Download MS Quiz #10 Eyes and Ears Exam with precise answers and more Exams Medicine in PDF only on Docsity!
MS |! Quiz |! #10 |! Eyes |! and |! Ears |! Exam |! with |!
precise |! answers
A |! nurse |! reads |! in |! a |! patient's |! history |! that |! the |! patient |! has |! experienced |! otalgia. |! How |! should |! the |! nurse |! interpret |! this |! term? a. |! Difficulty |! hearing b. |! Buildup |! of |! cerumen c. |! Ear |! pain d. |! Ringing |! in |! the |! ears |! - |! Correct |! answer |! ✔ANS: |! C A |! nurse |! is |! assisting |! with |! a |! caloric |! test |! and |! notes |! that |! the |! specific |! patient |! response |! that |! indicates |! a |! hearing |! disorder |! is |! a |! problem |! in |! the |! labyrinth. |! Which |! response |! did |! the |! nurse |! witness? a. |! Blinking b. |! Grimacing c. |! Headache d. |! Nystagmus |! - |! Correct |! answer |! ✔ANS: |! D A |! 75-year-old |! pt |! has |! normal |! age-related |! changes |! in |! his |! ear. |! What |! change |! should |! not |! be |! considered |! a |! normal |! change |! in |! the |! aging |! pt? a. |! Dry |! and |! wrinkled |! skin |! on |! the |! auricle b. |! Otitis |! externa c. |! Dry |! cerumen
d. |! Hair |! in |! the |! ear |! canal |! - |! Correct |! answer |! ✔ANS: |! B When |! making |! an |! initial |! assessment |! on |! a |! patient |! with |! a |! hearing |! deficit, |! the |! patient |! reports |! that |! he |! often |! feels |! off |! balance |! and |! is |! dizzy |! when |! he |! stands |! up. |! Which |! diagnosis |! might |! explain |! these |! symptoms? a. |! Sinus |! infection b. |! Rubella c. |! Otalgia d. |! Presbycusis |! - |! Correct |! answer |! ✔ANS: |! A A |! 94-year-old |! patient |! is |! receiving |! gentamicin |! sulfate |! (Garamycin) |! in |! a |! continuous |! intravenous |! (IV) |! infusion. |! The |! nurse |! adds |! to |! the |! nursing |! care |! plan |! the |! diagnosis |! "Risk |! for |! injury." What |! nursing |! action |! should |! be |! implemented? a. |! Pull |! side |! rails |! in |! place. b. |! Assist |! with |! ambulation. c. |! Measure |! intake |! and |! output. d. |! Provide |! for |! a |! possible |! seizure. |! - |! Correct |! answer |! ✔ANS: |! C A |! 75-year-old |! patient |! reports |! to |! a |! nurse |! that |! although |! she |! has |! cleaned |! her |! ears |! with |! cotton-tipped |! applicators |! for |! weeks, |! she |! still |! cannot |! hear |! her |! television |! unless |! the |! volume |! is |! loud, |! and |! she |! misses |! a |! great |! deal |! of |! conversations. |! What |! should |! the |! nurse |! anticipate |! when |! examining |! her |! ears? a. |! Otitis |! externa b. |! Purulent |! drainage
d. |! Cochlear |! defect |! - |! Correct |! answer |! ✔ANS: |! A A |! patient |! undergoing |! a |! Weber |! test |! says |! that |! the |! sound |! is |! louder |! in |! her |! left |! ear. |! What |! should |! this |! result |! indicate? a. |! Normal |! hearing b. |! Nerve |! damage |! from |! listening |! to |! loud |! music c. |! Blocked |! ear |! canal |! in |! the |! right |! ear d. |! Conductive |! hearing |! loss |! in |! the |! left |! ear |! - |! Correct |! answer |! ✔ANS: |! D Which |! instruction |! should |! a |! nurse |! include |! when |! providing |! patient |! teaching |! information |! for |! a |! patient |! who |! will |! be |! self-administering |! ear |! drops |! for |! an |! ear |! infection? a. |! Tip |! the |! affected |! ear |! up |! and |! keep |! it |! in |! that |! position |! for |! several |! minutes |! after |! instilling |! the |! medication. b. |! Keep |! the |! medication |! in |! the |! refrigerator |! to |! preserve |! it. |! Instill |! the |! medication |! with |! the |! affected |! ear |! tilted |! upward. c. |! Touch |! the |! dropper |! to |! the |! opening |! of |! the |! ear |! canal |! to |! ensure |! that |! the |! drops |! are |! correctly |! instilled. d. |! Warm |! the |! ear |! drops |! and |! then |! tilt |! the |! head |! downward. |! - |! Correct |! answer |! ✔ANS: |! A What |! nursing |! action |! should |! be |! implemented |! when |! irrigating |! a |! patient's |! ear? a. |! Straighten |! the |! ear |! canal |! and |! irrigate |! with |! a |! large-tipped |! bulb |! syringe. b. |! Direct |! the |! solution |! to |! the |! middle |! of |! the |! canal |! to |! avoid |! damaging |! the |! ear.
