1
(NR VERIFIED)
NUR-210 EXAM 2 -2023- SET OF QUESTIONS AND CORRECT
ANSWERS ALREADY GRADED A+ GUARANTEED SUCCESS
The nurse is testing a patients visual accommodation, which refers to which action?
a. Pupillary constriction when looking at a near object
b. Pupillary dilation when looking at a far object
c. Changes in peripheral vision in response to light
d. Involuntary blinking in the presence of bright light
a. Pupillary constriction when looking at a near object
Otosclerosis is a common cause of conductive hearing loss in young adults between the ages of 20 and 40
years. Presbycusis is a type of hearing loss that occurs with aging. Trauma and frequent ear infections are
not a likely cause of his hearing loss.
A 70-year-old patient tells the nurse that he has noticed that he is having trouble hearing, especially in
large groups. He says that he cant always tell where the sound is coming from and the words often sound
mixed up. What might the nurse suspect as the cause for this change?
a. Atrophy of the apocrine glands
b. Cilia becoming coarse and stiff
c. Nerve degeneration in the inner ear
d. Scarring of the tympanic membrane
c. Nerve degeneration in the inner ear
Presbycusis is a type of hearing loss that occurs in 60% of those older than 65 years of age, even in those
living in a quiet environment. This sensorineural loss is gradual and caused by nerve degeneration in the
inner ear. Words sound garbled, and the ability to localize sound is also impaired. This communication
dysfunction is accentuated when background noise is present.
In performing a voice test to assess hearing, which of these actions would the nurse perform?
a. Shield the lips so that the sound is muffled.
b. Whisper a set of random numbers and letters, and then ask the patient to repeat them.
c. Ask the patient to place his finger in his ear to occlude outside noise.
d. Stand approximately 4 feet away to ensure that the patient can really hear at this distance.
b. Whisper a set of random numbers and letters, and then ask the patient to repeat them.
, 2
(NR VERIFIED)
With the head 30 to 60 cm (1 to 2 feet) from the patients ear, the examiner exhales and slowly whispers a
set of random numbers and letters, such as 5, B, 6. Normally, the patient is asked to repeat each number
and letter correctly after hearing the examiner say them.
The nurse is performing an ear examination of an 80-year-old patient. Which of these findings would be
considered normal?
a. High-tone frequency loss
b. Increased elasticity of the pinna
c. Thin, translucent membrane
d. Shiny, pink tympanic membrane
ANS: A High-tone frequency loss
A patient has a normal pupillary light reflex. The nurse recognizes that this reflex indicates that:
a. The eyes converge to focus on the light.
b. Light is reflected at the same spot in both eyes.
c. The eye focuses the image in the center of the pupil.
d. Constriction of both pupils occurs in response to bright light.
d. Constriction of both pupils occurs in response to bright light.
A mother asks when her newborn infants eyesight will be developed. The nurse should reply:
a. Vision is not totally developed until 2 years of age.
b. Infants develop the ability to focus on an object at approximately 8 months of age.
c. By approximately 3 months of age, infants develop more coordinated eye movements and can fixate on
an object.
d. Most infants have uncoordinated eye movements for the first year of life.
c. By approximately 3 months of age, infants develop more coordinated eye movements and can fixate on
an object.
10. The nurse is reviewing in age-related changes in the eye for a class. Which of these physiologic
changes is responsible for presbyopia?
a. Degeneration of the cornea
b. Loss of lens elasticity
c. Decreased adaptation to darkness
, 3
(NR VERIFIED)
d. Decreased distance vision abilities
b. Loss of lens elasticity
11. Which of these assessment findings would the nurse expect to see when examining the eyes of a black
patient?
a. Increased night vision
b. Dark retinal background
c. Increased photosensitivity
d. Narrowed palpebral fissures
b. Dark retinal background
An ethnically based variability in the color of the iris and in retinal pigmentation exists, with darker irides
having darker retinas behind them.
12. A 52-year-old patient describes the presence of occasional floaters or spots moving in front of his
eyes. The nurse should:
a. Examine the retina to determine the number of floaters.
b. Presume the patient has glaucoma and refer him for further testing.
c. Consider these to be abnormal findings, and refer him to an ophthalmologist.
d. Know that floaters are usually insignificant and are caused by condensed vitreous fibers.
d. Know that floaters are usually insignificant and are caused by condensed vitreous fibers.
