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    Exam Review

    1. Which type of medication would be used to dilate the pupils before an eye examination?
      A)
      Beta-adrenergic agent.
      B)
      Corticosteroid.
      C)
      Osmotics.
      D)
      Adrenergic agent.
    2. A nurse at a provider's office is collecting data from a client who reports taking pseudoephedrine for sinus problems. The nurse should recognize that which of the following conditions from the client's history places the client at risk for harm while taking pseudoephedrine?
      A)
      Migraine headaches.
      B)
      Overweight.
      C)
      Hypertension.
      D)
      Eczema.
    3. A nurse is reinforcing preoperative teaching with a client who is scheduled for cataract surgery. Which of the following statements should the nurse make?
      A)
      "You should report bloodshot eyes on the day of surgery.”.
      B)
      "You should expect brow pain for 3 days after the procedure.”.
      C)
      "You should apply warm compresses to the eye 3 times daily.”.
      D)
      "You should expect your vision to improve within 2 weeks of the surgery.”.
    4. The nurse is developing a teaching plan for a client with glaucoma. Which instruction should the nurse include in the plan of care?
      A)
      Avoid overuse of the eyes.
      B)
      Decrease the amount of salt in the diet.
      C)
      Eye medications will need to be administered for life.
      D)
      Decrease fluid intake to control the intraocular pressure.
    Page 1 of 13

    Exam Review

    1. A home health nurse is assisting with the plan of care for an older adult client who had cataract surgery recently. Which of the following information should the nurse include in the plan of care?
      A)
      "Deep-breathe and cough four times a day.”.
      B)
      "Rest in semi-Fowler's position.”.
      C)
      "Lie on the side of the surgery when in bed.”.
      D)
      "Remain on bed rest for at least 2 days.”
    2. A nurse on a medical-surgical unit is assisting with the admission of a client who has vision loss. Which of the following actions is the nurse's priority?
      A)
      Describe the environment to the client.
      B)
      Encourage the client to feel the walls with her hands.
      C)
      Instruct the client to use the call light when preparing to ambulate.
      D)
      Remove clutter from the client's room.
    3. A nurse is caring for a client who has a cloudy, opaque area over the lens of one eye. The nurse should identify that this is a manifestation of which of the following visual impairments?
      A)
      Cataracts.
      B)
      Macular degeneration.
      C)
      Diabetic retinopathy.
      D)
      Glaucoma.
    4. A nurse is reinforcing discharge teaching with a client who is postoperative following a cataract extraction. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      "I will bend at my knees if I need to pick something up off of the floor.”.
      B)
      "I will take a dose of aspirin if I have pain in the area of my eyebrow.”.
      C)
      "I can pick up a sack of groceries that weighs 15 pounds.”.
      D)
      "I can begin lying on my operative side 24 hours after my surgical procedure.”
    Page 2 of 13

    Exam Review

    1. The nurse is preparing to administer ear drops to an adult client. Which of the following actions should the nurse plan to take?
      A)
      Don sterile gloves to instill the medication.
      B)
      Chill the otic solution prior to administration.
      C)
      Avoid applying pressure to the tragus of the ear.
      D)
      Pull the pinna upward and backward.
    2. A nurse is developing a plan of care for a client who has Meniere's disease. Which of the following medications should the nurse anticipate administering?
      A)
      Pantoprazole.
      B)
      Oxybutynin.
      C)
      Furosemide.
      D)
      Warfarin.
    3. A nurse is caring for a client who has a new diagnosis of primary open-angle glaucoma and a prescription for timolol ophthalmic drops. For which of the following adverse effects should the nurse monitor the client?
      A)
      Bradycardia.
      B)
      Anemia.
      C)
      Hypertension.
      D)
      Seizures.
    4. After keratoplasty, you observe that the patient's cornea is cloudy. What should you do?
      A)
      Report signs of corneal rejection to the physician.
      B)
      Prepare the patient for emergency surgery.
      C)
      Elevate the patient's head and encourage increased fluid intake.
      D)
      Reassure the patient that cloudiness is normal for several weeks after surgery.
    Page 3 of 13

