Question 1

A school nurse is performing hearing screening on school children. The nurse recognizes that the most common type of hearing loss resulting from interference of transmission of sound to the middle ear is characteristic of which type of hearing loss?

Accepted Answer

A)   Conductive
B)   Sensorineural
C)   Mixed conductive-sensorineural
D)   Central auditory imperceptiveE) B) and C)
F) All of the above

Question 2

A young child has an intelligence quotient (IQ)  of 45. The nurse should document this finding as:

Accepted Answer

A)   within the lower limits of the range of normal intelligence.
B)   mild cognitive impairment but educable.
C)   moderate cognitive impairment but trainable.
D)   severe cognitive impairment and completely dependent on others for care.E) A) and B)
F) A) and C)

Question 3

When a child with mild cognitive impairment reaches the end of adolescence, which characteristic should be expected?

Accepted Answer

A)   Achieves a mental age of 5 to 6 years
B)   Achieves a mental age of 8 to 12 years
C)   Unable to progress in functional reading or arithmetic
D)   Acquires practical skills and useful reading and arithmetic to an eighth-grade levelE) C) and D)
F) A) and C)

Question 4

What are appropriate interventions to facilitate socialization of the cognitively impaired child?

Accepted Answer

A)   Provide age-appropriate toys and play activities.
B)   Provide peer experiences, such as scouting, when older.
C)   Avoid exposure to strangers who may not understand cognitive development.
D)   Emphasize mastery of physical skills because they are delayed more often than verbal skills.E) All of the above
F) A) and C)

Question 5

A school nurse is performing hearing screening on school children. The nurse recognizes that distortion of sound and problems in discrimination are characteristic of which type of hearing loss?

Accepted Answer

A)   Conductive
B)   Sensorineural
C)   Mixed conductive-sensorineural
D)   Central auditory imperceptiveE) A) and C)
F) A) and B)

Question 6

Mark, a 9-year-old with Down syndrome, is mainstreamed into a regular third-grade class for part of the school day. His mother asks the school nurse about programs, such as Cub Scouts, that he might join. The nurse's recommendation should be based on which statement?

Accepted Answer

A)   Programs like Cub Scouts are inappropriate for children who are cognitively impaired.
B)   Children with Down syndrome have the same need for socialization as other children.
C)   Children with Down syndrome socialize better with children who have similar disabilities.
D)   Parents of children with Down syndrome encourage programs, such as scouting, because they deny that their children have disabilities.E) B) and C)
F) B) and D)

Question 7

A nurse is instructing a nursing assistant on techniques to facilitate lipreading with a hearing-impaired child who lip reads. Which techniques should the nurse include? (Select all that apply.)

Accepted Answer

A)   Speak at eye level.
B)   Stand at a distance from the child.
C)   Speak words in a loud tone.
D)   Use facial expressions while speaking.
E)   Keep sentences short.F) A) and E)
G) B) and E)

Question 8

Which of the following terms refers to opacity of the crystalline lens that prevents light rays from entering the eye and refracting on the retina?

Accepted Answer

A)   Myopia
B)   Amblyopia
C)   Cataract
D)   GlaucomaE) A) and B)
F) A) and C)

Question 9

When should children with cognitive impairment be referred for stimulation and educational programs?

Accepted Answer

A)   As young as possible
B)   As soon as they have the ability to communicate in some way
C)   At age 3 years, when schools are required to provide services
D)   At age 5 or 6 years, when schools are required to provide servicesE) C) and D)
F) All of the above

Question 10

The nurse is talking with a 10-year-old boy who wears bilateral hearing aids. The left hearing aid is making an annoying whistling sound that the child cannot hear. Which is the most appropriate nursing action?

Accepted Answer

A)   Ignore the sound.
B)   Ask him to reverse the hearing aids in his ears.
C)   Suggest he reinsert the hearing aid.
D)   Suggest he raise the volume of the hearing aid.E) B) and C)
F) All of the above

Question 11

The nurse should suspect a hearing impairment in an infant who demonstrates which behavior?

Accepted Answer

A)   Absence of the Moro reflex
B)   Absence of babbling by age 7 months
C)   Lack of eye contact when being spoken to
D)   Lack of gesturing to indicate wants after age 15 monthsE) B) and C)
F) C) and D)

Question 12

Which assessment findings indicate to the nurse a child has Down syndrome? (Select all that apply.)

