ATI RN Pediatrics 2023 | Nurselytic

Correct Answer: A

Rationale: The correct answer is A: Use a tumbling E chart for the assessment. This is because a tumbling E chart is commonly used for visual acuity testing in young children who may not be able to identify letters or symbols. The E chart consists of E shapes facing in different directions, and the child is asked to point in the direction the E is facing. This allows for a more accurate assessment of visual acuity in young children compared to traditional letter charts.

Other choices are incorrect:
B: Assess both eyes together first, then each eye separately - This approach may not provide an accurate assessment of each eye's visual acuity individually.
C: Position the child 4.6 meters (15 feet) from the chart - This distance is typically used for adult visual acuity testing, not for children.
D: Test the child without glasses before testing with glasses - It is important to test the child's visual acuity with their usual correction to ensure an accurate assessment.

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