Peds HEENT Assessment Question and
answers rated A+ 2025
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?
Large lymph nodes indicate an emergency situation in a child.
Palpable lymph nodes indicate that the child needs further assessment.
These assessment findings are considered normal for the pediatric patient.
This assessment indicates that the child should be monitored closely for an
infection. - correct 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?
Continue to monitor the newborn for vision problems.
Perform the six cardinal fields test to determine the severity of the strabismus.
Refer the child to the primary health care provider for immediate medical
intervention.
, Recognize the need for a thorough hearing assessment because sensory
deficits often go together. - correct 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?
Measure the newborn's head circumference.
Determine the potential causes of the microcephaly.
Monitor for potential complications associated with microcephaly.
Assess the face of the newborn for any asymmetry or abnormal appearances.
- correct 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?
Perform this assessment first so that the rest of the examination can be done
more easily.
Have the parent hold the child on his or her lap and restrain the arms to
increase comfort.
answers rated A+ 2025
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?
Large lymph nodes indicate an emergency situation in a child.
Palpable lymph nodes indicate that the child needs further assessment.
These assessment findings are considered normal for the pediatric patient.
This assessment indicates that the child should be monitored closely for an
infection. - correct 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?
Continue to monitor the newborn for vision problems.
Perform the six cardinal fields test to determine the severity of the strabismus.
Refer the child to the primary health care provider for immediate medical
intervention.
, Recognize the need for a thorough hearing assessment because sensory
deficits often go together. - correct 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?
Measure the newborn's head circumference.
Determine the potential causes of the microcephaly.
Monitor for potential complications associated with microcephaly.
Assess the face of the newborn for any asymmetry or abnormal appearances.
- correct 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?
Perform this assessment first so that the rest of the examination can be done
more easily.
Have the parent hold the child on his or her lap and restrain the arms to
increase comfort.
