Chapter 23: The Child with a Sensory or Neurological Condition

Chapter 23: The Child with a Sensory or Neurological Condition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A parent comments that her infant has had several ear infections in the past few months. Why are infants more susceptible to otitis media?

a.	Infants are in a supine or prone position most of the time.
b.	Sucking on a nipple creates middle ear pressure.
c.	They have increased susceptibility to upper respiratory tract infections.
d.	The eustachian tube is short, straight, and wide.

 

 

ANS:  D

An infant’s eustachian tubes are short, wide, and straight, allowing microorganisms easy access to the middle ear.

 

DIF:    Cognitive Level: Knowledge            REF:   Page 525        OBJ:   2

TOP:   Otitis Media    KEY:  Nursing Process Step: Data Collection

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

2. What statement by a patient’s mother leads the nurse to determine she understands instructions about administering an oral antibiotic for otitis media?

a.	“I will continue using the medication until symptoms are relieved.”
b.	“I will share the medicine with siblings if their symptoms are the same.”
c.	“I will give the medication with a glass of milk.”
d.	“I will administer prescribed doses until all the medication is used.”

 

 

ANS:  D

Antibiotic therapy for otitis media is continued until the prescribed amount has been completed, even if symptoms are alleviated.

 

DIF:    Cognitive Level: Application           REF:   Page 527, Nursing Tip

OBJ:   2                    TOP:   Otitis Media   KEY:  Nursing Process Step: Evaluation

MSC:  NCLEX: Safe, Effective Care Environment: Safety and Infection Control

 

3. Which situation would cause the nurse to suspect a hearing impairment?

a.	3-month-old infant with a positive Moro reflex
b.	15-month-old toddler who is babbling
c.	18-month-old toddler who is speaking one-syllable words
d.	24-month-old toddler who communicates by pointing

 

 

ANS:  D

The child who is not making verbal attempts by 18 months should undergo a complete physical examination.

 

DIF:    Cognitive Level: Analysis                REF:   Page 527-528

OBJ:   3                    TOP:   Hearing Impairment

KEY:  Nursing Process Step: Data Collection

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

4. What is the best way for the nurse to communicate with a 10-year-old child who has a hearing impairment?

a.	Use gestures and signs as much as possible.
b.	Let the child’s parents communicate for her.
c.	Face the child and speak clearly in short sentences.
d.	Recognize that the child’s ability to communicate will be on a 6-year-old child’s level.

 

 

ANS:  C

The nurse who faces the child and speaks clearly will help the hearing-impaired child in the hospital to develop a healthy personality.

 

DIF:    Cognitive Level: Application           REF:   Page 528, Nursing Tip

OBJ:   3                    TOP:   Hearing Impairment

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity