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HEENT Assessment Questions And Already Passed Answers.
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  • NUR 6541
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  • NUR 6541

The nurse palpates the lymph nodes of a child. The lymph nodes are palpable, 0.5 cm, and firm. How should the nurse interpret this finding? - Answer These assessment findings are considered normal for the pediatric patient.Children often have small, palpable, firm lymph nodes. This is considered...

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  • October 14, 2024
  • 4
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • NUR 6541
  • NUR 6541

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HEENT Assessment Questions And
Already Passed Answers.
The nurse palpates the lymph nodes of a child. The lymph nodes are palpable, 0.5 cm, and firm. How
should the nurse interpret this finding? - Answer These assessment findings are considered normal for
the pediatric patient.Children often have small, palpable, firm lymph nodes. This is considered a normal
assessment finding.



The pediatric nurse assesses a newborn and notes strabismus. What should be the nurse's initial
response? - Answer Continue to monitor the newborn for vision problems.

Strabismus is a normal finding in a newborn but should be transient. The nurse should continue to assess
for any other vision problems or consistent strabismus.



The nurse is concerned that the infant may have microcephaly. What should be the nurse's initial action?
- Answer Measure the newborn's head circumference.Measuring head circumference will give an
indication if the child has microcephaly. This measurement needs to be done at every visit for the first
two years of life



A 5-year-old child is nervous about having his mouth inspected. What is the best action for the nurse to
take before beginning the assessment? - Answer Demonstrate the assessment on the parent of the
child so the child can see that it does not cause pain.

A 5-year-old will likely feel less anxious after seeing what the exam entails and how it is going to be
performed on a trusted caregiver such as a parent.



The nurse is preparing a 4-year-old for an internal ear exam. How should the nurse position the child? -
Answer The head of the child should be slightly tilted and the pinna pulled up and back.

The pinna should be pulled up and back for children older than 3.



The nurse is preparing for vision screening on an 8-year-old. What assessment tools should the nurse
use?Select all that apply. - Answer An eye cover

An eye cover is used for several vision tests including the Snellen chart.



A Snellen chart

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