Question 135791

Id:

135791

Type:

MCSA

Calculator
:

false

Question
Title:
Difficulty
Level:

Question Stem
The nurse is caring for a young child with otitis media. The parent asks the nurse why children seem to get
otitis media frequently but adults do not. The nurse would explain that younger children get otitis media more
often because:
Stimulus

Answer
Choice 1

The eustachian tube is shorter, wider, and horizontal in younger children.

Rationale 1

The eustachian tube, which connects the nasopharynx to the middle ear, is
proportionately shorter, wider, and more horizontal in infants and young
children than in older children or adults. This promotes an increase in the
incidence of ear infections.

Answer 1

true

Choice 2

The eustachian tube is shorter, more narrow, and horizontal in younger

children.

Rationale 2

The eustachian tube, which connects the nasopharynx to the middle ear, is
proportionately shorter, wider, and more horizontal in infants and younger
children than in older children or adults. This promotes an increase in the
incidence of ear infections.

Answer 2

false

Choice 3

The eustachian tube is longer, wider, and vertical in younger children.

Rationale 3

The eustachian tube, which connects the nasopharynx to the middle ear, is
proportionately shorter, wider, and more horizontal in infants and younger
children than in older children or adults. This promotes an increase in the
incidence of ear infections.

Answer 3

false

Choice 4

The eustachian tube is longer, more narrow, and vertical in younger children.

Rationale 4

The eustachian tube, which connects the nasopharynx to the middle ear, is
proportionately shorter, wider, and more horizontal in infants and younger

children than in older children or adults. This promotes an increase in the

incidence of ear infections.
Answer 4

false

Global Rationale

Meta 1
Cognitive Level:

Applying

Client Need:
Client Need Sub:
Nursing/Integrated
Concepts:

Nursing Process: Implementation

Content Area:
Content Area
Sub:

Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:

126146

Source Chapter Number:

Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name:

admin

Writer Last Name:

Royalty:
Stakes:
Special Handling:
Comments:

Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:

46.1 Identify anatomy, physiology, and pediatric differences in the eye, ear,
nose, and throat of children and adolescents.

Question 135792
Id:

135792

Type:

MCSA

Calculator
:

false

Question
Title:
Difficulty
Level:

Question Stem
The nurse is caring for four clients in the neonatal intensive care unit. Which infant has the greatest risk of
developing retinopathy of prematurity (ROP)?
Stimulus

Answer
Choice 1

28-weeks'-gestation infant who has been on long-term oxygen and weighed

1,400 grams

Rationale 1

The 28-weeks'-gestation infant on oxygen weighing 1,400 grams has the

greatest risk of retinopathy of prematurity because of gestational age (28
weeks or less), weight (less than 1,600 g), and oxygen therapy.

Answer 1

true

Choice 2

32-weeks'-gestation infant of African heritage with a congenital heart defect

who needed no oxygen and weighed 1,850 grams

Rationale 2

The 32-weeks'-gestation infant was not placed on oxygen, and therefore is

not at risk. Risk for developing retinopathy of prematurity is lower for
infants of African heritage than Caucasian infants. Congenital heart defects
are not associated with ROP.

Answer 2

false

Choice 3

28-weeks'-gestation female infant who was on short-term oxygen, weighed

1,420 grams, and was treated with phototherapy

Rationale 3

The 28-weeks'-gestation infant was only placed on short-term oxygen.

Phototherapy is associated with hyperbilirubinemia and is not associated
with ROP.

Answer 3

false

Choice 4

36-weeks'-gestation, small-for-gestational-age infant who was in an oxyhood

for 12 hours and weighed 1,800 grams

Rationale 4

The 36-weeks'-gestation infant was on oxygen for short period of time. A

small-for-gestational-age baby would be more mature than an infant of the

same weight but lower gestational age.
Answer 4

false

Global Rationale

Meta 1
Cognitive Level:

Analyzing

Client Need:
Client Need Sub:
Nursing/Integrated
Concepts:

Nursing Process: Assessment

Content Area:
Content Area
Sub:

Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:

126148

Source Chapter Number:

Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name:

admin

Writer Last Name:

Royalty:
Stakes:
Special Handling:
Comments:

Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:

46.2 Describe abnormalities of the eyes, ears, nose, throat, and mouth in
children.

Question 135793
Id:

135793

Type:

MCSA

Calculator
:

false

Question
Title:
Difficulty
Level:

Question Stem
The nurse is taking care of a child who had a tonsillectomy. During the postoperative period, the nurse should
observe the child for which clinical manifestation?
Stimulus

Answer
Choice 1

Arrhythmias

Rationale 1

Unless the child has a heart condition prior to surgery, arrhythmias is not a
possible postoperative complication

Answer 1

false

Choice 2

Dehydration

Rationale 2

The child is at risk for dehydration due to deficient fluid volume related to
inadequate intake after surgery. The child will anticipate having pain if she
tries to swallow.

Answer 2

true

Choice 3

Increased blood sugar

Rationale 3

Increased blood sugar will result only if the child is a diabetic.

Answer 3

false

Choice 4

Increased urinary output

Rationale 4

Increased urinary output is not an expected complication of surgery.

Answer 4

false

Global Rationale

Meta 1
Cognitive Level:

Applying

Client Need:
Client Need Sub:
Nursing/Integrated
Concepts:

Nursing Process: Assessment

Content Area:
Content Area
Sub:

Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:

126149

Source Chapter Number:

Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name:
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:

admin

Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:

46.2 Describe abnormalities of the eyes, ears, nose, throat, and mouth in
children.

Question 135794
Id:

135794

Type:

MCSA

Calculator
:

false

Question
Title:
Difficulty
Level:

Question Stem
A neonate has been diagnosed with a herpes simplex viral infection of the eye. Which medication will the
nurse prepare to administer?
Stimulus

Answer
Choice 1

Oral erythromycin

Rationale 1

Oral erythromycin is used to treat Chlamydial eye infections.

Answer 1

false

Choice 2

Fluoroquinolone eyedrops or ointment

Rationale 2

Fluoroquinolone eyedrops are used to treat bacterial eye infections.

Answer 2

false

Choice 3

Parenteral acyclovir (Zovirax) and vidarabine (VIRA-A) ophthalmic

ointment

Rationale 3

Neonatal herpes simplex virus is treated vigorously with parenteral acyclovir

for 14 days or longer and topical ophthalmic medication (trifluridine,
iododeoxyuridine, or vidarabine).

Answer 3

true

Choice 4

Intravenous penicillin

Rationale 4

Intravenous penicillin treats selected bacterial infections.

Answer 4

false

Global Rationale

Meta 1
Cognitive Level:

Applying

Client Need:
Client Need Sub:
Nursing/Integrated
Concepts:

Nursing Process: Planning

Content Area:
Content Area
Sub:

Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:

126154

Source Chapter Number:

Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name:
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:

admin

Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:

46.4 Plan nursing care for children with vision or hearing impairments.

Question 135795
Id:

135795

Type:

MCSA

Calculator
:

false

Question
Title:
Difficulty
Level:

Question Stem
A nurse is caring for a visually impaired 20-month-old who has not begun to walk. Which nursing diagnosis
would be appropriate for this child?
Stimulus

Answer
Choice 1

Self-care deficit

Rationale 1

Self-care deficit does not apply to this age of child.

Answer 1

false

Choice 2

Impaired physical mobility

Rationale 2

The child's mobility is not due to a physiological problem, so impaired

mobility is not appropriate.

Answer 2

false

Choice 3

Impaired home maintenance

Rationale 3

There are not enough data to determine if home maintenance is impaired.

Answer 3

false

Choice 4

Delayed growth and development

Rationale 4

A 20-month-old child who is not walking is delayed in growth and

development. Toddlers generally walk by 15 months of age.

