Question 1

A 65-year-old patient is being evaluated for glaucoma.Which information given by the patient has implications for the patient's treatment?

Accepted Answer

A)   "I use aspirin when I have a sinus headache."
B)   "I have had frequent episodes of conjunctivitis."
C)   "I take metoprolol (Lopressor)  daily for angina."
D)   "I have not had an eye examination for 10 years."E) B) and D)
F) A) and D)

Question 2

The nurse is performing an eye examination on a 76-year-old patient.The nurse should refer the patient for a more extensive assessment based on which finding?

Accepted Answer

A)   The patient's sclerae are light yellow.
B)   The patient reports persistent photophobia.
C)   The pupil recovers slowly after responding to a bright light.
D)   There is a whitish gray ring encircling the periphery of the iris.E) A) and B)
F) A) and C)

Question 3

The nurse recording health histories in the outpatient clinic would plan a focused hearing assessment for adult patients taking which medication?

Accepted Answer

A)   Atenolol (Tenormin)  taken to prevent angina
B)   Acetaminophen (Tylenol)  taken frequently for headaches
C)   Ibuprofen (Advil)  taken for 20 years to treat osteoarthritis
D)   Albuterol (Proventil)  taken since childhood to treat asthmaE) A) and B)
F) A) and C)

Question 4

Which action can the nurse working in the emergency department delegate to experienced unlicensed assistive personnel (UAP) ?

Accepted Answer

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 infections.
D)   Inspect a patient's external ear for redness, swelling, or presence of skin lesions.E) B) and C)
F) A) and D)

Question 5

The nurse is testing the visual acuity of a patient in the outpatient clinic.The nurse's instructions for this test include asking the patient to

Accepted Answer

A)   stand 20 feet from the wall chart.
B)   follow the examiner's finger with the eyes only.
C)   look at an object far away and then near to the eyes.
D)   look straight ahead while a light is shone into the eyes.E) All of the above
F) A) and D)

Question 6

The nurse in the eye clinic is examining a 67-year-old patient who says "I see small spots that move around in front of my eyes." Which action will the nurse take first?

Accepted Answer

A)   Immediately have the ophthalmologist evaluate the patient.
B)   Explain that spots and "floaters" are a normal part of aging.
C)   Inform the patient that these spots may indicate retinal damage.
D)   Use an ophthalmoscope to examine the posterior eye chambers.E) None of the above
F) A) and D)

Exam 21: Nursing Assessment: Visual and Auditory Systems

The nurse is testing the visual acuity of a patient in the outpatient clinic.The nurse's instructions for this test include asking the patient to

Correct Answer
verified

The nurse is performing an eye examination on a 76-year-old patient.The nurse should refer the patient for a more extensive assessment based on which finding?

Correct Answer
verified

The nurse recording health histories in the outpatient clinic would plan a focused hearing assessment for adult patients taking which medication?

Correct Answer
verified

A 65-year-old patient is being evaluated for glaucoma.Which information given by the patient has implications for the patient's treatment?

Correct Answer
verified

The nurse in the eye clinic is examining a 67-year-old patient who says "I see small spots that move around in front of my eyes." Which action will the nurse take first?

Correct Answer
verified

Which action can the nurse working in the emergency department delegate to experienced unlicensed assistive personnel (UAP) ?

Correct Answer
verified

Exam 21: Nursing Assessment: Visual and Auditory Systems

The nurse is testing the visual acuity of a patient in the outpatient clinic.The nurse's instructions for this test include asking the patient to

Correct AnswerverifiedShow Answer

The nurse is performing an eye examination on a 76-year-old patient.The nurse should refer the patient for a more extensive assessment based on which finding?

Correct AnswerverifiedShow Answer

The nurse recording health histories in the outpatient clinic would plan a focused hearing assessment for adult patients taking which medication?

Correct AnswerverifiedShow Answer

A 65-year-old patient is being evaluated for glaucoma.Which information given by the patient has implications for the patient's treatment?

Correct AnswerverifiedShow Answer

The nurse in the eye clinic is examining a 67-year-old patient who says "I see small spots that move around in front of my eyes." Which action will the nurse take first?

Correct AnswerverifiedShow Answer

Which action can the nurse working in the emergency department delegate to experienced unlicensed assistive personnel (UAP) ?

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified