Page 1 of 38
MED-SURG EXAM PREP IV EXAM 2026-2027 ALL
QUESTIONS WITH ANSWERS EXAM 2026 LATEST EDITION
SOLVED QUESTIONS & ANSWERS VERIFIED
The registered nurse taking shift report learns that an assigned client is blind.
How should the nurse best communicate with this client?
The nurse should state the nurse's name and role immediately after entering the
client's room.
During discharge teaching the nurse realizes that the client is not able to read
medication bottles accurately and has not been taking her medications
consistently at home. How should the nurse intervene?
Ask the social worker to investigate community support agencies.
The nurse is providing health education to a client diagnosed with glaucoma.
The nurse teaches the client that this disease has a familial tendency. The
nurse knows that clinical examinations for family members at risk for
glaucoma should occur how often?
At least once every 2 years
A client is exploring treatment options after being diagnosed with age-related
cataracts that affect her vision. What treatment is most likely to be used in this
client's care?
Surgical intervention
A client presents at the ED after receiving a chemical burn to the eye. What
would be the nurse's initial intervention for this client?
Generously flush the affected eye with normal saline or water.
The nurse is administering eye drops to a client with glaucoma. After instilling
the client's first medication, how long should the nurse wait before instilling
the client's second medication into the same eye?
, Page 2 of 38
5 minutes
A client comes to the ophthalmology clinic for an eye examination. The client
tells the nurse that the client often sees floaters in the client’s vision. How
should the nurse best interpret this subjective assessment finding?
This is a normal aging process of the eye.
A client's ocular tumor has necessitated enucleation and the client will be
fitted with a prosthesis. The nurse should address what nursing diagnosis
when planning the client's discharge education?
Disturbed body image
The nurse's assessment of a client with significant visual losses reveals that
the client cannot count fingers. How should the nurse proceed with
assessment of the client's visual acuity?
Determine whether the client is able to see the nurse's hand motion.
The nurse on the medical-surgical unit is reviewing discharge instructions
with a client who has a history of glaucoma. The nurse should anticipate the
use of what medications?
Cholinergics
A nurse is teaching a client with glaucoma how to administer eye drops to
achieve maximum absorption. The nurse should teach the client to perform
what action?
Instill the medication in the conjunctival sac.
A client with chronic open-angle glaucoma is being taught to self-administer
pilocarpine. After the client administers the pilocarpine, the client states that
the client’s vision is blurred. Which nursing action is most appropriate?
Explaining that this is an expected adverse effect
The nurse should recognize the greatest risk for the development of blindness
in which of the following clients?
A 58-year-old Caucasian woman with macular degeneration
The nurse is admitting a 55-year-old client diagnosed with a left eye retinal
detachment. While assessing this client, what characteristic symptom would
the nurse expect to find?
Flashing lights in the visual field
, Page 3 of 38
Several residents of a long-term care facility have developed signs and
symptoms of viral conjunctivitis. What is the most appropriate action of the
nurse who oversees care in the facility?
Isolate affected residents from residents who have not developed conjunctivitis.
A client has just returned to the surgical floor after undergoing a retinal
detachment repair. The postoperative orders specify that the client should be
kept in a prone position until otherwise ordered. What should the nurse do?
Follow the order because this bed position is correct.
A client has informed the home health nurse that he/she has recently noticed
distortions when looking at the Amsler grid that is mounted on the refrigerator.
What is the nurse's most appropriate action?
Arrange for the client to be assessed for macular degeneration.
A 56-year-old client has come to the clinic for a routine eye examination and is
told bifocals are needed. The client asks the nurse what change in the eyes
has caused this need for bifocals. How should the nurse respond?
There is a gradual thickening of the lens of the eye and it can limit the eye's ability for
accommodation.
The nurse is teaching a client to care for a new ocular prosthesis. What should
the nurse emphasize during the client's health education?
The need to perform thorough hand hygiene before handling the prosthesis
Cytomegalovirus (CMV) is the most common cause of retinal inflammation in
clients with AIDS. What drug, surgically implanted, is used for the acute stage
of CMV retinitis?
