Question 1

The nurse is providing teaching on the recommended hearing tests for older adults. Which information should be included in this teaching?

Accepted Answer

A) Schedule an annual hearing test until the age of 50 and then have a test every 6 months. 
B) Annual screenings are recommended for adults with diabetes. 
C) For individuals without comorbidities, hearing exams should be repeated every 1-3 years for ages 55-64, and every 1-2 years for ages 65 and above. 
D) Have a hearing test every 10 years until age 50 and then every 3 years. 
A) Schedule an annual hearing test until the age of 50 and then have a test every 6 months. 
B) Annual screenings are recommended for adults with diabetes. 
C) For individuals without comorbidities, hearing exams should be repeated every 1-3 years for ages 55-64, and every 1-2 years for ages 65 and above. 
D) Have a hearing test every 10 years until age 50 and then every 3 years. D

Question 2

An older adult client is using prescription eyedrops to treat her glaucoma. When providing client teaching about this medication, which of the following should the nurse mention as potential side effects? Select all that apply.

Accepted Answer

A) Blurred vision 
B) Intermittent loss of eyesight 
C) Headaches 
D) Clouding of the eyes 
E) Change in eye color 
A) Blurred vision 
B) Intermittent loss of eyesight 
C) Headaches 
D) Clouding of the eyes 
E) Change in eye color A, E

Question 3

The nurse is planning teaching for a client diagnosed with diabetic neuropathy. What should the nurse include in this teaching?

Accepted Answer

A) Set the water heater at 120°F. 
B) Avoid hand and foot massages. 
C) Use a mirror to inspect feet daily. 
D) Increase medication for pain as necessary. 
A) Set the water heater at 120°F. 
B) Avoid hand and foot massages. 
C) Use a mirror to inspect feet daily. 
D) Increase medication for pain as necessary. C

Question 4

After being diagnosed with cataracts, a client believes the right eye has a cataract but not the left eye, as there are no vision changes with the left eye. Which response by the nurse is accurate?

Accepted Answer

A) "Only your doctor can tell if you have a cataract in your left eye." 
B) "Cataracts develop at different rates, so one eye may be more affected than the other." 
C) "The changes being confined to one eye indicate a less severe cataract." 
D) "Surgery is still necessary for both eyes." 
A) "Only your doctor can tell if you have a cataract in your left eye." 
B) "Cataracts develop at different rates, so one eye may be more affected than the other." 
C) "The changes being confined to one eye indicate a less severe cataract." 
D) "Surgery is still necessary for both eyes."

Question 5

Which of the following statements regarding idiopathic neuropathy is true?

Accepted Answer

A) Idiopathic neuropathy is hereditary in nature. 
B) Idiopathic neuropathy has no known cause. 
C) Idiopathic neuropathy is caused by nutritional deficits. 
D) Idiopathic neuropathy is caused by disease or illness. 
A) Idiopathic neuropathy is hereditary in nature. 
B) Idiopathic neuropathy has no known cause. 
C) Idiopathic neuropathy is caused by nutritional deficits. 
D) Idiopathic neuropathy is caused by disease or illness.

Question 6

The nurse is planning care for a client with glaucoma who is experiencing anxiety as a result of the diagnosis. Which intervention should the nurse select to address this need?

Accepted Answer

A) Assure the client there is nothing to be afraid of. 
B) Support the client's use of coping mechanisms. 
C) Turn off the lights when leaving the client's room. 
D) Refer the client to a counseling psychologist. 
A) Assure the client there is nothing to be afraid of. 
B) Support the client's use of coping mechanisms. 
C) Turn off the lights when leaving the client's room. 
D) Refer the client to a counseling psychologist.

Question 7

The nurse is caring for a client who has been using timolol (Timoptic)to manage glaucoma. Which assessment finding supports an adverse effect associated with systemic absorption of the drug?

Accepted Answer

A) Eye pain 
B) Heart rate of 57 
C) Urinary frequency 
D) Blurred vision 
A) Eye pain 
B) Heart rate of 57 
C) Urinary frequency 
D) Blurred vision

Question 8

The nurse is providing client teaching on Guillain-Barré syndrome. Which explanation for a client's false perception that socks are being worn is accurate?

