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Question 135791Id: 135791
Question Title:
Type: MCSADifficulty Level:
Calculator:
false
Question Stem
The nurse is caring for a young child with otitis media. The parent asks the nurse why children seem to get otitis media frequently but adults do not. The nurse would explain that younger children get otitis media more often because:
Stimulus
Answer
Choice 1 The eustachian tube is shorter, wider, and horizontal in younger children.
Rationale 1
The eustachian tube, which connects the nasopharynx to the middle ear, is proportionately shorter, wider, and more horizontal in infants and young children than in older children or adults. This promotes an increase in the incidence of ear infections.
Answer 1 true
Choice 2The eustachian tube is shorter, more narrow, and horizontal in younger children.
Rationale 2
The eustachian tube, which connects the nasopharynx to the middle ear, is proportionately shorter, wider, and more horizontal in infants and younger children than in older children or adults. This promotes an increase in the incidence of ear infections.
Answer 2 false
Choice 3 The eustachian tube is longer, wider, and vertical in younger children.
Rationale 3
The eustachian tube, which connects the nasopharynx to the middle ear, is proportionately shorter, wider, and more horizontal in infants and younger children than in older children or adults. This promotes an increase in the incidence of ear infections.
Answer 3 false
Choice 4 The eustachian tube is longer, more narrow, and vertical in younger children.
Rationale 4 The eustachian tube, which connects the nasopharynx to the middle ear, is proportionately shorter, wider, and more horizontal in infants and younger
children than in older children or adults. This promotes an increase in the incidence of ear infections.
Answer 4 false
Global Rationale
Meta 1
Cognitive Level: Applying
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Nursing Process: Implementation
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Reference:
Source Id: 126146
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Writer First Name: admin
Writer Last Name:
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Meta 4
Learning Outcome 1:46.1 Identify anatomy, physiology, and pediatric differences in the eye, ear, nose, and throat of children and adolescents.
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Question 135792Id: 135792
Question Title:
Type: MCSADifficulty Level:
Calculator:
false
Question Stem
The nurse is caring for four clients in the neonatal intensive care unit. Which infant has the greatest risk of developing retinopathy of prematurity (ROP)?
Stimulus
Answer
Choice 128-weeks'-gestation infant who has been on long-term oxygen and weighed 1,400 grams
Rationale 1The 28-weeks'-gestation infant on oxygen weighing 1,400 grams has the greatest risk of retinopathy of prematurity because of gestational age (28 weeks or less), weight (less than 1,600 g), and oxygen therapy.
Answer 1 true
Choice 232-weeks'-gestation infant of African heritage with a congenital heart defect who needed no oxygen and weighed 1,850 grams
Rationale 2
The 32-weeks'-gestation infant was not placed on oxygen, and therefore is not at risk. Risk for developing retinopathy of prematurity is lower for infants of African heritage than Caucasian infants. Congenital heart defects are not associated with ROP.
Answer 2 false
Choice 328-weeks'-gestation female infant who was on short-term oxygen, weighed 1,420 grams, and was treated with phototherapy
Rationale 3The 28-weeks'-gestation infant was only placed on short-term oxygen. Phototherapy is associated with hyperbilirubinemia and is not associated with ROP.
Answer 3 false
Choice 436-weeks'-gestation, small-for-gestational-age infant who was in an oxyhood for 12 hours and weighed 1,800 grams
Rationale 4 The 36-weeks'-gestation infant was on oxygen for short period of time. A
small-for-gestational-age baby would be more mature than an infant of the same weight but lower gestational age.
Answer 4 false
Global Rationale
Meta 1
Cognitive Level: Analyzing
Client Need:
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Nursing/Integrated Concepts:
Nursing Process: Assessment
Content Area:
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Pearson Nursing Taxonomy #:
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Reference:
Source Id: 126148
Source Chapter Number:
Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name: admin
Writer Last Name:
Royalty:
Stakes:
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Comments:
Meta 4
Learning Outcome 1:46.2 Describe abnormalities of the eyes, ears, nose, throat, and mouth in children.
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Question 135793Id: 135793
Question Title:
Type: MCSADifficulty Level:
Calculator:
false
Question Stem
The nurse is taking care of a child who had a tonsillectomy. During the postoperative period, the nurse should observe the child for which clinical manifestation?
