Visual & Auditory NCLEX

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starbucks229
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141444
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Visual & Auditory NCLEX
Updated:
2012-03-13 23:11:30
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Anatomy
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  1. 1) The patient is to have a laser treatment to cauterize hemorrhaging vessels caused by diabetic retinopathy. The name of the procedure is:

    1. Enucleation
    2. Scleral Buckle
    3. Photocoagulation
    4. Trabeculoplasty
    3. Photocoagulation
  2. 2) The parents of an 11-year-old patient want to know more about their child's conductive hearing loss. The nurse would expain that:

    1. Sound is delivered through the external and middle ear, but a defect in the inner ear results in distortion of sound

    2. Sound is inadequately delivered through the external or middle ear to the inner ear
    3. There is no organic cause, but functional problem exists
    4. The brain's auditory pathways are damaged
    2. Sound is inadequately delivered through the external or middle ear to the inner ear
  3. 3) The patient has impaired hearing. To facilitate communication, the nurse would:

    1. Face the patient when speaking
    2. Overaccentuate words to make the communication more effective
    3. Shout to allow the patient to hear
    4. Use one-word answers when speaking
    1. Face the patient when speaking
  4. 4) The patient tells the nurse he has dizziness. He states that the doctor used another term. The medical term is:

    1. Tinnitus
    2. Labyrinthitis
    3. Sensorineural
    4. Vertigo
    4. Vertigo
  5. 5) The patient is diagnosed with an inner ear problem. The major symptom would be:

    1. Echoing
    2. Intense Pain
    3. Vertigo
    4. Loss Of Hearing
    3. Vertigo
  6. 6) Evaluation of the eye as it adjusts to seeing objects at various distances is called:

    1. PERRLA
    2. Refraction
    3. Focusing
    4. Accommodation
    4. Accommodation
  7. 7) The patient has tunnel vision, eye pain, difficulty in adjusting to darkness, halos seen around lights, and failure to detect colors. These indicate:

    1. Primary Open-Angle Glaucoma
    2. Cataracts
    3. Entropion
    4. Detached Retina
    1. Primary Open-Angle Glaucoma
  8. 8) Which of the following would be a safety hazard in the home of a patient who is visually impaired?

    1. Area Rug
    2. Room Carpeting
    3. Tile Floor
    4. Concrete Flooring
    1. Area Rug
  9. 9) An older adult falls at home, resulting in a blunt injury of an eyeball. The eye is tearing excessively, and the patient complains of a severe stabbing pain as if "something is in my eye!" First aid measures would include:

    1. Applying a cool compress three times a day (TID).
    2. Lightly conering the eye with a sterile gauze pad
    3. Removing any particles that may be embedded in the eye
    4. Irrigating the eye with tap water
    2. Lightly conering the eye with a sterile gauze pad
  10. 10) The patient has just had cataract surgery. Important discharge instructions would include: (Select all that apply)

    1. Wearing an eyeshield at night on the operative eye
    2. Avoiding bending, stooping, coughing, or lifting
    3. Instilling prescribed eyedops into the conjunctival sac
    4. Administering an analgesic every 4 hours on a regular basis
    1. Wearing an eyeshield at night on the operative eye

    2. Avoiding bending, stooping, coughing, or lifting

    3. Instilling prescribed eyedops into the conjunctival sac
  11. 11) Which assessment finding would indicate a need for possible glaucoma testing:

    1. Presence of "floaters"
    2. Colored halos around light
    3. Intermittent loss of vision
    4. Pruritus and erythema of the conjunctiva
    2. Colored halos around light
  12. 12) While communicating with a patient, you notice a possible hearing deficit in one ear. Which nursing intervention would be appropriate?

    1. Shout in the affected ear
    2. Speak clearly and in a slightly louder voice toward the patient's face
    3. Plug the affected ear and shout in the unaffected ear
    4. Speak more softly than usual in the affected ear
    2. Speak clearly and in a slightly louder voice toward the patient's face
  13. 13) What is the most likely cause of hearing loss in the older adult?

    1. Cerumen buildup
    2. Ossification of the pinna
    3. Low batteries in the hearing aid
    4. Fluid in the ear
    1. Cerumen buildup
  14. 14) Patients with permanent visual impairment:

    1. Feel most comfortable with other visually impaired people
    2. May experience the same grieving process that is associated with other losses
    3. May feel threatened when others make eye contact during a conversation
    4. Usually need others to speak loudly so they can communicate appropriately
    2. May experience the same grieving process that is associated with other losses
  15. 15) A 32-year-old construction worker suffered a penetrating wound to the eye. The best intervention for anyone at the scene to take is to:

    1. Gently remove the object
    2. Wipe away the blood and tears
    3. Cover the object with a paper cup and tape
    4. Do nothing; Rush to the hospital
    3. Cover the object with a paper cup and tape
  16. 16) A 71-year-old patient complains of being severely dizzy. The nurse should encourage the patient to:

    1. Avoid sudden movements
    2. Avoid noises
    3. Increase fluid intake
    4. Lie on affected side
    1. Avoid sudden movements
  17. 17) The patient has been blind for the past 10 years. He is hospitalized with heart failure. In the care of a long term blind individual, it is important to:

