ATI EENT QUESTIONS MAYBE

11. A nurse is reinforcing teaching with a client about treatment options for profound sensorineural hearing loss. The nurse should include which of the following pieces of information about the function of cochlear implants? a. Transmits impulses directly to auditory nerve endings b. Conducts sound waves through the mastoid bone to the cochlea c. Amplifies sounds through the tympanic membrane to the inner ear d. Creates a new pathway for sound waves through a prosthetic stapes

a

12. A nurse is collecting data from a client who has a head injury with a possible skull fracture. Which of the following findings should the nurse identify as an indication that the client might have a complication involving the eighth cranial nerve (CN VIII)? a. Dizziness and hearing loss b. Weakness of a side of the tongue c. Facial droop and asymmetrical smile d. Loss of the same visual field in both eyes

a

14. A nurse is preparing to test the function of cranial nerve X for a client. Which of the following assessment procedures should the nurse use? a. Have the client open his mouth and say, "aah" b. Ask the client to identify the scent of coffee c. Use a tongue blade to provoke the gag reflex d. Have the client smile and raise his eyebrows

a

15. A nurse is caring for a client who has a hearing impairment. Which of the following actions should the nurse take when communicating with the client? a. Face the client when speaking b. Speak in a loud voice c. Use a normal rate when speaking d. Avoid hand motions

a

2. A nurse is reinforcing teaching with a client who is scheduled for laser-assisted in situ keratomileusis (LASIK) surgery. Which of the following pieces of information should the nurse include? a. "Your procedure will only take 10 or 15 minutes for each eye." b. "You may drive home after the procedure." c. "This procedure is prescribed to treat farsightedness." d. "You will need to remain in the hospital overnight following the procedure."

a

13. A nurse is caring for a client who has Ménière's disease. The nurse should identify that Ménière's disease affects which structure of the ear? a. Eustachian tube b. Cochlea c. Perichondrium d. Eardrum

b

21. A nurse is collecting data from a client who reports vision loss that began with a "flash" of light followed by a "curtain" across the field of vision. The nurse should identify that these manifestations indicate which of the following eye disorders? a. Glaucoma b. Retinal detachment c. Macular degeneration d. Cataracts

b

3. A nurse is reinforcing teaching with a client who is postoperative following cataract surgery and has an intraocular lens implant. Which of the following statements by the client indicates an understanding of the teaching? a. "I will sleep on the affected side." b. "I will avoid bending over." c. "I will restrict caffeine in my diet." d. "I will take aspirin to relieve my pain."

b

6. A nurse is reinforcing teaching with a client who is preoperative for cataract surgery. The nurse should include in the teaching that which of the following is an adverse effect of cataract surgery? a. Eyelid twitching b. Photosensitivity c. Intraocular hemorrhage d. Dry eyes

c

18. A nurse is reinforcing teaching with a class of new parents about otitis media. Which of the following manifestations should the nurse include in the teaching? a. High-pitched sound heard in the ear b. Intermittent rapid eye movement c. Itching on the external canal d. Feeling of fullness in the ear

d

22. A nurse is caring for a client who has dry mouth resulting from radiation therapy and a new prescription for oral pilocarpine. The nurse should identify a potential incompatibility with which of the following medications? a. Metoprolol b. Calcium carbonate c. Ceftriaxone d. Metoclopramide

a

26. A nurse at an ophthalmology clinic is collecting data from a client who was referred by the provider for a potential cataract. Which of the following client reports is consistent with cataracts? a. Halos when looking at lights b. Loss of peripheral vision c. Bright flashes of light and floaters d. Eyestrain and headaches with close work

a

8. A nurse is collecting data from a client who has a new diagnosis of mastoiditis. Which of the following manifestations should the nurse expect? a. Swelling behind the affected ear b. Facial drooping on the affected side c. Nystagmus on the affected side d. Pearly gray color of the affected eardrum

a

4. A nurse is collecting data from a client who has cataracts. Which of the following findings should the nurse expect? a. Pupils nonreactive to light b. Opacity visible behind the pupil c. White circle around the outside border of the iris d. Increased intraocular pressure

