NCLEX-PN 6th Edition Ear & Eye Questons
And Answers 2021/2022
The nurse is reinforcing home-care instructions to a client and family regarding care
after cataract removal from the right eye. Which statement made by the client indicates
an understanding of the instructions? - I should not sleep on my right side
The nurse is preparing to communicate with an older client who is hearing impaired.
Which intervention should be implemented initially? - Stand in front of the client
Which intervention should be implemented for the older client with presbycusis who has
a hearing loss? - Use low-pitched tones
The nurse is preparing to reinforce a teaching plan for a client who is undergoing
cataract extraction with intraocular implant. Which home care measures should the
nurse include in the plan? Select all that apply. - To avoid activities that require bending
over
To place an eye shield on the surgical eye at bedtime
To contact the surgeon if a decrease in visual acuity occurs
To take acetaminophen (Tylenol) for minor eye discomfort
The nurse is assisting in developing a teaching plan for the client with glaucoma. Which
instruction should the nurse suggest to include in the plan of care? - Eye medications
will need to be administered for the rest of your life
The nurse is assigned to care for a client with a detached retina. Which finding should
the nurse expect to be documented in the client's record? - A sense of a curtain falling
across the field of vision
The nurse is assigned to care for a client with a diagnosis of detached retina. Which
finding would indicate that bleeding has occurred as a result of retinal detachment? -
Complaints of a burst of black spots or floaters
A client arrives in the emergency department after an automobile crash. The client's
forehead hit the steering wheel, and a hyphema has been diagnosed. Which position
should the nurse prepare to position the client? - On bed rest in a semi-Fowler's position
A client sustains a contusion of the eyeball after a traumatic injury with a blunt object.
The nurse should take which immediate action? - Apply ice to the affected eye
,A client sustains a chemical eye injury from a splash of battery acid. The nurse should
prepare the client for which immediate measure? - Irrigating the eye with sterile normal
saline
The nurse is caring for a client after enucleation and notes the presence of bright red
drainage on the dressing. The nurse should take which appropriate action? - Report the
finding to the registered nurse (RN).
The nurse is preparing to administer eardrops to an adult client. The nurse administers
the eardrops by which technique? - Pulling the pinna up and back
The nurse is caring for a client who is hearing-impaired and should take which approach
to facilitate communication? - Speak in a normal tone
A client arrives at the emergency department with a foreign body in the left ear that has
been determined to be an insect. Which initial intervention should the nurse anticipate to
be prescribed? - Instillation of mineral oil or diluted alcohol
The nurse notes that the health care provider has documented a diagnosis of
presbycusis on the client's chart. The nurse understands that this condition is accurately
described as which? - A sensorineural hearing loss that occurs with aging
A client with Ménière's disease is experiencing severe vertigo. The nurse reinforces
instructions to the client to do which to assist in controlling the vertigo? - Avoid sudden
head movements.
The nurse is assigned to care for a client hospitalized with Ménière's disease. The nurse
expects that which would most likely be prescribed for the client? - Low-sodium diet
A client is diagnosed with glaucoma. Which data gathered by the nurse indicate a risk
factor associated with glaucoma? - Cardiovascular disease
Betaxolol hydrochloride (Betoptic) eyedrops have been prescribed for the client with
glaucoma. Which nursing action is most appropriate related to monitoring for the
side/adverse effects of this medication? - Monitoring blood pressure
The nurse assists to prepare the client for ear irrigation as prescribed by the health care
provider. Which action should the nurse plan to take? - Warm the irrigating solution to
98° F.
In preparation for cataract surgery, the nurse is to administer cyclopentolate (Cyclogyl)
eyedrops. The nurse administers the eyedrops knowing that the purpose of this
medication is which? - Dilate the pupil of the operative eye.
, The nurse is providing instructions to a client who will be self-administering eyedrops.
To minimize the systemic effects that eyedrops can produce, the client is instructed to
perform which? - Occlude the nasolacrimal duct with a finger over the inner canthus for
30 to 60 seconds after instilling the drops.