Answer 4

true

Global Rationale

Meta 1

Cognitive Level:

Applying

Client Need:
Client Need Sub:
Nursing/Integrated
Concepts:

Nursing Process: Diagnosis

Content Area:
Content Area
Sub:

Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:

126155

Source Chapter Number:

Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name:
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:

Meta 4

admin

Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:

46.4 Plan nursing care for children with vision or hearing impairments.

Question 135796
Id:

135796

Type:

MCSA

Calculator
:

false

Question
Title:
Difficulty
Level:

Question Stem
A nurse is caring for a visually impaired 10-year-old child. The nursing intervention with the highest priority
for this child during the admission process would be:
Stimulus

Answer
Choice 1

Explaining playroom policies.

Rationale 1

Policies can be covered at a later time

Answer 1

false

Choice 2

Orienting the child to where furniture is placed in the room.

Rationale 2

The priority intervention is to orient the child to furniture placement in the

room. This is priority because it addresses basic safety for a visually
impaired client.

Answer 2

true

Choice 3

Taking the child on a tour of the unit.

Rationale 3

Tours can be done at a later time.

Answer 3

false

Choice 4

Letting the child touch equipment that will be used during the
hospitalization.

Rationale 4

Handling equipment can be covered at a later time.

Answer 4

false

Global Rationale

Meta 1
Cognitive Level:

Applying

Client Need:
Client Need Sub:
Nursing/Integrated
Concepts:

Nursing Process: Implementation

Content Area:
Content Area
Sub:

Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:

126156

Source Chapter Number:

Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name:
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:

admin

Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:

46.4 Plan nursing care for children with vision or hearing impairments.

Question 135797
Id:

135797

Type:

MCSA

Calculator
:

false

Question
Title:
Difficulty
Level:

Question Stem
An infant has acute otitis media. Which of the following would be the most important for the nurse to teach the
parents?
Stimulus

Answer
Choice 1

Keep the baby in a flat position during sleep.

Rationale 1

A flat position could exacerbate the discomfort. Elevating the head slightly is
recommended.

Answer 1

false

Choice 2

Administer a decongestant.

Rationale 2

Decongestants are not recommended for treatment of acute otitis media.

Answer 2

false

Choice 3

Place the baby to sleep with a pacifier.

Rationale 3

Placing infants to sleep with a pacifier can increase the incidence of otitis
media.

Answer 3

false

Choice 4

Administer acetaminophen (Tylenol) to relieve discomfort.

Rationale 4

An infant with a bulging tympanic membrane because of acute otitis media

will have pain. Parents are taught to administer acetaminophen (Tylenol) to
relieve the discomfort associated with acute otitis media.

Answer 4

true

Global Rationale

Meta 1
Cognitive Level:

Applying

Client Need:
Client Need Sub:
Nursing/Integrated
Concepts:

Nursing Process: Implementation

Content Area:
Content Area
Sub:

Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:

126157

Source Chapter Number:

Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name:
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:

admin

Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:

46.5 Select and apply latest recommendations when implementing care and
teaching for children with abnormalities of eyes, ears, nose, and throat.

Question 135798
Id:

135798

Type:

MCMA

Calculator
:

false

Question
Title:
Difficulty
Level:

Question Stem
The nurse has taught a group of parents how to care for their children who have just had tympanostomy tubes
inserted. The nurse will know the parents understand how to care for their child's tympanostomy tubes if they:
Standard Text
Select all that apply.

Stimulus

Answer
Choice 1

Limit their diets to soft, bland foods.

Rationale 1

Limiting the diet to soft, bland foods and administering decongestants are
not needed after surgery. A regular diet should be resumed.

Answer 1

false

Choice 2

Restrict the children to quiet activities after surgery.

Rationale 2

The correct responses include encouraging the children to drink generous

amounts of water, restricting the children to quiet activities after surgery, and
avoiding water in the children's ears at bath time.

Answer 2

true

Choice 3

Administer a decongestant for one to two weeks following surgery.

Rationale 3

Incorrect responses include administering a decongestant for one to two

weeks following surgery and limiting their diets to soft, bland foods.

Answer 3

false

Choice 4

Encourage the children to drink generous amounts of fluids.

Rationale 4

The correct responses include encouraging the children to drink generous

amounts of water, restricting the children to quiet activities after surgery, and
avoiding water in the children's ears at bath time.

