Exam 4: Assessing the Eye and the Ear

The nurse is preparing to irrigate the patient's ear canal. Which action is the priority?

The nurse is preparing to perform the Rinne test of hearing function. Which action by the nurse is appropriate?

The nurse assesses the adult patient's pupils and documents normal size of 3 to ________________mm.

The nurse administers a Romberg test to assess the patient's balance. Which action by the nurse is appropriate?

The nurse is assessing the mobility of the tympanic membrane for a pediatric patient. Which action by the nurse is appropriate?

During an otoscope assessment, the nurse notes the patient is experiencing cerumen build-up. Based on this data, which type of hearing loss does the nurse anticipate?

The nurse is screening children before they enter preschool. Which is the expected visual acuity for preschool-age patients?

During the otoscopic exam, how should the nurse hold the adult patient's ear?

The nurse is assessing a patient who is experiencing eye pain. Which assessment question is appropriate when collecting the health history for this patient?

The nurse is conducting an eye assessment for an infant. The nurse notes the absence of the red reflex. What does this finding suggest to the nurse?

The nurse assesses the patient's tympanic membrane. Which is considered a normal assessment finding?

The nurse is assessing the patient for high-pitch deficits. Which action by the nurse is appropriate?

The nurse is preparing to administer the corneal light reflex test. Which does the test assess in the patient?

The Weber test is used to screen for hearing deficits. When performing the Weber test, where should the nurse place the tuning fork?

The nurse is conducting an eye assessment and plans to assess cranial nerve function. Which cranial nerves (CNs) control eye movements?

The nurse notes that the patient's tympanic membrane (TM) is golden brown. There is thick, elastic drainage noted as well. Which conclusion by the nurse is accurate?

The nurse conducts a routine eye exam on an adult patient. Data indicate that the patient's far vision is 20/25. When telling the patient about the result of the exam, which statement from the nurse is appropriate?

The nurse is conducting a health history for an older adult patient who states, "I seem to have more trouble driving at night the older that I get." When teaching the patient why this occurs, which will the nurse include in the teaching session?

The nurse is assessing the eyes of an infant. The infant's mother asks when permanent eye color is established. The nurse states that permanent eye color is established by ________________months of age.

Which cranial nerves (CNs) are responsible for the functioning of the six extraocular muscles?