Sensory Unit test

A patient has come to the office for her first eye examination. The patient is diagnosed as having a visual acuity of 20/40. The patient asks the nurse what these numbers mean. What is a correct response by the nurse? a) "A person whose vision is 20/40 can see an object from 40 feet away that a person with 20/20 vision can see from 20 feet away." b) "A person whose vision is 20/40 can see an object from 20 feet away that a person with 20/20 vision can see from 40 feet away." c) "A person whose vision is 20/40 can see an object from 40 inches away that a person with 20/20 vision can see from 20 inches away." d) "A person whose vision is 20/40 can see an object from 20 inches away that a person with 20/20 vision can see from 40 inches away."

"A person whose vision is 20/40 can see an object from 20 feet away that a person with 20/20 vision can see from 40 feet away."

Your patient is ready to be discharged home after a cataract extraction with intraocular lens implant. You are teaching your patient about signs and symptoms that need to be reported to the ophthalmologist immediately. You know that the patient understands when he says what? a) "I need to call the doctor if I get a scratchy feeling." b) "I need to call the doctor if I see flashing lights." c) "I need to call the doctor if I have a light morning discharge." d) "I need to call the doctor if I get nauseated."

"I need to call the doctor if I see flashing lights."

Christin Victor, a 24-year-old medical transcriptionist, is awaiting an appendectomy as a client in the hospital unit where you practice nursing. Ms. Victor is blind. What steps would you take, as her nurse, to effectively communicate with Ms. Victor? a) All options are correct b) Announce your entrance into Ms. Victor's room c) Notify Ms. Victor before touching her d) Let Ms. Victor know when you leave her room

All options are correct

Which of the following classification of medications is the most common cause of ototoxicity? a) Cephalosporins b) Aminoglycosides c) Sulfonamides d) Penicillins

Aminoglycosides

You are caring for a client who is post-stapedectomy. What would you include in your nursing care? a) Keeping the affected ear packed with cotton. b) Placing the client on the operative side. c) Assessment of the facial nerve. d) Encourages the client to exercise within 24 hours.

Assessment of the facial nerve.

Which of the following is a correct rationale for encouraging a patient with otitis externa to eat soft foods? a) Chewing may lead to further complications, such as otitis media. b) Chewy foods, such as red meat, may react with prescribed analgesics and antibiotics. c) Chewing may cause excessive drainage. d) Chewing may cause discomfort.

Chewing may cause discomfort.

A client with chronic open-angle glaucoma is now presenting with eye pain and intraocular pressure of 50 mm Hg. An immediate iridotomy is scheduled. Which of the following describes the desired effects of this procedure? a) To relieve pain b) Improve outflow drainage c) Reverse optic nerve damage d) Restore vision

Improve outflow drainage

A client complains of vertigo. The nurse anticipates that the client may have a problem with which portion of the ear? a) Tympanic membrane b) External ear c) Middle ear d) Inner ear

Inner ear

A client comes to the walk-in clinic complaining of a "bug in my ear." What action should be taken when there is an insect in the ear? a) Instillation of hot water b) Instillation of carbamide peroxide c) Use of a small forceps d) Instillation of mineral oil

Instillation of mineral oil

The client with chronic open-angle glaucoma is receiving timolol (Timoptic) eye drops. Which evaluation finding would indicate to the nurse the treatment is working? a) Reduced peripheral vision b) Decrease in nausea and vomiting c) Intraocular pressure 15 mm Hg d) Halos around lights

Intraocular pressure 15 mm Hg

A client comes to the eye clinic for an examination. The client tells the nurse that their vision is like a target with the bull's eye area of the image missing. What would the nurse suspect? a) Retinal detachment b) Macular degeneration c) Conjunctivitis d) Fractured orbit

Macular degeneration

Which group of medications causes pupillary constriction? a) Mydriatics b) Adrenergic agonists c) Beta-blockers d) Miotics