c. |! Use |! a |! body |! temperature |! solution |! and |! have |! the |! patient |! hold |! a |! basin |! under |! the |! ear while |! directing |! the |! solution |! toward |! the |! top |! of |! the |! canal. d. |! Repeat |! the |! irrigation |! with |! hotter |! water. |! - |! Correct |! answer |! ✔ANS: |! C A |! nursing |! report |! on |! a |! newly |! admitted |! pt |! who |! is |! profoundly |! deaf |! says |! that |! the |! pt |! is |! confused |! and |! difficult |! to |! assess |! because |! she |! does |! not |! appropriately |! respond |! to |! questions |! or |! sometimes |! fails |! to |! respond |! at |! all. |! What |! should |! be |! the |! first |! action |! of |! the |! oncoming |! nurse? a. |! Consider |! asking |! the |! physician |! to |! assess |! the |! patient |! for |! dementia. b. |! Assess |! the |! patient |! to |! determine |! whether |! her |! hearing |! aids |! are |! in. c. |! Report |! to |! the |! physician |! that |! the |! patient |! is |! exhibiting |! signs |! of |! the |! sundown |! syndrome. d. |! Assess |! the |! patient's |! medications |! to |! check |! for |! an |! overdose. |! - |! Correct |! answer |! ✔ANS: |! B Which |! nursing |! diagnosis |! is |! most |! appropriate |! for |! a |! patient |! having |! ear |! surgery? a. |! Disturbed |! body |! image b. |! Risk |! for |! injury c. |! Acute |! confusion d. |! Ineffective |! protection |! - |! Correct |! answer |! ✔ANS: |! B What |! significant |! instruction |! should |! a |! nurse |! include |! to |! a |! patient |! being |! discharged |! after |! ear |! surgery? a. |! Use |! stool |! softeners |! with |! caution.
c. |! Knowledge |! deficit, |! related |! to |! hearing |! impairment d. |! Anxiety, |! related |! to |! hearing |! impairment |! - |! Correct |! answer |! ✔ANS: |! B What |! information |! should |! a |! nurse |! stress |! when |! teaching |! a |! patient |! with |! Ménière |! disease |! about |! managing |! the |! disorder? a. |! Limiting |! fluid |! intake b. |! Avoiding |! the |! use |! of |! alcohol |! and |! tobacco c. |! Using |! antiemetic |! medications |! sparingly d. |! Staying |! active |! during |! the |! day |! - |! Correct |! answer |! ✔ANS: |! B An |! 85-year-old |! patient |! has |! had |! age-related |! changes |! in |! the |! cochlea. |! What |! is |! the |! most |! appropriate |! nursing |! action |! for |! the |! nurse |! to |! implement? a. |! Speak |! slowly. b. |! Provide |! assistance |! with |! ambulation. c. |! Speak |! in |! a |! lower |! tone. d. |! Communicate |! with |! the |! patient |! in |! writing. |! - |! Correct |! answer |! ✔ANS: |! B A |! patient |! comes |! to |! the |! primary |! care |! clinic |! complaining |! of |! a |! head |! cold |! and |! ear |! pain |! with |! drainage. |! What |! should |! the |! nurse |! suspect |! this |! patient |! is |! experiencing? a. |! Otitis |! externa b. |! Hearing |! loss c. |! Acute |! otitis |! media d. |! Mastoiditis |! - |! Correct |! answer |! ✔ANS: |! C
A |! young |! woman |! being |! admitted |! to |! the |! clinic |! service |! states |! that |! all |! the |! members |! of |! her |! family |! have |! been |! hard |! of |! hearing. |! She |! says |! her |! hearing |! loss |! became |! more |! pronounced |! when |! she was |! pregnant. |! What |! term |! explains |! this |! type |! of |! hearing |! loss? a. |! Otosclerosis b. |! Ototoxicity c. |! Otalgia d. |! Otitis |! media |! - |! Correct |! answer |! ✔ANS: |! A What |! should |! a |! nurse |! include |! when |! educating |! a |! patient |! with |! Ménière |! disease? a. |! "When |! you |! feel |! dizzy, |! just |! stay |! in |! bed |! and |! take |! your |! medications." b. |! "Decrease |! your |! sodium |! intake |! and |! take |! your |! diuretic |! medication |! between |! attacks." c. |! "Vestibular |! rehabilitation |! might |! help, |! and |! you |! can |! still |! drink |! your |! morning |! coffee." d. |! "Your |! vertigo |! will |! get |! better |! if |! you |! take |! your |! medications. |! You |! won't |! need |! any |! relaxation |! techniques." |! - |! Correct |! answer |! ✔ANS: |! B A |! 75-year-old |! patient |! reports |! having |! difficulty |! hearing |! in |! crowds |! but |! can |! hear |! just |! fine |! at |! home |! with |! his |! wife. |! What |! hearing |! disorder |! should |! the |! nurse |! suspect? a. |! Otitis |! media b. |! Presbycusis c. |! Ototoxicity
