Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
47. A child hospitalized with measles (rubeola) cries every time a nurse enters the room and turns on the overhead light. The nurse should investigate if the child has:
. A fear of bright lights.
. An intolerance of light.
. Irritated eyes from rubbing.
. An enhanced reaction to unanticipated events.
Test-Taking Tip
Focus on the two answers that refer to lights ( Answers 1 and 2 ). Note the word "light" in the stem and in the two answers with the word "light," as opposed to "rubbing" ( Answer 3 ) and "unanticipated events" ( Answer 4 ). Correlate side effects of the disease with the child's behavior.
Content Area: Child Health, Infectious Disease; Integrated Process: Nursing Process, Analysis; Cognitive Level: Analysis; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Potential for Complications from Surgical Procedures and Health Alterations
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
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Answer 1 is incorrect because a fear of bright lights is not associated with measles (rubeola) nor is it common in childhood. Answer 2 is correct because an intolerance of light (photophobia) is a common side effect of measles (rubeola). Dimming lights in the child's room is suggested if photophobia is present. Answer 3 is incorrect because, while children with measles (rubeola) frequently rub their eyes, this leads to eye redness and irritation as opposed to intolerance of light (photophobia). Answer 4 is incorrect because an enhanced reaction to unanticipated events (such as turning on the overhead light) is not associated with measles (rubeola), nor is it common in childhood.