When performing an otoscope examination for a 2-year-old child, which of the following techniques is correct?

Tilting the patient's head forward before inserting the speculum

Pulling the pinna up and back before inserting the speculum

Once the speculum is in the ear, release the pinna

Pulling the pinna down before inserting the speculum

Answer and Explanation

The Correct Answer is D

A.   Tilting the head forward is not necessary for the otoscope exam.
B.   Pulling the pinna up and back is used for older children and adults.
C.   Releasing the pinna after inserting the speculum is unnecessary.
D.   For young children under 3 years, the pinna should be pulled down and back to straighten the ear canal.

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Correct Answer is D

Explanation

A. A nodule is a solid, raised lesion that is typically larger than 1 cm in diameter and extends deeper into the skin.
B. A papule is a small, raised, solid lesion, less than 1 cm, but not typically used for documenting freckles.
C. A wheal is a raised, erythematous area, often a result of an allergic reaction, not a freckle.
D. A macule is a flat, pigmented area of skin, less than 1 cm in diameter, which accurately describes freckles.

A. Pinpoint pupils B. Dorsiflexion of the great toe C. Jerking contractions of the head and neck D. Pronation of the arms

Correct Answer is B

Explanation

A. Pinpoint pupils: Pinpoint pupils may indicate opioid use or a brainstem injury but are not related to Babinski's sign.
B. Dorsiflexion of the great toe: This is the characteristic response for a positive Babinski sign, which occurs when the toes fan out and the big toe dorsiflexes (moves upward) when the sole of the foot is stroked. It indicates an abnormal response and potential upper motor neuron damage.
C. Jerking contractions of the head and neck: This is indicative of a seizure activity, not Babinski's sign.
D. Pronation of the arms: This could be indicative of decerebrate posturing, not Babinski's sign.

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When performing an otoscope examination for a 2-year-old child, which of the following techniques is correct?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When assessing a client's skin, the nurse finds freckles. How would the nurse document the lesions?

Correct Answer is D

Explanation

A nurse is assessing the reflexes of a client who has an unrepaired femur fracture and has suddenly become stuporous. For which of the following findings should the nurse identify that the client exhibits Babinski's sign?

Correct Answer is B

Explanation

When performing a skin assessment, which areas of the skin are at the highest risk for skin breakdown? Select all that apply.

A nurse is assessing a client who has a stage 1 pressure injury. Which of the following findings should the nurse expect?

When performing an otoscope examination for a 2-year-old child, which of the following techniques is correct?

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