e. |! Speaks |! in |! a |! normal |! volume |! - |! Correct |! answer |! ✔ANS: |! A, |! C, |! E A |! nurse |! uses |! a |! diagram |! to |! show |! the |! physiologic |! sequence |! of |! hearing. |! After |! entering |! the |! external |! ear, |! the |! sound |! is |! then |! conducted |! through |! the |! (Arrange |! the |! options |! in |! sequence. |! Separate |! letters |! by |! a |! comma |! and |! space |! as |! follows: |! A, |! B, |! C, |! D.) A. |! tympanic |! membrane B. |! sensory |! receptors C. |! oval |! window D. |! acoustic |! nerve |! to |! the |! brain E. |! malleus, |! incus, |! and |! stapes |! - |! Correct |! answer |! ✔ANS: |! A, |! E, |! C, |! B, |! D A |! patient |! complains |! that |! his |! hearing |! aid |! is |! not |! working. |! What |! actions |! should |! a |! nurse |! implement |! to |! assess |! the |! device? |! (Select |! all |! that |! apply.) a. |! Check |! to |! see |! if |! the |! device |! is |! turned |! on. b. |! Clean |! the |! earpiece |! and |! remove |! cerumen |! clogged |! in |! the |! vent. c. |! Open |! the |! earpiece |! to |! see |! if |! the |! microphone |! wire |! is |! connected. d. |! Examine |! the |! interior |! of |! the |! earpiece |! for |! water. e. |! Validate |! that |! the |! battery |! is |! correctly |! placed. |! - |! Correct |! answer |! ✔ANS: |! A, |! B, |! E When |! planning |! care |! for |! a |! patient |! who |! cannot |! perceive |! or |! interpret |! sounds, |! a |! nurse |! takes |! into |! consideration |! that |! the |! patient |! may |! have |! a(n) |! _____ |! hearing |! loss. |! - |! Correct |! answer |! ✔ANS: |! central
A |! 60-year-old |! patient |! who |! has |! had |! an |! enucleation |! asks |! when |! he |! can |! get |! his |! prosthesis |! fitted. |! In |! approximately |! how |! many |! weeks |! should |! this |! patient |! expect |! to |! be |! fitted? a. |! 2 b. |! 4 c. |! 8 d. |! 12 |! - |! Correct |! answer |! ✔ANS: |! B A |! patient |! who |! has |! been |! taking |! opioid |! medication |! for |! postoperative |! pain |! exhibits |! pinpoint |! pupils. |! Which |! anatomic |! portion |! of |! the |! eye |! has |! been |! affected |! by |! the |! medication? a. |! Sclera b. |! Retina c. |! Choroid d. |! Bulbar |! conjunctiva |! - |! Correct |! answer |! ✔ANS: |! C Which |! portion |! of |! the |! eye |! makes |! it |! possible |! for |! a |! person |! to |! see |! in |! a |! darkened |! environment? a. |! Macula b. |! Rods c. |! Cones d. |! Optic |! nerve |! - |! Correct |! answer |! ✔ANS: |! B
d. |! He |! can |! see |! objects |! the |! best |! between |! 20 |! and |! 50 |! feet. |! - |! Correct |! answer |! ✔ANS: |! A Which |! intraocular |! pressure |! reading |! obtained |! by |! tonometry |! indicates |! a |! patient |! being |! evaluated |! for |! a |! visual |! impairment |! does |! not |! have |! glaucoma? a. |! 18 |! mm |! Hg b. |! 28 |! mm |! Hg c. |! 45 |! mm |! Hg d. |! 