NUR 245 Exam 2 Review Questions and 100% Correct Answers
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Course
NUR 245
Institution
NUR 245
A client is diagnosed with external otitis. Which finding would the nurse expect to note on assessment of the client? a. A wider-than-normal ear canal b. A pearly gray tympanic membrane c. Redness and swelling in the ear canal d. An excessive amount of cerumen lodged in the ear canal c. Redness and...
NUR 245 Exam 2 Review Questions and
100% Correct Answers
A client is diagnosed with external otitis. Which finding would the nurse expect to note
on assessment of the client?
a. A wider-than-normal ear canal
b. A pearly gray tympanic membrane
c. Redness and swelling in the ear canal
d. An excessive amount of cerumen lodged in the ear canal ✅c. Redness and swelling
in the ear canal
The nurse conducting a health screening is performing hearing assessments on clients.
Senior nursing students are assisting the nurse with the assessments. The nurse
instructs the students to perform a voice test by taking which action?
a. Whisper a statement while the client blocks both ears.
b. Quietly whisper a statement and test both ears at the same time.
c. Whisper a statement with the examiner's back to the client.
d. Stand 1 to 2 ft (30 to 60 cm) away from the client and ask the client to block one
external ear canal. ✅d. Stand 1 to 2 ft (30 to 60 cm) away from the client and ask the
client to block one external ear canal.
3. The nurse is preparing to perform a Weber test on a client. The nurse would obtain
which item needed to perform this test?
a. A tuning fork
b. A stethoscope
c. A tongue blade
d. A reflex hammer ✅a. A tuning fork
The nurse reviews the findings from a physical exam done on a client for ear or hearing
disorders and notes documentation that the client has hyperacusis. Which would the
nurse expect to note on assessment of the client?
a. Complaints of ringing in the ear
b. An excessive amount of cerumen in the ear canal
c. Intolerance for sound levels that do not bother other people
d. Complaints of dizziness and sensations of being "off balance" ✅c. Intolerance for
sound levels that do not bother other people
The nurse in a health care clinic is preparing to test a client for accommodation. Initially,
the nurse would ask the client to take which action?
,a. Focus on a close object.
b. Focus on a distant object.
c. Close 1 eye and read letters on a chart.
d. Raise 1 finger when the sound is heard. ✅b. Focus on a distant object.
The nurse is conducting a health screening clinic and is preparing to test the visual
acuity of a client using a Snellen chart. The nurse educates the client about the
procedure. Which statement by the client indicates that the teaching has been effective?
a. "Stand 10 ft (3 meters) from the chart and cover 1 eye."
b. "Stand 20 ft (6 meters) from the chart and cover 1 eye."
c. "Stand 30 ft (9 meters) from the chart and read the largest line on the chart."
d. "Stand 40 ft (12 meters) from the chart and read the largest line on the chart." ✅b.
"Stand 20 ft (6 meters) from the chart and cover 1 eye."
The registered nurse (RN) is educating a new RN on how to interpret vision tests using
a Snellen chart. After the client's vision is tested with a Snellen chart, the results of
testing are documented as 20/40. Which statement by the new RN indicates that the
teaching has been effective?
a. "The client's vision is normal, but the client may require reading glasses."
b. "The client is legally blind, and glasses or contact lenses will not be helpful."
c. "The client can read at a distance of 40 ft (12 meters) what a person with normal
vision can read at 20 ft (6 meters)."
d. "The client can read at a distance of 20 ft (6 meters) what a person with normal vision
can read at 40 ft (12 meters)." ✅d. "The client can read at a distance of 20 ft (6 meters)
what a person with normal vision can read at 40 ft (12 meters)."
A clinic nurse is preparing to evaluate the peripheral vision of a client by the
confrontational method. Which statement demonstrates that the client correctly
understands the instructions for the test?
a. "I will tell you when I see the colored dots."
B. "I will tell you when I see the flash of bright light."
c. "I will tell you when the small object is in my visual field."
d. "I will tell you when the blocks and shapes are in my visual field." ✅c. "I will tell you
when the small object is in my visual field."
The nurse is reviewing a client's record and notes that the result of a vision test using a
Snellen chart is 20/30. How would the nurse explain these results to the client?
a. "You have normal vision."
b. "You have some degree of blindness."
c. "You can read at a distance of 20 ft (6 meters) what a person with normal vision can
read at 30 ft (9 meters)."
, d. "You can read at a distance of 30 ft (9 meters) what a person with normal vision can
read at 20 ft (6 meters)." ✅c. "You can read at a distance of 20 ft (6 meters) what a
person with normal vision can read at 30 ft (9 meters)."
A clinic nurse is preparing to evaluate the peripheral vision of a client by the
confrontational method. Which method describes the accurate procedure to perform this
test?
a. The client is asked to discriminate numbers from a chart composed of colored dots.
b. The room is darkened, and the client is asked to identify colored blocks and shapes
when they appear in the visual field.
c. The examiner and client cover their right eyes and stare at each other's left eyes, and
a small object is brought into the visual field.
d. The examiner and client cover the eyes directly opposite to one another and stare at
each other's uncovered eye, and a small object is brought into the visual field. ✅The
examiner and client cover the eyes directly opposite to one another and stare at each
other's uncovered eye, and a small object is brought into the visual field.
The nurse is preparing to perform an otoscopic examination on an adult client. Which
action would the nurse take to perform this examination?
a. Pull the pinna up and back before inserting the speculum.
b. Pull the earlobe down and back before inserting the speculum.
c. Tilt the client's head forward and down before inserting the speculum.
d. Use the smallest speculum available to decrease the discomfort of the exam. ✅a.
Pull the pinna up and back before inserting the speculum.
A client diagnosed with conductive hearing loss asks the nurse to explain the cause of
the hearing problem. The nurse plans to explain to the client that this condition is
caused by which problem?
a. A defect in the cochlea
b. A defect in cranial nerve VIII
c. A physical obstruction to the transmission of sound waves
d. A defect in the sensory fibers that lead to the cerebral cortex ✅c. A physical
obstruction to the transmission of sound waves
The nurse is testing the extraocular movements in a client to assess for muscle
weakness in the eyes. The nurse would implement which assessment technique to
assess for muscle weakness in the eye?
a. Test the corneal reflexes.
b. Test the six cardinal positions of gaze.
c. Test visual acuity, using a Snellen eye chart.
d. Test sensory function by asking the client to close the eyes and then lightly touching
the forehead, cheeks, and chin. ✅b. Test the six cardinal positions of gaze.
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