Question 1

What is the correct term to use for a patient with a vision disorder?

Accepted Answer

A)  Blind 
B)  Handicapped 
C)  Partially blind 
D)  Visually impaired 
A)  Blind 
B)  Handicapped 
C)  Partially blind 
D)  Visually impaired D

Question 2

Which patient behaviors should alert a nurse to a possible hearing deficit? (Select all that apply.)

Accepted Answer

A)  Watches the speaker's mouth. 
B)  Gives inappropriate answers to questions. 
C)  Pulls at the ears. 
D)  Fails to respond when spoken to. 
E)  Turns the good ear to the speaker. 
A)  Watches the speaker's mouth. 
B)  Gives inappropriate answers to questions. 
C)  Pulls at the ears. 
D)  Fails to respond when spoken to. 
E)  Turns the good ear to the speaker. A, B, D, E

Question 3

What actions should a nurse implement when assessing a patient's accommodation? (Select all that apply.)

Accepted Answer

A)  Hold his or her finger approximately 20 inches in front of the patient's eyes. 
B)  Observe for pupillary constriction. 
C)  Assess for convergence. 
D)  Note blinking. 
E)  Move his or her finger slowly toward the patient's nose. 
A)  Hold his or her finger approximately 20 inches in front of the patient's eyes. 
B)  Observe for pupillary constriction. 
C)  Assess for convergence. 
D)  Note blinking. 
E)  Move his or her finger slowly toward the patient's nose. A, B, C, E

Question 4

Which common characteristics might a patient with conductive hearing loss display? (Select all that apply.)

Accepted Answer

A)  Hears adequately in noisy settings. 
B)  Hears sounds but has difficulty understanding speech. 
C)  Has improved hearing with hearing aids. 
D)  Has a history of diabetes mellitus. 
E)  Speaks in a normal volume. 
A)  Hears adequately in noisy settings. 
B)  Hears sounds but has difficulty understanding speech. 
C)  Has improved hearing with hearing aids. 
D)  Has a history of diabetes mellitus. 
E)  Speaks in a normal volume.

Question 5

How should a nurse assist a visually impaired patient to ambulate?

Accepted Answer

A)  Hold the visually impaired person by his or her nondominant arm and walk side by side. 
B)  Hold the nondominant hand, wrap the arm around his or her waist, and walk side by side. 
C)  Allow the visually impaired person to hold the helper's arm, with the helper slightly ahead. 
D)  Allow the visually impaired person to hold the shoulder of the helper and walk slightly behind the helper. 
A)  Hold the visually impaired person by his or her nondominant arm and walk side by side. 
B)  Hold the nondominant hand, wrap the arm around his or her waist, and walk side by side. 
C)  Allow the visually impaired person to hold the helper's arm, with the helper slightly ahead. 
D)  Allow the visually impaired person to hold the shoulder of the helper and walk slightly behind the helper.

Question 6

During the initial assessment of a very thin patient at the eye clinic, a nurse notes that the patient has very prominent eyes.What medical diagnosis might the nurse find in this patient's history?

Accepted Answer

A)  Diabetes 
B)  Glomerulonephritis 
C)  Hyperthyroidism 
D)  Hypertension 
A)  Diabetes 
B)  Glomerulonephritis 
C)  Hyperthyroidism 
D)  Hypertension

Question 7

A nurse reads in a patient's history that the patient has experienced otalgia.How should the nurse interpret this term?

Accepted Answer

A)  Difficulty hearing 
B)  Buildup of cerumen 
C)  Ear pain 
D)  Ringing in the ears 
A)  Difficulty hearing 
B)  Buildup of cerumen 
C)  Ear pain 
D)  Ringing in the ears

Question 8

What does a pneumatonometric study of the eye require?

Accepted Answer

A)  Regional anesthesia 
B)  A pneumotonometer to be placed into the eye 
C)  A puff of air directed at the surface of the eye 
D)  An applanation performed with a slit-lamp microscope 
A)  Regional anesthesia 
B)  A pneumotonometer to be placed into the eye 
C)  A puff of air directed at the surface of the eye 
D)  An applanation performed with a slit-lamp microscope

Question 9

A nursing report on a newly admitted patient who is profoundly deaf says that the patient is confused and difficult to assess because she does not appropriately respond to questions or sometimes fails to respond at all.What should be the first action of the oncoming nurse?

Accepted Answer

A)  Consider asking the physician to assess the patient for dementia. 
B)  Assess the patient to determine whether her hearing aids are in. 
C)  Report to the physician that the patient is exhibiting signs of the sundown syndrome. 
D)  Assess the patient's medications to check for an overdose. 
A)  Consider asking the physician to assess the patient for dementia. 
B)  Assess the patient to determine whether her hearing aids are in. 
C)  Report to the physician that the patient is exhibiting signs of the sundown syndrome. 
D)  Assess the patient's medications to check for an overdose.

