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PNR201 MED SURG 1 EXAM 2 NCLEX QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE

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PNR201 MED SURG 1 EXAM 2 NCLEX QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE Terms in this set (77) A nurse evaluates the visual acuity of a patient using the Snellen chart. Which statement is true regarding the use of the Snellen chart? 1. The chart is placed 40 feet away from the patient. 2. The patient reads the letters using one eye at a time. 3. The numerator (top number) indicates the smallest line that the patient could read. 4. The denominator (bottom number) refers to the patient's distance from the chart. Correct Answer: 2 Visual acuity is tested by having the patient read the lines on the Snellen chart with one eye while the other eye is completely covered. Then the opposite eye is tested in the same manner. (1) The patient is normally 20 feet away from the chart. (3) The top number indicates how far away the patient is. (4) The bottom number refers to the distance at which people with normal vision can read the line of the chart. While looking at a card with a geometric grid of identical squares, a patient is asked to focus on a central dot and to describe any distortions of the surrounding boxes. Which patient statement indicates a need for further diagnostic testing? 1. "I get dizzy staring at these boxes for so long." 2. "I am beginning to see color differences in the squares." 3. "I can see all the boxes surrounding the dot." 4. "There are wavy lines around the central dot." Correct Answer: 4 Seeing wavy lines on an Amsler grid is an indication that the patient has a macular problem. Further evaluation by an ophthalmologist should be sought quickly. (1) Getting dizzy does not indicate macular degeneration. (2) Color difference is not a function of macular degeneration. (3) Seeing all of the boxes indicates normal vision. During a health care provider visit, a 65- year-old man complains of pain in his right eye associated with excessive tearing. You note that the eye is red with lashes rubbing against the cornea. A likely condition would be: 1. ptosis. 2. ectropion. 3. hordeolum. 4. entropion. Correct Answer: 4 When the eyelid is inverted and the lashes rub on the eyeball, it is called entropion. (1) Ptosis is a drooping of the lower eyelid. (2) Ectropion is when the eyelid folds outward. (3) Hordeolum is a disorder of the eyelid. Which nursing action(s) demonstrate(s) appropriate care of a patient who is visually impaired? (Select all that apply.) 1. Introduce self before touching. 2. Speak slowly with a loud voice. 3. Keep the door ajar. 4. Ensure ready access to the call button for assistance. 5. Assist with feeding using the clock method. Correct Answers: 1, 4, 5 To avoid startling the patient, you should introduce yourself before touching them. The call button should be positioned so that the patient knows where it is and where it can be quickly reached. Describing foods on the plate by where they would be positioned on a clock face helps the patient eat independently. (2) Speaking slowly with a loud voice may be used to speak to a person with a hearing impairment. (3) Keeping the door ajar may add disruptive noises. A male patient was informed that he would need to wear a pair of corrective lenses for astigmatism. When asked about the condition, the patient demonstrates understanding when he states that: 1. "Astigmatism is hardening of the ciliary muscles." 2. "Astigmatism is an irregular curvature of the cornea." 3. "Astigmatism enables focusing of light in front of the retina." 4. "Astigmatism is an increased opacity of the lens." Correct Answer: 2 Astigmatism is caused by an irregular curvature of the cornea. (1) Hardening of the ciliary muscles is not astigmatism. (3) Astigmatism focuses light in several points. (4) Cataracts are increased opacity of the lens. Which instruction must be included in the discharge teaching of a patient who has undergone corneal transplant? 1. Increase physical activity. 2. Wear an eye shield when in close contact with children or pets. 3. Remove the pressure dressing as needed. 4. Lie only on the operative side. Correct Answer: 2 The patient should protect the eye with an eye shield when around children or pets to prevent an accidental injury to the eye with disruption of the corneal transplant. (1) Physical activity should be reduced. (3) The pressure dressing should be kept in place. (4) The patient should lie on the opposite side of the surgery. An older adult is admitted for cataract extraction. Which sign or symptom is associated with this condition? 1. Increased tearing 2. Increasing farsightedness 3. Increasing complaints about glare 4. Bluish discolorations Correct Answer: 3 Increasing complaints about glare are associated with the growth of a cataract. Retinopathy is frequent in patients with diabetes, either from overgrowth of blood vessels or from hypertension that causes increased pressure and rupture of vessels. (1) Cataracts do not cause tearing. (2) Cataracts do not alter the point of focus on the retina. (4) Cataracts do not cause blue discoloration.

