Exam 51: Sensory System Function, Assessment, and Therapeutic Measures: Vision and Hearing

During a physical examination of a patient, pupillary reflexes are checked. A light is shone into the right eye while it is observed. Pupillary reaction and pupil size are noted. Then a light is shone into the left eye as the right eye is still observed. Which response occurs during the second step of the test?

The nurse is conducting an initial screening to determine a patient's gross hearing acuity as part of a complete physical. Which test does the nurse include in the assessment?

The nurse is preparing to administer eye medication as prescribed by the HCP after eye surgery for cataract removal. The HCP prescribes one drop with punctal occlusion. Which action will the nurse perform when administering this medication?

A patient's Snellen chart findings are 20/60. Which explanation does the nurse provide to the patient regarding this finding?

The nurse is collecting information about a patient's auditory system during a physical examination. Which process will the nurse perform first?

The nurse is giving instructions to a patient who is scheduled for an electronystagmogram due to a diagnosis of vertigo and ringing in the ears. Which finding regarding the patient's medical history will cause the nurse to notify the prescribing health care provider (HCP) for cancellation of the test?

The nurse determines that a patient is experiencing common age-related changes in vision and hearing. Which findings does the nurse identify in the patient? (Select all that apply.)

A patient is scheduled to have cataract surgery. Which structure of the patient's eye does the nurse explain will be involved in the procedure?

The nurse is assisting with the preparation of a patient for a cochlear implant due to profound deafness. Which teaching will the nurse reinforce for this patient?

While checking a patient's pupils, the nurse notes that the left pupil constricts when a light is shone into the right eye. Which information does this finding suggest to the nurse?

The nurse in an HCP's office is providing assistance with a patient who has purulent drainage from the ear. Which action by the HCP does the nurse expect?

The nurse has reinforced teaching with a patient about diagnostic tests that evaluate eye muscle balance. Which tests identified by the patient indicate teaching has been effective? (Select all that apply.)

The nurse is conducting hearing acuity evaluation on a patient using the Rinne test. The test involves the use of a tuning fork. Which test result will be validated with the documentation "AC greater than BC"?

Prior to measuring a patient's hearing, the nurse obtains a tuning fork. Which hearing tests is the nurse preparing to conduct? (Select all that apply.)

The nurse places eyedrops for a patient with an injured eye and covers the eye with a patch as prescribed. Discharge instructions are given to the patient. Which patient statements indicate further instruction is needed? (Select all that apply.)

The National Eye Institute has performed research regarding the impact of nutrition on eye diseases. Which factor does the nurse recognize as an incorrect conclusion from this research?

The nurse is collecting information about the eyes from an older adult patient. Which finding is unexpected during the examination?

The nurse performs a visual assessment on a patient and documents the findings using the acronym PERRLA. Which assessment finding does PERRLA indicate?

The nurse is attending while the HCP performs an otoscopic examination of a patient's ears. The nurse is aware that the examination is performed primarily for which purpose?

A patient has an injury resulting in a major damage to the pinna of the right ear. The patient expresses fear about hearing loss in the damaged ear. Which statement by the nurse will alleviate the patient's fear?