Exam 5: NUR242/ NUR 242 (Updated 2025/ 2026) Medical-Surgical Nursing Exam
Questions and Verified Answers 100% Grade A- (Galen)
1. A client with type 2 diabetes is admitted to the ambulatory surgery unit for elective ca
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taract surgery. Before surgery the client asks the nurse, "How will my diabetes be manag
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ed while I am here?" Which is the best response by the nurse?: I'm not quite certain I unde
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rstand what you are asking."
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2. Which explanation would the nurse provide a client who asks what a cataract i
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s?: An opacity of the lens
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3. A client reports feeling nauseated immediately after cataract surgery.Which action wo
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uld the nurse take?: Administer the prescribed antiemetic
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4. Which information would the nurse include in postoperative teaching for a client w
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ho had cataract surgery? Select all that apply. One, some, or all responses may be cor
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rect.: Don't blow your nose, avoid bending from the waist
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5. Which client statement indicates that the discharge teaching after a cataract extraction
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wand an intraocular lens implant is effective?: I should call the clinic if my eye begins to hur
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t.
6. Which instruction is important for the nurse to provide to the client after cataract s
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urgery?: Avoid bending from the waist
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7. Which condition can cause a client severe pain after a cataract extraction?-
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: Hemorrhage into the eye
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8. After cataract surgery, the nurse teaches a client how to self-
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administer eyedrops. The nurse would reinforce the use of which technique?: Holding the
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dropper tip above the conjunctival sac
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9. After cataract surgery, a client reports feeling nauseated. How can the nurse prevent vo
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miting?: Administer the prescribed antiemetic medication
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10. Exposure to which element would be the reason for cataracts in a
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36-year-
old client who is a glass worker? Select all that apply. One, some, or all responses may be
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wcorrect.: Heat, metal powder w w w
11. Which rationale would the nurse include in teaching a client with glaucoma about the
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,need for treatment?: Lost vision cannot be restored
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12. Which treatment goal would the nurse emphasize when teaching a client with a dia
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gnosis of open-angle glaucoma?: Control intraocular pressure
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13. Which information would the nurse include in explaining glaucoma to a client?: An
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increase in the pressure within the eyeball
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14. Which goal is the nurse trying to achieve by reinforcing to the client that it is importa
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nt to seek treatment for primary open-angle glaucoma (POAG)?: - Prevent blindness
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15. While assessing the eyes of a client, a health care provider notices there is an obstr
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uction to the outflow of aqueous humor. Which additional finding would be noted to su
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pport a diagnosis of glaucoma?: Elevated intraocular pressure
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,16. Which medication worsens uncontrolled angle-
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closure glaucoma when used for the treatment of generalized anxiety disorder?: Dulo
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xetine
17. The nurse understands that which second-
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generation antidepressant can worsen uncontrolled angle-
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closure glaucoma?: Duloxetine
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18. A client has primary open-
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angle glaucoma. Which ophthalmic preparation is indicated to manage this condition?: T
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imolol maleate w
19. The nurse concludes that a client with glaucoma needs education when the client m
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akes which statement?: "Sedatives may increase the pressure in my eye."
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20. Which medication would the nurse anticipate may be prescribed to pro-
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wduce diuresis and inhibit formation of aqueous humor for a client with glau-
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wcoma?: Acetazolamide w
21. Which clinical indicator is the nurse most likely to identify when exploring the history
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wof a client with open-angle glaucoma?: Impairment of peripheral vision
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22. Which beta-adrenergic blocker is prescribed to clients with glaucoma?: -
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betaxolol
23. Which medication used in the treatment of clients with glaucoma is a prostagla
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ndin agonist?: Bimatoprost
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24. Which information would the nurse include about future treatment and pre-
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wcautions when teaching a client who has glaucoma?: Continuation of therapy for life
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25. A debilitated older client who has glaucoma places great value on indepen-
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wdence. What would the nurse encourage the client to do after discharge from the hospit
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al?: Self-administer eye medications using appropriate technique
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26. Which finding would the nurse anticipate in the health history of a client who has o
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pen-angle (chronic) glaucoma?: Loss of peripheral vision
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27. Which symptom would the nurse expect the client who has primary open-
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angle glaucoma to report?: decreased peripheral vision
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28. The nurse is providing instructions to a client who has glaucoma. Which statements
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by the client indicate that the nurse needs to intervene? Select all that apply. One, some,
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, wor all responses may be correct.: I can lift objects than weight more than 10lbs, I should k
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eep my head in dependent position
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29. A client with glaucoma is receiving a carbonic anhydrase inhibitor. Which statement
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made by the client will require the nurse to notify the primary health care provider?: "I am
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allergic to sulfonamides." w w
30. Which ophthalmic solution is contraindicated for clients with glaucoma?-
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: Atropine w
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