A nurse is preparing to assess a 4-year-old child’s visual acuity. Which of the following actions should the nurse plan to take?
Use a tumbling E chart for the assessment.
Test the child without glasses before testing with glasses.
Position the child 4.6 meters (15 feet) from the chart.
Assess both eyes together first, then each eye separately.
The Correct Answer is A
The correct answer is Choice A.
Choice A rationale
The tumbling E chart is used for visual acuity assessment in children who cannot read letters, such as those who are too young or have language barriers. It involves identifying the direction of the letter “E” in various orientations.
Choice B rationale
Testing the child without glasses before testing with glasses is not the standard procedure for visual acuity assessment. The correct approach is to test with the child’s usual corrective lenses if they have them.
Choice C rationale
The standard distance for visual acuity testing using a chart is 3 meters (10 feet) for children, not 4.6 meters (15 feet)9.
Choice D rationale
Assessing each eye separately first, then both eyes together, is the correct procedure for visual acuity testing. This ensures accurate measurement of each eye’s visual acuity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is Choice A.
Choice A rationale
Commercially prepared formulas are designed to meet the nutritional needs of infants and are safe alternatives to breast milk or cow’s milk.
Choice B rationale
Soy milk is not recommended for infants under 1 year of age as it may not provide adequate nutrition.
Choice C rationale
Reinitiating breastfeeding may not be feasible if the mother has stopped breastfeeding for an extended period.
Choice D rationale
Warming goat’s milk does not address the nutritional inadequacies and potential health risks associated with feeding goat’s milk to infants.
Correct Answer is C
Explanation
The correct answer is Choice C.
Choice A rationale
Vomiting can occur in infants with necrotizing enterocolitis, but it is not the most specific finding.
Choice B rationale
Hypertension is not typically associated with necrotizing enterocolitis.
Choice C rationale
A rounded abdomen is a common finding in infants with necrotizing enterocolitis due to intestinal swelling and gas accumulation.
Choice D rationale
Tachypnea can occur, but it is not as specific as a rounded abdomen.
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