Miotics

Leslie Waterman, a 57-year-old corrections officer, is being seen at the ophthalmic group where you practice nursing. He's concerned about his vision changes where he sees distance much more clearly than nearby sights. After receiving his diagnosis, Mr. Waterman is puzzled as to the physical condition which caused his hyperopia. In explaining hyperopia, what do you indicate is the cause of Mr. Waterman's vision changes? a) Mr. Waterman's eyeballs are shorter than normal b) Mr. Waterman has irregularly-shaped corneas c) Mr. Waterman has unequal curvatures in his cornea d) Mr. Waterman's eyeballs are longer than normal

Mr. Waterman's eyeballs are shorter than normal

Assessment of visual acuity reveals that the client has blurred vision when looking at distant objects but no difficulty seeing near objects. The nurse documents this as which of the following? a) Hyperopia b) Myopia c) Astigmatism d) Emmetropia

Myopia

Of the five types of tympanoplasties, which is designed to close a perforation in the tympanic membrane? a) Myringoplasty b) Myringotomy c) Ossiculoplasty d) Cholesteotomy

Myringoplasty

To avoid the side effects of corticosteroids, which medication classification is used as an alternative to treating inflammatory conditions of the eyes? a) Miotics b) Nonsteroidal anti-inflammatory drugs (NSAIDs) c) Cycloplegics d) Mydriatics

Nonsteroidal anti-inflammatory drugs (NSAIDs)

Which of the following describes a condition characterized by abnormal spongy bone formation around the stapes? a) Middle ear effusion b) Chronic otitis media c) Otosclerosis d) Otitis externa

Otosclerosis

Which of the following would be an inaccurate clinical manifestation of a retinal detachment? a) Cobwebs b) Bright flashing lights c) Sudden onset of a greater number of floaters d) Pain

Pain

You are a pediatric nurse caring for a child who has been brought to the clinic with otitis externa. What assessment finding is characteristic of otitis externa? a) Air bubbles visible in the middle ear b) Pain on manipulation of the auricle c) Dark yellow cerumen in the external auditory canal d) Tophi on the pinna and ear lobe

Pain on manipulation of the auricle

Which terms refers to the progressive hearing loss associated with aging? a) Exostoses b) Otalgia c) Sensorineural hearing loss d) Presbycusis

Presbycusis

Nursing students are reviewing information about the causes associated with low vision and blindness. The students demonstrate a need for additional review when they identify which of the following as a common cause in older adults? a) Presbyopia b) Glaucoma c) Diabetic retinopathy d) Macular degeneration

Presbyopia

The nurse is instructing the client with dried cerumen blocking the ear canal on potential methods to reduce symptoms. Which at home methods of cerumen removal is discouraged? a) Instilling 1 to 2 drops of half-strength peroxide in the ear b) Removing the cerumen by means of a cotton tip applicator c) Using warm glycerin or mineral oil to soften the cerumen d) Irrigating the ear with warm water and a rubber-bulb syringe

Removing the cerumen by means of a cotton tip applicator

Which of the following tests uses a tuning fork between two positions to assess hearing? a) Watch tick b) Whisper c) Weber's d) Rinne's

Rinne's

Which nursing diagnosis takes highest priority for a client admitted for evaluation for Ménière's disease? a) Risk for injury related to vertigo b) Imbalanced nutrition: Less than body requirements related to nausea and vomiting c) Acute pain related to vertigo d) Risk for deficient fluid volume related to vomiting

Risk for injury related to vertigo

Which of the following structures are responsible for night vision? a) Rods b) Fundus c) Vitreous humor d) Cones

Rods

Which of the following is the treatment of choice for acoustic neuromas? a) Palliation b) Chemotherapy c) Surgery d) Radiation

Surgery

A patient has bee told he has cataracts in both eyes. The patient wants to know what the treatment options are. What should the nurse tell the patient is the most appropriate treatment option for patients with age-related cataracts that are affecting the patient's ability to function? a) Eyeglasses or magnifying lenses b) Surgical intervention c) Corticosteroid eye drops d) Antioxidant supplements, vitamin C and E, beta-carotene, and selenium

