NCLEX-PN Exam Practice

Category - Eyes

Which of the following assessments would make the nurse suspect that a child has strabismus?
  1. Tilts head to see
  2. Turns head to see
  3. Does not respond when spoken to
  4. Has difficulty hearing
Explanation
Answer: A - A child with strabismus will tilt head to see. Strabismus is when the extraocular muscles have a lack of coordination so the eyes do not align. The patient may complain of frequent headaches and squint to see and may need to go to surgery to realign the weak muscles if nonsurgical interventions do not work.
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