Ganciclovir
A client got a sliver of glass in his/her eye when a glass container at work fell
and shattered. The glass had to be surgically removed and the client is about
to be discharged home. The client asks the nurse for a topical anesthetic for
eye pain. What should the nurse respond?
Overuse of these drops could soften your cornea and damage your eye.
A client has been diagnosed with glaucoma and the nurse is preparing health
education regarding the client's medication regimen. The client states that
eagerness to "beat this disease" and looks forward to the time that the client
will no longer require medication. How should the nurse best respond?
In fact, glaucoma usually requires lifelong treatment with medications.
, Page 4 of 38
An older adult client has been diagnosed with macular degeneration and the
nurse is assessing for changes in visual acuity since last visit. When
assessing the client for recent changes in visual acuity, the client states that
the lines on an Amsler grid as being distorted. What is the nurse's most
appropriate response?
Arrange for the client to visit an ophthalmologist.
A public health nurse is teaching a health promotion workshop that focuses
on vision and eye health. What should this nurse cite as the most common
cause(s) of blindness and visual impairment among adults over the age of 40?
Select all that apply.
Diabetic retinopathy
Macular degeneration
Glaucoma
The nurse is assessing a new adult client. What characteristic of this client's
status should the nurse identify as increasing the client's risk for glaucoma?
The client has diabetes.
The public health nurse is addressing eye health and vision protection during
an educational event. What statement by a participant best demonstrates an
understanding of threats to vision?
I'm certainly going to keep a close eye on my blood pressure from now on.
A client has had a sudden loss of vision after head trauma. How should the
nurse best describe the placement of items on the dinner tray?
Explain the location of items using clock cues.
A hospitalized client with impaired vision must get a picture in his or her mind
of the hospital room and its contents in order to mobilize independently and
safely. What must the nurse monitor in the client's room?
That all furniture remains in the same position
A client has just arrived to the floor after an enucleation procedure following a
workplace accident in which the client's left eye was irreparably damaged.
Which of the following should the nurse prioritize during the client's immediate
postoperative recovery?
Assessing and addressing the client's emotional needs
MED-SURG EXAM PREP IV EXAM 2026-2027 ALL
QUESTIONS WITH ANSWERS EXAM 2026 LATEST EDITION
SOLVED QUESTIONS & ANSWERS VERIFIED
The registered nurse taking shift report learns that an assigned client is blind.
How should the nurse best communicate with this client?
The nurse should state the nurse's name and role immediately after entering the
client's room.
During discharge teaching the nurse realizes that the client is not able to read
medication bottles accurately and has not been taking her medications
consistently at home. How should the nurse intervene?
Ask the social worker to investigate community support agencies.
The nurse is providing health education to a client diagnosed with glaucoma.
The nurse teaches the client that this disease has a familial tendency. The
nurse knows that clinical examinations for family members at risk for
glaucoma should occur how often?
At least once every 2 years
A client is exploring treatment options after being diagnosed with age-related
cataracts that affect her vision. What treatment is most likely to be used in this
client's care?
Surgical intervention
A client presents at the ED after receiving a chemical burn to the eye. What
would be the nurse's initial intervention for this client?
Generously flush the affected eye with normal saline or water.
The nurse is administering eye drops to a client with glaucoma. After instilling
the client's first medication, how long should the nurse wait before instilling
the client's second medication into the same eye?
, Page 2 of 38
5 minutes
A client comes to the ophthalmology clinic for an eye examination. The client
tells the nurse that the client often sees floaters in the client’s vision. How
should the nurse best interpret this subjective assessment finding?
This is a normal aging process of the eye.
A client's ocular tumor has necessitated enucleation and the client will be
fitted with a prosthesis. The nurse should address what nursing diagnosis
when planning the client's discharge education?
Disturbed body image
The nurse's assessment of a client with significant visual losses reveals that
the client cannot count fingers. How should the nurse proceed with
assessment of the client's visual acuity?
Determine whether the client is able to see the nurse's hand motion.
The nurse on the medical-surgical unit is reviewing discharge instructions
with a client who has a history of glaucoma. The nurse should anticipate the
use of what medications?
