Sensory NCLEX style questions

Sensory NCLEX style questions 5.0 (1 review) Students also studied Terms in this set (25) Science MedicineNursing Save

NCLEX style questions: Sensory Per...

20 terms hannahk0729Preview Special senses med surge 58 59 terms FreakenprPreview Neurological NCLEX Questions 55 terms marissaxxcarol Preview Palmer 35 terms mai A patients arrives in the outpatient clinic with a possible corneal abrasion. What diagnostic test would confirm this diagnosis?

• Tonometry
• Visual field testing
• Facial X-Ray
• Flurescein staining

Facial X-Ray A patient arrives in the emergency department with possible detached retina. What intervention should the muse implement first?

• Place the patient in dependent position
• Discuss follow-up treatment with an ophthalmologist
• Provide care in a calm manner
• Notify the physician immediately

Place the patient in dependent position The nurse is teaching a patient the correct method for administering ear drops. Place the steps in order that the patient should do them.

• Tilt the head toward the unaffected side
• Instill the ordered number of drops
• Pull the pinna (auricle) upward and backward
• Place a loose cotton ball in the ear canal for 15-20

minutes

• Partially fill the ear dropper with medication
• Warm the drops by holding the bottle

6,1,5,3,2,4

The nurse is caring for an older patient who has a severe hearing impairment. What would be an appropriate nursing intervention?

• Encourage the patient to learn sign language
• Write out questions and responses
• Reduce environment noise before speaking with the

patient

• Raise the voice to a higher pitch

Reduce environment noise before speaking with the patient A patient is being taught about taking timilol (Timoptic).Which of the follow side effects should the patient report to the health care provider?

• Darkening of the iris
• Stinging in the eyes
• Bitter taste in the mouth
• Difficulty breathing

Difficulty breathing A patient in the outpatient clinic has possible acute otitis media. Which of the following manifestations should the nurse report immediately to the health care provider?

• Hearing loss in the affected ear
• Tenderness behind the ear
• Vertigo
• Tinnitus

Tenderness behind the ear When educating a patient about acute angle-closure glaucoma, what point should the nurse emphasize to the patients about this condition?

• Immediately report symptoms to the physician
• Do not use medications that cause pupil constriction
• Wear sunglasses when outdoors
• Lie down for 30 minutes until symptoms disappear

Immediately report symptoms to the physician Immediately after cataract surgery, it is important for the nurse to place the patient in what position?

• Flat in bed
• Turned in affected side
• High Fowler's position
• Semi-Fowler's position

Semi-Fowler's position During the nurses initial assessment of an older woman with open-angle glaucoma, what symptoms might the history reveal?

• Light flashes in both eyes
• Difficulty focusing on near objects
• Acute severe eye pain
• Watery drainage from both eyes

Difficulty focusing on near objects

When teaching the patient about Ménière disease, which of the following diet changes should the nurse emphasize?

• Avoid foods high in sodium
• Increase the amount of green leafy vegetables
• Reduce the intake of milk and milk products
• Increase fluid intake before meals

Avoid foods high in sodium True or False The lens is a transparent, gelatinous mass of fibers encased in an elastic capsule situated behind the iris True True or False The cornea, the eyes white portion, is contiguous with iris and is no transparent True True or False One of the greatest challenges in the care of chronic eye disorders such as glaucoma is convincing the patient of the need for long-term treatment and adherence to the therapeutic regimen True True or False Postoperative positioning of the patient after eye surgery usually requires having the patient lie on his or her back on the nonoperative side True By which routes are osmotic agents administered to reduce IOP? (Select all that apply)

• Intravenously
• Orally
• Topically
• Intramuscularly
• Subcutaneously

Intravenously The nurse assesses a patient for an allergy to which factor before administering acetazolamide (Diamox)?

• Penicillin
• Eggs
• Sulfonamides
• Nuts

Sulfonamides To prevent systemic effects of ophthalmic cholinergic agents, the nurse carefully blocks the inner canthus of the eye for how many minutes?

A. 1-2

B. 3-5

C. 8-10

D. 12-14

1-2

The patient with which disorder has the lowest risk for developing complications related to ophthalmic adrenergic agents?

• Mild hypertension
• Type I diabetes
• Renal failure
• Hyperthyroidism

Mild hypertension Which statement does the nurse include when teaching a patient about health promotion after eye surgery? (Select all that apply)

• Avoid bending at the waist
• Avoid any straining with stool
• Report any pain not relieved by prescribed

medications

• Use aseptic technique when instilling eye medications
• Cough at least 10 times every hour

Avoid bending at the waist Avoid straining with stool Use aseptic technique when instilling eye medication Which are actions of adrenergic agents used in ophthalmology? (Select all that apply)

• Increase outflow of aqueous humor
• Vasodilation
• Constriction is the ciliary muscle
• Decreased formation of aqueous humor
• Pupil dilation

Increased outflow of aqueous humor Decreased formation or aqueous humor A patient is ordered acetazolamide (Diamox) 500mg for injection. The medication is available as 500mg per vial.Preparation instructions are reconstitute 500mg acetazolamide with 5 mL if sterile water for injection. How many mL if acetazolamide does the nurse administer?

• 1
• 3
• 4
• 5

Five The nurse administers 1 drop of olopatadine (Patanol) to each eye of a patient and records it in the patients medication administration record. Which documentation most accurately represents this administration?

• grr OU
• 1 drop olopatadine (Patanol) OS
• Drops X 1 olopatadine (Patanol) eyes
• 1 drop olopatadine (Patanol) each eye
• drop olopatadine (Patanol) each eye

The nurse is preparing a discharge instruction sheet for a client who had an ear surgery two days ago. Which of the following must be included in this plan?

• Take antiemetics t.i.d
• Change the inner dressing daily
• Keep the mouth open when sneezing or coughing
• Do not bathe until released by the doctor

Keep the month open when sneezing or coughing