Question 1

The nurse observes that the patient's right pedal pulses are absent and the leg is swollen. The nurse's first action should be to:

Accepted Answer

A)  Obtain a Glasgow Score
B)  Attach an EKG
C)  Order an isotonic fluid infusion through two large-bore IV lines
D)  Proceed with a survey C

Question 2

You are caring for a patient who has had a right eye cataract removal. What discharge instruction would you want to include in the plan of care?

Accepted Answer

A)  Do not sleep on right side.
B)  Do not sleep on left side.
C)  Do not sleep with head elevated.
D)  Do wear glasses until physician says it is okay. A

Question 3

You are caring for a child who will have a tonsillectomy. Which of the following would increase the child's risk of aspiration during surgery?

Accepted Answer

A)  Difficulty swallowing
B)  Loose teeth
C)  Bleeding
D)  Exudate in the throat B

Question 4

After a tonsillectomy, your patient begins to vomit. What intervention should be your priority?

Accepted Answer

A)  Administer an antiemetic
B)  Turn the patient to the side
C)  Notify the physician
D)  Maintain the patient's "nothing by mouth" status

Question 5

Your patient has arrived in the emergency department with a chemical eye injury. Your first action should be to:

Accepted Answer

A)  Perform a visual acuity test
B)  Use sterile saline to irrigate the eye
C)  Place antibiotic ointment in the eye
D)  Place a patch over the eye

Question 6

When caring for a patient with glaucoma, which of the following symptoms would you not expect to see on the patient's chart?

Accepted Answer

A)  Severe eye pain
B)  Frequent pink-eye infections
C)  Blurred vision
D)  Nausea and vomiting

Question 7

You are caring for the child who has had a tonsillectomy. The physician has written postoperative orders. Which of the following orders would the nurse question?

Accepted Answer

A)  Clear, cool liquids when awake
B)  No milk or milk products
C)  Monitor for bleeding
D)  Suction every 2 hours

Question 8

When caring for a patient what sign would indicate that he might have a basal skull fracture?

Accepted Answer

A)  The auditory canal has purulent drainage.
B)  The auditory canal has bloody or clear drainage.
C)  Epistaxis
D)  Periorbital edema

Question 9

You are caring for a patient who complains of tinnitus. What part of the ear do you suspect is the most likely cause of the patient's complaint?

Accepted Answer

A)  External ear
B)  Middle ear
C)  Inner ear
D)  Auricle

Question 10

Your patient is scheduled to go for cataract surgery. What nursing diagnosis should you include in the patients plan of care?

Accepted Answer

A)  Self care deficit
B)  Imbalanced nutrition
C)  Disturbed sensory perception
D)  Anxiety

Question 11

Your patient has arrived in the emergency department with a penetrating eye injury. You are assessing the patient. What should your first action be?

Accepted Answer

A)  Remove any objects from the eye.
B)  Place a patch over the eye.
C)  Perform a visual acuity test.
D)  Use sterile saline to irrigate the eye.

Question 12

What nursing action would the nurse take when caring for a patient with enucleation with bright red drainage?

Accepted Answer

A)  Notify the physician.
B)  Continue to monitor the drainage.
C)  Document the finding.
D)  Mark the drainage on the dressing.

Question 13

Which of the following would be associated with detached retina?

Accepted Answer

A)  Pain in the affected eye
B)  Total loss of vision
C)  Feeling like a curtain had fallen over their eyes
D)  Yellow discoloration of the scleroses

Question 14

A thirty seven year old male is being treated for shock related to acute Pancreatitis. The patient states that he has Paresthesia around his fingers and mouth. The nurse observes that the patient's wrists and foot are tremoring. When she applies the blood pressure cuff to the patient's arm, the entire hand and arm has spasms. What abnormality is the patient exhibiting signs and symptoms of?

Accepted Answer

A)  Tetany
B)  Shock
C)  Chvostek's sign
D)  Hypersensitivity reaction

Question 15

What type of eye drops would be ordered for the patient who is being prepared for cataract surgery?

Accepted Answer

A)  Osmotic diuretic
B)  Miotic agent
C)  Mydriatic medication
D)  Thiazide diuretic

Question 16

You are completing a hearing screening on a patient. You note that the sound lateralizes to the patient's left ear during a Weber test. What does this finding indicate?

Accepted Answer

A)  A normal finding
B)  Conductive hearing loss in the right ear
C)  Sensorineural or conductive loss
D)  Presence of nystagmus

Question 17

Which of the following assessments would make the nurse suspect that a child has strabismus?

Accepted Answer

A)  Tilts head to see
B)  Turns head to see
C)  Does not respond when spoken to
D)  Has difficulty hearing

Question 18

You are administering a Snellen chart test to a patient. What results would you expect to get if your patient was legally blind?

Accepted Answer

A)  20/20 vision
B)  20/40 vision
C)  20/60 vision
D)  20/200 vision

Question 19

You are caring for a patient who has come into the emergency department with a foreign body in his right ear. After further investigation you determine that the foreign object is an insect. What intervention would the physician order first for this client?

Accepted Answer

A)  Sterile normal saline irrigation
B)  Diluted alcohol irrigation
C)  Antibiotic ear drops
D)  Corticosteroids ointment

Question 20

Which of the following orders would the physician prescribe for the patient with retinal detachment?

Accepted Answer

A)  Bathroom privileges
B)  Head of bed up 45 degrees
C)  Eye patch to affected eye
D)  Dark glasses to read or watch television

Exam 1: Adult, and Eyes