A nurse is assessing a school-age child who reports difficulty seeing the chalk board in the front of the classroom. Which of the following tests should the nurse perform?
Ask the child to find numbers on Ishihara plats
Instruct the child to track items in the room.
Ask the child to identify items in a book.
Instruct the child to identify letters on a Snellen eye chart
The Correct Answer is D
A. Ishihara plates test for color blindness, not visual acuity.
B. Tracking items assesses eye movement, not visual acuity.
C. Identifying items in a book evaluates near vision but not distance vision, which is the reported problem.
D. The Snellen eye chart is used to assess distance visual acuity, which is appropriate for the child's complaint.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Cough and respiratory symptoms are not primary features of Kawasaki disease.
B. Joint pain and swelling are more common in juvenile idiopathic arthritis, not Kawasaki disease.
C. Abdominal pain and diarrhea are not defining characteristics of Kawasaki disease.
D. Kawasaki disease is characterized by a persistent high fever lasting more than 5 days, along with symptoms such as conjunctivitis, rash, and swollen lymph nodes.
Correct Answer is C
Explanation
A. A sputum culture can identify infections associated with cystic fibrosis but does not confirm the diagnosis.
B. A stool fat content analysis can indicate malabsorption, a symptom of cystic fibrosis, but it is not diagnostic.
C. The sweat chloride test measures the concentration of chloride in sweat and is the gold standard for diagnosing cystic fibrosis. Elevated chloride levels confirm the diagnosis.
D. Pulmonary function tests assess lung function and can help manage the disease but are not diagnostic of cystic fibrosis.
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