Sensory Perception PrepU

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A nurse is performing an eye examination. Which question would not be included in the examination?

"Are you able to raise both eyebrows?"

The parents of a infant born with an abnormality on the back are told by the neonatologist that their child has a myelomeningocele. They ask the nurse what exactly that means. Which would be the nurse's best reply?

"It is a herniation through the skin of the back of your child with both the spinal cord and nerve roots involved."

The nurse instructs a client recovering from a myocardial infarction (MI) about cardiac rehabilitation. The client states, "I will not be able to do rehabilitation because I have very bad knees." What is the nurse's best response?

"The rehabilitation team will assess you and recommend activities that accommodate for your knee problems."

The nurse is educating the parents of a 7-year-old boy who has hearing loss due to otitis media with effusion. Which statement by the parents indicates that further education is needed?

"We need to raise the volume of our voices significantly so he can hear us."

What is the uveal tract composed of? Select all that apply.

-Choroid -Ciliary body -Iris

Spinal cord injury is an example of which type of disability?

Acute nontraumatic

A client is diagnosed with Alzheimer's disease. While assessing the client, the nurse notes that the client has trouble identifying objects such as a key and spoon. The nurse would document this as what?

Agnosia

High doses of which medication can produce bilateral tinnitus?

Aspirin

The nurse is caring for older adult clients in a long-term care facility. What age-related alteration should the nurse consider when planning care for these clients?

Cardiac volume intolerance

The nurse is caring for a client experiencing hearing loss. The nurse uses the otoscope to assess the ear canal and tympanic membrane and notes a significant accumulation of cerumen. Which documentation of hearing loss type would be most accurate?

Conductive

The nurse receives a report on a child admitted with severe muscular dystrophy. The nurse suspects the child has been diagnosed with the most severe form of the disease, known as:

Duchenne

A client on an acute medicine unit of a hospital with a diagnosis of small bowel obstruction is reporting intense, diffuse pain in her abdomen. Which physiologic phenomenon is most likely contributing to her complaint?

Nociceptive afferents are conducting along the cranial and spinal nerve pathways of the ANS.

The nurse is assisting the eye surgeon in completing an examination of the eye. Which piece of equipment would the nurse provide to the physician to examine the optic disc under magnification?

Ophthalmoscope

How does personality disorder differ from personality traits?

Personality disorder causes impairment in social and occupational functioning, whereas traits do not.

A client's vision is assessed at 20/200. The client asks what that means. Which is the mostappropriate response by the nurse?

Sees an object from 20 feet away that a person with normal vision sees from 200 feet away.

The nurse is caring for a client who has recently developed psychomotor retardation. Based on this information, which behavior would the nurse expect to see in this client?

Slowness of body movements

A nurse is caring for a child with attention deficit hyperactivity disorder (ADHD). The child is given medication and behavioral modification therapy to treat the condition. Which outcome achieved within 3 days would indicate successful therapy?

The child is able to complete assignments or tasks with assistance.

The nurse is performing a neurologic assessment on a client. Which assessment finding would the nurse determine is considered normal?

The client is able to swing arms when walking.

Which statement is true regarding fetal and newborn senses?

The rooting reflex is an example that the newborn has a sense of touch.

The nurse is documenting assessment of infant reflexes. She strokes the side of the infant's face, and the baby turns toward the stroke. What reflex has the nurse elicited?

rooting

The nurse is assisting an older adult client with dementia in getting dressed after morning care. Which statement would be most beneficial to the client?

Put your arm in this sleeve.

A nurse admitting an unconscious person to the unit considers which guideline when performing care for this client?

Assume that the client can hear you, and talk with them in a normal tone of voice.

Which type of hallucination is the most common?

Auditory

The nurse will expect that which hearing test will be performed before the newborn is discharged home?

Auditory brainstem response

A client with closed-angle glaucoma and a cough has a prescription for a cough medicine. The nurse would question which cough medicine if prescribed for this client?

Cough medicine with an antihistamine

The nurse is caring for a client who has been diagnosed with presbycusis. The nurse understands that with this disorder, the client experiences which of the following?

Difficulty hearing high-pitched frequencies.

A client is undergoing testing to confirm a diagnosis of myasthenia gravis. The nurse explains that a diagnosis is made if muscle function improves after the client receives an IV injection of a medication. What is the medication the nurse tells the client he'll receive during this test?

Edrophonium (Tensilon)

A client reports feeling a tingling sensation in the last two fingers of one hand after hitting the inner surface of the elbow on a desk. What is the cause of this symptom?

Paresthesia from temporary nerve compression

Older adults, who are more subject to falls, may fracture one or more ribs and be more susceptible to which condition after a rib fracture?

Pneumonia

A young child is in the emergency department with swelling and pain in the right ankle. The client states that while playing soccer, she somehow twisted her ankle and could not walk off the field. The health care provider tells the client that it is a sprain. Which type of pain is this client experiencing?

Somatic

A nurse is providing discharge instructions to an elderly client and his daughter. The daughter asks for suggestions to help keep her father healthy. Which of the following could the nurse suggest?

The client should have his eyes examined every year for glaucoma

The nurse is educating the parents of a 5-year-old girl with infectious conjunctivitis about the disorder. Which information is most important to provide to prevent the spread of the disorder?

Washing hands frequently

A nurse is educating a client's family on Alzheimer's disease. Which statement by the nurse would cause the charge nurse to intervene?

their impaired memory and poor judgment.


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