Stimulus
Answer
Choice 1 Arrhythmias
Rationale 1Unless the child has a heart condition prior to surgery, arrhythmias is not a possible postoperative complication
Answer 1 false
Choice 2 Dehydration
Rationale 2The child is at risk for dehydration due to deficient fluid volume related to inadequate intake after surgery. The child will anticipate having pain if she tries to swallow.
Answer 2 true
Choice 3 Increased blood sugar
Rationale 3 Increased blood sugar will result only if the child is a diabetic.
Answer 3 false
Choice 4 Increased urinary output
Rationale 4 Increased urinary output is not an expected complication of surgery.
Answer 4 false
Global Rationale
Meta 1
Cognitive Level: Applying
Client Need:
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Nursing Process: Assessment
Content Area:
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Topical Category:
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Pearson Nursing Taxonomy #:
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Key Terms:
Strategy:
Meta 3
Reference:
Source Id: 126149
Source Chapter Number:
Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name: admin
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:
Meta 4
Learning Outcome 1:46.2 Describe abnormalities of the eyes, ears, nose, throat, and mouth in children.
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Question 135794Id: 135794
Question Title:
Type: MCSADifficulty Level:
Calculator:
false
Question Stem
A neonate has been diagnosed with a herpes simplex viral infection of the eye. Which medication will the nurse prepare to administer?
Stimulus
Answer
Choice 1 Oral erythromycin
Rationale 1 Oral erythromycin is used to treat Chlamydial eye infections.
Answer 1 false
Choice 2 Fluoroquinolone eyedrops or ointment
Rationale 2 Fluoroquinolone eyedrops are used to treat bacterial eye infections.
Answer 2 false
Choice 3Parenteral acyclovir (Zovirax) and vidarabine (VIRA-A) ophthalmic ointment
Rationale 3Neonatal herpes simplex virus is treated vigorously with parenteral acyclovir for 14 days or longer and topical ophthalmic medication (trifluridine, iododeoxyuridine, or vidarabine).
Answer 3 true
Choice 4 Intravenous penicillin
Rationale 4 Intravenous penicillin treats selected bacterial infections.
Answer 4 false
Global Rationale
Meta 1
Cognitive Level: Applying
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Nursing Process: Planning
Content Area:
Content Area Sub:
Meta 2
Clinical Domain:
Topical Category:
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Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key Terms:
Strategy:
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Reference:
Source Id: 126154
Source Chapter Number:
Source Chapter Title:
Source Au Title Ed:
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Writer First Name: admin
Writer Last Name:
Royalty:
Stakes:
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Comments:
Meta 4
Learning Outcome 1: 46.4 Plan nursing care for children with vision or hearing impairments.
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Question 135795Id: 135795
Question Title:
Type: MCSADifficulty Level:
Calculator:
false
Question Stem
A nurse is caring for a visually impaired 20-month-old who has not begun to walk. Which nursing diagnosis would be appropriate for this child?
Stimulus
Answer
Choice 1 Self-care deficit
Rationale 1 Self-care deficit does not apply to this age of child.
Answer 1 false
Choice 2 Impaired physical mobility
Rationale 2The child's mobility is not due to a physiological problem, so impaired mobility is not appropriate.
Answer 2 false
Choice 3 Impaired home maintenance
Rationale 3 There are not enough data to determine if home maintenance is impaired.
Answer 3 false
Choice 4 Delayed growth and development
Rationale 4A 20-month-old child who is not walking is delayed in growth and development. Toddlers generally walk by 15 months of age.
Answer 4 true
Global Rationale
Meta 1
Cognitive Level: Applying
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Nursing Process: Diagnosis
Content Area:
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Reference:
Source Id: 126155
Source Chapter Number:
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Source Au Title Ed:
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Writer First Name: admin
Writer Last Name:
Royalty:
Stakes:
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Comments:
Meta 4
Learning Outcome 1: 46.4 Plan nursing care for children with vision or hearing impairments.
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Question 135796Id: 135796
Question Title:
Type: MCSADifficulty Level:
Calculator:
false
Question Stem
A nurse is caring for a visually impaired 10-year-old child. The nursing intervention with the highest priority for this child during the admission process would be:
Stimulus
Answer
Choice 1 Explaining playroom policies.
Rationale 1 Policies can be covered at a later time
Answer 1 false
Choice 2 Orienting the child to where furniture is placed in the room.
Rationale 2The priority intervention is to orient the child to furniture placement in the room. This is priority because it addresses basic safety for a visually impaired client.
Answer 2 true
Choice 3 Taking the child on a tour of the unit.
Rationale 3 Tours can be done at a later time.
