
opthalmic&otolaringo
Authored by Dek Nonnn
Science
2nd Grade

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35 questions
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1.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A 2-month-old infant does not yet focus both eyes on the same object. What should the nurse tell the mother?
This is normal for the age.
The child has strabismus.
The infant is developing amblyopia.
The child needs immediate referral to ophthalmology.
Answer explanation
At 2 months, it is normal for infants not to focus both eyes on the same object. Eye coordination develops over the first few months, so the mother's concern is understandable, but this is typical for the infant's age.
2.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A nurse is educating parents about newborn eye development. Which statement shows correct understanding?
“My baby can see clearly across the room.”
“Eye color may change during the first few months.”
“Blue eyes at birth mean they’ll stay blue forever.”
“Newborns have 20/20 vision.”
Answer explanation
The correct statement is, "Eye color may change during the first few months." Newborns often have blue or gray eyes at birth, but their true eye color can develop and change as they grow.
3.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
The nurse knows the risk of ocular injury is higher in infants because:
They produce fewer tears.
Their eyeballs occupy larger space within the orbit
Their eyelids are thinner
Their sclera is fully ossified.
Answer explanation
Infants have larger eyeballs relative to their orbits, increasing the risk of ocular injury. This anatomical feature makes their eyes more susceptible to trauma compared to older children and adults.
4.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Which statement by a parent indicates need for more teaching about conjunctivitis care?
“I’ll wash my hands after cleaning her eyes.”
“We’ll share the same towel to dry her face.”
“I’ll apply the antibiotic ointment as prescribed.”
“She’ll stay home until the discharge clears.”
Answer explanation
The statement "We’ll share the same towel to dry her face" indicates a lack of understanding about preventing the spread of infection, as sharing towels can transmit conjunctivitis. This shows a need for more teaching.
5.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Which feature best distinguishes allergic from bacterial conjunctivitis?
Itching and watery/stringy discharge
Purulent yellow discharge
Pain and photophobia
Crusted eyelids upon waking
Answer explanation
Allergic conjunctivitis is characterized by itching and watery or stringy discharge, while bacterial conjunctivitis typically presents with purulent yellow discharge. This distinction is key in diagnosis.
6.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A newborn with Chlamydia trachomatis eye infection is at risk for which complication?
Pneumonia
Meningitis
Otitis media
Corneal rupture
Answer explanation
A newborn with Chlamydia trachomatis eye infection is at risk for pneumonia due to the potential for respiratory transmission of the bacteria, which can lead to lower respiratory tract infections.
7.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Which nursing action has the highest priority for a child with bacterial conjunctivitis?
Encourage warm compresses
Apply antibiotic eye ointment as ordered
Use cold compresses every 2 hours
Patch both eyes to prevent spread
Answer explanation
The highest priority nursing action for a child with bacterial conjunctivitis is to apply antibiotic eye ointment as ordered. This directly addresses the infection, while other options are supportive measures.
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