The nurse is preparing to assess the visual acuity of a 16-year-old patient. How should the nurse proceed?
a. Perform the confrontation test.
b. Ask the patient to read the print on a handheld Jaeger card.
c. Use the Snellen chart positioned 20 feet away from the patient.
d. Determine the patients ability to read newsprint at a distance of 12 to 14 inches.
c. Use the Snellen chart positioned 20 feet away from the patient.
A patients vision is recorded as 20/30 when the Snellen eye chart is used. The nurse interprets these
results to indicate that:
a. At 30 feet the patient can read the entire chart.
b. The patient can read at 20 feet what a person with normal vision can read at 30 feet.
c. The patient can read the chart from 20 feet in the left eye and 30 feet in the right eye.
, 4
(NR VERIFIED)
d. The patient can read from 30 feet what a person with normal vision can read from 20 feet.
b. The patient can read at 20 feet what a person with normal vision can read at 30 feet.
A patients vision is recorded as 20/80 in each eye. The nurse interprets this finding to mean that the
patient:
a. Has poor vision.
b. Has acute vision.
c. Has normal vision.
d. Is presbyopic.
a. Has poor vision.
The nurse is performing the diagnostic positions test. Normal findings would be which of these results?
a. Convergence of the eyes
b. Parallel movement of both eyes
c. Nystagmus in extreme superior gaze
d. Slight amount of lid lag when moving the eyes from a superior to an inferior position
b. Parallel movement of both eyes
A 60-year-old man is at the clinic for an eye examination. The nurse suspects that he has ptosis of one
eye. How should the nurse check for this?
a. Perform the confrontation test.
b. Assess the individuals near vision.
c. Observe the distance between the palpebral fissures.
d. Perform the corneal light test, and look for symmetry of the light reflex.
c. Observe the distance between the palpebral fissures.
Ptosis is a drooping of the upper eyelid that would be apparent by observing the distance between the
upper and lower eyelids. The confrontation test measures peripheral vision. Measuring near vision or the
corneal light test does not check for ptosis.
22. When assessing the pupillary light reflex, the nurse should use which technique?
a. Shine a penlight from directly in front of the patient, and inspect for pupillary constriction.
b. Ask the patient to follow the penlight in eight directions, and observe for bilateral pupil constriction.
c. Shine a light across the pupil from the side, and observe for direct and consensual pupillary
constriction.
(NR VERIFIED)
NUR-210 EXAM 2 -2023- SET OF QUESTIONS AND CORRECT
ANSWERS ALREADY GRADED A+ GUARANTEED SUCCESS
The nurse is testing a patients visual accommodation, which refers to which action?
a. Pupillary constriction when looking at a near object
b. Pupillary dilation when looking at a far object
c. Changes in peripheral vision in response to light
d. Involuntary blinking in the presence of bright light
a. Pupillary constriction when looking at a near object
Otosclerosis is a common cause of conductive hearing loss in young adults between the ages of 20 and 40
years. Presbycusis is a type of hearing loss that occurs with aging. Trauma and frequent ear infections are
not a likely cause of his hearing loss.
A 70-year-old patient tells the nurse that he has noticed that he is having trouble hearing, especially in
large groups. He says that he cant always tell where the sound is coming from and the words often sound
mixed up. What might the nurse suspect as the cause for this change?
a. Atrophy of the apocrine glands
b. Cilia becoming coarse and stiff
c. Nerve degeneration in the inner ear
d. Scarring of the tympanic membrane
c. Nerve degeneration in the inner ear
Presbycusis is a type of hearing loss that occurs in 60% of those older than 65 years of age, even in those
living in a quiet environment. This sensorineural loss is gradual and caused by nerve degeneration in the
inner ear. Words sound garbled, and the ability to localize sound is also impaired. This communication
dysfunction is accentuated when background noise is present.
In performing a voice test to assess hearing, which of these actions would the nurse perform?
a. Shield the lips so that the sound is muffled.
b. Whisper a set of random numbers and letters, and then ask the patient to repeat them.
c. Ask the patient to place his finger in his ear to occlude outside noise.
d. Stand approximately 4 feet away to ensure that the patient can really hear at this distance.
b. Whisper a set of random numbers and letters, and then ask the patient to repeat them.
, 2
(NR VERIFIED)
With the head 30 to 60 cm (1 to 2 feet) from the patients ear, the examiner exhales and slowly whispers a
set of random numbers and letters, such as 5, B, 6. Normally, the patient is asked to repeat each number
and letter correctly after hearing the examiner say them.