Answer 3 false
Choice 4Letting the child touch equipment that will be used during the hospitalization.
Rationale 4 Handling equipment can be covered at a later time.
Answer 4 false
Global Rationale
Meta 1
Cognitive Level: Applying
Client Need:
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Nursing/Integrated Concepts:
Nursing Process: Implementation
Content Area:
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Pearson Nursing Taxonomy #:
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Strategy:
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Reference:
Source Id: 126156
Source Chapter Number:
Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name: admin
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:
Meta 4
Learning Outcome 1: 46.4 Plan nursing care for children with vision or hearing impairments.
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Question 135797Id: 135797
Question Title:
Type: MCSADifficulty Level:
Calculator:
false
Question Stem
An infant has acute otitis media. Which of the following would be the most important for the nurse to teach the parents?
Stimulus
Answer
Choice 1 Keep the baby in a flat position during sleep.
Rationale 1A flat position could exacerbate the discomfort. Elevating the head slightly is recommended.
Answer 1 false
Choice 2 Administer a decongestant.
Rationale 2 Decongestants are not recommended for treatment of acute otitis media.
Answer 2 false
Choice 3 Place the baby to sleep with a pacifier.
Rationale 3Placing infants to sleep with a pacifier can increase the incidence of otitis media.
Answer 3 false
Choice 4 Administer acetaminophen (Tylenol) to relieve discomfort.
Rationale 4An infant with a bulging tympanic membrane because of acute otitis media will have pain. Parents are taught to administer acetaminophen (Tylenol) to relieve the discomfort associated with acute otitis media.
Answer 4 true
Global Rationale
Meta 1
Cognitive Level: Applying
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Nursing Process: Implementation
Content Area:
Content Area Sub:
Meta 2
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Topical Category:
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Pearson Nursing Taxonomy #:
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Reference:
Source Id: 126157
Source Chapter Number:
Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name: admin
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:
Meta 4
Learning Outcome 1:46.5 Select and apply latest recommendations when implementing care and teaching for children with abnormalities of eyes, ears, nose, and throat.
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Question 135798Id: 135798
Question Title:
Type: MCMADifficulty Level:
Calculator:
false
Question Stem
The nurse has taught a group of parents how to care for their children who have just had tympanostomy tubes inserted. The nurse will know the parents understand how to care for their child's tympanostomy tubes if they:
Standard Text Select all that apply.
Stimulus
Answer
Choice 1 Limit their diets to soft, bland foods.
Rationale 1Limiting the diet to soft, bland foods and administering decongestants are not needed after surgery. A regular diet should be resumed.
Answer 1 false
Choice 2 Restrict the children to quiet activities after surgery.
Rationale 2The correct responses include encouraging the children to drink generous amounts of water, restricting the children to quiet activities after surgery, and avoiding water in the children's ears at bath time.
Answer 2 true
Choice 3 Administer a decongestant for one to two weeks following surgery.
Rationale 3Incorrect responses include administering a decongestant for one to two weeks following surgery and limiting their diets to soft, bland foods.
Answer 3 false
Choice 4 Encourage the children to drink generous amounts of fluids.
Rationale 4The correct responses include encouraging the children to drink generous amounts of water, restricting the children to quiet activities after surgery, and avoiding water in the children's ears at bath time.
Answer 4 true
Choice 5 Avoid getting water in their ears during bath time.
Rationale 5The correct responses include encouraging the children to drink generous amounts of water, restricting the children to quiet activities after surgery, and avoiding water in the children's ears at bath time.
Answer 5 true
Global Rationale
Meta 1
Cognitive Level: Analyzing
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Nursing Process: Evaluation
Content Area:
Content Area Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key Terms:
Strategy:
Meta 3
Reference:
Source Id: 126158
Source Chapter Number:
Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name: admin
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:
Meta 4
Learning Outcome 1:46.5 Select and apply latest recommendations when implementing care and teaching for children with abnormalities of eyes, ears, nose, and throat.
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Question 135799Id: 135799
Question Title:
Type: MCSADifficulty Level:
Calculator:
false
Question Stem
The nurse can assist a child who has a mild hearing loss and reads lips to adapt to hospitalization by:
Stimulus
Answer
Choice 1 Touching the child lightly before speaking.
Rationale 1The nurse can facilitate hospital adaptation of a child who has a hearing loss and can lip-read by obtaining the child's visual attention by lightly touching the child before communicating.
Answer 1 true
Choice 2 Using a picture board as the main means of communication.