Surgical intervention

A patient diagnosed with arthritis has been taking aspirin and now reports experiencing adverse effects. What adverse effect indicates that a decrease in dose may be necessary? a) Otalgia b) Vertigo c) Tinnitus d) Nystagmus

Tinnitus

The nurse is doing discharge teaching with a client newly diagnosed with Ménière's disease. Why would the nurse advise a low-sodium diet to this client? a) To reduce the magnitude of the hearing deficit b) To reduce the production of fluid in the inner ear c) To minimize the risk of a tumor that involves the vestibulocochlear nerve d) To minimize the adverse effects of drug therapy

To reduce the production of fluid in the inner ear

Which of the following terms refers to surgical repair of the tympanic membrane? a) Myringotomy b) Ossiculoplasty c) Tympanoplasty d) Tympanotomy

Tympanoplasty

Which of the following types of conjunctivitis is preceded by symptoms of an upper respiratory infection? a) Viral b) Vernal c) Toxic d) Allergic

Viral

The nurse is caring for a client who underwent surgery for a retinal detachment. The surgery included the injection of an air bubble to promote contact between the retina and choroids. What position should the nurse keep the client in? a) With the client in an upright position b) With the client's head slightly elevated c) With the face parallel to the floor d) With the client lying on the same side as the eye in which the air bubble is to be instilled

With the face parallel to the floor

A 52-year-old woman comes to the clinic for a follow-up examination after being diagnosed with glaucoma. The client states, "I'm hoping that I don't have to use these drops for very long." Which response by the nurse would be most appropriate? a) "You'll need to use the drops for the rest of your life to control the glaucoma." b) "Most clients need to use the drops for only about a few months." c) "If the drops don't work, surgery may be needed to cure your condition." d) "These drops are just the first step to make sure that your vision doesn't get worse."

"You'll need to use the drops for the rest of your life to control the glaucoma."

A client has acute angle-closure glaucoma. The family is concerned that the client may lose sight. The nurse advises that the window in which this problem can progress to permanent sight loss is: a) 1 to 2 months b) 1 to 2 weeks c) 1 to 2 hours d) 1 to 2 days

1 to 2 days

A patient has been declared legally blind. This means that the patient has a best corrected visual acuity (BCVA) that does not exceed what in the better eye? a) 20/100 b) 20/200 c) 20/400 d) No light perception (NLP)

20/200

A client has undergone tonometry to evaluate for possible glaucoma. Which result would the nurse record as abnormal? a) 10 mm Hg b) 15 mm Hg c) 25 mm Hg d) 20 mm Hg

25 mm Hg

A nurse is caring for four patients. Which patient is at a greater risk for the development of blindness? a) A 58-year-old African American female with hyperopia b) A 28-year-old African American male with myopia c) A 58-year-old Caucasian female with macular degeneration d) A 28-year-old Caucasian male with astigmatism

A 58-year-old Caucasian female with macular degeneration

The nurse is assisting the client in planning care during exacerbations of Ménière's disease. Which diet would the nurse identify as appropriate at this time? a) A low-fat diet b) A low-sodium diet c) A high-protein diet d) A calorie-controlled diet

A low-sodium diet

You are teaching a class on diseases of the ear. What would you teach the class is the most characteristic symptom of otosclerosis? a) The client describing a history of having had a recent upper respiratory infection b) The client being distressed in the mornings c) A red and swollen ear drum d) A progressive, bilateral loss of hearing

A progressive, bilateral loss of hearing

The nurse, caring for a client with Ménière's disease, needs to assist with what when the client is experiencing an attack? a) Sleeping b) ADLs c) Coughing d) URIs

ADLs

A client who is blind comes to the clinic for a routine check-up. The nurse notes the client is exhibiting signs and symptoms of depression. What nursing action is recommended when helping a blind client who is depressed? a) Agree with the client that it is impossible to deal with the adversity. b) Cheer up the client. c) Ignore the client's grief and adopt a strict attitude. d) Acknowledge the client's grief.

Acknowledge the client's grief.

