Exam (elaborations)

Lewis Chapter 20: Assessment of Visual and Auditory Systems Exam Practice Questions and Answers

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Lewis Medical-Surgical Nursing

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Lewis Medical-Surgical Nursing

Lewis Chapter 20: Assessment of Visual and Auditory Systems Exam Practice Questions and Answers The nurse is providing health promotion teaching to a group of *older adults*. Which information will the nurse include when teaching about routine *glaucoma testing*? a. A Tono-Pen will be applied ...

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Uploaded on October 23, 2024
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lewis chapter 20 assessment of visual and auditor

Institution Lewis Medical-Surgical Nursing
Course Lewis Medical-Surgical Nursing

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FIRST PUBLISH OCTOBER 2024

Lewis Chapter 20: Assessment of Visual
and Auditory Systems Exam Practice
Questions and Answers

The nurse is providing health promotion teaching to a group of *older adults*. Which information will

the nurse include when teaching about routine *glaucoma testing*?

a. A Tono-Pen will be applied to the surface of the eye.

b. The test involves reading a Snellen chart from 20 feet.

c. Medications will be used to dilate the pupils for the test.

d. The examination involves checking the pupil's reaction to light. - Ans:✔✔-a. A Tono-Pen will be applied

to the surface of the eye

Glaucoma is caused by an *increase in intraocular pressure*, which would be measured using the *Tono-

Pen*. The other techniques are used in testing for other eye disorders.

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FIRST PUBLISH OCTOBER 2024

The nurse is performing an eye examination on a *76-yr-old* patient. The nurse should refer the patient

for a more extensive assessment based on which finding?

a. The patient's sclerae are light yellow.

b. The patient reports persistent photophobia.

c. The pupil recovers slowly after responding to a bright light.

d. There is a whitish gray ring encircling the periphery of the iris. - Ans:✔✔-b. The patient reports

persistent photophobia.

*Photophobia* is *not a normally occurring change* with aging and would require further assessment.

The other assessment data are common gerontologic differences in assessment and would not be

unusual in a 76-yr-old patien

The nurse performing an eye examination will document normal findings for accommodation when

a. shining a light into the patient's eye causes pupil constriction in the opposite eye.

b. a blink reaction follows touching the patient's pupil with a piece of sterile cotton.

c. covering one eye for 1 minute and noting pupil constriction as the cover is

removed.

Page 2/28

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FIRST PUBLISH OCTOBER 2024

d. the pupils constrict while fixating on an object being moved toward the patient's

eyes. - Ans:✔✔-d. the pupils constrict while fixating on an object being moved toward the patient's

eyes.

Which assessment finding alerts the nurse to provide patient teaching about *cataract development*?

a. History of hyperthyroidism

b. Unequal pupil size and shape

c. Blurred vision and light sensitivity

d. Loss of peripheral vision in both eyes - Ans:✔✔-c. Blurred vision and light sensitivity

Classic signs of cataracts include blurred vision and light sensitivity. Thyroid problems are a major cause

of exophthalmos. Unequal pupil is not indicative of cataracts. Loss of peripheral vision is a sign of

glaucoma.

Assessment of a patient's visual acuity reveals that the left eye can see at 20 feet what a person with

normal vision can see at 50 feet and the right eye can see at 20 feet what a person with normal vision

can see at 40 feet. The nurse records which finding?

a. OS 20/50; OD 20/40

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Exam (elaborations)

Lewis Chapter 20: Assessment of Visual and Auditory Systems Exam Practice Questions and Answers

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