Accepted Answer

A) Confusion is a part of this disorder, so the client is simply confused as to whether socks are being worn. 
B) This disorder causes a change in sensation that makes the client feel as if socks are being worn. 
C) The medications used to treat this disorder cause the client to feel as if socks are being worn. 
D) Tactile hallucinations are part of this disorder, so the client is hallucinating that socks are present. 
A) Confusion is a part of this disorder, so the client is simply confused as to whether socks are being worn. 
B) This disorder causes a change in sensation that makes the client feel as if socks are being worn. 
C) The medications used to treat this disorder cause the client to feel as if socks are being worn. 
D) Tactile hallucinations are part of this disorder, so the client is hallucinating that socks are present.

Question 9

Which diagnostic technique is used to confirm the location and extent of cataracts?

Accepted Answer

A) Visually inspecting the optic fundus using an ophthalmoscope 
B) Using tonometry to indirectly measure intraocular pressure 
C) Revealing a dark area instead of the red reflex through ophthalmoscopy 
D) Identifying patient history consistent with risk of cataracts and examining the eye to diagnose the cataract 
A) Visually inspecting the optic fundus using an ophthalmoscope 
B) Using tonometry to indirectly measure intraocular pressure 
C) Revealing a dark area instead of the red reflex through ophthalmoscopy 
D) Identifying patient history consistent with risk of cataracts and examining the eye to diagnose the cataract

Question 10

The nurse is evaluating instructions provided to a client with glaucoma. Which client statement indicates that teaching has been effective?

Accepted Answer

A) "The eyedrops only need to be used when my eyes hurt." 
B) "I can stop the eyedrops when the glaucoma has resolved." 
C) "I must use my eyedrops as prescribed for the rest of my life." 
D) "I will need to continually increase the dose of my eyedrops." 
A) "The eyedrops only need to be used when my eyes hurt." 
B) "I can stop the eyedrops when the glaucoma has resolved." 
C) "I must use my eyedrops as prescribed for the rest of my life." 
D) "I will need to continually increase the dose of my eyedrops."

Question 11

A nurse is caring for a client with a genetic nerve disorder who has difficulty when attempting to move her tongue. The nurse recognizes that this may indicate a deficit in the functioning of which cranial nerve?

Accepted Answer

A) XII 
B) XI 
C) VIII 
D) VI 
A) XII 
B) XI 
C) VIII 
D) VI

Question 12

What are the two components of the sensory process?

Accepted Answer

A) Stimulus and receptor 
B) Kinesthesia and stereognosis 
C) Visual and auditory 
D) Reception and perception 
A) Stimulus and receptor 
B) Kinesthesia and stereognosis 
C) Visual and auditory 
D) Reception and perception

Question 13

A client recovering from a penetrating eye injury tells the nurse that some shadows and movement can be seen with the eye. Based on this data, what should the nurse do next?

Accepted Answer

A) Note a deterioration in vision. 
B) Administer ultrasonography to assess the eye for a detached retina. 
C) Compare this data to the initial assessment. 
D) Note an improvement in vision 
A) Note a deterioration in vision. 
B) Administer ultrasonography to assess the eye for a detached retina. 
C) Compare this data to the initial assessment. 
D) Note an improvement in vision

Question 14

The nurse is planning care for an older adult client diagnosed with age-related macular degeneration (AMD)that is nonexudative. Which therapies should the nurse anticipate for this client? Select all that apply.

Accepted Answer

A) Laser surgery 
B) Eye patches 
C) Antioxidants 
D) Eyedrops 
E) Zinc 
A) Laser surgery 
B) Eye patches 
C) Antioxidants 
D) Eyedrops 
E) Zinc

Question 15

A client has been diagnosed with cataracts of both eyes. The client's vision and activities of daily living have become severely impaired. What collaborative intervention does the nurse anticipate for this client?

Accepted Answer

A) Corrective lenses for the cataracts 
B) Two surgical procedures, separated by a few weeks, to remove the cataracts 
C) Two surgical procedures to remove both cataracts at the same time 
D) Eyedrops to treat the cataracts 
A) Corrective lenses for the cataracts 
B) Two surgical procedures, separated by a few weeks, to remove the cataracts 
C) Two surgical procedures to remove both cataracts at the same time 
D) Eyedrops to treat the cataracts

Question 16

What class of drugs both decreases production of aqueous humor in the eye and increases drainage of aqueous humor from the uveoscleral pathway?

