The teacher reports to the nurse that, despite adequate intelligence, a child is not performing well in school. The nurse’s initial assessments would include:

Observing the child in the classroom to see interactions between the child and others

Determine if there is conflict between the child and the teacher

Conducting a vision and hearing screening

Talking with the child to determine if there are family stressors such as divorce, interfering with the child's performance

Answer and Explanation

The Correct Answer is C

a) Observing the child in the classroom to see interactions between the child and others: Useful for gathering information but not an initial assessment that might directly relate to the child's performance issues.

b) Determine if there is conflict between the child and the teacher: Conflict might contribute, but initial assessments should focus on other potential factors.

c) Conducting a vision and hearing screening: Sensory impairments can significantly impact a child's academic performance and are important to rule out initially.

d) Talking with the child to determine if there are family stressors such as divorce interfering with the child's performance: Valuable but might not be the first step in assessing academic performance issues.

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Correct Answer is ["A","D","E"]

Explanation

a) Frequent blinking: Can indicate vision strain or discomfort.

b) Imitation of facial expressions: Typically, not directly related to vision impairment.

c) Appropriate eye contact: Good eye contact might be present despite vision impairment.

d) Tilting the head to the side when someone whispers: Could indicate an attempt to better hear or see, potentially indicating vision or hearing issues.

e) Rubbing eyes: Could suggest eye discomfort or vision problems.

A. Make her lie down and rest quietly B. Examine her oral pharynx and report to the physician C. Auscultate her lungs and prepare for placement in a warm mist tent D. Defer an oral assessment and be prepared to assist with a tracheostomy or intubation

Correct Answer is D

Explanation

a) Make her lie down and rest quietly: Inappropriate as the symptoms suggest potential airway obstruction.

b) Examine her oral pharynx and report to the physician: Important action, but immediate airway management is the priority.

c) Auscultate her lungs and prepare for placement in a warm mist tent: Less critical than ensuring an open airway.

d) Defer an oral assessment and be prepared to assist with a tracheostomy or intubation: The child's symptoms (stridor, agitation, drooling) indicate potential upper airway obstruction, and immediate readiness for airway intervention is essential.

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The teacher reports to the nurse that, despite adequate intelligence, a child is not performing well in school. The nurse’s initial assessments would include:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

igns indicating vision impairment in a child (Select All That Apply: SATA):

Correct Answer is ["A","D","E"]

Explanation

A 4-year-old girl is brought to the emergency department. She has a ‘frog-like’ croaking sound on inspiration, is agitated, and drooling. She insists on sitting upright. The nurse should do which of the following?

Correct Answer is D

Explanation

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