Question 10

What does electroretinography measure?

Accepted Answer

A)  A fluorescein dye is injected intravenously (IV)into a vein in the arm, and the retina is observed as the dye circulates. 
B)  Electrodes are placed on the scalp, each eye is stimulated, and retinal activity is assessed. 
C)  A small plunger is used to apply pressure on the sclera while the retinal vessels are evaluated. 
D)  A contact lens electrode is placed on the eye and exposed to flashes of light to evaluate the retinal response. 
A)  A fluorescein dye is injected intravenously (IV)into a vein in the arm, and the retina is observed as the dye circulates. 
B)  Electrodes are placed on the scalp, each eye is stimulated, and retinal activity is assessed. 
C)  A small plunger is used to apply pressure on the sclera while the retinal vessels are evaluated. 
D)  A contact lens electrode is placed on the eye and exposed to flashes of light to evaluate the retinal response.

Question 11

A patient reports that her hearing loss has become more severe over the past 3 months.The clinic nurse makes arrangements for an evaluation for a hearing aid.What health care provider should provide this service?

Accepted Answer

A)  Otologist 
B)  Otolaryngologist 
C)  Audiometrist 
D)  Audiologist 
A)  Otologist 
B)  Otolaryngologist 
C)  Audiometrist 
D)  Audiologist

Question 12

A patient who has been taking opioid medication for postoperative pain exhibits pinpoint pupils.Which anatomic portion of the eye has been affected by the medication?

Accepted Answer

A)  Sclera 
B)  Retina 
C)  Choroid 
D)  Bulbar conjunctiva 
A)  Sclera 
B)  Retina 
C)  Choroid 
D)  Bulbar conjunctiva

Question 13

What makes up the refractive media of the eye? (Select all that apply.)

Accepted Answer

A)  Aqueous humor 
B)  Retina 
C)  Vitreous humor 
D)  Cornea 
E)  Lens 
A)  Aqueous humor 
B)  Retina 
C)  Vitreous humor 
D)  Cornea 
E)  Lens

Question 14

A patient complains that his hearing aid is not working.What actions should a nurse implement to assess the device? (Select all that apply.)

Accepted Answer

A)  Check to see if the device is turned on. 
B)  Clean the earpiece and remove cerumen clogged in the vent. 
C)  Open the earpiece to see if the microphone wire is connected. 
D)  Examine the interior of the earpiece for water. 
E)  Validate that the battery is correctly placed. 
A)  Check to see if the device is turned on. 
B)  Clean the earpiece and remove cerumen clogged in the vent. 
C)  Open the earpiece to see if the microphone wire is connected. 
D)  Examine the interior of the earpiece for water. 
E)  Validate that the battery is correctly placed.

Question 15

Which intraocular pressure reading obtained by tonometry indicates a patient being evaluated for a visual impairment does not have glaucoma?

Accepted Answer

A)  18 mm Hg 
B)  28 mm Hg 
C)  45 mm Hg 
D)  52 mm Hg 
A)  18 mm Hg 
B)  28 mm Hg 
C)  45 mm Hg 
D)  52 mm Hg

Question 16

Which portion of the eye makes it possible for a person to see in a darkened environment?

Accepted Answer

A)  Macula 
B)  Rods 
C)  Cones 
D)  Optic nerve 
A)  Macula 
B)  Rods 
C)  Cones 
D)  Optic nerve

Question 17

When being interviewed, a 50-year-old patient says that he cannot see the newspaper as well as he used to.What is the reason this patient vision has changed from near to far?

Accepted Answer

A)  The ciliary muscle changes the pupil size. 
B)  The lens of the eye changes shape as the ciliary muscle contracts and relaxes. 
C)  Nearsightedness has set in. 
D)  Clouding of the vitreous humor has occurred. 
A)  The ciliary muscle changes the pupil size. 
B)  The lens of the eye changes shape as the ciliary muscle contracts and relaxes. 
C)  Nearsightedness has set in. 
D)  Clouding of the vitreous humor has occurred.

Question 18

A nurse assesses an 80-year-old patient for age-related changes to the eye.What potential changes should the nurse anticipate? (Select all that apply.)

Accepted Answer

A)  Decreased tear production 
B)  Eyeball sunk deep in orbit 
C)  Hyperopia 
D)  Eyelashes diminished 
E)  Arcus senilis 
A)  Decreased tear production 
B)  Eyeball sunk deep in orbit 
C)  Hyperopia 
D)  Eyelashes diminished 
E)  Arcus senilis

Question 19

What information should a nurse include when providing information to a patient using topical eye medications?

Accepted Answer

A)  Look upward and drop the medication into the inner canthus. 
B)  Pull the lower eyelid down and drop the medication into the conjunctival sac. 
C)  Hold both eyelids open and drop the medication onto the sclera. 
D)  Tilt the head to the side and drop the medication into the outer canthus. 
A)  Look upward and drop the medication into the inner canthus. 
B)  Pull the lower eyelid down and drop the medication into the conjunctival sac. 
C)  Hold both eyelids open and drop the medication onto the sclera. 
D)  Tilt the head to the side and drop the medication into the outer canthus.

Question 20

A patient with diabetes says that he needs a hearing aid because he cannot hear well, and everything sounds garbled and distant.What type of hearing loss should the nurse suspect?

Accepted Answer

A)  Mixed hearing loss 
B)  Conductive hearing loss 
C)  Central hearing loss 
D)  Sensorineural hearing loss 
A)  Mixed hearing loss 
B)  Conductive hearing loss 
C)  Central hearing loss 
D)  Sensorineural hearing loss

Exam 58: Special Senses Introduction

What is the correct term to use for a patient with a vision disorder?

Which patient behaviors should alert a nurse to a possible hearing deficit? (Select all that apply.)

What actions should a nurse implement when assessing a patient's accommodation? (Select all that apply.)

Which common characteristics might a patient with conductive hearing loss display? (Select all that apply.)

How should a nurse assist a visually impaired patient to ambulate?

During the initial assessment of a very thin patient at the eye clinic, a nurse notes that the patient has very prominent eyes.What medical diagnosis might the nurse find in this patient's history?

A nurse reads in a patient's history that the patient has experienced otalgia.How should the nurse interpret this term?

What does a pneumatonometric study of the eye require?

A nursing report on a newly admitted patient who is profoundly deaf says that the patient is confused and difficult to assess because she does not appropriately respond to questions or sometimes fails to respond at all.What should be the first action of the oncoming nurse?

What does electroretinography measure?

A patient reports that her hearing loss has become more severe over the past 3 months.The clinic nurse makes arrangements for an evaluation for a hearing aid.What health care provider should provide this service?

A patient who has been taking opioid medication for postoperative pain exhibits pinpoint pupils.Which anatomic portion of the eye has been affected by the medication?

What makes up the refractive media of the eye? (Select all that apply.)

A patient complains that his hearing aid is not working.What actions should a nurse implement to assess the device? (Select all that apply.)

Which intraocular pressure reading obtained by tonometry indicates a patient being evaluated for a visual impairment does not have glaucoma?

Which portion of the eye makes it possible for a person to see in a darkened environment?

When being interviewed, a 50-year-old patient says that he cannot see the newspaper as well as he used to.What is the reason this patient vision has changed from near to far?

A nurse assesses an 80-year-old patient for age-related changes to the eye.What potential changes should the nurse anticipate? (Select all that apply.)

What information should a nurse include when providing information to a patient using topical eye medications?

A patient with diabetes says that he needs a hearing aid because he cannot hear well, and everything sounds garbled and distant.What type of hearing loss should the nurse suspect?

Aspects of Medical-Surgical Nursing

Medical-Surgical Practice Settings

Medical-Surgical Patients: Individuals, Families, and Communities

Health, Illness, Stress, and Coping

Immunity, Inflammation, and Infection

Fluid, Electrolyte, and Acidbase Imbalance

The Patient With Cancer

Pain

Shock

The Older Adult Patient

Falls

Immobility

Delirium and Dementia

Incontinence

Nutrition

Intravenous Therapy

Surgery

The Patient With an Ostomy

Palliative and Hospice Care

Complementary and Alternative Therapies

Neurologic System Introduction

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Respiratory System Introduction

Upper Respiratory Disorders

Acute Lower Respiratory Tract Disorders

Chronic Lower Respiratory Tract Disorders

Hematologic System Introduction

Hematologic Disorders

Immunologic System Introduction

Immunologic Disorders

Cardiovascular System Introduction

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive System Introduction

Upper Digestive Tract Disorders

Lower Digestive Tract Disorders

Liver, Gallbladder, and Pancreatic Disorders

Urologic System Introduction

Urologic Disorders

Musculoskeletal System Introduction

Connective Tissue Disorders

Fractures

Amputations

Endocrine System Introduction

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes and Hypoglycemia

Female Reproductive System Introduction

Female Reproductive Disorders

Male Reproductive System Introduction

Male Reproductive Disorders

Sexually Transmitted Infections

Integumentary System Introduction

Skin Disorders

Eye and Vision Disorders

Ear and Hearing Disorders