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3/25/25, 7:37 PNR201 Med Surg 1 Exam 2 NCLEX Questions Flashcards |
AM
PNR201 MED SURG 1 EXAM 2 NCLEX QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (77)


A nurse evaluates the visual acuity of a Correct Answer: 2
patient using the Snellen chart. Which
statement is true regarding the use of the Visual acuity is tested by having the patient read the lines on the Snellen chart with
Snellen chart? one eye while the other eye is completely covered. Then the opposite eye is tested
1. The chart is placed 40 feet away in the same manner. (1) The patient is normally 20 feet away from the chart. (3) The
from the patient. top number indicates how far away the patient is. (4) The bottom number refers to
2. The patient reads the letters the distance at which people with normal vision can read the line of the chart.
using one eye at a time.
3.The numerator (top number) indicates
the smallest line that the patient
could read.
4.The denominator (bottom number) refers
to the patient's distance from the chart.




1/23

,3/25/25, 7:37 PNR201 Med Surg 1 Exam 2 NCLEX Questions Flashcards |
AM
While looking at a card with a Correct Answer: 4
geometric grid of identical squares, a
patient is asked to focus on a central Seeing wavy lines on an Amsler grid is an indication that the patient has a macular
dot and to describe any distortions of problem. Further evaluation by an ophthalmologist should be sought quickly. (1)
the surrounding boxes. Which patient Getting dizzy does not indicate macular degeneration. (2) Color difference is not
statement indicates a need for further a function of macular degeneration. (3) Seeing all of the boxes indicates normal
diagnostic testing? vision.
1. "I get dizzy staring at these
boxes for so long."
2."I am beginning to see color differences
in the squares."
3."I can see all the boxes surrounding
the dot."
4. "There are wavy lines around the central
dot."




During a health care provider visit, a Correct Answer: 4
65- year-old man complains of pain in his
right eye associated with excessive When the eyelid is inverted and the lashes rub on the eyeball, it is called entropion.
tearing. You (1) Ptosis is a drooping of the lower eyelid. (2) Ectropion is when the eyelid folds
note that the eye is red with lashes outward. (3) Hordeolum is a disorder of the eyelid.
rubbing against the cornea. A likely
condition would be:
1. ptosis.
2.ectropion.
3. hordeolum.
4. entropion.




Which nursing action(s) demonstrate(s) Correct Answers: 1, 4, 5
appropriate care of a patient who is visually
impaired? (Select all that apply.) To avoid startling the patient, you should introduce yourself before touching them.
1. Introduce self before touching. The call button should be positioned so that the patient knows where it is and where
2.Speak slowly with a loud voice. it can be quickly reached. Describing foods on the plate by where they would
3. Keep the door ajar. be
4. Ensure ready access to the call positioned on a clock face helps the patient eat independently. (2) Speaking slowly
button for assistance. with a loud voice may be used to speak to a person with a hearing impairment. (3)
5.Assist with feeding using the clock Keeping the door ajar may add disruptive noises.
method.




2/23

, 3/25/25, 7:37 PNR201 Med Surg 1 Exam 2 NCLEX Questions Flashcards |
AM
A male patient was informed that he would Correct Answer: 2
need to wear a pair of corrective lenses for
astigmatism. When asked about the Astigmatism is caused by an irregular curvature of the cornea. (1) Hardening of
condition, the patient demonstrates the ciliary muscles is not astigmatism. (3) Astigmatism focuses light in several points.
understanding when he states that: (4) Cataracts are increased opacity of the lens.
1. "Astigmatism is hardening of
the ciliary muscles."
2."Astigmatism is an irregular curvature
of the cornea."
3."Astigmatism enables focusing of light in
front of the retina."
4. "Astigmatism is an increased opacity of
the lens."




Which instruction must be included in Correct Answer: 2
the discharge teaching of a patient
who has undergone corneal The patient should protect the eye with an eye shield when around children or pets
transplant? to prevent an accidental injury to the eye with disruption of the corneal transplant. (1)
1. Increase physical activity. Physical activity should be reduced. (3) The pressure dressing should be kept in
2.Wear an eye shield when in close place. (4) The patient should lie on the opposite side of the surgery.
contact with children or pets.
3.Remove the pressure dressing as
needed.
4. Lie only on the operative side.




An older adult is admitted for cataract Correct Answer: 3
extraction. Which sign or symptom is
associated with this condition? Increasing complaints about glare are associated with the growth of a cataract.
1. Increased tearing Retinopathy is frequent in patients with diabetes, either from overgrowth of blood
2.Increasing farsightedness vessels or from hypertension that causes increased pressure and rupture of
3.Increasing complaints about glare vessels.
4. Bluish discolorations (1) Cataracts do not cause tearing. (2) Cataracts do not alter the point of focus on the
retina. (4) Cataracts do not cause blue discoloration.




People with diabetes may face several eye Correct Answers: 1, 2, 4
problems and diseases as a complication of
their illness. Which of the following can Diabetics may face a group of eye diseases, including (1) glaucoma, (2) retinopathy,
cause severe vision loss or blindness in a and (4) cataracts. (3) Although diabetics may have presbyopia, it is not associated
person with diabetes? (Select all that with blindness and diabetics are not at increased risk.
apply.)
1. Glaucoma
2.Retinopathy
3. Presbyopia
4. Cataracts




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