HA: Eyes and Ears practice questions
The nurse selects the chart shown here to assess a client's vision. Which client characteristic caused the nurse to select this chart?
Does not speak English pg. 315
The nurse is documenting an objective assessment of the client's ears. Which of the following would be the most appropriate documentation?
Hearing intact bilaterally on whisper test pg. 350
Which finding should a nurse recognize as normal when assessing the ears of an elderly client?
High-tone frequency loss pg. 341
During a client's eye assessment, the nurse is testing for consensual pupillary constriction. Which technique should the nurse implement?
Place a barrier between the client's eyes pg. 324
Which question asked by the nurse is assessing problems with tinnitus?
"Do you experience buzzing in your ears?" pg. 341
The nurse is assessing cranial nerves III, IV, and VI. Which instructions should the nurse provide to the client in order to perform this assessment?
"Follow my finger with only your eyes." pg. 320
The nurse is performing visual acuity testing on an older adult who has fallen and fractured their femur. What finding would be considered normal for this client? (Select all that apply.)
-Arcus senilis -Small cataract -Decreased central vision pg. 323
The nurse tests the distant visual acuity of several clients and records the findings. Which finding indicates that the client with the poorest vision?
20/60 pg. 317
The nurse measures a client's pupils and documents the size. Which size would the nurse document as normal?
4mm pg.323
A 2-month-old infant is being examined at the pediatrician's office. The mother said she noticed the baby was not making tears in the left eye. What does this finding suggest?
A blocked lacrimal apparatus pg. 323
A client visits the health care clinic with reports of itchy and watery eyes for three days. The nurse observes a generalized redness to the conjunctiva. The nurse recognizes this as what condition?
Conjunctivitis pg. 321
While the nurse examines a client's pupillary response to light in the right eye, the pupil in the left eye is constricted. What does this finding suggest to the nurse?
Consensual reaction pg. 324
A nurse shines a light into one eye during ocular exam and the pupil of the other constricts. The nurse interprets this as which of the following?
Consensual response pg. 324
Why is it important to ask the client regarding discharge or drainage from the eyes?
Discharge is associated with inflammation or infection pg. 308
What eye function is the nurse preparing to assess when the client is asked to stand 20 feet from a specific chart that is mounted on the examination room wall?
Distant vision pg.317
The nurse is preparing to test a client's eyes for accommodation. The nurse would have the client focus on an object in which sequence for this test?
Far, then near
A nurse is performing an otoscopic exam of a client's right tympanic membrane. At which location would the nurse document seeing the cone of light if it were in the appropriate place?
In the 5-o'clock position pg.349
The client is having a Weber test. During a Weber test, where should the tuning fork be placed?
In the midline of the client's skull or in the center of the forehead. pg. 350-351
During a physical examination the nurse performs the action shown. What assessment is the nurse performing?
Rinne test pg. 352
A client reports, "I feel like the whole room is spinning around me, and it makes me nauseous sometimes." What term should the nurse use to document the client's symptom?
Vertigo pg. 341
A client who works in a manufacturing plant is attending a teaching session on plant safety. What would be an important risk prevention measure to teach regarding hearing?
Wearing ear protection when in the work environment pg. 344
The nurse in a clinic is conducting a physical assessment on a 25-year-old female client who reports eye discomfort. Complete the following sentences by choosing from the lists of options.
When examining the eyes, the nurse notes that both sclera are red and suspects the client has viral conjunctivitis because of a (watery) discharge and (rhinorrhea).
A client is concerned because the sclera of the right eye has been pink in color for several days and tearing. What should the nurse suspect is occurring with this client?
conjunctivitis pg. 321
The nurse is preparing to examine the ears of an adult client with an otoscope. The nurse should plan to
firmly pull the auricle out, up, and back pg. 347
An adult client tells the nurse that her peripheral vision is not what it used to be and she has a blind spot in her left eye. The nurse should refer the client for evaluation of possible
glaucoma pg. 311-312
The nurse asks the client to perform the action pictured. What is the nurse assessing?
near vision pg. 315-316