Rationale 2Picture boards, while useful, should not be the primary means of communication for a child who reads lips.
Answer 2 false
Choice 3 Speaking in a loud voice while facing the child.
Rationale 3 Speaking in a loud voice might not promote hearing in the child.
Answer 3 false
Choice 4 Speaking directly to the parents for communication.
Rationale 4 Speaking to only the parents does not help the child with the hospitalization.
Answer 4 false
Global Rationale
Meta 1
Cognitive Level: Applying
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Nursing Process: Implementation
Content Area:
Content Area Sub:
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Strategy:
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Reference:
Source Id: 126159
Source Chapter Number:
Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name: admin
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:
Meta 4
Learning Outcome 1:46.5 Select and apply latest recommendations when implementing care and teaching for children with abnormalities of eyes, ears, nose, and throat.
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Question 135800Id: 135800
Question Title:
Type: MCSADifficulty Level:
Calculator:
false
Question Stem
A child has epistaxis while at school. The school nurse appropriately intervenes by:
Stimulus
Answer
Choice 1 Lying the child down and applying a warm pack.
Rationale 1Lying the child down would allow the blood to drain down the throat, which could lead to aspiration. Warmth would promote the bleeding.
Answer 1 false
Choice 2Tilting the child's head back, squeezing the bridge of the nose, and applying a warm moist pack to the nose.
Rationale 2Tilting the child's head back could cause the blood to trickle down the throat. Warmth can cause an increase in bleeding because of vasodilation.
Answer 2 false
Choice 3Tilting the child's head forward, squeezing the nares below the nasal bone, and applying ice to the nose.
Rationale 3The correct initial treatment for a nosebleed is to tilt the head forward, squeeze the nares below the nasal bone for 10-15 minutes, and apply ice to the nose or back of the head.
Answer 3 true
Choice 4Immediately packing the nares with a cotton ball soaked with Neo-Synephrine.
Rationale 4A cotton ball soaked with Neo-Synephrine would only be used if the bleeding did not stop with pressure and ice.
Answer 4 false
Global Rationale
Meta 1
Cognitive Level: Applying
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Nursing Process: Implementation
Content Area:
Content Area Sub:
Meta 2
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Pearson Nursing Taxonomy #:
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Strategy:
Meta 3
Reference:
Source Id: 126160
Source Chapter Number:
Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name: admin
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:
Meta 4
Learning Outcome 1:46.5 Select and apply latest recommendations when implementing care and teaching for children with abnormalities of eyes, ears, nose, and throat.
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Question 135801Id: 135801
Question Title:
Type: MCSADifficulty Level:
Calculator:
false
Question Stem
The nurse has completed postoperative discharge teaching to the parents of a child who has had a tonsillectomy. Which statement indicates the parents have understood the teaching?
Stimulus
Answer
Choice 1 "We will call the physician for any indication of ear pain."
Rationale 1Ear pain four to eight days after a tonsillectomy might be experienced and does not indicate an ear infection.
Answer 1 false
Choice 2 "We will be sure to give our child adequate amounts of citrus juices."
Rationale 2Citrus juices should be avoided for the first week because highly acidic foods and beverages can cause irritation.
Answer 2 false
Choice 3 "We will plan on administering acetaminophen (Tylenol) for pain."
Rationale 3 Acetaminophen (Tylenol) is recommended for pain after a tonsillectomy.
Answer 3 true
Choice 4 "We will keep our child on bed rest for ten days after the surgery."
Rationale 4Children do not need to be confined to bed. They can return to school in 10 days.
Answer 4 false
Global Rationale
Meta 1
Cognitive Level: Analyzing
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Nursing Process: Evaluation
Content Area:
Content Area Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key Terms:
Strategy:
Meta 3
Reference:
Source Id: 126161
Source Chapter Number:
Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name: admin
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:
Meta 4
Learning Outcome 1:46.5 Select and apply latest recommendations when implementing care and teaching for children with abnormalities of eyes, ears, nose, and throat.
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Question 135802Id: 135802
Question Title:
Type: MCSADifficulty Level:
Calculator:
false
Question Stem
A nurse who is planning to teach school-age children about the "common cold" should include what information?
Stimulus
Answer
Choice 1Aspirin should be taken for alleviation of fever if the common cold is contracted.
Rationale 1Aspirin should not be taken for fever because of its association with Reye's syndrome.
Answer 1 false
Choice 2 Antibiotics will eliminate the nasopharyngitis virus.