Answer 4

true

Choice 5

Avoid getting water in their ears during bath time.

Rationale 5

The correct responses include encouraging the children to drink generous

amounts of water, restricting the children to quiet activities after surgery, and
avoiding water in the children's ears at bath time.

Answer 5

true

Global Rationale

Meta 1
Cognitive Level:

Analyzing

Client Need:
Client Need Sub:
Nursing/Integrated
Concepts:

Nursing Process: Evaluation

Content Area:
Content Area
Sub:

Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
Source Chapter Number:
Source Chapter Title:
Source Au Title Ed:

126158

Source Usage:
Writer First Name:

admin

Writer Last Name:

Royalty:
Stakes:
Special Handling:
Comments:

Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:

46.5 Select and apply latest recommendations when implementing care and
teaching for children with abnormalities of eyes, ears, nose, and throat.

Question 135799
Id:

135799

Type:

MCSA

Calculator
:

false

Question
Title:
Difficulty
Level:

Question Stem
The nurse can assist a child who has a mild hearing loss and reads lips to adapt to hospitalization by:

Stimulus

Answer
Choice 1

Touching the child lightly before speaking.

Rationale 1

The nurse can facilitate hospital adaptation of a child who has a hearing loss
and can lip-read by obtaining the child's visual attention by lightly touching
the child before communicating.

Answer 1

true

Choice 2

Using a picture board as the main means of communication.

Rationale 2

Picture boards, while useful, should not be the primary means of

communication for a child who reads lips.

Answer 2

false

Choice 3

Speaking in a loud voice while facing the child.

Rationale 3

Speaking in a loud voice might not promote hearing in the child.

Answer 3

false

Choice 4

Speaking directly to the parents for communication.

Rationale 4

Speaking to only the parents does not help the child with the hospitalization.

Answer 4

false

Global Rationale

Meta 1
Cognitive Level:

Applying

Client Need:
Client Need Sub:
Nursing/Integrated
Concepts:

Nursing Process: Implementation

Content Area:
Content Area
Sub:

Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:

126159

Source Chapter Number:

Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name:
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:

admin

Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:

46.5 Select and apply latest recommendations when implementing care and
teaching for children with abnormalities of eyes, ears, nose, and throat.

Question 135800
Id:

135800

Type:

MCSA

Calculator
:

false

Question
Title:
Difficulty
Level:

Question Stem
A child has epistaxis while at school. The school nurse appropriately intervenes by:

Stimulus

Answer
Choice 1

Lying the child down and applying a warm pack.

Rationale 1

Lying the child down would allow the blood to drain down the throat, which
could lead to aspiration. Warmth would promote the bleeding.

Answer 1

false

Choice 2

Tilting the child's head back, squeezing the bridge of the nose, and applying
a warm moist pack to the nose.

Rationale 2

Tilting the child's head back could cause the blood to trickle down the throat.
Warmth can cause an increase in bleeding because of vasodilation.

Answer 2

false

Choice 3

Tilting the child's head forward, squeezing the nares below the nasal bone,
and applying ice to the nose.

Rationale 3

The correct initial treatment for a nosebleed is to tilt the head forward,
squeeze the nares below the nasal bone for 10-15 minutes, and apply ice to
the nose or back of the head.

Answer 3

true

Choice 4

Immediately packing the nares with a cotton ball soaked with NeoSynephrine.

Rationale 4

A cotton ball soaked with Neo-Synephrine would only be used if the

bleeding did not stop with pressure and ice.

Answer 4

false

Global Rationale

Meta 1
Cognitive Level:

Applying

Client Need:
Client Need Sub:
Nursing/Integrated
Concepts:

Nursing Process: Implementation

Content Area:
Content Area
Sub:

Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:

126160

Source Chapter Number:

Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name:
Writer Last Name:
Royalty:
Stakes:

admin

Special Handling:
Comments:

Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:

46.5 Select and apply latest recommendations when implementing care and
teaching for children with abnormalities of eyes, ears, nose, and throat.

