41. A nurse preparing to test a school-age child’s vision. Which : 1361465.
41. A nurse is preparing to test a school-age child’s vision. Which eye chart should the nurse use?
a.Denver Eye Screening Test
b.Allen picture card test
c.Ishihara vision test
d.Snellen letter chart
42. Which is the most appropriate vision acuity test for a child who is in preschool?
a.Cover test
b.Ishihara test
c.HOTV chart
d.Snellen letter chart
43. The nurse is testing an infant’s visual acuity. By what age should the infant be able to fix on and follow a target?
a.1 month
b.1 to 2 months
c.3 to 4 months
d.6 months
44. The appropriate placement of a tongue blade for assessment of the mouth and throat is:
a.center back area of tongue.
b.side of the tongue.
c.against the soft palate.
d.on the lower jaw.
45. An appropriate screening test for hearing that can be administered by the nurse to a 5-year-old child is:
a.the Rinne test.
b.the Weber test.
c.conventional audiometry.
d.eliciting the startle reflex.
46. What type of breath sound is normally heard over the entire surface of the lungs except for the upper intrascapular area and the area beneath the manubrium?
a.Vesicular
b.Bronchial
c.Adventitious
d.Bronchovesicular
47. A nurse is assessing a patient admitted for an asthma exacerbation. Which breath sounds does the nurse expect to assess?
a.Rubs
b.Rattles
c.Wheezes
d.Crackles
48. While caring for a critically ill child, the nurse observes that respirations are gradually increasing in rate and depth, with periods of apnea. What pattern of respiration will the nurse document?
a.Dyspnea
b.Tachypnea
c.Cheyne-Stokes respirations
d.Seesaw (paradoxic) respirations
49. The nurse must assess a child’s capillary refill time. This can be accomplished by:
a.inspecting the chest.
b.auscultating the heart.
c.palpating the apical pulse.
d.palpating the skin to produce a slight blanching.
50. A nurse is assessing a child with an unrepaired ventricular septal defect. Which heart sound does the nurse expect to assess?
a.S3
b.S4
c.Murmur
d.Physiologic splitting
41. A nurse preparing to test a school-age child’s vision. Which : 1361465