b

1. A nurse is caring for a client who has an impairment of cranial nerve II. The nurse should do which of the following to ensure the client's safety? a. Initiate seizure precautions b. Ensure the client receives a soft diet c. Provide an obstacle-free path for ambulation d. Instruct the client to use lukewarm water when showering

c

19. A nurse is collecting data from a client who has an acute visual disturbance, describing a "curtain" pulled over his visual field with occasional flashes of light. The nurse should notify the provider that this client might have which of the following disorders? a. Cataracts b. Angle-closure glaucoma c. Retinal detachment d. Macular degeneration

c

23. A nurse is preparing to administer timolol eye drops for a client who has glaucoma. When instilling the medication, which of the following actions should the nurse take? a. Instruct the client to blink several times after instillation of the medication b. Ask the client to look straight ahead during instillation of the medication c. Apply pressure to the bridge of the nose after instillation of the medication d. Place each drop of the medication directly on to the client's cornea

c

25. A nurse is preparing to administer timolol eye drops to a client who has primary open-angle glaucoma (POAG). Prior to administering the medication, the nurse should recognize that which of the following conditions in the client's medical history is a contraindication to receiving this medication? a. Hypertension b. Peripheral vision loss c. Asthma d. Increased intraocular pressure

c

5. A nurse is reinforcing teaching with an adolescent client who has recurrent external otitis. Which of the following instructions should the nurse include in the teaching? a. Dry the ear canal with a cotton swab after swimming b. Apply an ice pack to the ear to relieve pain c. Instill a diluted alcohol solution into the ear after swimming d. Irrigate the ear with cool tap water to clean

c

7. A nurse is reinforcing teaching with a client who has a new diagnosis of Menière's disease. Which of the following instructions should the nurse include in the teaching? a. Avoid bearing down b. Increase caffeine intake c. Avoid sudden movements d. Increase sodium intake

c

9. A nurse is collecting data from a client who has a new diagnosis of acute angle-closure glaucoma. The nurse should anticipate the client to report which of the following manifestations? a. Multiple floaters b. Flashes of light in front of the eye c. Severe eye pain d. Double vision

c

16. A nurse is reviewing the medical history of a client who has presbyopia. With which of the following activities should the nurse expect the client to have difficulty? a. Finding the bathroom in the dark b. Driving at night c. Seeing numbers on highway signs d. Reading the newspaper

d

17. A nurse is reviewing the medical record of a client who is experiencing tinnitus in both ears. Which of the following items in the client's medical record should the nurse identify as a risk factor for tinnitus? a. Use of hydrochlorothiazide b. Chronic use of acetaminophen c. Allergic external otitis d. Sclerosis of the ossicles

d

20. A nurse is caring for a client with a history of repeated middle ear infections. The client says, "My doctor told me these infections are due to an obstruction of the structure that connects the middle ear to the throat." The nurse should identify that the provider is referring to which of the following structures? a. Oval window b. Auricle c. Tympanic membrane d. Eustachian tube

d

24. A client who has glaucoma of the right eye self-administers timolol eye drops by looking at the ceiling, instilling a drop onto the center of the conjunctival sac, and applying gentle pressure to the lower lid with a facial tissue. After observing this process, which of the following actions should the nurse take? a. Confirm that the client performed the procedure correctly b. Instruct the client to look at the floor while instilling the eye drop c. Remind the client to avoid using a facial tissue after instillation d. Instruct the client to apply pressure to the inside corner of the eye after instillation

d

10. A nurse is reinforcing teaching with a client who has a new diagnosis of primary open-angle glaucoma (POAG). Which of the following pieces of information should the nurse include in the teaching? (Select all that apply.) a. Lost vision can improve with eye drops. b. Administer eye drops as needed for vision loss. c. Glasses will be necessary to correct the accompanying presbyopia. d. Driving can be dangerous due to the loss of peripheral vision. e. Laser surgery can help reestablish the flow of aqueous humor.

de