A nurse is assessing a school-age child who reports difficulty seeing the chalk board in the front of the classroom. Which of the following tests should the nurse perform?
Ask the child to find numbers on Ishihara plats
Instruct the child to track items in the room.
Ask the child to identify items in a book.
Instruct the child to identify letters on a Snellen eye chart
The Correct Answer is D
A. Ishihara plates test for color blindness, not visual acuity.
B. Tracking items assesses eye movement, not visual acuity.
C. Identifying items in a book evaluates near vision but not distance vision, which is the reported problem.
D. The Snellen eye chart is used to assess distance visual acuity, which is appropriate for the child's complaint.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Twisting of the intestine describes volvulus, not intussusception.
B. Weakened abdominal muscles and bulging describe hernias, not intussusception.
C. Intussusception occurs when a part of the intestine telescopes into another part, leading to obstruction and potential ischemia.
D. Intussusception is not a congenital defect related to improper intestinal wall formation.
Correct Answer is A
Explanation
A. Administering a bronchodilator like albuterol before CPT helps open the airways, making it easier to mobilize secretions.
B. CPT should be performed before meals or 1 to 2 hours after eating to prevent vomiting.
C. Vibration should be performed during exhalation, not inspiration, to help loosen secretions.
D. Percussing each lung segment for 15 minutes is excessive; typically, each segment is percussed for 3-5 minutes.
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