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    Exam Review

    1. A nurse is reinforcing discharge teaching with a client following a cataract extraction. Which of the following should the nurse include in the teaching?
      A)
      Avoid bending at the waist.
      B)
      Remove the eye shield at bedtime.
      C)
      Limit the use of laxatives if constipated.
      D)
      Seeing flashes of light is an expected finding following extraction.
    2. A nurse is educating a group of nursing students about the functions of various parts of the eye. Which of the following statements correctly match the part of the eye with its function? (Select all that apply)
      (SATA)
      A)
      Iris - Controls the amount of light entering the eye by adjusting pupil size.
      B)
      Lens - Adjusts shape to focus light on the retina for clear vision.
      C)
      Eyelids - Protect the eye by keeping it moist and shielding it from foreign substances.
      D)
      Sclera - Focuses light onto the retina by changing curvature.
      E)
      Optic nerve - Provides nutrients to the eye's lens and cornea.
      F)
      Retina - Contains photoreceptors that convert light into nerve signals.
      G)
      Cornea - Protects the eye and helps focus light onto the retina.
    3. A nurse is preparing to conduct an audiometry test on a client who reports difficulty hearing in noisy environments. Which nursing action best supports obtaining accurate results during this assessment?
      A)
      Instruct the client to indicate hearing the tone by saying "yes" aloud to maintain clear communication.
      B)
      Perform the test in a room with ambient noise to simulate real-world hearing conditions.
      C)
      Use otoscope examination first to identify any external ear obstructions before conducting audiometry.
      D)
      Ensure the client wears the audiometer headphones correctly and faces away from the examiner during the test.
    4. A patient presents with a painful, swollen lump on the eyelid diagnosed as a hordeolum (stye). The nurse notes no systemic signs of infection. Which intervention should the nurse prioritize to effectively treat the hordeolum and promote healing?
      A)
      Apply warm compresses to the affected eyelid several times a day to facilitate drainage.
      B)
      Clean the eyelid with antibacterial soap twice daily to eliminate bacteria.
      C)
      Administer oral antibiotics immediately to prevent the spread of infection.
      D)
      Advise the patient to wear eye patches to protect the area.
    Page 1 of 8

    Exam Review

    1. 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)
      Limit fluid intake.
      B)
      Monitor for nystagmus, tinnitus, and hearing changes.
      C)
      Encourage ambulation.
      D)
      Ensure the room is brightly lit.
    2. An older adult patient reports difficulty distinguishing colors, particularly blues and greens, and experiences occasional floaters in their vision. Which assessment finding most likely correlates with normal age-related ocular changes, and what should the nurse prioritize when planning care?
      A)
      The patient has enhanced pupil dilation and stronger pupillary light reflex; suggest limiting exposure to bright light to avoid discomfort.
      B)
      The patient's lens has become less flexible and the cornea less sensitive; prioritize educating the patient on safety measures to prevent falls due to decreased visual acuity.
      C)
      The patient's tear production has increased, causing watery eyes; recommend artificial tears to alleviate discomfort.
      D)
      The patient's extraocular muscles have strengthened, improving eye movement; focus on encouraging activities to exploit this enhanced function
    3. A nurse is assisting with the preparation of an instructional plan for a client who has vision loss. Which of the following strategies should the nurse include in the plan.
      A)
      Use of auditory or tactile materials.
      B)
      Use of a slow, deliberate speech pattern.
      C)
      Provision of written information.
      D)
      Use of captioned video materials.
    4. A nurse is admitting a client who has a partial hearing impairment. Which of the following actions is the nurse's priority.
      A)
      Stand to the side of the client when talking to them.
      B)
      Do your work without talking to the client since they cannot hear.
      C)
      Obtain a sign language interpreter.
      D)
      Determine what adaptations the client uses to assist with communication.
    Page 2 of 8

    Exam Review

    1. A patient is experiencing symptoms of ototoxicity and is currently on medication. Which combination of medications is most likely contributing to this condition.
      A)
      Beta-blockers and ACE inhibitors.
      B)
      Loop diuretics and aminoglycosides.
      C)
      NSAIDS and anticoagulants.
      D)
      Calcium channel blockers and statins.
    2. A nurse is assisting with the food tray for a client who is partially blind following a left-sided stroke. Which of the following nursing interventions promotes client independence.
      A)
      Assign an assistive personnel to feed the client.
      B)
      Ask the client if she would prefer a liquid diet.
      C)
      Explain that the tray is here and place the client's hands on the tray.
      D)
      Describe to the client the location of the food on the tray.
    3. A nurse is caring for a client who reports a decrease in central vision. The nurse should identify that this is a manifestation of which of the following visual impairments.
      A)
      Diabetic retinopathy.
      B)
      Cataracts.
      C)
      Macular degeneration.
      D)
      Glaucoma.
    4. A nurse is collecting data from a school-age child who reports difficulty seeing the chalkboard in the front of the classroom. Which of the following tests should the nurse assist with performing.
      A)
      Ask the child to identify items in a book.
      B)
      Ask the child to find numbers on Ishihara plates.
      C)
      Instruct the child to identify letters on a Snellen eye chart.
      D)
      Instruct the child to track items in the room.
    Page 3 of 8