The nurse is performing an ear examination of an 80-year-old patient. Which of these findings would be
considered normal?
a. High-tone frequency loss
b. Increased elasticity of the pinna
c. Thin, translucent membrane
d. Shiny, pink tympanic membrane
ANS: A High-tone frequency loss
A patient has a normal pupillary light reflex. The nurse recognizes that this reflex indicates that:
a. The eyes converge to focus on the light.
b. Light is reflected at the same spot in both eyes.
c. The eye focuses the image in the center of the pupil.
d. Constriction of both pupils occurs in response to bright light.
d. Constriction of both pupils occurs in response to bright light.
A mother asks when her newborn infants eyesight will be developed. The nurse should reply:
a. Vision is not totally developed until 2 years of age.
b. Infants develop the ability to focus on an object at approximately 8 months of age.
c. By approximately 3 months of age, infants develop more coordinated eye movements and can fixate on
an object.
d. Most infants have uncoordinated eye movements for the first year of life.
c. By approximately 3 months of age, infants develop more coordinated eye movements and can fixate on
an object.
10. The nurse is reviewing in age-related changes in the eye for a class. Which of these physiologic
changes is responsible for presbyopia?
a. Degeneration of the cornea
b. Loss of lens elasticity
c. Decreased adaptation to darkness
, 3
(NR VERIFIED)
d. Decreased distance vision abilities
b. Loss of lens elasticity
11. Which of these assessment findings would the nurse expect to see when examining the eyes of a black
patient?
a. Increased night vision
b. Dark retinal background
c. Increased photosensitivity
d. Narrowed palpebral fissures
b. Dark retinal background
An ethnically based variability in the color of the iris and in retinal pigmentation exists, with darker irides
having darker retinas behind them.
12. A 52-year-old patient describes the presence of occasional floaters or spots moving in front of his
eyes. The nurse should:
a. Examine the retina to determine the number of floaters.
b. Presume the patient has glaucoma and refer him for further testing.
c. Consider these to be abnormal findings, and refer him to an ophthalmologist.
d. Know that floaters are usually insignificant and are caused by condensed vitreous fibers.
d. Know that floaters are usually insignificant and are caused by condensed vitreous fibers.
The nurse is preparing to assess the visual acuity of a 16-year-old patient. How should the nurse proceed?
a. Perform the confrontation test.
b. Ask the patient to read the print on a handheld Jaeger card.
c. Use the Snellen chart positioned 20 feet away from the patient.
d. Determine the patients ability to read newsprint at a distance of 12 to 14 inches.
c. Use the Snellen chart positioned 20 feet away from the patient.
A patients vision is recorded as 20/30 when the Snellen eye chart is used. The nurse interprets these
results to indicate that:
a. At 30 feet the patient can read the entire chart.
b. The patient can read at 20 feet what a person with normal vision can read at 30 feet.
c. The patient can read the chart from 20 feet in the left eye and 30 feet in the right eye.
, 4
(NR VERIFIED)
d. The patient can read from 30 feet what a person with normal vision can read from 20 feet.
b. The patient can read at 20 feet what a person with normal vision can read at 30 feet.
A patients vision is recorded as 20/80 in each eye. The nurse interprets this finding to mean that the
patient:
a. Has poor vision.
b. Has acute vision.
c. Has normal vision.
d. Is presbyopic.
a. Has poor vision.
The nurse is performing the diagnostic positions test. Normal findings would be which of these results?
a. Convergence of the eyes
b. Parallel movement of both eyes
c. Nystagmus in extreme superior gaze
d. Slight amount of lid lag when moving the eyes from a superior to an inferior position
b. Parallel movement of both eyes
A 60-year-old man is at the clinic for an eye examination. The nurse suspects that he has ptosis of one
eye. How should the nurse check for this?
a. Perform the confrontation test.
b. Assess the individuals near vision.
c. Observe the distance between the palpebral fissures.
d. Perform the corneal light test, and look for symmetry of the light reflex.
c. Observe the distance between the palpebral fissures.
Ptosis is a drooping of the upper eyelid that would be apparent by observing the distance between the
upper and lower eyelids. The confrontation test measures peripheral vision. Measuring near vision or the
corneal light test does not check for ptosis.
22. When assessing the pupillary light reflex, the nurse should use which technique?
a. Shine a penlight from directly in front of the patient, and inspect for pupillary constriction.
b. Ask the patient to follow the penlight in eight directions, and observe for bilateral pupil constriction.
c. Shine a light across the pupil from the side, and observe for direct and consensual pupillary
constriction.