Question 135801
Id:

135801

Type:

MCSA

Calculator
:

false

Question
Title:
Difficulty
Level:

Question Stem
The nurse has completed postoperative discharge teaching to the parents of a child who has had a
tonsillectomy. Which statement indicates the parents have understood the teaching?
Stimulus

Answer
Choice 1

"We will call the physician for any indication of ear pain."

Rationale 1

Ear pain four to eight days after a tonsillectomy might be experienced and
does not indicate an ear infection.

Answer 1

false

Choice 2

"We will be sure to give our child adequate amounts of citrus juices."

Rationale 2

Citrus juices should be avoided for the first week because highly acidic
foods and beverages can cause irritation.

Answer 2

false

Choice 3

"We will plan on administering acetaminophen (Tylenol) for pain."

Rationale 3

Acetaminophen (Tylenol) is recommended for pain after a tonsillectomy.

Answer 3

true

Choice 4

"We will keep our child on bed rest for ten days after the surgery."

Rationale 4

Children do not need to be confined to bed. They can return to school in 10

days.

Answer 4

false

Global Rationale

Meta 1
Cognitive Level:

Analyzing

Client Need:
Client Need Sub:
Nursing/Integrated
Concepts:

Nursing Process: Evaluation

Content Area:
Content Area
Sub:

Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:

126161

Source Chapter Number:

Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name:
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:

admin

Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:

46.5 Select and apply latest recommendations when implementing care and
teaching for children with abnormalities of eyes, ears, nose, and throat.

Question 135802
Id:

135802

Type:

MCSA

Calculator
:

false

Question
Title:
Difficulty
Level:

Question Stem
A nurse who is planning to teach school-age children about the "common cold" should include what
information?
Stimulus

Answer
Choice 1

Aspirin should be taken for alleviation of fever if the common cold is

contracted.

Rationale 1

Aspirin should not be taken for fever because of its association with Reye's
syndrome.

Answer 1

false

Choice 2

Antibiotics will eliminate the nasopharyngitis virus.

Rationale 2

Antibiotics are not used to treat viral infections.

Answer 2

false

Choice 3

Vaccinations can prevent contraction of a nasopharyngitis virus.

Rationale 3

No vaccine can prevent the common cold.

Answer 3

false

Choice 4

Proper hand washing can prevent the spread of the common cold.

Rationale 4

Proper hand washing should be taught to school-age children to reduce the

spread of the "common cold" virus.

Answer 4

true

Global Rationale

Meta 1
Cognitive Level:

Analyzing

Client Need:
Client Need Sub:
Nursing/Integrated
Concepts:

Nursing Process: Planning

Content Area:
Content Area
Sub:

Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:

126162

Source Chapter Number:

Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name:
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:

admin

Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:

46.6 Integrate preventive and treatment principles when implementing care

for children related to eyes, ears, nose, and throat.

Question 135803
Id:

135803

Type:

MCSA

Calculator
:

false

Question
Title:
Difficulty
Level:

Question Stem
The school nurse is screening all second graders for tonsillitis and pharyngitis. Which finding is a normal
finding in this age group?
Stimulus

Answer
Choice 1

Tonsils are large and seem to fill the throat.

Rationale 1

This is a normal finding as the tonsilar material grows faster than the child
and reaches adult size in this age group. It is not a reason to refer the child
for follow-up.

Answer 1

true

Choice 2

Child is complaining of sore throat and drooling

Rationale 2

Both symptoms indicate pharyngitis and should be evaluated by a physician.

Answer 2

false

Choice 3

White patches are observed on the tonsils.

Rationale 3

White exudate is associated with tonsillitis and requires further evaluation.

Answer 3

false

Choice 4

Throat appears red, and child has a low-grade fever

Rationale 4

These symptoms suggest pharyngitis; the child should be evaluated further.