Rationale 2 Antibiotics are not used to treat viral infections.
Answer 2 false
Choice 3 Vaccinations can prevent contraction of a nasopharyngitis virus.
Rationale 3 No vaccine can prevent the common cold.
Answer 3 false
Choice 4 Proper hand washing can prevent the spread of the common cold.
Rationale 4Proper hand washing should be taught to school-age children to reduce the spread of the "common cold" virus.
Answer 4 true
Global Rationale
Meta 1
Cognitive Level: Analyzing
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Nursing Process: Planning
Content Area:
Content Area Sub:
Meta 2
Clinical Domain:
Topical Category:
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Pearson Nursing Taxonomy #:
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Strategy:
Meta 3
Reference:
Source Id: 126162
Source Chapter Number:
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Source Au Title Ed:
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Writer First Name: admin
Writer Last Name:
Royalty:
Stakes:
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Comments:
Meta 4
Learning Outcome 1:46.6 Integrate preventive and treatment principles when implementing care for children related to eyes, ears, nose, and throat.
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Question 135803Id: 135803
Question Title:
Type: MCSADifficulty Level:
Calculator:
false
Question Stem
The school nurse is screening all second graders for tonsillitis and pharyngitis. Which finding is a normal finding in this age group?
Stimulus
Answer
Choice 1 Tonsils are large and seem to fill the throat.
Rationale 1This is a normal finding as the tonsilar material grows faster than the child and reaches adult size in this age group. It is not a reason to refer the child for follow-up.
Answer 1 true
Choice 2 Child is complaining of sore throat and drooling
Rationale 2 Both symptoms indicate pharyngitis and should be evaluated by a physician.
Answer 2 false
Choice 3 White patches are observed on the tonsils.
Rationale 3 White exudate is associated with tonsillitis and requires further evaluation.
Answer 3 false
Choice 4 Throat appears red, and child has a low-grade fever
Rationale 4 These symptoms suggest pharyngitis; the child should be evaluated further.
Answer 4 false
Choice 5
Rationale 5
Answer 5
Global Rationale
Meta 1
Cognitive Level: Analyzing
Client Need:
Client Need Sub:
Nursing/Integrated Concepts:
Nursing Process: Assessment
Content Area:
Content Area Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key Terms:
Strategy:
Meta 3
Reference:
Source Id: 126152
Source Chapter Number:
Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name: admin
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:
Meta 4
Learning Outcome 1:46.1 Identify anatomy, physiology, and pediatric differences in the eye, ear, nose, and throat of children and adolescents.
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Question 135804Id: 135804
Question Title:
Type: MCMADifficulty Level:
Calculator:
false
Question Stem
A 10-month-old infant has had numerous ear infections since birth. The nurse will discuss with the parents ways that might reduce the incidence of otitis media and will include which strategies?
Standard Text Select all that apply.
Stimulus
Answer
Choice 1 Prohibiting tobacco smoke in the home
Rationale 1 This has been shown to decrease the incidence of otitis media.
Answer 1 true
Choice 2 Avoiding use of a pacifier while the child is sleeping
Rationale 2The use of a pacifier for the sleeping baby has been associated with otitis media.
Answer 2 true
Choice 3 Breastfeeding the infant
Rationale 3While breastfeeding is associated with lower incidences of otitis media, this child is 10 months old.
Answer 3 false
Choice 4 Cleaning the child’s ears nightly with peroxide
Rationale 4 Otitis media is not prevented by cleaning the ears.
Answer 4 false
Choice 5 Avoiding use of wood-burning stoves
Rationale 5 Wood-burning stoves are associated with higher rates of otitis media.
Answer 5 true
Global Rationale
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Cognitive Level: Applying
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Meta 4
Learning Outcome 1:46.6 Integrate preventive and treatment principles when implementing care for children related to eyes, ears, nose, and throat.
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Question 135805Id: 135805
Question Title:
Type: MCSADifficulty Level:
Calculator:
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Question Stem
A three-year-old child has been found to have a mild to moderate hearing loss. The mother tells the nurse: “The doctor told me I should put my child in day care but didn’t tell me why. Do you know why the doctor recommends day care?” The nurse’s response will be based on the knowledge that day care will:
Stimulus
Answer
Choice 1 Help the child recognize his hearing deficit.
Rationale 1This would not be a goal of treatment. The child is aware of what he hears but may not be aware of what he is not hearing.
Answer 1 false
Choice 2 Increase the child’s socialization skills.
