A nurse is performing hearing screenings for children at a community health fair. Which of the following children should the nurse refer to a provider for a more extensive hearing Evaluation?
A toddler who is 18 months old and has unintelligible speech
An infant who is 8 months old and is not yet making babbling sounds
A preschooler who is 4 years old and prefers playing with others rather than alone.
An infant who is 3 months old and has an exaggerated startle response
The Correct Answer is B
A. Unintelligible speech is common at 18 months and typically resolves with age. However, a hearing screening may still be appropriate to rule out any issues.
B. By 6 months of age, infants should begin making babbling sounds. The absence of babbling at 8 months suggests a potential hearing impairment and warrants further evaluation.
C. Preferring to play with others is typical behavior for a 4-year-old and does not indicate a hearing impairment.
D. An exaggerated startle response at 3 months is a normal developmental milestone and does not indicate a hearing problem.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Asking the client to look away may reduce anxiety for some, but it does not minimize discomfort or promote understanding.
B. Using a larger needle would likely increase discomfort and is not consistent with atraumatic care, which aims to minimize pain.
C. Administering the injection quickly might reduce discomfort but does not address the child’s emotional needs or ensure proper understanding of the procedure.
D. Explaining the procedure in simple terms helps the child understand what will happen, reducing fear and promoting cooperation. This is an important aspect of atraumatic care.
Correct Answer is C
Explanation
A. Abdominal pain rated 4 is moderate and should be managed but is not as immediately critical as hypotension.
B. A respiratory rate of 20/min is within normal limits for an adolescent and is not a priority finding.
C. Low blood pressure (hypotension) following blunt abdominal trauma is a concern for internal bleeding or hemorrhage. This is the priority finding and requires immediate intervention.
D. A heart rate of 72/min is normal and does not indicate immediate concern.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.