    Exam Review

    1. A nurse is collecting data from a client who has a possible cataract. Which of the following manifestations should the nurse expect the client to report.
      A)
      Decreased color perception.
      B)
      Loss of peripheral vision.
      C)
      Bright flashes of light.
      D)
      Eyestrain.
    2. A 25-year-old swimmer presents with a red, painful external ear canal after spending several hours in the pool every day for the past week. Based on these symptoms, what is the most likely diagnosis.
      A)
      Perforated eardrum.
      B)
      Eustachian tube dysfunction.
      C)
      Acute otitis media.
      D)
      External otitis.
    3. A nurse is conducting an audiometry test to differentiate between loudness and intensity of sound for a patient with suspected hearing loss. Which statement correctly distinguishes loudness from intensity?
      A)
      Loudness is measured in hertz (Hz), and intensity is measured in decibels (dB).
      B)
      Intensity refers to the frequency of the sound waves, while loudness refers to the duration of the sound heard.
      C)
      Loudness is the subjective perception of sound by the patient, while intensity is the objective measurement of sound energy in decibels.
      D)
      Loudness and intensity are both objective measurements and can be directly measured using audiometry equipment.
    4. A nurse is caring for a child who has a small foreign object lodged in the ear canal. After performing an otoscopic examination, which of the following actions should the nurse take first to safely remove the foreign body?
      A)
      Use gentle irrigation with warm water to flush out the foreign object if the tympanic membrane is intact.
      B)
      Instill prescribed ear drops immediately to soften the foreign object before removal.
      C)
      Refer the child immediately for surgical removal without attempting any bedside removal.
      D)
      Attempt to remove the foreign body with cotton swabs to grasp and extract it.
    Page 4 of 8

    Exam Review

    1. A nurse is assisting with teaching a class about physiological changes to hearing in older adult clients. Which of the following should the nurse include?
      A)
      Decreased thickness of tympanic membranes.
      B)
      Increased ear wax.
      C)
      Decreased tinnitus.
      D)
      Decreased ability to hear high-frequency sounds.
    2. A nurse is reinforcing preoperative teaching with a client who is scheduled for retinal detachment repair. Which of the following instructions should the nurse include in the teaching?
      A)
      Apply cool compresses.
      B)
      Keep both eyes patched.
      C)
      Lie down as much as possible.
      D)
      Restrict head movement.
    3. A nurse is reinforcing teaching with a client about diagnostic vision tests. The nurse should include that which of the following tests is performed to diagnose macular degeneration?
      A)
      Amsler grid.
      B)
      Refraction test.
      C)
      Snellen chart.
      D)
      Intraocular pressure.
    4. A nurse is collecting data from a client who has open-angle glaucoma. Which of the following findings should the nurse expect?
      A)
      Discomfort in the eyes.
      B)
      Halos around lights.
      C)
      Headache.
      D)
      Loss of peripheral vision.
    Page 5 of 8

    Exam Review

    1. A nurse on an outpatient unit is assisting in caring for an adolescent who sustained an eye injury 1 month ago. Which of the following findings indicates the child's condition has not improved?
      A)
      The child's vision acuity was 20/70 previously and currently it is 20/30.
      B)
      Injury site area is congruent with child's skin tone.
      C)
      The child rates their pain as 7 on a pain scale of 1 to 10.
      D)
      The child's oral temperature is 37.1° C (98.8° F) and radial pulse is 74 bpm.
    2. A nurse is preparing to administer ophthalmic solution to a client. Which of the following actions should the nurse take?
      A)
      Bring the dropper from below the client's eye to instill the solution.
      B)
      Instill the drops into the upper eyelid.
      C)
      Ask the client to look down when instilling the solution.
      D)
      Hold the ophthalmic solution 2 cm (3/4 in) above the lower conjunctival sac.
    3. A nurse is reinforcing teaching to the parent of a school-aged child who has chronic otitis media (COM) about their condition. Which of the following statements made by the parent indicates an understanding of the teaching?
      A)
      The doctor will screen my child for COM every 6 months.
      B)
      My child could fall more easily with COM.
      C)
      Children experiencing COM rarely have complications.
      D)
      COM causes fluid to drain too rapidly from the ears.
    4. A nurse is preparing to administer ear drops to a 2-year-old child with otitis externa. Which action correctly facilitates proper medication delivery based on the anatomy and function of the ear?
      A)
      Instill medication with the child lying on the unaffected side to prevent drainage.
      B)
      Gently pull the pinna down and back to straighten the ear canal for better medication access.
      C)
      Pull the pinna up and back to ensure the medication reaches the inner ear directly.
      D)
      Massage the mastoid area to facilitate medication absorption into the middle ear.
    Page 6 of 8