Rationale 2By increasing the interaction with other children, the hearing-impaired child will improve his socialization skills.
Answer 2 true
Choice 3 Improve the child’s immunity by increased exposure to organisms.
Rationale 3Increased exposure to organisms will occur, but this is not the goal of the recommendation.
Answer 3 false
Choice 4 Teach other children that children are different.
Rationale 4The physician’s concern is the well-being of this child, not the other children.
Answer 4 false
Choice 5
Rationale 5
Answer 5
Global Rationale
Meta 1
Cognitive Level: Applying
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Nursing Process: Planning
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Meta 4
Learning Outcome 1: 46.4 Plan nursing care for children with vision or hearing impairments.
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Question 135806Id: 135806
Question Title:
Type: MCSADifficulty Level:
Calculator:
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Question Stem
While screening children, the nurse notes that one child seems to have “crossed eyes.” Which screening tool might the nurse utilize to further screen this child?
Stimulus
Answer
Choice 1 Examine the eye with an otoscope.
Rationale 1 An otoscope is used to examine the ear, not the eye.
Answer 1 false
Choice 2 Check for the “red reflex” in the eyes.
Rationale 2The red reflex visualizes the retina and is used to identify infants with cataracts.
Answer 2 false
Choice 3 Perform the cover-uncover test.
Rationale 3When one eye is covered while the child is looking at an object, the uncovered eye will deviate from the location; this tool is used to detect strabismus.
Answer 3 true
Choice 4 Use a tonometer to evaluate the eyes.
Rationale 4The tonometer measures intraocular pressure and is used to evaluate glaucoma.
Answer 4 false
Choice 5
Rationale 5
Answer 5
Global Rationale
Meta 1
Cognitive Level: Applying
Client Need:
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Nursing Process: Assessment
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Meta 4
Learning Outcome 1:46.3 Carry out screening programs to identify children with vision and hearing abnormalities.
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Question 135807Id: 135807
Question Title:
Type: MCSADifficulty Level:
Calculator:
false
Question Stem
The nurse is reviewing discharge instructions for a child who has received a cochlear implant. In addition to encouraging speech therapy for the child, the nurse will instruct the parents to monitor the child for signs of:
Stimulus
Answer
Choice 1 Ringing in the ears.
Rationale 1 This is not a common complication of a cochlear implant.
Answer 1 false
Choice 2 Pharyngitis.
Rationale 2 Pharyngitis is not associated with cochlear implants.
Answer 2 false
Choice 3 Hearing loss.
Rationale 3The child already has hearing loss. That is why the child receives a cochlear implant.
Answer 3 false
Choice 4 Bacterial meningitis.
Rationale 4There is an increased risk of bacterial meningitis following insertion of a cochlear implant.
Answer 4 true
Choice 5
Rationale 5
Answer 5
Global Rationale
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Cognitive Level: Applying
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Meta 4
Learning Outcome 1: 46.4 Plan nursing care for children with vision or hearing impairments.
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Question 135808Id: 135808
Question Title:
Type: MCMADifficulty Level:
Calculator:
false
Question Stem
Following a facial injury of a 12-year-old youth during a baseball game, a nurse speaks with the league administrators about first aid for teeth that may be lost. The nurse will instruct the administration that appropriate first aid will include:
Standard Text Select all that apply.
Stimulus
Answer
Choice 1Not worrying about the tooth loss, as children this age still have their “baby” teeth.
Rationale 1 By twelve years of age, children have their permanent teeth.
Answer 1 false
Choice 2Only handling the lost tooth by the roots and avoiding touching the crown of the tooth.
Rationale 2First aid includes handling the tooth only by the crown and not touching the roots.
Answer 2 false
Choice 3 Rinsing the lost tooth with sterile saline.
Rationale 3 This is appropriate, as there is hope that the tooth can be re-implanted.
Answer 3 true
Choice 4Placing the tooth back into its socket and taking the child to an emergency dental facility.
Rationale 4 This is an appropriate way to manage the tooth.
Answer 4 true
Choice 5Keeping the tooth clean and dry during transport to an emergency dental facility.
Rationale 5 The tooth should be kept moist.
Answer 5 false
Global Rationale
Meta 1
Cognitive Level: Applying
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Reference:
Source Id: 126163
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Writer First Name: admin
Writer Last Name:
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Meta 4
Learning Outcome 1:46.6 Integrate preventive and treatment principles when implementing care for children related to eyes, ears, nose, and throat.
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