    Exam Review

    1. A nurse is reinforcing teaching with a client who has been newly diagnosed with chronic open angle glaucoma. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      I should call the clinic before taking any over-the-counter medications.
      B)
      If I forget to take my eye drops, I should wait until the next time they are due.
      C)
      When my vision improves, I will be able to stop taking the eye drops.
      D)
      Every two years I will need to have my vision checked by an eye doctor.
    2. A nurse is contributing to the plan of care for a client who has labyrinthitis. Which of the following interventions should the nurse include in the plan?
      A)
      Encourage ambulation.
      B)
      Monitor client's cardinal fields of vision.
      C)
      Limit fluid intake.
      D)
      Ensure the room is brightly lit.
    3. A nurse is collecting data from a child who is postoperative following a tonsillectomy. Which of the following is a clinical manifestation of a hemorrhage?
      A)
      Increased pain.
      B)
      Poor fluid intake.
      C)
      Drooling.
      D)
      Continuous swallowing.
    4. A nurse is preparing a plan of care for a client who is postoperative for retinal detachment. Which of the following instructions should the nurse include in the plan of care?
      A)
      Refrain from lifting objects that weigh over 15 lb.
      B)
      Lie with the face up for 2 weeks following the procedure.
      C)
      Driving will be permitted 12 to 24 hr after the procedure.
      D)
      Resume use of contact lenses 48 hr after the procedure.
    Page 4 of 13

    Exam Review

    1. A client with Meniere's disease is experiencing severe vertigo. Which instruction should the nurse give to the client to assist in controlling the vertigo?
      A)
      Lie still and watch the television.
      B)
      Increase fluid intake to 3000 mL a day.
      C)
      Increase sodium in the diet.
      D)
      Avoid sudden head movements.
    2. A nurse is collecting data from a client experiencing an episode of tinnitus. Which of the following statements from the client indicate that the tinnitus is affecting their mental well-being?
      A)
      Hopefully a treatment for this ringing in my ears will help.
      B)
      The ringing in my ears is distracting.
      C)
      I notice the ringing when I am not concentrating on something.
      D)
      I am still able to complete my work in a timely manner.
    3. Patients who are considering having a cochlear implant should be told which of the following?
      A)
      Cochlear implants cannot enable you to discriminate speech.
      B)
      Results vary from minimal to excellent improvement in hearing.
      C)
      Complications of cochlear implant are often disabling.
      D)
      This procedure restores perfect hearing in 99
    4. A nurse at an outpatient surgery center is reinforcing discharge teaching with a client's partner following surgical removal of a cataract. Which of the following information should the nurse include in the teaching?
      A)
      Position the client on the affected side to rest.
      B)
      Feed the client soft foods for several days.
      C)
      The client should wear dark glasses while outdoors.
      D)
      The client should remain in bed for 3 days.
    Page 5 of 13

    Exam Review

    1. A nurse is reinforcing teaching with a client who has glaucoma. Which of the following statements should the nurse make?
      A)
      Glaucoma results from inadequate production of fluid within the eye.
      B)
      You will need to treat glaucoma by instilling eye drops once a week.
      C)
      Double vision is a common symptom of glaucoma.
      D)
      Without treatment, glaucoma can cause blindness.
    2. A nurse is reinforcing teaching with a client who has chronic open angle glaucoma. The client has been prescribed pilocarpine ophthalmic solution. Which of the following statements by the client demonstrates an understanding of the teaching?
      A)
      Since these drops go right into my eyes, I won't experience medication effects in other parts of my body.
      B)
      I should expect to have blurred vision for up to two hours after using this medication.
      C)
      I will be able to see better at night while taking this medication.
      D)
      I will use the eye drops once daily first thing in the morning.
    3. A nurse is collecting data from an admission history for a client who reports being tackled while playing football and is now seeing bright flashes of light and dark floating spots. Which of the following conditions should the nurse expect the client to be experiencing?
      A)
      Open-angle glaucoma.
      B)
      Macular degeneration.
      C)
      Retinal detachment.
      D)
      Meniere's disease.
    4. A nurse is caring for a client who is postoperative immediately following a tonsillectomy. Which of the following snacks should the nurse offer the client?
      A)
      Orange ice pop.
      B)
      Ice cream.
      C)
      Hot tea.
      D)
      Cranberry juice.
    Page 6 of 13