ATI Sensory Perception Exam 3
Questions And Answers
/. A nurse is caring for a client who states, "My doctor said I should have an EMG. What
is that?" Which of the following responses should the nurse make?
a. "It is a test that determines if there is a loss of the ability to smell."
b. "It is a test that measures the response of the eardrum to various sounds."
c. "It is a test that determines if there is nerve damage affecting a muscle."
d. "It is a test that is performed to diagnose damage to the retina of the eye." - Answer-
c. "It is a test that determines if there is nerve damage affecting a muscle."
/.A nurse is providing teaching about safe ambulation to a client who has vision loss.
Which of the following items should the nurse include in the teaching? (Select all that
apply.)
a. A walking cane
b. Area rugs
c. A walker
d. Audio materials
e. A magnifying glass - Answer-a, c
/.A nurse is assessing a client who has delirium. Which of the following manifestations
should the nurse expect? (Select all that apply.)
a. Difficulty maintaining attention
b. Aphasia
c. Agitation
d. Alertness
e. Hallucinations
f. Rambling speech - Answer-a,c,e,f
/.A nurse is caring for a client who reports decreased peripheral vision. The nurse
should identify this as a manifestation of which of the following visual impairments?
a. Diabetic retinopathy
b. Macular degeneration
c. Cataract
d. Glaucoma - Answer-d. Glaucoma
, /.A nurse is assessing a client whose family is concerned that the client has developed
dementia. Which of the following findings should the nurse identify as a manifestation of
dementia?
a. Rapid-onset memory loss
b. Hyperglycemia
c. Hypervigilance
d. Difficulty problem-solving - Answer-d. Difficulty problem-solving
/.A nurse is caring for a middle adult client who asks about expected age-related
changes. Which of the following sensory changes should the nurse include as an age-
related change?
a. Presbyopia
b. Diplopia
c. Myopia
d. Astigmatism - Answer-a. Presbyopia
/.A nurse is preparing to perform a cranial nerve assessment on a client. Which of the
following actions should the nurse take to assess cranial nerve VIII?
a. Monitor for symmetry when the client shrugs their shoulders.
b. Ask the client to identify a smell in each nostril.
c. Have the client stick out their tongue.
d. Whisper something in one ear while occluding the other ear. - Answer-d. Whisper
something in one ear while occluding the other ear.
/.A nurse is assessing a client for hearing loss. Which of the following findings should
the nurse identify as an indication of a possible hearing loss? (Select all that apply.)
a. Speaks in soft tones
b. Reports ringing in the ears
c. Asks for questions to be repeated
d. Withdraws from social activities
e. Reports feeling dizzy at times
f. Describes sounds as being muffled - Answer-c,d,f
/.A nurse is reviewing discharge instructions with a client who has macular
degeneration. Which of the following information should the nurse include in the
instructions?
a. Availability of aids to enhance vision
b. Antibiotic therapy
c. Risks associated with the loss of peripheral vision
d. Treatment options - Answer-a. Availability of aids to enhance vision
Questions And Answers
/. A nurse is caring for a client who states, "My doctor said I should have an EMG. What
is that?" Which of the following responses should the nurse make?
a. "It is a test that determines if there is a loss of the ability to smell."
b. "It is a test that measures the response of the eardrum to various sounds."
c. "It is a test that determines if there is nerve damage affecting a muscle."
d. "It is a test that is performed to diagnose damage to the retina of the eye." - Answer-
c. "It is a test that determines if there is nerve damage affecting a muscle."
/.A nurse is providing teaching about safe ambulation to a client who has vision loss.
Which of the following items should the nurse include in the teaching? (Select all that
apply.)
a. A walking cane
b. Area rugs
c. A walker
d. Audio materials
e. A magnifying glass - Answer-a, c
/.A nurse is assessing a client who has delirium. Which of the following manifestations
should the nurse expect? (Select all that apply.)
a. Difficulty maintaining attention
b. Aphasia
c. Agitation
d. Alertness
e. Hallucinations
f. Rambling speech - Answer-a,c,e,f
/.A nurse is caring for a client who reports decreased peripheral vision. The nurse
should identify this as a manifestation of which of the following visual impairments?
a. Diabetic retinopathy
b. Macular degeneration
c. Cataract
d. Glaucoma - Answer-d. Glaucoma
, /.A nurse is assessing a client whose family is concerned that the client has developed
dementia. Which of the following findings should the nurse identify as a manifestation of
dementia?
a. Rapid-onset memory loss
b. Hyperglycemia
c. Hypervigilance
d. Difficulty problem-solving - Answer-d. Difficulty problem-solving
/.A nurse is caring for a middle adult client who asks about expected age-related
changes. Which of the following sensory changes should the nurse include as an age-
related change?
a. Presbyopia
b. Diplopia
c. Myopia
d. Astigmatism - Answer-a. Presbyopia
/.A nurse is preparing to perform a cranial nerve assessment on a client. Which of the
following actions should the nurse take to assess cranial nerve VIII?
a. Monitor for symmetry when the client shrugs their shoulders.
b. Ask the client to identify a smell in each nostril.
c. Have the client stick out their tongue.
d. Whisper something in one ear while occluding the other ear. - Answer-d. Whisper
something in one ear while occluding the other ear.
/.A nurse is assessing a client for hearing loss. Which of the following findings should
the nurse identify as an indication of a possible hearing loss? (Select all that apply.)
a. Speaks in soft tones
b. Reports ringing in the ears
c. Asks for questions to be repeated
d. Withdraws from social activities
e. Reports feeling dizzy at times
f. Describes sounds as being muffled - Answer-c,d,f
/.A nurse is reviewing discharge instructions with a client who has macular
degeneration. Which of the following information should the nurse include in the
instructions?
a. Availability of aids to enhance vision
b. Antibiotic therapy
c. Risks associated with the loss of peripheral vision
d. Treatment options - Answer-a. Availability of aids to enhance vision
