NCLEX, Med Surg Eyes & Ears
1.The nurse is assisting the primary health care provider with performing a
Rinne tuning fork test on a client. The nurse expects that the steps of the
testing will be performed in which priority order? Arrange the actions in the
order that they would be performed. All options must be used.: Place base
of tuning fork on the mastoid bone.
2
Ask the client if he or she hears the sound and to indicate when the
sound disappears.
3
Tap tuning fork to
activate. 4
Move the tuning fork close to the ear
canal 5
Have client indicate when the sound
disappears. 6
Document whether bone or air conduction is better.
2.After a routine eye examination, a client has been told there are
refractive errors in both eyes. The nurse explains to the client that this
problem is primarily treated with which intervention?: Prescription of
corrective lenses
3.The nurse is reviewing the health record of a client diagnosed with a
cataract. Which are signs and symptoms of cataract formation? Select all
that apply: Decreased color perception
Floaters in visual
field Difficulty in
night vision
4.A client has bilateral aphakia. When reinforcing teaching instructions re-
garding the prescribed eyeglasses, the nurse determines the need for
further teaching when the client makes which statement?: "My peripheral
vision will not be distorted."
5.The nurse is providing discharge instructions to a client following a
kerato- plasty. Which statement by the client indicates the need for further
teaching?-
: "Sutures are removed in 2 weeks."
6.A client arrives at the emergency department following an eye injury in
which an acid used to clean the brick on the fireplace splashed into the eye.
Which question should the nurse ask initially?: "Did you flush the eye
following the injury?"
7.Pilocarpine hydrochloride is prescribed for the client with glaucoma.
, NCLEX, Med Surg Eyes & Ears
Which medication should the nurse plan to have available in the event of
systemic toxicity?: Atropine sulfate
, NCLEX, Med Surg Eyes & Ears
8.The nurse is assisting a client who has just been given a hearing aid to
wear for the first time. When reinforcing client teaching, the nurse should
include which instruction?: "The hearing aid should not be worn if an ear
infection is present."
9.The nurse is providing instructions to a client who will be self-
administering eye drops. To minimize the systemic effects that eye drops
can produce, the client is instructed to perform which action?: Occlude the
nasolacrimal duct with a finger over the inner canthus for 30 to 60
seconds after instilling the drops.
10.A client arrives in the emergency department following an eye injury
from a chemical solution. Which is the initial nursing action?: Test the eye
pH with litmus paper
11.The nurse in the recovery room area is preparing to care for a client
following cataract extraction of the right eye. Which position does the
nurse prepare to place the client?: On the left side with the head of the
bed elevated
12.The nurse is gathering data from a client with a history of untreated
cataracts. The nurse asks the client about the presence of which sign of
a cataract?: Difficulty with driving at night and blurred vision
13.A client was just admitted to the hospital to rule out a gastrointestinal
bleed. The client has brought several bottles of medications prescribed by
dif- ferent 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
14.The nurse reinforces home care instructions to a client after cataract
removal and placement of an intraocular implant in the right eye. Which
statement by the client indicates a need for further teaching?: "I need to
remove the eye dressing as soon as I get home and place a warm pack
on my eye."
15.The nurse provides discharge instructions to the client who was
hospital- ized for an acute attack of Ménière's disease. Which statement
made by the client indicates a need for further teaching?: "It is not
necessary to restrict salt in my diet."
16.The nurse is reinforcing home care instructions to a client following a
fenestration procedure for the treatment of otosclerosis. Which instruction
should the nurse give the client?: Increase fluids and take a stool
softener daily.
17.A client has been newly diagnosed with glaucoma. As part of the
1.The nurse is assisting the primary health care provider with performing a
Rinne tuning fork test on a client. The nurse expects that the steps of the
testing will be performed in which priority order? Arrange the actions in the
order that they would be performed. All options must be used.: Place base
of tuning fork on the mastoid bone.
2
Ask the client if he or she hears the sound and to indicate when the
sound disappears.
3
Tap tuning fork to
activate. 4
Move the tuning fork close to the ear
canal 5
Have client indicate when the sound
disappears. 6
Document whether bone or air conduction is better.
2.After a routine eye examination, a client has been told there are
refractive errors in both eyes. The nurse explains to the client that this
problem is primarily treated with which intervention?: Prescription of
corrective lenses
3.The nurse is reviewing the health record of a client diagnosed with a
cataract. Which are signs and symptoms of cataract formation? Select all
that apply: Decreased color perception
Floaters in visual
field Difficulty in
night vision
4.A client has bilateral aphakia. When reinforcing teaching instructions re-
garding the prescribed eyeglasses, the nurse determines the need for
further teaching when the client makes which statement?: "My peripheral
vision will not be distorted."
5.The nurse is providing discharge instructions to a client following a
kerato- plasty. Which statement by the client indicates the need for further
teaching?-
: "Sutures are removed in 2 weeks."
6.A client arrives at the emergency department following an eye injury in
which an acid used to clean the brick on the fireplace splashed into the eye.
Which question should the nurse ask initially?: "Did you flush the eye
following the injury?"
7.Pilocarpine hydrochloride is prescribed for the client with glaucoma.
, NCLEX, Med Surg Eyes & Ears
Which medication should the nurse plan to have available in the event of
systemic toxicity?: Atropine sulfate
, NCLEX, Med Surg Eyes & Ears
8.The nurse is assisting a client who has just been given a hearing aid to
wear for the first time. When reinforcing client teaching, the nurse should
include which instruction?: "The hearing aid should not be worn if an ear
infection is present."
9.The nurse is providing instructions to a client who will be self-
administering eye drops. To minimize the systemic effects that eye drops
can produce, the client is instructed to perform which action?: Occlude the
nasolacrimal duct with a finger over the inner canthus for 30 to 60
seconds after instilling the drops.
10.A client arrives in the emergency department following an eye injury
from a chemical solution. Which is the initial nursing action?: Test the eye
pH with litmus paper
11.The nurse in the recovery room area is preparing to care for a client
following cataract extraction of the right eye. Which position does the
nurse prepare to place the client?: On the left side with the head of the
bed elevated
12.The nurse is gathering data from a client with a history of untreated
cataracts. The nurse asks the client about the presence of which sign of
a cataract?: Difficulty with driving at night and blurred vision
13.A client was just admitted to the hospital to rule out a gastrointestinal
bleed. The client has brought several bottles of medications prescribed by
dif- ferent 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
14.The nurse reinforces home care instructions to a client after cataract
removal and placement of an intraocular implant in the right eye. Which
statement by the client indicates a need for further teaching?: "I need to
remove the eye dressing as soon as I get home and place a warm pack
on my eye."
15.The nurse provides discharge instructions to the client who was
hospital- ized for an acute attack of Ménière's disease. Which statement
made by the client indicates a need for further teaching?: "It is not
necessary to restrict salt in my diet."
16.The nurse is reinforcing home care instructions to a client following a
fenestration procedure for the treatment of otosclerosis. Which instruction
should the nurse give the client?: Increase fluids and take a stool
softener daily.
17.A client has been newly diagnosed with glaucoma. As part of the
