Deck 25: The Sensory System: Eye and Ear

Question 1

The nurse is caring for a blind patient.Which action is most appropriate when entering the patient's room?

A) Touch the patient before speaking to allow her to locate the nurse's position.
B) Speak to the patient by name when entering the room to avoid startling her.
C) Speak to the patient only when at bedside to increase orientation.
D) Walk about in the room, carrying on conversation.

Answer 1

Speak to the patient by name when entering the room to avoid startling her.

Question 2

The nurse is teaching a group of schoolchildren about the relationship between diet and vision.The nurse encourages the ingestion of foods rich in vitamin A.Which food choice should the nurse recommend?

A) Kale
B) Cauliflower
C) Strawberries
D) Apples

Answer 2

Kale

Question 3

During examination of the fundus of the eye,the nurse assesses a choked disc.Which statement accurately explains the significant of this finding?

A) The disc has an infarct.
B) There is increased intracranial pressure (ICP).
C) There is significant hypertension.
D) The lens has become opaque.

Answer 3

There is increased intracranial pressure (ICP).

Question 4

The nurse is reviewing the health history of a 26-year-old patient who denies corrective lenses.Which scenario indicates that the patient follows preventive eye examination recommendations?

A) The patient has had annual eye examinations since age 18.
B) The patient's last eye examination occurred at age 10.
C) The patient had a baseline eye examination at age 25.
D) The patient has never had an eye examination.

Question 5

The nurse is caring for a patient who presents to the clinic a small,hard lesion on the eyelid.Which condition is consistent with these findings?

A) Blepharitis
B) Chalazion
C) Hordeolum
D) Conjunctivitis

Question 6

A patient tilts her head to the side while reading a pamphlet.The nurse recognizes that this action may be an attempt to compensate for which problem?

A) Tinnitus
B) Nystagmus
C) Photophobia
D) Diplopia

Question 7

The nurse is caring for a patient who is experiencing diabetes-related visual changes.Which statement indicates that the patient accurately understands the nurse's teaching about the cause of vision changes in diabetes?

A) "Long-term exposure to high glucose levels can damage the blood vessels in my retina."
B) "Frequent injections of regular insulin damage the cornea."
C) "High glucose levels cause increase pressure in my eyes that leads to lens opacity.
D) "Diabetes affects healing and causes frequent eye infections."

Question 8

The visually impaired person has entered the outpatient clinic with a guide dog.What action is most appropriate for the nurse to take?

A) Quietly greet the dog and pat it.
B) Direct the patient and the dog to an area where the dog will not be distracted.
C) Take the harness from the patient, and direct the dog and patient to a seat.
D) Refrain from interacting with the patient and dog until the dog leads the patient to a seat.

Question 9

The nurse assesses the age-related changes that occur in the eye.Which finding(s)is/are consistent with aging?

A) Subcutaneous fat increases.
B) The cornea flattens and increases astigmatism.
C) Water loss occurs from the lens.
D) Presbyopia occurs.
E) Ectropion occurs.

Question 10

An office assistant tells the nurse his job requires him to work at his computer for 7 to 8 hours each day.Which statement indicates that the nurse's teaching about preventing eyestrain has been successful?

A) "I will wear protective goggles while working."
B) "I will eat more carrots and cooked spinach."
C) "I will close my eyes every few hours."
D) "I will instill artificial tears each hour while working."

Question 11

The nurse is assessing an 84-year-old patient.Which finding is consistent with aging?

A) Thick cerumen
B) Heightened perception of low-frequency sounds
C) Outer ear canal pain
D) Increased hair on the pinna

Question 12

The nurse is caring for a 40-year-old patient.How often should the nurse recommend that this patient undergo testing for glaucoma?

A) Yearly
B) Every 2 to 3 years
C) Every 5 years
D) Every 10 years

Question 13

The nurse recalls that the Healthy People 2020 objectives for vision include directives for which goals?

A) Vision screenings for children 10 years of age and younger
B) Reduction of uncorrected refractive errors
C) Reduction of diabetic retinopathy
D) Reduction of visual impairment related to cataracts
E) Increased use of protective eyewear

Question 14

The patient is experiencing frequent attacks of vertigo.When planning care,which activity should the nurse encourage?

A) Increase sodium in the diet.
B) Consider a smoking cessation program.
C) Increase daily fluid intake.
D) Drink a glass of red wine before supper.