52 |! mm |! Hg |! - |! Correct |! answer |! ✔ANS: |! A What |! does |! a |! pneumatonometric |! study |! of |! the |! eye |! require? a. |! Regional |! anesthesia b. |! A |! pneumotonometer |! to |! be |! placed |! into |! the |! eye c. |! A |! puff |! of |! air |! directed |! at |! the |! surface |! of |! the |! eye d. |! An |! applanation |! performed |! with |! a |! slit-lamp |! microscope |! - |! Correct |! answer |! ✔ANS: |! C What |! is |! an |! appropriate |! nursing |! action |! to |! implement |! when |! performing |! eye |! irrigation? a. |! Ask |! the |! patient |! to |! tip |! up |! her |! head |! and |! run |! the |! irrigation |! fluid |! over |! her |! open |! eye. b. |! Direct |! the |! irrigating |! fluid |! from |! the |! inner |! canthus |! to |! the |! outer |! canthus. c. |! Not |! allow |! the |! patient |! to |! blink. d. |! Place |! the |! irrigating |! syringe |! directly |! onto |! the |! corner |! of |! the |! eye |! and |! allow |! the |! fluid |! to |! move |! across |! the |! eye. |! - |! Correct |! answer |! ✔ANS: |! B
What |! information |! should |! a |! nurse |! include |! when |! providing |! information |! to |! a |! patient |! using |! topical |! eye |! medications? a. |! Look |! upward |! and |! drop |! the |! medication |! into |! the |! inner |! canthus. b. |! Pull |! the |! lower |! eyelid |! down |! and |! drop |! the |! medication |! into |! the |! conjunctival |! sac. c. |! Hold |! both |! eyelids |! open |! and |! drop |! the |! medication |! onto |! the |! sclera. d. |! Tilt |! the |! head |! to |! the |! side |! and |! drop |! the |! medication |! into |! the |! outer |! canthus. |! - |! Correct |! answer |! ✔ANS: |! B What |! does |! electroretinography |! measure? a. |! A |! fluorescein |! dye |! is |! injected |! intravenously |! (IV) |! into |! a |! vein |! in |! the |! arm, |! and |! the |! retina |! is |! observed |! as |! the |! dye |! circulates. b. |! Electrodes |! are |! placed |! on |! the |! scalp, |! each |! eye |! is |! stimulated, |! and |! retinal |! activity |! is |! assessed. c. |! A |! small |! plunger |! is |! used |! to |! apply |! pressure |! on |! the |! sclera |! while |! the |! retinal |! vessels |! are |! evaluated. d. |! A |! contact |! lens |! electrode |! is |! placed |! on |! the |! eye |! and |! exposed |! to |! flashes |! of |! light |! to |! evaluate |! the |! retinal |! response. |! - |! Correct |! answer |! ✔ANS: |! D What |! information |! should |! a |! nurse |! relay |! to |! a |! patient |! when |! providing |! education |! about |! protecting |! vision? a. |! After |! 40 |! years |! of |! age, |! eye |! examinations |! should |! be |! performed |! every |! 2 |! years. b. |! Crusted |! eyelids |! on |! awakening |! are |! caused |! by |! decreased |! tear |! production. c. |! Floaters |! are |! a |! sign |! of |! eye |! infection.
c. |! Partially |! blind d. |! Visually |! impaired |! - |! Correct |! answer |! ✔ANS: |! D Which |! implementation |! is |! appropriate |! in |! the |! care |! plan |! for |! a |! visually |! impaired |! person? a. |! Leaving |! the |! bed |! in |! the |! highest |! position b. |! Keeping |! the |! door |! closed c. |! Announcing |! your |! presence |! when |! you |! enter |! and |! leave |! the |! room d. |! Leaving |! the |! radio |! on |! all |! the |! time |! to |! help |! pt |! know |! the |! time |! of |! day |! - |! Correct |! answer |! ✔ANS: |! C Which |! nursing |! diagnosis |! is |! not |! appropriate |! for |! a |! visually |! impaired |! pt? a. |! Impaired |! sensory |! perception b. |! Risk |! for |! delayed |! development c. |! Self-care |! deficit d. |! Ineffective |! coping |! - |! Correct |! answer |! ✔ANS: |! B A |! patient |! with |! glaucoma |! is |! taking |! a |! beta-adrenergic |! blocking |! agent, |! timolol |! (Timoptic). |! For |! which |! potential |! side |! effect |! should |! the |! nurse |! assess |! the |! patient? a. |! Wheezing b. |! Hypertension c. |! Sudden |! eye |! pain d. |! Blurred |! vision |! - |! Correct |! answer |! ✔ANS: |! A