Answer 4

false

Choice 5
Rationale 5
Answer 5
Global Rationale

Meta 1
Cognitive Level:

Analyzing

Client Need:
Client Need Sub:
Nursing/Integrated
Concepts:

Nursing Process: Assessment

Content Area:
Content Area
Sub:

Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:

126152

Source Chapter Number:

Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name:
Writer Last Name:
Royalty:
Stakes:
Special Handling:

admin

Comments:

Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:

46.1 Identify anatomy, physiology, and pediatric differences in the eye, ear,
nose, and throat of children and adolescents.

Question 135804
Id:

135804

Type:

MCMA

Calculator
:

false

Question
Title:
Difficulty
Level:

Question Stem
A 10-month-old infant has had numerous ear infections since birth. The nurse will discuss with the parents
ways that might reduce the incidence of otitis media and will include which strategies?
Standard Text
Select all that apply.

Stimulus

Answer
Choice 1

Prohibiting tobacco smoke in the home

Rationale 1

This has been shown to decrease the incidence of otitis media.

Answer 1

true

Choice 2

Avoiding use of a pacifier while the child is sleeping

Rationale 2

The use of a pacifier for the sleeping baby has been associated with otitis
media.

Answer 2

true

Choice 3

Breastfeeding the infant

Rationale 3

While breastfeeding is associated with lower incidences of otitis media, this

child is 10 months old.

Answer 3

false

Choice 4

Cleaning the childs ears nightly with peroxide

Rationale 4

Otitis media is not prevented by cleaning the ears.

Answer 4

false

Choice 5

Avoiding use of wood-burning stoves

Rationale 5

Wood-burning stoves are associated with higher rates of otitis media.

Answer 5

true

Global Rationale

Meta 1
Cognitive Level:

Applying

Client Need:
Client Need Sub:
Nursing/Integrated
Concepts:

Nursing Process: Implementation

Content Area:
Content Area
Sub:

Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:

126147

Source Chapter Number:

Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name:
Writer Last Name:

admin

Royalty:
Stakes:
Special Handling:
Comments:

Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:

46.6 Integrate preventive and treatment principles when implementing care

for children related to eyes, ears, nose, and throat.

Question 135805
Id:

135805

Type:

MCSA

Calculator
:

false

Question
Title:
Difficulty
Level:

Question Stem
A three-year-old child has been found to have a mild to moderate hearing loss. The mother tells the nurse: The
doctor told me I should put my child in day care but didnt tell me why. Do you know why the doctor
recommends day care? The nurses response will be based on the knowledge that day care will:
Stimulus

Answer
Choice 1

Help the child recognize his hearing deficit.

Rationale 1

This would not be a goal of treatment. The child is aware of what he hears
but may not be aware of what he is not hearing.

Answer 1

false

Choice 2

Increase the childs socialization skills.

Rationale 2

By increasing the interaction with other children, the hearing-impaired child

will improve his socialization skills.

Answer 2

true

Choice 3

Improve the childs immunity by increased exposure to organisms.

Rationale 3

Increased exposure to organisms will occur, but this is not the goal of the
recommendation.

Answer 3

false

Choice 4

Teach other children that children are different.

Rationale 4

The physicians concern is the well-being of this child, not the other
children.

Answer 4

false

Choice 5
Rationale 5

Answer 5
Global Rationale

Meta 1
Cognitive Level:

Applying

Client Need:
Client Need Sub:
Nursing/Integrated
Concepts:

Nursing Process: Planning

Content Area:
Content Area
Sub:

Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:

126150

Source Chapter Number:

Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name:
Writer Last Name:
Royalty:

admin

Stakes:
Special Handling:
Comments:

Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:

46.4 Plan nursing care for children with vision or hearing impairments.

Question 135806
Id:

135806

Type:

MCSA

Calculator
:

false

Question
Title:
Difficulty
Level:

Question Stem
While screening children, the nurse notes that one child seems to have crossed eyes. Which screening tool
might the nurse utilize to further screen this child?
Stimulus

Answer
Choice 1

Examine the eye with an otoscope.

Rationale 1

An otoscope is used to examine the ear, not the eye.

Answer 1

false

Choice 2

Check for the red reflex in the eyes.

Rationale 2

The red reflex visualizes the retina and is used to identify infants with
cataracts.

