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 D
Explanation
The correct answer is D. A school-age child who is in a spica cast.
Choice A rationale
An adolescent with a urinary tract infection (UTI) is not at high risk for insufficient vascular perfusion. UTIs primarily affect the urinary system and do not typically impact vascular perfusion.
Choice B rationale
A toddler receiving intravenous fluids is not at high risk for insufficient vascular perfusion. IV fluids help maintain hydration and vascular volume, supporting adequate perfusion.
Choice C rationale
A preschooler with otitis media (ear infection) is not at high risk for insufficient vascular perfusion. Otitis media affects the middle ear and does not typically impact vascular perfusion.
Choice D rationale
A school-age child in a spica cast is at high risk for insufficient vascular perfusion. The cast can restrict blood flow, leading to complications such as compartment syndrome, which requires immediate medical attention.
Correct Answer is C
Explanation
The correct answer is Choice C.
Choice A rationale
Abstinence from sexual activity is the only certain way to prevent STIs. Abstinence means not having vaginal, anal, or oral sex, which eliminates the risk of transmission of STIs. Therefore, the statement that abstinence does not prevent STIs is incorrect.
Choice B rationale
Adolescents are at a higher risk of contracting STIs compared to other age groups. This is due to factors such as higher rates of unprotected sex, multiple sexual partners, and biological susceptibility.
Choice C rationale
Prompt treatment of STIs can prevent complications such as pelvic inflammatory disease, infertility, and chronic pain. Early diagnosis and treatment are crucial in managing and preventing the spread of STIs.
Choice D rationale
Having one sexual partner does not eliminate the risk of contracting STIs. If the partner is infected or has had previous sexual partners who were infected, there is still a risk of transmission.
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