    1. Keep all items at a distance so he won't bump into them
    2. Schedule a consultation with an occupational therapist to teach activities of daily living
    3. Announce when you enter and leave the room
    4. Initiate a refferal to the Department Of Health & Human Services
    3. Announce when you enter and leave the room
  18. 18) The patient has a family history of cataracts. He asks what symptom would be present if he begins to develop them. The nurse might respond that the first symptoms of cataract are usually:

    1. Pain in the eyes
    2. Blurred vision
    3. Loss of peripheral vision
    4. Dry eyes
    2. Blurred vision
  19. 19) The patient has had cataract surgery. Discharged teaching would include:

    1. Lifting light objects is acceptable
    2. Wearing eyepatches for the first 72 hours
    3. Bending at the knees and keeping the head straight
    4. Bending at the waist is acceptable if done slowly
    3. Bending at the knees and keeping the head straight
  20. 20) The patient is scheduled for a stapedectomy. Appropriate postoperative teaching should include:

    1. Changing cotton from external ear canal hourly
    2. Gently blowing both nares simultaneously
    3. Teaching patient to open mouth when sneezing or coughing
    4. Limiting activities for 3 weeks
    3. Teaching patient to open mouth when sneezing or coughing
  21. 21) A 15-year-old hearing-impaired patient is having problems communicating with the staff. Which behavior would improve communication? (Select All That Apply)

    1. Overaccentuating words
    2. Facing the patient when speaking
    3. Speaking in conversational tones
    4. Asking permission to turn off television or radio
    2. Facing the patient when speaking

    3. Speaking in conversational tones

    4. Asking permission to turn off television or radio
  22. 22) A 76-year-old patient is partially blind. His physician has diagnosed primary open-angle glaucoma. The goal of treatment in glaucoma is to:

    1. Decrease aqueous humor
    2. Increase aqueous humor
    3. Decrease discomfort
    4. Restore vision
    1. Decrease aqueous humor
  23. 23) The priority nursing responsibility while caring for a patient with vertigo is:

    1. Safety
    2. Comfort
    3. Hygiene
    4. Quiet
    1. Safety
  24. 24) While cleaning the garage the patient splashed a chemical in his eyes. The initial priority following the chemical burn is to:

    1. Transport to a physician immediately
    2. Cover the eyes with a sterile gauze
    3. Irrigate with water for 15 minutes or longer
    4. Irrigate with normal saline for 1-5 minutes
    3. Irrigate with water for 15 minutes or longer
  25. 25) The patient visits the physician for a routine physical examination that involves testing distance vision. As she faces the Snellen's chart, the nurse instructs the patient to:

    1. Use both eyes to read the chart
    2. Read the chart from right to left
    3. Cover one eye while testing the other
    4. Use either eye because they will be the same
    3. Cover one eye while testing the other
  26. 26) A 49-year-old patient recently was blinded as a result of an automobile accident. This is her initial ambulation to the bathroom. What precautions should the nurse take when ambulating the patient?

    1. Precede the patient with patient's hand on the nurse's elbow
    2. Follow the patient's hand on the nurse's elbow
    3. Walk in front of the patient, telling of any obstacles
    4. Walk behind the patient with the nurse's hand on the patient's shoulder
    1. Precede the patient with patient's hand on the nurse's elbow
  27. 27) The patient comes into the clinic complaining of progressive loss of vision in the center of his visual field. His physician would probably diagnose this condition as:

    1. Macular
    2. Primary Open-Angle Glaucoma
    3. Colorblindness
    4. Retinal degeneration
    1. Macular
  28. 28) After cataract surgery the patient complains of sudden sharp pain in the operative eye. The nurse should immediately:

    1. Remove the metal eyeshield to relieve pressure
    2. Call the physician
    3. Administer an analgesic
    4. Document complaint of pain on chart
    2. Call the physician
  29. 29) A surgical procedure for the treatment of retinal detachment is:

    1. Punctual sac repair
    2. Radial keratotomy
    3. Vitrectomy
    4. Scleral buckling
    4. Scleral buckling
  30. 30) The ____ _____ is a surgically implanted hearing device for the profoundly deaf person whose sensorineural hearing loss is either congenital or acquired.
    Cochlear implant
  31. 31) The patient is asked to sign a surgical consent for treatment of otosclerosis. Which statement indicates correct understanding of the procedure?

    1. "It involves surgical repair of the extermal ear."
    2. "It means cutting the nerve in my ear."
    3. "It cleans the ear canal of wax."
    4. " It will help me hear sounds again."
    4. " It will help me hear sounds again."
  32. 32) The area of most acute vision in which there is the greatest concentration of rods and cones in the retina is the:

    1. Fovea centralis
    2. Optic chiasm
    3. Optic disk
    4. Ora serrata
    1. Fovea centralis
  33. 33) Two drugs used in treating open-angle glaucoma are:

    1. atropine, Sulamyd
    2. Betopic, pilocarpine
    3. Decadron, Liquifilm
    4. mannitol, Cyclogyl
    2. Betopic, pilocarpine
  34. 34) The triad of symptoms in Meniere's disease includes:

    1. Vertigo, sensorineural hearing loss, tinnitus
    2. Sensorineural hearing loss, vomiting, nystagmus
    3. Tinnitus, headache, vision chnges
    4. Headache, vertigo vomiting
    1. Vertigo, sensorineural hearing loss, tinnitus

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