Answer 2

false

Choice 3

Perform the cover-uncover test.

Rationale 3

When one eye is covered while the child is looking at an object, the
uncovered eye will deviate from the location; this tool is used to detect
strabismus.

Answer 3

true

Choice 4

Use a tonometer to evaluate the eyes.

Rationale 4

The tonometer measures intraocular pressure and is used to evaluate

glaucoma.

Answer 4

false

Choice 5
Rationale 5
Answer 5

Global Rationale

Meta 1
Cognitive Level:

Applying

Client Need:
Client Need Sub:
Nursing/Integrated
Concepts:

Nursing Process: Assessment

Content Area:
Content Area
Sub:

Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:

126151

Source Chapter Number:

Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name:
Writer Last Name:
Royalty:
Stakes:

admin

Special Handling:
Comments:

Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:

46.3 Carry out screening programs to identify children with vision and
hearing abnormalities.

Question 135807
Id:

135807

Type:

MCSA

Calculator
:

false

Question
Title:
Difficulty
Level:

Question Stem
The nurse is reviewing discharge instructions for a child who has received a cochlear implant. In addition to
encouraging speech therapy for the child, the nurse will instruct the parents to monitor the child for signs of:
Stimulus

Answer
Choice 1

Ringing in the ears.

Rationale 1

This is not a common complication of a cochlear implant.

Answer 1

false

Choice 2

Pharyngitis.

Rationale 2

Pharyngitis is not associated with cochlear implants.

Answer 2

false

Choice 3

Hearing loss.

Rationale 3

The child already has hearing loss. That is why the child receives a cochlear
implant.

Answer 3

false

Choice 4

Bacterial meningitis.

Rationale 4

There is an increased risk of bacterial meningitis following insertion of a

cochlear implant.

Answer 4

true

Choice 5
Rationale 5
Answer 5
Global Rationale

Meta 1
Cognitive Level:

Applying

Client Need:
Client Need Sub:
Nursing/Integrated
Concepts:

Nursing Process: Implementation

Content Area:
Content Area
Sub:

Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:

126153

Source Chapter Number:

Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name:
Writer Last Name:
Royalty:
Stakes:
Special Handling:

admin

Comments:

Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:

46.4 Plan nursing care for children with vision or hearing impairments.

Question 135808
Id:

135808

Type:

MCMA

Calculator
:

false

Question
Title:
Difficulty
Level:

Question Stem
Following a facial injury of a 12-year-old youth during a baseball game, a nurse speaks with the league
administrators about first aid for teeth that may be lost. The nurse will instruct the administration that
appropriate first aid will include:
Standard Text
Select all that apply.

Stimulus

Answer
Choice 1

Not worrying about the tooth loss, as children this age still have their baby
teeth.

Rationale 1

By twelve years of age, children have their permanent teeth.

Answer 1

false

Choice 2

Only handling the lost tooth by the roots and avoiding touching the crown of
the tooth.

Rationale 2

First aid includes handling the tooth only by the crown and not touching the
roots.

Answer 2

false

Choice 3

Rinsing the lost tooth with sterile saline.

Rationale 3

This is appropriate, as there is hope that the tooth can be re-implanted.

Answer 3

true

Choice 4

Placing the tooth back into its socket and taking the child to an emergency
dental facility.

Rationale 4

This is an appropriate way to manage the tooth.

Answer 4

true

Choice 5

Keeping the tooth clean and dry during transport to an emergency dental
facility.

Rationale 5

The tooth should be kept moist.

Answer 5

false

Global Rationale

Meta 1
Cognitive Level:

Applying

Client Need:
Client Need Sub:
Nursing/Integrated
Concepts:

Nursing Process: Implementation

Content Area:
Content Area
Sub:

Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
Source Chapter Number:
Source Chapter Title:
Source Au Title Ed:

126163

Source Usage:
Writer First Name:

admin

Writer Last Name:

Royalty:
Stakes:
Special Handling:
Comments:

Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:

46.6 Integrate preventive and treatment principles when implementing care

for children related to eyes, ears, nose, and throat.