The client is receiving an eyedrop and an eye ointment to the right eye. Which action
should the nurse take? - Administer the eyedrop first, followed by the eye ointment
The nurse is caring for a client with glaucoma. Which medication prescribed for the
client should the nurse question? - Atropine sulfate (Isopto Atropine)
The nurse is preparing to administer eyedrops. Which interventions should the nurse
take to administer the drops? Select all that apply - Wash hands.
Put on gloves.
Place the drop in the conjunctival sac.
Pull the lower lid down against the cheekbone
A client was just admitted to the hospital to rule out a gastrointestinal (GI) bleed. The
client has brought several bottles of medications prescribed by different specialists.
During the admission assessment, the client states, "Lately, I have been hearing some
roaring sounds in my ears, especially when I am alone." Which medication should the
nurse determine to be the cause of the client's complaint? - Acetylsalicylic acid (aspirin)
Pilocarpine hydrochloride (Isopto Carpine) is prescribed for the client with glaucoma.
Which medication should the nurse plan to have available in the event of systemic
toxicity? - Atropine sulfate
A miotic medication has been prescribed for the client with glaucoma. The client asks
the nurse about the purpose of the medication. The nurse should tell the client which? -
The medication causes the pupil to constrict and will lower the pressure in the eye
The nurse is attempting to communicate with a hearing-impaired client. Which strategy
by the nurse would be least helpful when talking to this client? - Smiling continuously
during conversation
The nurse is reviewing the record of a client with mastoiditis. The nurse should expect
to note which documented characteristic regarding the results of the otoscopic
examination? - Red, dull, thick, and immobile tympanic membrane
A client is diagnosed with a disorder involving the inner ear. The nurse caring for the
client understands that which is the most common client complaint associated with a
disorder involving the inner ear? - Tinnitus
The nurse is reviewing the health care record of a client with a diagnosis of otosclerosis.
The nurse should expect to note documentation of which early symptom of this
disorder? - Ringing in the ears
And Answers 2021/2022
The nurse is reinforcing home-care instructions to a client and family regarding care
after cataract removal from the right eye. Which statement made by the client indicates
an understanding of the instructions? - I should not sleep on my right side
The nurse is preparing to communicate with an older client who is hearing impaired.
Which intervention should be implemented initially? - Stand in front of the client
Which intervention should be implemented for the older client with presbycusis who has
a hearing loss? - Use low-pitched tones
The nurse is preparing to reinforce a teaching plan for a client who is undergoing
cataract extraction with intraocular implant. Which home care measures should the
nurse include in the plan? Select all that apply. - To avoid activities that require bending
over
To place an eye shield on the surgical eye at bedtime
To contact the surgeon if a decrease in visual acuity occurs
To take acetaminophen (Tylenol) for minor eye discomfort
The nurse is assisting in developing a teaching plan for the client with glaucoma. Which
instruction should the nurse suggest to include in the plan of care? - Eye medications
will need to be administered for the rest of your life
The nurse is assigned to care for a client with a detached retina. Which finding should
the nurse expect to be documented in the client's record? - A sense of a curtain falling
across the field of vision
The nurse is assigned to care for a client with a diagnosis of detached retina. Which
finding would indicate that bleeding has occurred as a result of retinal detachment? -
Complaints of a burst of black spots or floaters
A client arrives in the emergency department after an automobile crash. The client's
forehead hit the steering wheel, and a hyphema has been diagnosed. Which position
should the nurse prepare to position the client? - On bed rest in a semi-Fowler's position
A client sustains a contusion of the eyeball after a traumatic injury with a blunt object.
The nurse should take which immediate action? - Apply ice to the affected eye
,A client sustains a chemical eye injury from a splash of battery acid. The nurse should
prepare the client for which immediate measure? - Irrigating the eye with sterile normal
saline
The nurse is caring for a client after enucleation and notes the presence of bright red
drainage on the dressing. The nurse should take which appropriate action? - Report the
finding to the registered nurse (RN).
