Chapter 17: NURS 340 Preparation For The Nclex Questions and Answers ,100% CORRECT
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Chapter 17: NURS 340
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Chapter 17: NURS 340
Chapter 17: NURS 340 Preparation For The Nclex Questions and Answers
Origin: Chapter 17, 1
1. The nurse is developing a plan of care for a 5-year-old child with a severe hearing impairment focusing on psychosocial interventions based on assessment findings. Which behavior would the nurse have mo...
chapter 17 nurs 340 preparation for the nclex questions and answers
1 the nurse is developing a plan of care for a 5 year old child with a severe hearing impairment focusing on psychosocial interven
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Chapter 17: NURS 340 Preparation For The Nclex Questions
and Answers
Origin: Chapter 17, 1
1. The nurse is developing a plan of care for a 5-year-old child with a severe
hearing impairment focusing on psychosocial interventions based on
assessment findings. Which behavior would the nurse have most likely
assessed?
A) Immature emotional behavior
B) Self-stimulatory actions
C) Inattention and vacant stare
D) Head tilt or forward thrust
Ans: A
Feedback:
Immature emotional behavior would be seen most frequently. The inability
to hear impacts the socialization process and causes social problems for the
child because the hearing impairment has inhibited normal development.
Self-stimulatory actions, inattention, vacant stare, head tilt, or forward
thrust may also cause problems with socialization, but they are typical of
visually impaired children.
Origin: Chapter 17, 2
2. The nurse is caring for a 3-month-old with nasolacrimal duct
obstruction. Which intervention would be most appropriate for the
nurse to implement?
A) Being careful to prevent spread of infection
B) Teaching the parents how to gently massage the duct
C) Applying hot, moist compresses to the affected eye
D) Referring the child to an
ophthalmologist Ans: B
Feedback:
Massaging the nasolacrimal duct can cause it to open and drain. Teaching the
parents how to do this would be part of the nurse's plan of care. Nasolacrimal
duct obstruction is not infectious. Applying hot, moist compresses to the eye
is an intervention for conjunctivitis. Nasolacrimal duct obstruction is often
self-resolving, so there would be no need for a specialist's care.
Origin: Chapter 17, 3
3. The nurse is caring for a 10-year-old with allergic conjunctivitis. The
Page 1
, nurse would be alert to the child's increased risk for what issue?
A) Atopic dermatitis
B) Insect bite sensitivity
C) Acute otitis media
D) Frequent sore throats
Ans: A
Feedback:
Atopic dermatitis is a risk factor specifically for allergic conjunctivitis
because of repeated exposure to the particular allergens. Acute otitis media,
insect bite sensitivity, and frequent sore throats can occur but are not related
to the allergic conjunctivitis.
Page 2
, Origin: Chapter 17, 4
4. The nurse is caring for a 6-year-old visually impaired boy and is about
to begin the physical examination. Which intervention would be most
appropriate to promote effective communication with the child?
A) Show him the stethoscope.
B) Describe the examination room.
C) Use his name before touching him.
D) Allow him to explore the exam room.
Ans: C
Feedback:
When interacting with a visually impaired child, it is a good communication
technique to use his name to gain his attention before touching him. Letting
him listen to his heart with the stethoscope, describing the examination
room, and promoting exploration by touch are sound ways to interact, but
are not specific to communicating with the child at the beginning of the
assessment.
Origin: Chapter 17, 5
5. The nurse is instructing the parents of a school-age child with an eye
disorder how to care for her eye. Which condition would the nurse explain
as resolving by itself without the use of antibiotics?
A) Blepharitis
B) Hordeolum
C) Corneal abrasion
D) Chalazion
Ans: D
Feedback:
Chalazion usually resolves spontaneously but may require surgical
drainage. Therapeutic management of blepharitis, hordeolum, and corneal
abrasion may require antibiotic ointment.
Origin: Chapter 17, 6
6. The nurse is caring for a 3-year-old boy with amblyopia. Which intervention
would be
most appropriate to include in the child's plan of care?
A) Rinsing the eye with cool water
B) Educating the family about the disease
C) Encouraging frequent hand washing
Page 3
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