Accepted Answer

A) Beta-adrenergic blockers 
B) Prostaglandin analogs 
C) Alpha2-adrenergic agonists 
D) Cholinergic agonists 
A) Beta-adrenergic blockers 
B) Prostaglandin analogs 
C) Alpha2-adrenergic agonists 
D) Cholinergic agonists

Question 17

The nurse is preparing discharge instructions for a client with age-related macular degeneration (AMD)and type 1 diabetes mellitus. What should the nurse include in this client's teaching plan?

Accepted Answer

A) Information on assisted-living facilities 
B) Information on the need to have routine eye examinations every 5 years 
C) Referral to home care to ensure safety with administering insulin and AMD medications at home 
D) Information on Stargardt disease 
A) Information on assisted-living facilities 
B) Information on the need to have routine eye examinations every 5 years 
C) Referral to home care to ensure safety with administering insulin and AMD medications at home 
D) Information on Stargardt disease

Question 18

Which nursing action is most appropriate when communicating with a client who has a hearing deficit?

Accepted Answer

A) Drawing out the articulation of words with extra emphasis in order for the client to understand 
B) Using shorter phrases, which tend to be easier to understand than longer ones 
C) Varying the volume of voice, which is easier to understand than one consistent volume 
D) Writing ideas or pantomiming as appropriate in order for the client to understand 
A) Drawing out the articulation of words with extra emphasis in order for the client to understand 
B) Using shorter phrases, which tend to be easier to understand than longer ones 
C) Varying the volume of voice, which is easier to understand than one consistent volume 
D) Writing ideas or pantomiming as appropriate in order for the client to understand

Question 19

Foreign objects commonly cause what type of injuries among migrant farm workers?

Accepted Answer

A) Burns 
B) Blunt trauma 
C) Penetrating trauma 
D) Abrasions 
A) Burns 
B) Blunt trauma 
C) Penetrating trauma 
D) Abrasions

Question 20

What is vertigo?

Accepted Answer

A) Involuntary rapid eye movements 
B) A feeling of rotation or imbalance 
C) An infection of the vestibular nerve 
D) Impaired olfaction 
A) Involuntary rapid eye movements 
B) A feeling of rotation or imbalance 
C) An infection of the vestibular nerve 
D) Impaired olfaction

Exam 18: Sensory Perception

The nurse is providing teaching on the recommended hearing tests for older adults. Which information should be included in this teaching?

An older adult client is using prescription eyedrops to treat her glaucoma. When providing client teaching about this medication, which of the following should the nurse mention as potential side effects? Select all that apply.

The nurse is planning teaching for a client diagnosed with diabetic neuropathy. What should the nurse include in this teaching?

After being diagnosed with cataracts, a client believes the right eye has a cataract but not the left eye, as there are no vision changes with the left eye. Which response by the nurse is accurate?

Which of the following statements regarding idiopathic neuropathy is true?

The nurse is planning care for a client with glaucoma who is experiencing anxiety as a result of the diagnosis. Which intervention should the nurse select to address this need?

The nurse is caring for a client who has been using timolol (Timoptic)to manage glaucoma. Which assessment finding supports an adverse effect associated with systemic absorption of the drug?

The nurse is providing client teaching on Guillain-Barré syndrome. Which explanation for a client's false perception that socks are being worn is accurate?

Which diagnostic technique is used to confirm the location and extent of cataracts?

The nurse is evaluating instructions provided to a client with glaucoma. Which client statement indicates that teaching has been effective?

A nurse is caring for a client with a genetic nerve disorder who has difficulty when attempting to move her tongue. The nurse recognizes that this may indicate a deficit in the functioning of which cranial nerve?

What are the two components of the sensory process?

A client recovering from a penetrating eye injury tells the nurse that some shadows and movement can be seen with the eye. Based on this data, what should the nurse do next?

The nurse is planning care for an older adult client diagnosed with age-related macular degeneration (AMD)that is nonexudative. Which therapies should the nurse anticipate for this client? Select all that apply.

A client has been diagnosed with cataracts of both eyes. The client's vision and activities of daily living have become severely impaired. What collaborative intervention does the nurse anticipate for this client?

What class of drugs both decreases production of aqueous humor in the eye and increases drainage of aqueous humor from the uveoscleral pathway?

The nurse is preparing discharge instructions for a client with age-related macular degeneration (AMD)and type 1 diabetes mellitus. What should the nurse include in this client's teaching plan?

Which nursing action is most appropriate when communicating with a client who has a hearing deficit?

Foreign objects commonly cause what type of injuries among migrant farm workers?

What is vertigo?

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