NUR1025 MODULE 6 EAQS UPDATED EXAM WITH MOST
TESTED QUESTIONS AND ANSWERS | GRADED A+ | ASSURED
SUCCESS WITH DETAILED RATIONALES
A pregnant patient occasionally smokes and drinks alcohol. Why will the provider instruct her
to stop?
A. Because nicotine increases fetal movement
B. Because alcohol reduces birth weight only
C. C. Because smoking and alcohol impair the baby’s cognitive development ✔
D. Because tobacco improves placental blood flow
Rationale: Prenatal exposure to alcohol/tobacco is linked to neurodevelopmental problems and
impaired cognition.
Which observation in an infant would raise suspicion for infantile autism?
A. Rapid weight gain
B. Frequent smiling at strangers
C. C. Unresponsiveness to sounds ✔
D. Early walking
Rationale: Lack of response to auditory/social stimuli is an early sign prompting evaluation for
autism and hearing issues.
Functional hearing loss in a child with autism typically presents as:
A. Intolerance to loud noises only
B. Loss of smell
C. C. Central auditory misperception with apparent unresponsiveness to sounds ✔
D. Fluent speech with excellent comprehension
Rationale: Central auditory processing problems can mimic hearing loss and affect
development.
A child reports difficulty hearing low voices but has no speech defect. According to standard
classification, this is:
A. Profound hearing impairment
B. Moderate hearing impairment
C. C. Slight hearing impairment ✔
D. Complete deafness
Rationale: Difficulty hearing soft/low sounds typically corresponds to a mild/slight degree of
loss.
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A third-grade student with autism will most likely have difficulty with:
A. Individual seatwork only
B. Reading at grade level only
C. C. Coordinating with peers during group projects ✔
D. Running in PE class only
Rationale: Autism often impairs social interaction and collaborative skills.
Which parental statement about a child with cognitive impairment is concerning?
A. “We’ll follow up with specialists.”
B. “We’re seeking early intervention.”
C. C. ‘I do not know what is going on with this child's health.’ ✔
D. “We want to learn how to help.”
Rationale: This reflects lack of engagement/understanding; nurse should provide education and
resources.
How should a nurse counsel parents after a diagnosis of conductive hearing loss?
A. “Nothing can be done.”
B. “It will resolve on its own always.”
C. C. Reassure them that conductive loss often responds well to medical or surgical treatment
✔
D. “Avoid all spoken interaction.”
Rationale: Conductive losses (e.g., otitis media, ossicular problems) commonly have effective
treatments.
When parents ask the cause of autism spectrum disorder (ASD), the best response is:
A. “It’s caused by vaccines.”
B. “It’s because of bad parenting.”
C. C. “The exact cause is unknown.” ✔
D. “It’s contagious.”
Rationale: Etiology is multifactorial and not fully understood; avoid blame and provide support.
A newborn has shortened rib cage, Brushfield spots, and broad short hands. Nurse suspects:
A. Turner syndrome
B. Klinefelter syndrome
C. C. Down syndrome ✔
D. Fragile X syndrome
Rationale: These are classic phenotypic features of Down syndrome (trisomy 21).
Early detection of hearing impairment is most important because it affects:
A. Fine motor skills only
,ESTUDYR
B. Social smile only
C. C. Speech development ✔
D. Bone growth only
Rationale: Hearing is essential for language acquisition; delays impair speech and literacy.
A child with bilateral eye patches after surgery is allowed out of bed. The nurse’s priority
intervention:
A. Play loud music to distract the child
B. Encourage fast running
C. C. Orient the child to immediate surroundings for safety ✔
D. Remove the patches to let the child see
Rationale: With vision occluded, orientation prevents falls and injury.
For strabismus treatment the nurse patches the unaffected eye to:
A. Weaken the good eye
B. Test pupil reaction only
C. C. Stimulate vision/movement in the weaker eye ✔
D. Improve hearing
Rationale: Occlusion therapy forces use of the amblyopic eye, aiding visual development.
A newborn with Down syndrome often has which neck feature?
A. Long and narrow neck
B. Webbed neck only
C. C. Short and broad neck ✔
D. Excessively hairy neck
Rationale: Hypotonia and characteristic morphology often produce a short, broad neck.
Parents struggling to hold a newborn with Down syndrome say it’s harder than before. Best
nurse response:
A. “You’ll get used to it.”
B. “Don’t worry about bonding.”
C. C. “Children with Down syndrome commonly have low muscle tone, making them limp at
times.” ✔
D. “You should avoid holding them.”
Rationale: Explaining hypotonia helps parents understand and adapt handling techniques.
Reduced visual acuity in one eye despite correction suggests:
A. Cataract only
B. Retinoblastoma only
C. C. Amblyopia (lazy eye) ✔
, ESTUDYR
D. Glaucoma only
Rationale: Amblyopia is decreased vision not correctable by lenses, often from strabismus or
occlusion.
Which are characteristic features of autism? (Select the best set)
A. Advanced language, social ease
B. A. Verbal impairment, stereotyped behaviors, decreased engagement in play ✔
C. Only hyperactivity
D. Only motor delays
Rationale: Core ASD features include social-communication deficits and restricted, repetitive
behaviors.
Severe eye pain with photophobia and redness likely indicates elevated intraocular pressure
(acute glaucoma). Expected provider treatment:
A. Oral antibiotics only
B. Eye patching and bed rest
C. C. Surgical intervention to improve aqueous outflow (e.g., iridotomy) ✔
D. Reassurance and discharge
Rationale: Acute angle-closure glaucoma requires urgent ophthalmologic surgical/medical
intervention.
After a penetrating eye injury (needle), the nurse should:
A. Remove the foreign object immediately
B. Rub the eye gently to check pain
C. C. Observe for hyphema and check pupillary reaction to light ✔
D. Instill eye drops without assessment
Rationale: Assess for intraocular bleeding and pupillary function; avoid manipulating the eye.
A hospitalized visually impaired child — to promote independence the nurse should:
A. Move furniture frequently for stimulation
B. Keep staff noisy to alert the child
C. C. Instruct housekeeping not to move furniture so the child can navigate consistently ✔
D. Prohibit mobility aids
Rationale: Maintaining environmental consistency supports independence and safety.
A 2-year-old who plays alone, repeats questions, and uses gestures likely has:
A. Advanced language skills
B. Typical behavior for age
C. C. Possible hearing impairment ✔
D. Only visual impairment