ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 18 : Impact of Cognitive or Sensory Impairment on the Child and Family Questions
Question 1 of 5
What condition is defined as reduced visual acuity in one eye despite appropriate optical correction?
Correct Answer: C
Rationale: Amblyopia, or lazy eye, is reduced visual acuity in one eye despite correction, often due to insufficient visual stimulation. Myopia is nearsightedness, hyperopia is farsightedness, and astigmatism involves unequal refractive curvatures, none of which define amblyopia.
Question 2 of 5
The school nurse is caring for a child with a penetrating eye injury. Emergency treatment includes what intervention?
Correct Answer: D
Rationale: Applying a Fox shield to the injured eye and a patch to the other eye prevents further injury by minimizing movement. Cool compresses, irrigation, or removing the object risk additional damage to the eye.
Question 3 of 5
A father calls the emergency department nurse saying that his daughters eyes burn after getting some dishwasher detergent in them. The nurse recommends that the child be seen in the emergency department or by an ophthalmologist. The nurse also should recommend which action before the child is transported?
Correct Answer: C
Rationale: Irrigating the eyes with tap water for 20 minutes immediately flushes out the detergent, minimizing damage. Keeping eyes closed or applying compresses risks further harm, and preparing saline delays critical irrigation.
Question 4 of 5
A 5-year-old child has bilateral eye patches in place after surgery yesterday morning. Today he can be out of bed. What nursing intervention is most important at this time?
Correct Answer: C
Rationale: Orienting the child to his surroundings is critical for safety, as bilateral eye patches impair vision and he is now mobile. Speaking on entry, assisting with feeding, and parental presence are important but secondary to ensuring a safe environment.
Question 5 of 5
Autism is a complex developmental disorder. The diagnostic criteria for autism include delayed or abnormal functioning in which area with onset before age 3 years?
Correct Answer: C
Rationale: A hallmark of autism spectrum disorders is the inability to maintain eye contact, reflecting impaired social interaction, with onset before age 3. Parallel play and gross motor development are typically unaffected, and physical growth is not a diagnostic criterion.