Question 1

A patient is scheduled for an indocyanine green angiography.For what should the nurse assess before this patient has the test?

Accepted Answer

A)   Allergy to dye
B)   Last solid food
C)   Medications taken
D)   Transportation home A

Question 2

While checking a patient's pupils the nurse notes that the left pupil constricts when a light is shined into the right eye.What does this information suggest to the nurse?

Accepted Answer

A)   Tropia present
B)   Esotropia absent
C)   Accommodation absent
D)   Consensual response present D

Question 3

A patient is diagnosed with sensorineural deafness.The nurse realizes that which cranial nerve is malfunctioning in this patient?

Accepted Answer

A)   CN II
B)   CN IV
C)   CN VI
D)   CN VIII D

Question 4

During data collection a patient states that at times the ears hurt when there are loud noises.The nurse realizes that the patient is describing noises at which decibel level?

Accepted Answer

A)   50
B)   75
C)   110
D)   130

Question 5

The nurse is testing a patient's visual muscle balance and movement.What technique should the nurse use to gather this data?

Accepted Answer

A)   Visual fields
B)   Direct pupillary reflex
C)   Six cardinal fields of gaze
D)   Consensual pupillary reflex

Question 6

The nurse is caring for a patient who asks what arcus senilis is.How should the nurse explain this finding?

Accepted Answer

A)   "An eye infection."
B)   "A mental condition."
C)   "A drooping of the eyelid."
D)   "A lipid deposit in the cornea."

Question 7

The nurse suspects a patient has a hearing deficit.What behavior did the patient demonstrate that indicates a hearing loss?

Accepted Answer

A)   Patient cups the ear during interview.
B)   Patient answers questions appropriately.
C)   Patient complains of people talking loudly.
D)   Patient leans away from the nurse during interview.

Question 8

The nurse is teaching a patient with a hearing disorder.Which hearing loss should the nurse explain are helped with a hearing aid?

Accepted Answer

A)   Central
B)   Congenital
C)   Conductive
D)   Sensorineural

Question 9

The nurse administers eyedrops to a patient and instructs the patient to apply pressure to the inner corner of the eye for 1 minute after application of the drops.Which statement indicates to the nurse that the patient correctly understandings the main purpose of applying pressure?

Accepted Answer

A)   "To protect the facial skin from the eyedrops."
B)   "To increase the onset of action of the eyedrops."
C)   "To maintain greater concentration of the eyedrops."
D)   "To reduce absorption of eyedrops through tear duct."

Question 10

A patient asks how the ears are able to equalize pressure when flying in an airplane.Which anatomical ear structure should the nurse review with the patient?

Accepted Answer

A)   Stapes
B)   Auricle
C)   Cochlea
D)   Eustachian tube

Question 11

A patient is diagnosed with night blindness.For which supplement should the nurse prepare to review with this patient?

Accepted Answer

A)   Vitamin A
B)   Vitamin B
C)   Vitamin C
D)   Vitamin D

Question 12

The nurse is explaining the process of hearing to a group of high school students.Place the steps in order (1-6)as they occur during the process of hearing.All options must be used.
A) ____ Sound waves strike the eardrum causing it to vibrate.
B) ____ Vibrations pass through the cochlea.
C) ____ The stapes transmits vibrations to the inner ear at the oval window.
D) ____ Vibrations are transmitted through the auditory bones.
E) ____ Vibrations pass through hair cells in the organ of Corti.
F) ____ Impulses are carried by the eighth cranial nerve to the brain.

Accepted Answer

The answer of The nurse is explaining the process of...

Question 13

The nurse performs a Snellen chart examination on a patient.What Snellen chart documentation indicates normal vision for the patient?

Accepted Answer

A)   Left eye 80/20
B)   Left eye 20/200
C)   Both eyes 20/20
D)   Right eye 200/20

Question 14

The nurse is preparing a patient who will be having a digital retinal scan.Which patient statement indicates further teaching is necessary?

Accepted Answer

A)   "This test is used to help detect eye disease early."
B)   "The scanner will take a picture in about 2 seconds."
C)   "My eyes will need to be dilated before the procedure."
D)   "A digital image of most of my retina will be produced for the doctor to view."

Question 15

The nurse is conducting an initial screening to determine a patient's gross hearing acuity as part of a complete physical.Which test should the nurse include in the assessment?

Accepted Answer

A)   Romberg
B)   Calorie test
C)   Whisper voice
D)   Otoscopic examination

Question 16

The nurse is reviewing the structure of the eye with a patient scheduled for cataract surgery.Which structure should the nurse explain is the gelatin-like substance that gives shape to the eye and fills the space behind the lens?

Accepted Answer

A)   Conjunctiva
B)   Lacrimal fluid
C)   Vitreous humor
D)   Aqueous humor

Question 17

The nurse palpates a downward small protrusion the helix of a patient's ear known as Darwin's tubercle.How should the nurse document this finding?

Accepted Answer

A)   A tumor
B)   Within normal limits
C)   A lump filled with fluid
D)   An abnormal palpable calcification

Question 18

The nurse is caring for a patient who asks the nurse,"What part of the eye gives the eye its color?" What is the correct response by the nurse?

Accepted Answer

A)   Iris
B)   Lens
C)   Pupil
D)   Retina

Question 19

During a health history the nurse suspects that a patient is at risk for a vision problem.Which information within the family history did the nurse use to make this decision? (Select all that apply.)

Accepted Answer

A)   Asthma
B)   Diabetes
C)   Cataracts
D)   Blindness
E)   Glaucoma

Question 20

The nurse has reinforced teaching with a patient about diagnostic tests that evaluate eye muscle balance.Which tests identified by the patient indicate teaching has been effective? (Select all that apply.)

Accepted Answer

A)   Cover test
B)   Corneal light reflex
C)   Tonometer readings
D)   Electroretinography
E)   Computed tomographyF)  Fluorescein angiography

Exam 51: Sensory System Function,Assessment,and Therapeutic Measures: Vision and Hearing