Accepted Answer

A)   High arched narrow palate
B)   Protruding tongue
C)   Long, slender fingers
D)   Transverse palmar crease
E)   Hypertonic muscle toneF) A) and E)
G) B) and E)

Question 13

Autism is a complex developmental disorder. The diagnostic criteria for autism include delayed or abnormal functioning in which areas with onset before age 3 years? (Select all that apply.)

Accepted Answer

A)   Language as used in social communication
B)   Parallel play
C)   Gross motor development
D)   Growth below the 5th percentile for height and weight
E)   Symbolic or imaginative playF)  Social interactionG) A) and C)
H) B) and C)

Question 14

Trisomy 13, trisomy 18, and trisomy 21 have which in common?

Accepted Answer

A)   Viability is rare.
B)   They are considered deletion syndromes.
C)   Diagnosis is difficult, time-consuming, and expensive.
D)   Diagnosis can be made early, based on physical characteristics.E) A) and B)
F) All of the above

Question 15

Parents of a child with Down syndrome ask the nurse about techniques for introducing solid food to their 8-month-old child's diet. The nurse should give the parents which priority instruction?

Accepted Answer

A)   It is too early to add solids; the parents should wait for 2 to 3 months.
B)   A small but long, straight-handled spoon should be used to push the food toward the back and side of the mouth.
C)   If the child thrusts the food out, the feeding should be stopped.
D)   Solids should be offered only three times a day.E) A) and B)
F) All of the above

Question 16

A nurse should suspect possible visual impairment in a child who displays which characteristic?

Accepted Answer

A)   Excessive rubbing of the eyes
B)   Rapid lateral movement of the eyes
C)   Delay in speech development
D)   Lack of interest in casual conversation with peersE) A) and C)
F) B) and D)

Question 17

A newborn assessment shows separated sagittal suture, oblique palpebral fissures, depressed nasal bridge, protruding tongue, and transverse palmar creases. Of what are these findings most suggestive?

Accepted Answer

A)   Microcephaly
B)   Down syndrome
C)   Cerebral palsy
D)   Fragile X syndromeE) All of the above
F) A) and C)

Question 18

Prevention of hearing impairment in children is a major goal for the nurse. This can be achieved through which intervention?

Accepted Answer

A)   Being involved in immunization clinics for children
B)   Assessing a newborn for hearing loss
C)   Answering parents' questions about hearing aids
D)   Participating in hearing screening in the communityE) B) and D)
F) A) and D)

Question 19

Which genetic term refers to the transfer of all or part of a chromosome to a different chromosome after chromosome breakage?

Accepted Answer

A)   Trisomy
B)   Monosomy
C)   Translocation
D)   NondisjunctionE) None of the above
F) A) and C)

Exam 18: Impact of Cognitive or Sensory Impairment on the Child and Family

Which genetic term refers to the transfer of all or part of a chromosome to a different chromosome after chromosome breakage?

Correct Answer
verified

Prevention of hearing impairment in children is a major goal for the nurse. This can be achieved through which intervention?

Correct Answer
verified

Which of the following terms refers to opacity of the crystalline lens that prevents light rays from entering the eye and refracting on the retina?

Correct Answer
verified

The nurse should suspect a hearing impairment in an infant who demonstrates which behavior?

Correct Answer
verified

A newborn assessment shows separated sagittal suture, oblique palpebral fissures, depressed nasal bridge, protruding tongue, and transverse palmar creases. Of what are these findings most suggestive?

Correct Answer
verified

A nurse should suspect possible visual impairment in a child who displays which characteristic?

Correct Answer
verified

Autism is a complex developmental disorder. The diagnostic criteria for autism include delayed or abnormal functioning in which areas with onset before age 3 years? (Select all that apply.)

Correct Answer
verified

Parents of a child with Down syndrome ask the nurse about techniques for introducing solid food to their 8-month-old child's diet. The nurse should give the parents which priority instruction?

Correct Answer
verified

Which assessment findings indicate to the nurse a child has Down syndrome? (Select all that apply.)

Correct Answer
verified

Mark, a 9-year-old with Down syndrome, is mainstreamed into a regular third-grade class for part of the school day. His mother asks the school nurse about programs, such as Cub Scouts, that he might join. The nurse's recommendation should be based on which statement?

Correct Answer
verified

A school nurse is performing hearing screening on school children. The nurse recognizes that the most common type of hearing loss resulting from interference of transmission of sound to the middle ear is characteristic of which type of hearing loss?