Question 15

When assessing for macular degeneration,the nurse should use which assessment tool?

A) Snellen eye chart
B) Corneal reflex test
C) Visual field test
D) Amsler grid test

Question 16

How often should eye cosmetics be discarded?

A) Every 2 months
B) Every 3 months
C) Every 6 months
D) Every year

Question 17

The student nurse is ambulating with a blind patient.Which technique(s)indicate(s)that the student nurse requires further instruction?

A) Holding the patient's dominant arm
B) Instructing the patient to put both hands on his shoulders
C) Allowing the patient to hold the nurse's arm
D) Holding the patient's hand
E) Walking just behind the patient

Question 18

The nurse is orienting a visually impaired patient to a meal plate.Which action is most appropriate?

A) Identify the location of the plate.
B) Hold the patient's hand and direct it to the plate.
C) Place eating utensil in the patient's hand.
D) Identify food according to an imaginary clock face.

Question 19

A tonometer reading reflects the amount of pressure exerted by which component of the eye?

A) Sclera
B) Aqueous humor
C) Vitreous humor
D) Cornea

Question 20

Which component in the eye refracts light rays to be directed to the lens?

A) Pupil
B) Cornea
C) Retina
D) Ciliary body

Question 21

Place the steps of instillation of eyedrops in appropriate order.

Step 3

A)Expose the conjunctival sac.
B)Ask the patient to close the eyelids and move the eyes back and forth.
C)Ask the patient to look up.
D)Ask the patient to tilt the head toward the eye receiving the drops.
E)Drop medication in the conjunctival sac.

Question 22

The nurse interviewing a patient with macular degeneration will inquire about the patient's habits,especially __________,which is a significant contributor to the disorder.

Question 23

Place the steps of instillation of eyedrops in appropriate order.

Step 4

A)Expose the conjunctival sac.
B)Ask the patient to close the eyelids and move the eyes back and forth.
C)Ask the patient to look up.
D)Ask the patient to tilt the head toward the eye receiving the drops.
E)Drop medication in the conjunctival sac.

Question 24

The nurse is caring for a patient with a frequent history of falls.The nurse notes that which problems in the patient's history may contribute to frequent falls?

A) Diplopia
B) Vertigo
C) Tinnitus
D) Cirrhosis
E) Ataxia

Question 25

Place the steps of instillation of eyedrops in appropriate order.

Step 1

A)Expose the conjunctival sac.
B)Ask the patient to close the eyelids and move the eyes back and forth.
C)Ask the patient to look up.
D)Ask the patient to tilt the head toward the eye receiving the drops.
E)Drop medication in the conjunctival sac.

Question 26

Place the steps of instillation of eyedrops in appropriate order.

Step 2

A)Expose the conjunctival sac.
B)Ask the patient to close the eyelids and move the eyes back and forth.
C)Ask the patient to look up.
D)Ask the patient to tilt the head toward the eye receiving the drops.
E)Drop medication in the conjunctival sac.

Question 27

The receptors of light and color in the eyeball are the __________ and the __________.

Question 28

The nurse is teaching a patient about visual problems that require professional attention.Which symptom(s)indicate an underlying visual problem?

A) Eyes that tire easily
B) Burning
C) Itching
D) Reddening with use
E) Exophthalmos

Question 29

The nurse clarifies to the patient with an eye disorder that the fluid in the anterior chamber is called __________ humor,whereas the fluid in the posterior chamber is called __________ humor.

Question 30

The nurse is assessing a patient's visual field.Which action(s)demonstrate(s)correct technique?

A) The nurse faces the patient.
B) The nurse covers her right eye while instructing the patient to cover his right eye.
C) The nurse moves a finger from an area outside the line of peripheral vision into the line of vision.
D) The nurse instructs the patient to read the smallest row on the Snellen chart.
E) The nurse instructs the patient to look directly into her eyes.

Question 31

Place the steps of instillation of eyedrops in appropriate order.

Step 5

A)Expose the conjunctival sac.
B)Ask the patient to close the eyelids and move the eyes back and forth.
C)Ask the patient to look up.
D)Ask the patient to tilt the head toward the eye receiving the drops.
E)Drop medication in the conjunctival sac.

Question 32

Which medication(s)may cause ototoxicity?

A) Vancomycin
B) Furosemide
C) Acetaminophen
D) Ibuprofen
E) Amoxicillin