The nurse is preparing to administer eardrops to an adult client. The nurse administers
the eardrops by which technique? - Pulling the pinna up and back
The nurse is caring for a client who is hearing-impaired and should take which approach
to facilitate communication? - Speak in a normal tone
A client arrives at the emergency department with a foreign body in the left ear that has
been determined to be an insect. Which initial intervention should the nurse anticipate to
be prescribed? - Instillation of mineral oil or diluted alcohol
The nurse notes that the health care provider has documented a diagnosis of
presbycusis on the client's chart. The nurse understands that this condition is accurately
described as which? - A sensorineural hearing loss that occurs with aging
A client with Ménière's disease is experiencing severe vertigo. The nurse reinforces
instructions to the client to do which to assist in controlling the vertigo? - Avoid sudden
head movements.
The nurse is assigned to care for a client hospitalized with Ménière's disease. The nurse
expects that which would most likely be prescribed for the client? - Low-sodium diet
A client is diagnosed with glaucoma. Which data gathered by the nurse indicate a risk
factor associated with glaucoma? - Cardiovascular disease
Betaxolol hydrochloride (Betoptic) eyedrops have been prescribed for the client with
glaucoma. Which nursing action is most appropriate related to monitoring for the
side/adverse effects of this medication? - Monitoring blood pressure
The nurse assists to prepare the client for ear irrigation as prescribed by the health care
provider. Which action should the nurse plan to take? - Warm the irrigating solution to
98° F.
In preparation for cataract surgery, the nurse is to administer cyclopentolate (Cyclogyl)
eyedrops. The nurse administers the eyedrops knowing that the purpose of this
medication is which? - Dilate the pupil of the operative eye.
, The nurse is providing instructions to a client who will be self-administering eyedrops.
To minimize the systemic effects that eyedrops can produce, the client is instructed to
perform which? - Occlude the nasolacrimal duct with a finger over the inner canthus for
30 to 60 seconds after instilling the drops.
The client is receiving an eyedrop and an eye ointment to the right eye. Which action
should the nurse take? - Administer the eyedrop first, followed by the eye ointment
The nurse is caring for a client with glaucoma. Which medication prescribed for the
client should the nurse question? - Atropine sulfate (Isopto Atropine)
The nurse is preparing to administer eyedrops. Which interventions should the nurse
take to administer the drops? Select all that apply - Wash hands.
Put on gloves.
Place the drop in the conjunctival sac.
Pull the lower lid down against the cheekbone
A client was just admitted to the hospital to rule out a gastrointestinal (GI) bleed. The
client has brought several bottles of medications prescribed by different specialists.
During the admission assessment, the client states, "Lately, I have been hearing some
roaring sounds in my ears, especially when I am alone." Which medication should the
nurse determine to be the cause of the client's complaint? - Acetylsalicylic acid (aspirin)
Pilocarpine hydrochloride (Isopto Carpine) is prescribed for the client with glaucoma.
Which medication should the nurse plan to have available in the event of systemic
toxicity? - Atropine sulfate
A miotic medication has been prescribed for the client with glaucoma. The client asks
the nurse about the purpose of the medication. The nurse should tell the client which? -
The medication causes the pupil to constrict and will lower the pressure in the eye
The nurse is attempting to communicate with a hearing-impaired client. Which strategy
by the nurse would be least helpful when talking to this client? - Smiling continuously
during conversation
The nurse is reviewing the record of a client with mastoiditis. The nurse should expect
to note which documented characteristic regarding the results of the otoscopic
examination? - Red, dull, thick, and immobile tympanic membrane
A client is diagnosed with a disorder involving the inner ear. The nurse caring for the
client understands that which is the most common client complaint associated with a
disorder involving the inner ear? - Tinnitus
The nurse is reviewing the health care record of a client with a diagnosis of otosclerosis.
The nurse should expect to note documentation of which early symptom of this
disorder? - Ringing in the ears