The nurse admits a client to the Emergency Department who has been referred by the eye clinic. Which condition is an emergency where the nurse should refer the client for medical treatment immediately? a) Acute angle-closure glaucoma b) Hordeolum c) Chalazion d) Blepharitis

Acute angle-closure glaucoma

A nurse is preparing a plan of care for a client with otitis externa. Based on the typical assessment findings, which of the following would the nurse most likely identify as the priority nursing diagnosis? a) Hyperthermia related to elevated temperature secondary to infection b) Acute pain related to inflammation c) Risk for infection related to drainage from the ear canal d) Disturbed sensory perception: auditory related to sensorineural hearing loss.

Acute pain related to inflammation

James Robertson, a 62-year-old retired customer service agent, is awaiting elective surgery in the hospital unit where you practice nursing. Mr. Robertson is blind. What would you do to promote Mr. Robertson's control over his hospital environment? a) Ask Mr. Robertson where to store his self-care items. b) Arrange Mr. Robertson's tray in a way that's easiest for you to assist him. c) Open all containers without prompting to be helpful. d) Keep personal care items where you know their location.

Ask Mr. Robertson where to store his self-care items.

Following cataract removal, discharge instructions will be provided to the client. Which of the following instructions is most important? a) Avoid any activity that can increase intraocular pressure. b) Only sleep on back. c) Avoid washing face and eyes for first 24 hours. d) Apply protective patch to both eyes at bedtime.

Avoid any activity that can increase intraocular pressure.

Which of the following instructions regarding swimming should the nurse give to the patient who is recovering from otitis externa? a) Insert a loose cotton pledget in the external ear b) Avoid cold water c) Avoid swimming for 7-10 days d) Wear a scarf

Avoid swimming for 7-10 days

You are preparing to discharge a patient home. During your discharge teaching you realize that the patient is not able to read the medication bottles and has not been taking her medications at home. How would you intervene appropriately in this situation? a) By asking the social worker to investigate community support agencies b) By asking the social worker to investigate nursing home placement c) By informing the patient that she will need to go to a rehabilitation facility for vision training d) By informing that patient that surgery will correct the vision problem

By asking the social worker to investigate community support agencies

The nurse on the med-surg floor is reviewing discharge instructions with a patient who has a history of glaucoma. Which classification of drugs on the patient's discharge instructions is used to treat the patient's glaucoma? a) Cholinergics b) Antiemetics c) Antibiotics d) Antianxiety

Cholinergics

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? a) Conductive b) Mixed c) Central d) Sensorineural

Conductive

There are several types of hearing loss. Which type of hearing loss benefits most from the use of a hearing aid? a) Sensorineural b) Acquired c) Genetic d) Conductive

Conductive

Which portion of the middle ear equalizes pressure? a) Auricle b) Eustachian tube c) Ossicles d) Cochlea

Eustachian tube

A 64-year-old patient with chronic open-angle glaucoma is being taught to self-administer pilocarpine. After the patient administers the pilocarpine, the patient states that her vision is blurred. Which nursing action is most appropriate? a) Holding the next dose and notifying the physician b) Suggesting that the patient put on her glasses c) Explaining that this is an expected adverse effect d) Treating the patient for an allergic reaction

Explaining that this is an expected adverse effect

People with hyperopia are considered which of the following? a) Astigmatism b) Normal vision c) Nearsighted d) Farsighted

Farsighted

Which of the following is the leading cause of blindness in the United States? a) Retinal detachment b) Macular degeneration c) Cataracts d) Glaucoma

Glaucoma

The nurse is working in the triage section of a walk-in clinic. Which triad of common symptoms, when placed together, indicate Ménière's disease? a) Blurred vision, vertigo, nausea b) Hearing loss, vertigo, tinnitus c) Syncope, vertigo, ear pain d) Disorientation, vertigo, nausea

Hearing loss, vertigo, tinnitus

Leslie Waterman, a 57-year-old corrections officer, is being seen at the ophthalmic group where you practice nursing. He's concerned about his vision changes where he sees distance much more clearly than nearby sights. What is the term used to describe his visual condition? a) Astigmatism b) Emmetropia c) Hyperopia d) Myopia