Correct Answer
verified

When a child with mild cognitive impairment reaches the end of adolescence, which characteristic should be expected?

Correct Answer
verified

What are appropriate interventions to facilitate socialization of the cognitively impaired child?

Correct Answer
verified

Trisomy 13, trisomy 18, and trisomy 21 have which in common?

Correct Answer
verified

A young child has an intelligence quotient (IQ) of 45. The nurse should document this finding as:

Correct Answer
verified

A nurse is instructing a nursing assistant on techniques to facilitate lipreading with a hearing-impaired child who lip reads. Which techniques should the nurse include? (Select all that apply.)

Correct Answer
verified

The nurse is talking with a 10-year-old boy who wears bilateral hearing aids. The left hearing aid is making an annoying whistling sound that the child cannot hear. Which is the most appropriate nursing action?

Correct Answer
verified

When should children with cognitive impairment be referred for stimulation and educational programs?

Correct Answer
verified

A school nurse is performing hearing screening on school children. The nurse recognizes that distortion of sound and problems in discrimination are characteristic of which type of hearing loss?

Correct Answer
verified

Exam 18: Impact of Cognitive or Sensory Impairment on the Child and Family

Which genetic term refers to the transfer of all or part of a chromosome to a different chromosome after chromosome breakage?

Correct AnswerverifiedShow Answer

Prevention of hearing impairment in children is a major goal for the nurse. This can be achieved through which intervention?

Correct AnswerverifiedShow Answer

Which of the following terms refers to opacity of the crystalline lens that prevents light rays from entering the eye and refracting on the retina?

Correct AnswerverifiedShow Answer

The nurse should suspect a hearing impairment in an infant who demonstrates which behavior?

Correct AnswerverifiedShow Answer

A newborn assessment shows separated sagittal suture, oblique palpebral fissures, depressed nasal bridge, protruding tongue, and transverse palmar creases. Of what are these findings most suggestive?

Correct AnswerverifiedShow Answer

A nurse should suspect possible visual impairment in a child who displays which characteristic?

Correct AnswerverifiedShow Answer

Autism is a complex developmental disorder. The diagnostic criteria for autism include delayed or abnormal functioning in which areas with onset before age 3 years? (Select all that apply.)

Correct AnswerverifiedShow Answer

Parents of a child with Down syndrome ask the nurse about techniques for introducing solid food to their 8-month-old child's diet. The nurse should give the parents which priority instruction?

Correct AnswerverifiedShow Answer

Which assessment findings indicate to the nurse a child has Down syndrome? (Select all that apply.)

Correct AnswerverifiedShow Answer

Mark, a 9-year-old with Down syndrome, is mainstreamed into a regular third-grade class for part of the school day. His mother asks the school nurse about programs, such as Cub Scouts, that he might join. The nurse's recommendation should be based on which statement?

Correct AnswerverifiedShow Answer

A school nurse is performing hearing screening on school children. The nurse recognizes that the most common type of hearing loss resulting from interference of transmission of sound to the middle ear is characteristic of which type of hearing loss?

Correct AnswerverifiedShow Answer

When a child with mild cognitive impairment reaches the end of adolescence, which characteristic should be expected?

Correct AnswerverifiedShow Answer

What are appropriate interventions to facilitate socialization of the cognitively impaired child?

Correct AnswerverifiedShow Answer

Trisomy 13, trisomy 18, and trisomy 21 have which in common?

Correct AnswerverifiedShow Answer

A young child has an intelligence quotient (IQ) of 45. The nurse should document this finding as:

Correct AnswerverifiedShow Answer

A nurse is instructing a nursing assistant on techniques to facilitate lipreading with a hearing-impaired child who lip reads. Which techniques should the nurse include? (Select all that apply.)

Correct AnswerverifiedShow Answer

The nurse is talking with a 10-year-old boy who wears bilateral hearing aids. The left hearing aid is making an annoying whistling sound that the child cannot hear. Which is the most appropriate nursing action?

Correct AnswerverifiedShow Answer

When should children with cognitive impairment be referred for stimulation and educational programs?

Correct AnswerverifiedShow Answer

A school nurse is performing hearing screening on school children. The nurse recognizes that distortion of sound and problems in discrimination are characteristic of which type of hearing loss?

Correct AnswerverifiedShow Answer

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