1. The priority nursing diagnosis for a patient experiencing an acute attack with
Meniere's disease is
a. risk for falls related to dizziness.
b. impaired verbal communication related to tinnitus.
c. self-care deficit (bathing and dressing) related to vertigo.
d. imbalanced nutrition: less than body requirements related to nausea.: a. risk for falls
related to dizziness.
2. .
An 82-year-old patient who is being admitted to the hospital repeatedly asks the nurse t
speak up so that I can hear you. Which action should the nurse take?
a. Overenunciate while speaking.
b. Speak normally but more slowly.
c. Increase the volume when speaking.
d. Use more facial expressions when talkin: b. Speak normally but more slowly.
3. Which statement by a patient with bacterial conjunctivitis indicates a need for
further teaching?
a. I will wash my hands often during the day.
b. I will remove my contact lenses at bedtime.
c. I will not share towels with my friends or family.
d. I will monitor my family for eye redness or drainage.: b. I will remove my contact lenses
at bedtime.
4. A 42-year-old woman with Meniere's disease is admitted with vertigo, nau- sea, and
vomiting. Which nursing intervention will be included in the care plan?
a. Dim the lights in the patients room.
b. Encourage increased oral fluid intake.
c. Change the patients position every 2 hours.
d. Keep the head of the bed elevated 30 degrees: a. Dim the lights in the patients room.
5. To decrease the risk for future hearing loss, which action should the nurse who is
working with college students at the on-campus health clinic imple- ment?
a. Arrange to include otoscopic examinations for all patients.
b. Administer influenza immunizations to all students at the clinic.
c. Discuss the importance of limiting exposure to amplified music.
d. Perform tympanometry on all patients between the ages of 18 to 24: c. Discuss
the importance of limiting exposure to amplified music.
, 6. Which action can the nurse working in the emergency department delegate to
experienced unlicensed assistive personnel (UAP)?
a. Ask a patient with decreased visual acuity about medications taken at home.
b. Perform Snellen testing of visual acuity for a patient with a history of
cataracts.
c. Obtain information from a patient about any history of childhood ear infec- tions.
d. Inspect a patients external ear for redness, swelling, or presence of skin lesion: b.
Perform Snellen testing of visual acuity for a patient with a history of cataracts.
7. Which equipment will the nurse obtain to perform a Rinne test?
a. Otoscope
b. Tuning fork
c. Audiometer
d. Ticking watch: b. Tuning fork
8. The charge nurse must intervene immediately if observing a nurse who is caring for
a patient with vestibular disease
a. speaking slowly to the patient.
b. facing the patient directly when speaking.
c. encouraging the patient to ambulate independently.
d. administering Rinne and Weber tests to the patient: c. encouraging the patient to
ambulate independently.
9. When the patient turns his head quickly during the admission assessment, the nurse
observes nystagmus. What is the indicated nursing action?
a. Assess the patient with a Rinne test.
b. Place a fall-risk bracelet on the patient.
c. Ask the patient to watch the mouths of staff when they are speaking.
d. Remind unlicensed assistive personnel to speak loudly to the patient: b. Place a
fall-risk bracelet on the patient.
10. A patient who underwent eye surgery is required to wear an eye patch until the
scheduled postoperative clinic visit. Which nursing diagnosis will the nurse include in the
plan of care?
a. Disturbed body image related to eye trauma and eye patch
b. Risk for falls related to temporary decrease in stereoscopic vision
c. Ineffective health maintenance related to inability to see surroundings
d. Ineffective denial related to inability to admit the impact of the eye injury: b. Risk for
falls related to temporary decrease in stereoscopic vision
Meniere's disease is
a. risk for falls related to dizziness.
b. impaired verbal communication related to tinnitus.
c. self-care deficit (bathing and dressing) related to vertigo.
d. imbalanced nutrition: less than body requirements related to nausea.: a. risk for falls
related to dizziness.
2. .
An 82-year-old patient who is being admitted to the hospital repeatedly asks the nurse t
speak up so that I can hear you. Which action should the nurse take?
a. Overenunciate while speaking.
b. Speak normally but more slowly.
c. Increase the volume when speaking.
d. Use more facial expressions when talkin: b. Speak normally but more slowly.
3. Which statement by a patient with bacterial conjunctivitis indicates a need for
further teaching?
a. I will wash my hands often during the day.
b. I will remove my contact lenses at bedtime.
c. I will not share towels with my friends or family.
d. I will monitor my family for eye redness or drainage.: b. I will remove my contact lenses
at bedtime.
4. A 42-year-old woman with Meniere's disease is admitted with vertigo, nau- sea, and
vomiting. Which nursing intervention will be included in the care plan?
a. Dim the lights in the patients room.
b. Encourage increased oral fluid intake.
c. Change the patients position every 2 hours.
d. Keep the head of the bed elevated 30 degrees: a. Dim the lights in the patients room.
5. To decrease the risk for future hearing loss, which action should the nurse who is
working with college students at the on-campus health clinic imple- ment?
a. Arrange to include otoscopic examinations for all patients.
b. Administer influenza immunizations to all students at the clinic.
c. Discuss the importance of limiting exposure to amplified music.
d. Perform tympanometry on all patients between the ages of 18 to 24: c. Discuss
the importance of limiting exposure to amplified music.
, 6. Which action can the nurse working in the emergency department delegate to
experienced unlicensed assistive personnel (UAP)?
a. Ask a patient with decreased visual acuity about medications taken at home.
b. Perform Snellen testing of visual acuity for a patient with a history of
cataracts.
c. Obtain information from a patient about any history of childhood ear infec- tions.
d. Inspect a patients external ear for redness, swelling, or presence of skin lesion: b.
Perform Snellen testing of visual acuity for a patient with a history of cataracts.
7. Which equipment will the nurse obtain to perform a Rinne test?
a. Otoscope
b. Tuning fork
c. Audiometer
d. Ticking watch: b. Tuning fork
8. The charge nurse must intervene immediately if observing a nurse who is caring for
a patient with vestibular disease
a. speaking slowly to the patient.
b. facing the patient directly when speaking.
c. encouraging the patient to ambulate independently.
d. administering Rinne and Weber tests to the patient: c. encouraging the patient to
ambulate independently.
9. When the patient turns his head quickly during the admission assessment, the nurse
observes nystagmus. What is the indicated nursing action?
a. Assess the patient with a Rinne test.
b. Place a fall-risk bracelet on the patient.
c. Ask the patient to watch the mouths of staff when they are speaking.
d. Remind unlicensed assistive personnel to speak loudly to the patient: b. Place a
fall-risk bracelet on the patient.
10. A patient who underwent eye surgery is required to wear an eye patch until the
scheduled postoperative clinic visit. Which nursing diagnosis will the nurse include in the
plan of care?
a. Disturbed body image related to eye trauma and eye patch
b. Risk for falls related to temporary decrease in stereoscopic vision
c. Ineffective health maintenance related to inability to see surroundings
d. Ineffective denial related to inability to admit the impact of the eye injury: b. Risk for
falls related to temporary decrease in stereoscopic vision