A |! 52-year-old |! patient |! reports |! that |! he |! must |! hold |! his |! paper |! farther |! and |! farther |! away |! from |! his |! face |! to |! read |! it. |! What |! is |! the |! nurse's |! most |! informative |! response? a. |! "You |! are |! describing |! myopia. |! Glasses |! will |! help |! you |! read." b. |! "You |! may |! have |! astigmatism, |! but |! your |! eyes |! will |! finally |! adjust." c. |! "You |! have |! presbyopia. |! Nonprescription |! reading |! glasses |! will |! help |! you." d. |! "An |! eye |! infection |! may |! be |! the |! problem. |! Check |! with |! your |! physician |! for |! medication." |! - |! Correct |! answer |! ✔ANS: |! C A |! nurse |! explains |! that |! laser-assisted |! in |! situ |! keratomileusis |! (Lasik) |! and |! photorefractive |! keratectomy |! (PRK) |! are |! methods |! to |! correct |! refractive |! errors |! surgically. |! What |! do |! these |! procedures |! reshape? a. |! Cornea b. |! Lens c. |! Iris d. |! Pupil |! - |! Correct |! answer |! ✔ANS: |! A A |! patient |! reports |! to |! a |! home |! health |! care |! nurse |! of |! having |! cloudy |! vision |! and |! seeing |! spots |! and |! halos |! around |! lights. |! What |! should |! the |! nurse |! suspect |! based |! on |! these |! patient |! symptoms? a. |! Cataracts b. |! Glaucoma c. |! Detached |! retina d. |! Macular |! degeneration |! - |! Correct |! answer |! ✔ANS: |! A
c. |! Lasik |! surgery d. |! Scleral |! buckling |! - |! Correct |! answer |! ✔ANS: |! D A |! nurse |! assesses |! an |! 80-year-old |! patient |! for |! age-related |! changes |! to |! the |! eye. |! What |! potential |! changes |! should |! the |! nurse |! anticipate? |! (Select |! all |! that |! apply.) a. |! Decreased |! tear |! production b. |! Eyeball |! sunk |! deep |! in |! orbit c. |! Hyperopia d. |! Eye |! lashes |! diminished e. |! Arcus |! senilis |! - |! Correct |! answer |! ✔ANS: |! A, |! B, |! C, |! E What |! makes |! up |! the |! refractive |! media |! of |! the |! eye? |! (Select |! all |! that |! apply.) a. |! Aqueous |! humor b. |! Retina c. |! Vitreous |! humor d. |! Cornea e. |! Lens |! - |! Correct |! answer |! ✔ANS: |! A, |! C, |! D, |! E A |! patient |! who |! has |! had |! surgery |! this |! morning |! for |! cataracts |! is |! now |! going |! home. |! What |! should |! the |! nurse |! include |! when |! providing |! discharge |! instructions? |! (Select |! all |! that |! apply.) a. |! Sleep |! on |! the |! affected |! side. b. |! Use |! stool |! softeners. c. |! Avoid |! bending |! over.
d. |! Avoid |! lifting |! anything |! heavier |! than |! 5 |! lb. e. |! Do |! not |! wear |! an |! eye |! shield |! at |! night. |! - |! Correct |! answer |! ✔ANS: |! B, |! C, |! D What |! actions |! should |! a |! nurse |! implement |! when |! assessing |! a |! patient's |! accommodation? |! (Select |! all |! that |! apply.) a. |! Hold |! his |! or |! her |! finger |! approximately |! 20 |! inches |! in |! front |! of |! the |! patient's |! eyes. b. |! Observe |! for |! pupillary |! constriction. c. |! Assess |! for |! convergence. d. |! Note |! blinking. e. |! Move |! his |! or |! her |! finger |! slowly |! toward |! the |! patient's |! nose. |! - |! Correct |! answer |! ✔ANS: |! A, |! B, |! C, |! E A |! nurse |! assesses |! an |! 80-year-old |! patient |! for |! age-related |! changes |! to |! the |! eye. |! What |! potential |! changes |! should |! the |! nurse |! anticipate? |! (Select |! all |! that |! apply.) a. |! Decreased |! tear |! production b. |! Eyeball |! sunk |! deep |! in |! orbit c. |! Hyperopia d. |! Eye |! lashes |! diminished e. |! Arcus |! senilis |! - |! Correct |! answer |! ✔ANS: |! A, |! B, |! C, |! E A |! nurse |! uses |! a |! diagram |! to |! show |! the |! physiologic |! sequence |! of |! hearing. |! After |! entering |! the |! external |! ear, |! the |! sound |! is |! then |! conducted |! through |! the |! (Arrange |! the |! options |! in |! sequence. |! Separate |! letters |! by |! a |! comma |! and |! space |! as |! follows: |! A, |! B, |! C, |! D.)
