attention before touching him. Letting him listen to his heart with the
stethoscope, describing the examination room, and promoting exploration by touch are sound
ways to interact, but are not specific to communicating with the child at the beginning of the
assessment.
Origin: Chapter 17, 5
5. The nurse is instructing the parents of a school-age child with an eye disorder how to care for
Page 2
, her eye. Which condition would the nurse explain as resolving by itself without the use of
antibiotics?
A) Blepharitis
B) Hordeolum
C) Corneal abrasion
D) Chalazion
Ans: D
Feedback:
Chalazion usually resolves spontaneously but may require surgical drainage. Therapeutic
management of blepharitis, hordeolum, and corneal abrasion may require antibiotic ointment.
Origin: Chapter 17, 6
6. The nurse is caring for a 3-year-old boy with amblyopia. Which intervention would be most
appropriate to include in the child's plan of care?
A) Rinsing the eye with cool water
B) Educating the family about the disease
C) Encouraging frequent hand washing
D) Promoting eye
safety Ans: D
Feedback:
Promoting eye safety is extremely important for the child with amblyopia; if the better eye
suffers a serious injury, both eyes may become blind. Rinsing the eye with cool water, educating
the family about the disorder, and encouraging frequent hand washing are interventions for
infectious conjunctivitis.
Origin: Chapter 17, 7
7. The nurse is examining a 7-year-old boy with blepharitis. What would the nurse least
likely expect to assess?
A) Redness
B) Scaling
Page 3
, C) Pain
D) Edema
Ans: C
Feedback:
Blepharitis has symptoms of redness, scaling, and edema, but not pain. Pain is typically
associated with hordeolum.
Origin: Chapter 17, 8
8. The nurse is caring for a newborn and knows that his vision, unlike his hearing, is not
fully developed. Which aspect of the child's vision would the nurse expect to be similar
to his father's vision?
A) Adequate color detection
B) Visual acuity of 20/100
C) Nearsightedness
D) Monocular vision
Ans: B
Feedback:
If the child's father has lost visual acuity, he and his new son could possibly have the same
20/100 vision. Poor color detection, nearsightedness, and monocular vision are characteristic
of newborns and are the result of their lack of development.
Origin: Chapter 17, 9
9. The nurse is taking a health history for a 9-year-old girl. Which finding would alert the nurse
to a possible risk factor specifically associated with visual impairment?
A) Being born at 39 weeks' gestation
B) Having several hours of homework daily
C) Being of African American heritage
D) Being active in
sports Ans: C
Feedback:
Page 4
1. The nurse is developing a plan of care for a 5-year-old child with a severe hearing
impairment focusing on psychosocial interventions based on assessment findings. Which
behavior would the nurse have most likely assessed?
A) Immature emotional behavior
B) Self-stimulatory actions
C) Inattention and vacant stare
D) Head tilt or forward
thrust Ans: A
Feedback:
Immature emotional behavior would be seen most frequently. The inability to hear impacts
the socialization process and causes social problems for the child because the hearing
impairment has inhibited normal development. Self-stimulatory actions, inattention, vacant
stare, head tilt, or forward thrust may also cause problems with socialization, but they are
typical of visually impaired children.
Origin: Chapter 17, 2
2. The nurse is caring for a 3-month-old with nasolacrimal duct obstruction. Which
intervention would be most appropriate for the nurse to implement?
A) Being careful to prevent spread of infection
B) Teaching the parents how to gently massage the duct
C) Applying hot, moist compresses to the affected eye
D) Referring the child to an
ophthalmologist Ans: B
Feedback:
Massaging the nasolacrimal duct can cause it to open and drain. Teaching the parents how to
do this would be part of the nurse's plan of care. Nasolacrimal duct obstruction is not
infectious. Applying hot, moist compresses to the eye is an intervention for conjunctivitis.
Nasolacrimal duct obstruction is often self-resolving, so there would be no need for a
specialist's care.
Page 1
, Origin: Chapter 17, 3
3. The nurse is caring for a 10-year-old with allergic conjunctivitis. The nurse would be alert to
the child's increased risk for what issue?
A) Atopic dermatitis
B) Insect bite sensitivity
C) Acute otitis media
D) Frequent sore
throats Ans: A
Feedback:
Atopic dermatitis is a risk factor specifically for allergic conjunctivitis because of repeated
exposure to the particular allergens. Acute otitis media, insect bite sensitivity, and frequent
sore throats can occur but are not related to the allergic conjunctivitis.
Origin: Chapter 17, 4
4. The nurse is caring for a 6-year-old visually impaired boy and is about to begin the
physical examination. Which intervention would be most appropriate to promote
effective communication with the child?
A) Show him the stethoscope.
B) Describe the examination room.
C) Use his name before touching him.
D) Allow him to explore the exam
room. Ans: C
Feedback:
When interacting with a visually impaired child, it is a good communication technique to use
his name to gain his attention before touching him. Letting him listen to his heart with the
stethoscope, describing the examination room, and promoting exploration by touch are sound
ways to interact, but are not specific to communicating with the child at the beginning of the
assessment.
Origin: Chapter 17, 5
5. The nurse is instructing the parents of a school-age child with an eye disorder how to care for
Page 2
, her eye. Which condition would the nurse explain as resolving by itself without the use of
antibiotics?
A) Blepharitis
B) Hordeolum
C) Corneal abrasion
D) Chalazion
Ans: D
Feedback:
Chalazion usually resolves spontaneously but may require surgical drainage. Therapeutic
management of blepharitis, hordeolum, and corneal abrasion may require antibiotic ointment.
Origin: Chapter 17, 6
6. The nurse is caring for a 3-year-old boy with amblyopia. Which intervention would be most
appropriate to include in the child's plan of care?
A) Rinsing the eye with cool water
B) Educating the family about the disease
C) Encouraging frequent hand washing
D) Promoting eye
safety Ans: D
Feedback:
Promoting eye safety is extremely important for the child with amblyopia; if the better eye
suffers a serious injury, both eyes may become blind. Rinsing the eye with cool water, educating
the family about the disorder, and encouraging frequent hand washing are interventions for
infectious conjunctivitis.
Origin: Chapter 17, 7
7. The nurse is examining a 7-year-old boy with blepharitis. What would the nurse least
likely expect to assess?
A) Redness
B) Scaling
Page 3
, C) Pain
D) Edema
Ans: C
Feedback:
Blepharitis has symptoms of redness, scaling, and edema, but not pain. Pain is typically
associated with hordeolum.
Origin: Chapter 17, 8
8. The nurse is caring for a newborn and knows that his vision, unlike his hearing, is not
fully developed. Which aspect of the child's vision would the nurse expect to be similar
to his father's vision?
A) Adequate color detection
B) Visual acuity of 20/100
C) Nearsightedness
D) Monocular vision
Ans: B
Feedback:
If the child's father has lost visual acuity, he and his new son could possibly have the same
20/100 vision. Poor color detection, nearsightedness, and monocular vision are characteristic
of newborns and are the result of their lack of development.
Origin: Chapter 17, 9
9. The nurse is taking a health history for a 9-year-old girl. Which finding would alert the nurse
to a possible risk factor specifically associated with visual impairment?
A) Being born at 39 weeks' gestation
B) Having several hours of homework daily
C) Being of African American heritage
D) Being active in
sports Ans: C
Feedback:
Page 4