Hyperopia

Your patient has had a sudden loss of vision after head trauma. You are helping the patient identify where items are on her dinner tray so she can feed herself. How would you describe the placement of items on the dinner tray? a) Like using a compass b) Like giving directions c) Like reading a map d) Like the face of a clock

Like the face of a clock

The nurse is developing a plan of care for a client with Meniere's disease and identifies a nursing diagnosis of excess fluid volume related to fluid retention in the inner ear. Which intervention would be most appropriate to include in the plan of care? a) Restrict high-potassium foods. b) Encourage intake of caffeinated fluids. c) Administer prescribed antihistamine. d) Limit foods that are high in sodium.

Limit foods that are high in sodium.

The nurse is assessing a patient with multiple sclerosis who is demonstrating involuntary, rhythmic eye movements. What term will the nurse use when documenting these eye movements? a) Astigmatism b) Nystagmus c) Tinnitus d) Vertigo

Nystagmus

A nurse in an ophthalmology practice is obtaining a history from a new client with glaucoma. The nurse asks the client if she understands her new diagnosis. The client responds by saying she has had time to read about the diagnosis and understands that the type of glaucoma she has is due to the degeneration and obstruction of the trabecular meshwork, whose original function is to absorb the aqueous humor. The loss of absorption will lead to an increased resistance, and thus a chronic, painless buildup of pressure in the eye. Which type of glaucoma has the client described? a) Angle closure b) Congenital c) Secondary d) Open angle

Open angle

You are teaching the daughter how to instill ear drops of her father to remove impacted cerumen. What is a priority action to teach this woman? a) Insert the irrigating syringe deeply. b) Place the container in warm water before instillation. c) Direct the flow of the ear drops toward the eardrum. d) Refrigerate before instillation.

Place the container in warm water before instillation.

Your patient has been diagnosed with a loss of hearing related to damage of the end organ for hearing or cranial nerve VIII. What term is used to describe this condition? a) Exostoses b) Sensorineural hearing loss c) Presbycusis d) Otalgia

Sensorineural hearing loss

Which of the following is a symptom related to vertigo? a) Syncope b) Spinning sensation c) Fainting d) Loss of consciousness

Spinning sensation

What inner ear structure is affected when a client is diagnosed with otosclerosis? a) Malleus b) Stapes c) Incus d) Tympanic membrane

Stapes

When discussing diseases of the middle ear, the nursing instructor distinguishes the different types of otitis media. What generally causes purulent otitis media? a) Upper respiratory infections b) Irritation associated with respiratory allergies and enlarged adenoids c) Outer ear d) Bronchial tree

Upper respiratory infections

A client, in for an eye exam, asks the nurse what they can do to help prevent cataracts. What dietary recommendations should a nurse give to a client to prevent cataracts? a) Vitamins A and C b) Fat-free foods c) Foods rich in purine d) Calcium with vitamin D

Vitamins A and C

Which of the following instructions, regarding swimming, should the nurse give to the client who is recovering from otitis externa? Choose the correct option. a) Wear soft plastic ear plugs. b) Wear a scarf. c) Insert a loose cotton pledget in the external ear. d) Avoid cold water.

Wear soft plastic ear plugs.

A nurse is preparing a presentation for a local community about hearing loss and prevention. Which of the following would the nurse integrate into the presentation as the most effective preventive measure? a) Maintaining daily hygiene for the ears b) Wearing ear protection when exposed to noise c) Obtaining prompt treatment for ear infections d) Having yearly audiometric testing

Wearing ear protection when exposed to noise

When obtaining the health history from a client with retinal detachment, a nurse expects the client to report: a) a recent driving accident while changing lanes. b) headaches, nausea, and redness of the eyes. c) frequent episodes of double vision. d) light flashes and floaters in front of the eye.

light flashes and floaters in front of the eye.

Choice Multiple question - Select all answer choices that apply. Which of the following describes vertigo? Select all that apply. a) Misperception of motion b) Objects are moving around him or her c) Spinning sensation d) Syncope e) Fainting

• Spinning sensation • Misperception of motion • Objects are moving around him or her