Cholinergics
A nurse is teaching a client with glaucoma how to administer eye drops to
achieve maximum absorption. The nurse should teach the client to perform
what action?
Instill the medication in the conjunctival sac.
A client with chronic open-angle glaucoma is being taught to self-administer
pilocarpine. After the client administers the pilocarpine, the client states that
the client’s vision is blurred. Which nursing action is most appropriate?
Explaining that this is an expected adverse effect
The nurse should recognize the greatest risk for the development of blindness
in which of the following clients?
A 58-year-old Caucasian woman with macular degeneration
The nurse is admitting a 55-year-old client diagnosed with a left eye retinal
detachment. While assessing this client, what characteristic symptom would
the nurse expect to find?
Flashing lights in the visual field
, Page 3 of 38
Several residents of a long-term care facility have developed signs and
symptoms of viral conjunctivitis. What is the most appropriate action of the
nurse who oversees care in the facility?
Isolate affected residents from residents who have not developed conjunctivitis.
A client has just returned to the surgical floor after undergoing a retinal
detachment repair. The postoperative orders specify that the client should be
kept in a prone position until otherwise ordered. What should the nurse do?
Follow the order because this bed position is correct.
A client has informed the home health nurse that he/she has recently noticed
distortions when looking at the Amsler grid that is mounted on the refrigerator.
What is the nurse's most appropriate action?
Arrange for the client to be assessed for macular degeneration.
A 56-year-old client has come to the clinic for a routine eye examination and is
told bifocals are needed. The client asks the nurse what change in the eyes
has caused this need for bifocals. How should the nurse respond?
There is a gradual thickening of the lens of the eye and it can limit the eye's ability for
accommodation.
The nurse is teaching a client to care for a new ocular prosthesis. What should
the nurse emphasize during the client's health education?
The need to perform thorough hand hygiene before handling the prosthesis
Cytomegalovirus (CMV) is the most common cause of retinal inflammation in
clients with AIDS. What drug, surgically implanted, is used for the acute stage
of CMV retinitis?
Ganciclovir
A client got a sliver of glass in his/her eye when a glass container at work fell
and shattered. The glass had to be surgically removed and the client is about
to be discharged home. The client asks the nurse for a topical anesthetic for
eye pain. What should the nurse respond?
Overuse of these drops could soften your cornea and damage your eye.
A client has been diagnosed with glaucoma and the nurse is preparing health
education regarding the client's medication regimen. The client states that
eagerness to "beat this disease" and looks forward to the time that the client
will no longer require medication. How should the nurse best respond?
In fact, glaucoma usually requires lifelong treatment with medications.
, Page 4 of 38
An older adult client has been diagnosed with macular degeneration and the
nurse is assessing for changes in visual acuity since last visit. When
assessing the client for recent changes in visual acuity, the client states that
the lines on an Amsler grid as being distorted. What is the nurse's most
appropriate response?
Arrange for the client to visit an ophthalmologist.
A public health nurse is teaching a health promotion workshop that focuses
on vision and eye health. What should this nurse cite as the most common
cause(s) of blindness and visual impairment among adults over the age of 40?
Select all that apply.
Diabetic retinopathy
Macular degeneration
Glaucoma
The nurse is assessing a new adult client. What characteristic of this client's
status should the nurse identify as increasing the client's risk for glaucoma?
The client has diabetes.
The public health nurse is addressing eye health and vision protection during
an educational event. What statement by a participant best demonstrates an
understanding of threats to vision?
I'm certainly going to keep a close eye on my blood pressure from now on.
A client has had a sudden loss of vision after head trauma. How should the
nurse best describe the placement of items on the dinner tray?
Explain the location of items using clock cues.
A hospitalized client with impaired vision must get a picture in his or her mind
of the hospital room and its contents in order to mobilize independently and
safely. What must the nurse monitor in the client's room?
That all furniture remains in the same position
A client has just arrived to the floor after an enucleation procedure following a
workplace accident in which the client's left eye was irreparably damaged.
Which of the following should the nurse prioritize during the client's immediate
postoperative recovery?
Assessing and addressing the client's emotional needs
