A school nurse is using the Weber test to check a child's hearing acuity. Which of the following actions should the nurse take?

Measure the amount of time the child can hear the sound

Obtain a tympanogram reading prior to initiating the test

Place a vibrating tuning fork on the top of the child's head

Hold a vibrating tuning fork 1 to 2 cm (0.4 to 0.8 in) from the child's ears

Answer and Explanation

The Correct Answer is C

Choice A reason: The Weber test assesses lateralization of sound, not duration. Measuring time is irrelevant to this test.

Choice B reason: Tympanometry is a separate diagnostic tool and not required before performing the Weber test.

Choice C reason: Placing the vibrating tuning fork on the top of the head allows sound to travel through bone conduction, helping identify unilateral hearing loss.

Choice D reason: Holding the fork near the ears is part of the Rinne test, not the Weber test.

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Correct Answer is A

Explanation

Choice A reason: Irritability is a common finding in newborns exposed to cocaine in utero. These infants may be difficult to console and exhibit high-pitched crying.

Choice B reason: Cocaine-exposed infants often have hypertonicity rather than hypotonicity due to central nervous system stimulation.

Choice C reason: Increased head circumference is not a typical finding. Head size may be normal or reduced depending on growth restriction.

Choice D reason: These infants often have heightened responses, not decreased auditory startle. Hyperreactivity is more common.

A. "I will apply petroleum to my baby's penis with each diaper change." B. "I will clean my baby's penis with alcohol after each diaper change." C. "I will use the diaper to apply gentle pressure to the area." D. "I will wipe off the yellow drainage each time I change my baby’s diaper."

Correct Answer is A

Explanation

Choice A reason: Applying petroleum jelly with each diaper change protects the healing site from friction and prevents the diaper from sticking to the wound. This promotes comfort and proper healing.

Choice B reason: Alcohol is too harsh for the healing circumcision site and can cause irritation and delayed healing. Gentle cleansing with warm water is preferred.

Choice C reason: Using the diaper to apply pressure is not recommended. Gentle handling is essential to avoid trauma to the healing tissue.

Choice D reason: Yellow drainage is part of the normal healing process and should not be wiped off. Removing it can disrupt healing and increase the risk of infection.

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A school nurse is using the Weber test to check a child's hearing acuity. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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