Updated Latest Test Bank for Introduction to Critical Care Nursing 8th Edition Sole, Klein & Moseley Comprehensive ICU Study Resource with Verified Answers 2026–2027.

Introduction to Critica Care Nursing 8th Edition F




Sole Klein Moseley Test Bank2025
1. Which information will the nurse include when teaching a patient about routine
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glaucoma testing? F




a.
The test involves reading a Snellen chart at a distance of 20 feet. b.
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Application of a Tono-pen to the surface of the eye will be needed. c.
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The examination includes checking the pupil's reaction to a bright light. d.
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Medications to dilate the pupil will be used before testing for glaucoma. - Answers>>ANS:
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B
Glaucoma is caused by an increase in intraocular pressure, which would be measured
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using the Tono-pen. The other techniques are used in testing for other eye disorders.
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10. In order to assess the visual acuity for a patient in the outpatient clinic, the nurse will
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need to obtain a (an)
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a. F



penlight. F



b.
Amsler grid. F F



c.
Snellen chart. F F



d.
ophthalmoscope. - Answers>>ANS: C F F F



The Snellen chart is used to check visual acuity. An ophthalmoscope, penlight, and
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Amsler grid also may be used during an eye examination, but they are not helpful in
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assessing visual acuity. F F




11. A patient being admitted to the hospital has an eye patch in place and tells the
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nurse "I had a recent eye injury, so I need to wear this patch for a few weeks." Which
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nursing diagnosis will the nurse include in the plan of care?
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a.
Risk for falls related to current decrease in stereoscopic vision b.
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Ineffective health maintenance related to inability to see surroundings
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c.
Disturbed body image related to eye trauma and need to wear eye patch d.
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,Ineffective denial related to inability to admit the impact of the eye injury - Answers>>ANS:
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A
The loss of stereoscopic vision created by the eye patch impairs the patient's ability to
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see in three dimensions and to judge distances. It also increases the risk for falls. There is
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no evidence in the assessment data for ineffective denial, disturbed body image, or
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ineffective health maintenance. F F




12. A patient in the eye clinic is scheduled for refractometry. Which information will the
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nurse include in patient teaching? F F F F




a.
"You will need to wear sunglasses for a few hours after the exam." b.
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"The surface of your eye will be numb while the doctor does the exam." c.
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"You should not take any of your eye medicines before the examination." d.
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"The doctor will shine a bright light into your eye during the examination." -
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Answers>>ANS: A F



The pupil is dilated by using cycloplegic medications during refractometry. This effect will
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last several hours and cause photophobia. The other teaching would not be appropriate
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for a patient who was having refractometry.
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13. The nurse is assessing a 48-year-old patient for presbyopia. Which equipment will
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the nurse need to obtain before the examination?
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a. F



Penlight
b.
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Tono-
pen c. F



Jaeger chart F F



d.
Snellen chart - Answers>>ANS: C F F F F



Presbyopia is the normal loss of near vision that occurs with age and is assessed using a
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Jaeger chart. The Snellen chart, penlight, and the Tono-pen are used when assessing for
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other visual disorders. F F




14. A patient arrives in the emergency department complaining of eye itching and pain
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caused by sleeping with contact lenses in place. To facilitate further examination of the
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eye, the nurse will anticipate the need for
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a.
a tonometer.
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b.
eye patching. F

,c.
a refractometer.
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d.
fluorescein dye. - Answers>>ANS: D F F F F



Eye itching and pain suggest a possible corneal abrasion or ulcer, which can be visualized
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using fluorescein dye. The other items listed would not be helpful in determining the
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cause of this patient's symptoms.
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15. During the nursing history, a patient complains of dizziness when bending over and
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of nausea and dizziness associated with physical activities. The nurse will plan to teach
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the patient about
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a. F



tympanometry. F



b.
rotary chair testing. F F F



c.
pure-tone audiometry. F F



d.
bone-conduction testing. - Answers>>ANS: B F F F F



The patient's clinical manifestations of dizziness and nausea suggest a disorder of the
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labyrinth, which controls balance and contains three semicircular canals and the
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vestibule. Rotary chair testing is used to test vestibular function. The other tests are
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used to test for problems with hearing.
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16. When the nurse is taking a health history of a new patient at the ear clinic, the
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patient states, "I always sleep with the radio on." Which follow-up question is most
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appropriate to obtain more information about possible hearing problems? F F F F F F F F




a.
"Do you grind your teeth at night?"
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b.
"What time do you usually fall asleep?" c.
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"Have you noticed any ringing in your ears?" d.
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"Are you ever dizzy when you are lying down?" - Answers>>ANS: C
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Patients with tinnitus may use masking techniques, such as playing a radio, to block out
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the ringing in the ears. The responses "Do you grind your teeth at night?" and "Have you
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noticed any ringing in your ears?" would be used to obtain information about other ear
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problems, such as vestibular disorders and referred temporomandibular joint (TMJ) pain.
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The response "What time do you usually fall asleep?" would not be helpful in assessing
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problems with the patient's ears. F F F F




17. Which finding by the nurse during the admission assessment for a patient may
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indicate that the patient is at risk for falls while hospitalized?
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, a.
Lateralization with Weber test b. F F F F



Positive result for Rinne testing c.
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Inability to hear a low-pitched whisper d.
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Nystagmus when head is turned rapidlY - Answers>>ANS: D
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Nystagmus suggests that the patient may have problems with balance related to
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disease of the vestibular system. The other tests are used to check hearing; abnormal
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results for these do not indicate potential problems with balance.
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18. When taking a health history from a new patient in the outpatient clinic, which
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information may indicate the need to perform a focused hearing assessment?
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a.
The patient uses albuterol (Proventil) for acute asthma.
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b.
The patient takes atenolol (Tenormin) to prevent angina. c.
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The patient uses acetaminophen (Tylenol) frequently for headaches. d.
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The patient has taken ibuprofen (Advil) for 20 years to treat arthritis. - Answers>>ANS: D
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Nonsteroidal anti-inflammatory drugs (NSAIDs) are potentially ototoxic. Acetaminophen,
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atenolol, and albuterol are not associated with hearing loss.
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19. Which action will the nurse include in the plan of care for a patient who has
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vestibular disease? F




a.
Check Rinne and Weber tests.
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b.
Face the patient when speaking. c.
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Enunciate clearly when speaking. d. F F F F



Monitor the patient's ability to ambulate safely. - Answers>>ANS: D
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Vestibular disease affects balance so the nurse should monitor the patient during
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activities that require balance. The other action might be used for patients with hearing
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disorders.

2. Which assessment information obtained by the nurse when performing an eye
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examination for a 78-year-old patient indicates that more extensive examination of the
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eyes is needed?
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