practice questions for eyes and ears
TRANSCRIPT
The nurse is asked to test the visual acuity of a client using a Snellen chart. The nurse prepares to
perform the test, knowing that which of the following identifies the accurate procedure for this
visual acuity test?
1. Both eyes are tested together followed by the testing of the right and then the left eye
2. The right eye is tested, followed by the left eye, then both eyes are tested
3. The client is asked to stand 40 feet from the chart and is asked to read the largest line on the chart
4. The client is asked to stand 40 feet from the chart and to read the line that can be read 20 feet away by an individual with unimpaired vision
The clinic notes that following several eye examinations, the physician has documented a diagnosis of legal
blindness in the client’s chart. Which of the following does the nurse expect to note documented as the result
of the Snellen chart test?
1. 20/20 vision
2. 20/40 vision
3. 20/60 vision
4. 20/200 vision
Tonometry is performed on the client with a suspected diagnosis of glaucoma. The nurse reviews the test results as documented in the client’s chart and understands that
normal intraocular pressure is
1. 2 to 7 mmHg
2. 10 to 21 mmHg
3. 22 to 30 mmHg
4. 31 to 35 mmHg
The nurse is assisting in developing a plan of care for the client scheduled for cataract surgery. The nurse make suggestions regarding the plan, knowing that which of the following problems is most specifically associated
with this type of surgery?
1. Self-care deficit
2. Alternation in nutrition
3. Sensory perceptual alteration
4. anxiety
The nurse is reviewing the health record of a client diagnosed with glaucoma. The chief clinical manifestation
that the nurse expects to note the early stages of cataract information is
1. Eye pain
2. Floating spots
3. Blurred vision
4. diplopia
The nurse is assigned to administer the prescribed eye drops for a client preparing for cataract surgery. Which of the following types of eye drops does the nurse expect to
be prescribed?
1. An osmotic diuretic
2. A miotic agent
3. A mydriatic medication
4. A thiazide diuretic
The nurse is assigned to care for a client following a cataract extraction. The nurse plans to position the
client
1. On the operative side
2. On the nonoperative side
3. Prone
4. Supine
The client is diagnosed with glaucoma. Which of the following data gathered by the nurse indicates a risk
factor associated with glaucoma?
1. A history of migraine headaches
2. Frequent urinary tract infections
3. Cardiovascular disease
4. Frequent upper respiratory infections
The nurse is assigned to care for a client with a detached retina. Which of the following assessment signs does the
nurse expect to be documented in the client’s record?
1. Pain in the affected eye
2. Blurred vision
3. A sense of a curtain falling across the field of vision
4. A yellow discoloration of the sclera
The nurse is assigned to care for a client with a diagnosis of detached retina. Which of the following findings
indicates the bleeding has occurred as a result of retinal detachment?
1. Complaints of a burst of black spots or floaters
2. A sudden sharp pain in the eye
3. Total loss of vision
4. A reddened conjunctiva
The client arrives in the emergency department following an automobile accident. The client’s forehead hit the
stirring wheel and a hyphema was diagnosed. The nurse prepares to position the client
1. Flat on bed rest
2. On bed rest in a semi-Fowler’s position
3. In the lateral position on the affected side
4. In lateral position on the unaffected side
The client arrives in the emergency department with a penetrating eye injury from wood chips while cutting
wood. The nurse checks the eye and notes the piece of wood protruding from the eye. The nurse immediately
prepares the client for which of the following?
1. Removal of the piece of wood using a sterile eye clamp
2. Application of an eye patch
3. Visual acuity tests
4. Irrigation of the eye with sterile saline
The client sustains a chemical eye injury from a splash of battery acid. The nurse prepares the
client for which of the following immediate measures?
1. Assessment of visual acuity
2. Irrigation of the eye with sterile normal saline
3. Swabbing the eye with antibiotic ointment
4. Covering the eye with a pressure patch
A client arrives at the emergency department with a foreign body in the left ear that has been
determined to be an insect. Which of the following interventions does the nurse anticipate to be
prescribed initially?
1. Irrigation of the ear
2. Instillation of diluted alcohol
3. Instillation of antibiotic ear drops
4. Instillation of corticosteroid ointment
A client with Meniere’s disease is experiencing severe vertigo. The nurse instructs the client to do which of the following to assist in controlling the
vertigo?
1. Increase fluid intake to 3000 mL a day
2. Avoid sudden head movements
3. Lie still and watch TV
4. Increase sodium in the diet
The nurse is caring for a client following craniotomy for removal of an acoustic neuroma. The nurse understands that assessment of which of the following cranial nerves identifies a complication specifically associated with this
surgery?
1. Cranial nerve I, olfactory
2. Cranial nerve III, oculomotor
3. Cranial nerve IV, trochlear
4. Cranial nerve VII, facial nerve
The nurse is monitoring a client with a blunt head injury sustained from a motor vehicle accident. Which of the following indicates a basal skull
fracture as a result of the injury?
1. Purulent drainage from the auditory canal
2. Bloody or clear drainage from the auditory canal
3. Epistaxis
4. Periorbital edema
The nurse is reviewing the physician’s orders on a client admitted to the hospital with a diagnosis of an acute attack of Meniere’s disease. Which of the following orders if noted on the client’s chart does
the nurse question?
1. The administration of a sedative
2. The administration of an antihistamine
3. The administration of a vasoconstrictor
4. Bed rest