NCLEX-PN 6th Edition Ear & Eye test Exam
174Questions and Answers for 2024 RATED A+
The nurse is reinforcing home-care instructions to a client and family regarding care
after cataract removal from the right eye. Which statement made by the client
indicates an understanding of the instructions? - CORRECT ANSWERS I
should not sleep on my right side
The nurse is preparing to communicate with an older client who is hearing impaired.
Which intervention should be implemented initially? - CORRECT ANSWERS
Stand in front of the client
Which intervention should be implemented for the older client with presbycusis who
has a hearing loss? - CORRECT ANSWERS Use low-pitched tones
The nurse is preparing to reinforce a teaching plan for a client who is undergoing
cataract extraction with intraocular implant. Which home care measures should the
nurse include in the plan? Select all that apply. - CORRECT ANSWERS To
avoid activities that require bending over
To place an eye shield on the surgical eye at bedtime
To contact the surgeon if a decrease in visual acuity occurs
To take acetaminophen (Tylenol) for minor eye discomfort
The nurse is assisting in developing a teaching plan for the client with glaucoma.
Which instruction should the nurse suggest to include in the plan of care? -
CORRECT ANSWERS Eye medications will need to be administered for the
rest of your life
The nurse is assigned to care for a client with a detached retina. Which finding
should the nurse expect to be documented in the client's record? - CORRECT
ANSWERS A sense of a curtain falling across the field of vision
The nurse is assigned to care for a client with a diagnosis of detached retina. Which
finding would indicate that bleeding has occurred as a result of retinal detachment?
- CORRECT ANSWERS Complaints of a burst of black spots or floaters
A client arrives in the emergency department after an automobile crash. The client's
forehead hit the steering wheel, and a hyphema has been diagnosed. Which
,NCLEX-PN 6th Edition Ear & Eye test Exam
174Questions and Answers for 2024 RATED A+
position should the nurse prepare to position the client? - CORRECT ANSWERS
On bed rest in a semi-Fowler's position
A client sustains a contusion of the eyeball after a traumatic injury with a blunt
object. The nurse should take which immediate action? - CORRECT ANSWERS
Apply ice to the affected eye
A client sustains a chemical eye injury from a splash of battery acid. The nurse
should prepare the client for which immediate measure? - CORRECT ANSWERS
Irrigating the eye with sterile normal saline
The nurse is caring for a client after enucleation and notes the presence of bright
red drainage on the dressing. The nurse should take which appropriate action? -
CORRECT ANSWERS Report the finding to the registered nurse (RN).
The nurse is preparing to administer eardrops to an adult client. The nurse
administers the eardrops by which technique? - CORRECT ANSWERS Pulling
the pinna up and back
The nurse is caring for a client who is hearing-impaired and should take which
approach to facilitate communication? - CORRECT ANSWERS Speak in a
normal tone
A client arrives at the emergency department with a foreign body in the left ear that
has been determined to be an insect. Which initial intervention should the nurse
anticipate to be prescribed? - CORRECT ANSWERS Instillation of mineral oil
or diluted alcohol
The nurse notes that the health care provider has documented a diagnosis of
presbycusis on the client's chart. The nurse understands that this condition is
accurately described as which? - CORRECT ANSWERS A sensorineural
hearing loss that occurs with aging
, NCLEX-PN 6th Edition Ear & Eye test Exam
174Questions and Answers for 2024 RATED A+
A client with Ménière's disease is experiencing severe vertigo. The nurse reinforces
instructions to the client to do which to assist in controlling the vertigo? - CORRECT
ANSWERS Avoid sudden head movements.
The nurse is assigned to care for a client hospitalized with Ménière's disease. The
nurse expects that which would most likely be prescribed for the client? - CORRECT
ANSWERS Low-sodium diet
A client is diagnosed with glaucoma. Which data gathered by the nurse indicate a
risk factor associated with glaucoma? - CORRECT ANSWERS Cardiovascular
disease
Betaxolol hydrochloride (Betoptic) eyedrops have been prescribed for the client with
glaucoma. Which nursing action is most appropriate related to monitoring for the
side/adverse effects of this medication? - CORRECT ANSWERS Monitoring
blood pressure
The nurse assists to prepare the client for ear irrigation as prescribed by the health
care provider. Which action should the nurse plan to take? - CORRECT ANSWERS
Warm the irrigating solution to 98° F.
In preparation for cataract surgery, the nurse is to administer cyclopentolate
(Cyclogyl) eyedrops. The nurse administers the eyedrops knowing that the purpose
of this medication is which? - CORRECT ANSWERS Dilate the pupil of the
operative eye.
The nurse is providing instructions to a client who will be self-administering
eyedrops. To minimize the systemic effects that eyedrops can produce, the client is
instructed to perform which? - CORRECT ANSWERS Occlude the
nasolacrimal duct with a finger over the inner canthus for 30 to 60 seconds after
instilling the drops.
The client is receiving an eyedrop and an eye ointment to the right eye. Which
action should the nurse take? - CORRECT ANSWERS Administer the eyedrop
first, followed by the eye ointment
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