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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.
Correct Answer: C
Rationale: The nurse who faces the child and speaks clearly will help the hearing-impaired child in the hospital to develop a healthy personality.
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The nurse observes that the legs of a child with cerebral palsy cross involuntarily, and the child exhibits jerky movements with his arms as he tries to eat. The nurse recognizes that he has which type of cerebral palsy?
- A. Athetoid
- B. Ataxic
- C. Spastic
- D. Mixed
Correct Answer: C
Rationale: Spasticity is characterized by tension in certain muscle groups, which makes voluntary movements of muscles jerky and uncoordinated.
Parents of a 10-year-old child diagnosed with an intellectual deficit are sharing multiple approaches they implement in dealing with various challenges. Which statement by the parents alerts the nurse they need further instruction?
- A. We dress our son every morning for school.'
- B. Our son participates in the Special Olympics every year.'
- C. Our son attends play therapy at a center close to home.'
- D. We attend a support group once a week.'
Correct Answer: A
Rationale: The mentally handicapped child needs to develop a sense of accomplishment. Caregivers should not 'take over' projects.
What would the nurse include in teaching when preparing to teach parents about air travel instructions to prevent barotrauma in infants?
- A. Using ear plugs during takeoff
- B. Omitting the meal just before takeoff
- C. Letting the infant nurse during descent
- D. Applying ear drops before takeoff
Correct Answer: C
Rationale: Encouraging an infant to swallow reduces the pressure in the ears during descent.
What is an appropriate nursing action when a child is experiencing a generalized tonic-clonic seizure?
- A. Assist the child to bed and then go for help.
- B. Move objects out of the child's immediate area.
- C. Stick a padded tongue blade between the child's teeth.
- D. Manually restrain the child.
Correct Answer: B
Rationale: During a generalized tonic-clonic seizure, the immediate area is cleared to protect the child from injury.
A child is brought to the emergency department after he fell and hit his head on the ground. Which nursing assessment suggests the child has a concussion?
- A. Sleepy but easily arousable
- B. Complaining of a stiff neck
- C. Cannot remember what happened to him
- D. Pupils react sluggishly to light
Correct Answer: C
Rationale: A concussion is a temporary disturbance of the brain that is immediately followed by a period of unconsciousness, often accompanied by a loss of memory of the events.