AVN 2035 MED SURG 3 MIDTERM EXAM
QUESTIONS WITH CORRECT ANSWERS
The nurse is providing health promotion teaching to a group of older
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adults. Which information will the nurse include about routine
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glaucoma testing? - CORRECT ANSWER✔✔-A Tono-pen will be applied
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to the surface of the eye.
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Rationale: Glaucoma is caused by an increase in intraocular pressure,
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which would be measured using the Tono-pen; normal range is 10-21
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mmHg.
The nurse is performing an eye examination on a 76 year old patient.
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The nurse should refer the patient for a more extensive assessment
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based on which finding? - CORRECT ANSWER✔✔-The patient reports
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persistent photophobia. |
Rationale: Photophobia is not a normally occurring change with aging
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and would require further assessment.
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The nurse performing an eye examination will document normal
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findings for accommodation when .. - CORRECT ANSWER✔✔-The pupils
| | | | | | | | |
,constrict while fixating on an object being moved closer to the patient's
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eyes.
Rationale: Accommodation is defined as the ability of the lens to adjust
| | | | | | | | | | | |
to various distances. The pupils constrict while fixating on an object
| | | | | | | | | | |
being moved far away to near the eyes.
| | | | | | |
Which assessment finding alerts the nurse to provide patient teaching
| | | | | | | | | |
about cataract development? - CORRECT ANSWER✔✔-Blurred vision
| | | | | | |
and light sensitivity
| |
Rationale: Classic signs of cataracts include blurred and light sensitivity.
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Proteins in the lens deteriorate and clump together causing the lens to
| | | | | | | | | | | |
thicken/harden obstructing the passage of light through the lens to the | | | | | | | | | | |
retina.
Assessment of a patients visual acuity reveals that the left eye can see at
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20 feet what a person with normal vision can see at 50 feet and the
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right eye can see at 20 feet what a person with normal vision can see at
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40 feet. The nurse records which finding? - CORRECT ANSWER✔✔-a. OS
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20/50; OD 20/40 | |
Rationale : OS = left eye, OD "ojo derecho" = right eye, OU= both eyes.
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When documenting for visual acuity the first number indicates the
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standard (for normal vision) of 20 feet and the second number indicates
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, the line that the patient is able to read when standing 20 feet from the
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Snellen chart. |
When assessing a patients consensual pupil response, the nurse should
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- CORRECT ANSWER✔✔-Shine a light into one pupil and observe the
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response of both pupils. | | |
The nurse is observing a student who is preparing to perform an ear
| | | | | | | | | | | | |
examination for a 30 year old patient. The nurse will need to intervene if
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the student .. - CORRECT ANSWER✔✔-Chooses a speculum larger than
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the ear canal.
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Rationale: The speculum should be smaller than the ear canal so it can
| | | | | | | | | | | | |
be inserted without damage to the external ear canal.
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The nurse is assessing a 65 year old patient for presbyopia. Which
| | | | | | | | | | | |
instruction will the nurse give the patient before the test? - CORRECT
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ANSWER✔✔-"Hold this card and read the print out loud." | | | | | | | |
Rationale: The Jaeger card is used to assess near vision problems and
| | | | | | | | | | | |
presbyopia in persons over 40 years old age. The card should be held 14
| | | | | | | | | | | | | |
inches away from the eyes while the patient reads words in various print
| | | | | | | | | | | |
|sizes.
QUESTIONS WITH CORRECT ANSWERS
The nurse is providing health promotion teaching to a group of older
| | | | | | | | | | | |
adults. Which information will the nurse include about routine
| | | | | | | | |
glaucoma testing? - CORRECT ANSWER✔✔-A Tono-pen will be applied
| | | | | | | | |
to the surface of the eye.
| | | | | |
Rationale: Glaucoma is caused by an increase in intraocular pressure,
| | | | | | | | | |
which would be measured using the Tono-pen; normal range is 10-21
| | | | | | | | | | |
mmHg.
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✔✔-The patient reports
| | | | | | | | |
persistent photophobia. |
Rationale: Photophobia is not a normally occurring change with aging
| | | | | | | | | |
and would require further assessment.
| | | |
The nurse performing an eye examination will document normal
| | | | | | | | |
findings for accommodation when .. - CORRECT ANSWER✔✔-The pupils
| | | | | | | | |
,constrict while fixating on an object being moved closer to the patient's
| | | | | | | | | | | |
eyes.
Rationale: Accommodation is defined as the ability of the lens to adjust
| | | | | | | | | | | |
to various distances. The pupils constrict while fixating on an object
| | | | | | | | | | |
being moved far away to near the eyes.
| | | | | | |
Which assessment finding alerts the nurse to provide patient teaching
| | | | | | | | | |
about cataract development? - CORRECT ANSWER✔✔-Blurred vision
| | | | | | |
and light sensitivity
| |
Rationale: Classic signs of cataracts include blurred and light sensitivity.
| | | | | | | | | |
Proteins in the lens deteriorate and clump together causing the lens to
| | | | | | | | | | | |
thicken/harden obstructing the passage of light through the lens to the | | | | | | | | | | |
retina.
Assessment of a patients visual acuity reveals that the left eye can see at
| | | | | | | | | | | | |
20 feet what a person with normal vision can see at 50 feet and the
| | | | | | | | | | | | | | | |
right eye can see at 20 feet what a person with normal vision can see at
| | | | | | | | | | | | | | | |
40 feet. The nurse records which finding? - CORRECT ANSWER✔✔-a. OS
| | | | | | | | | | |
20/50; OD 20/40 | |
Rationale : OS = left eye, OD "ojo derecho" = right eye, OU= both eyes.
| | | | | | | | | | | | | | |
When documenting for visual acuity the first number indicates the
| | | | | | | | | |
standard (for normal vision) of 20 feet and the second number indicates
| | | | | | | | | | | |
, the line that the patient is able to read when standing 20 feet from the
| | | | | | | | | | | | | | |
Snellen chart. |
When assessing a patients consensual pupil response, the nurse should
| | | | | | | | |
- CORRECT ANSWER✔✔-Shine a light into one pupil and observe the
| | | | | | | | | | | |
response of both pupils. | | |
The nurse is observing a student who is preparing to perform an ear
| | | | | | | | | | | | |
examination for a 30 year old patient. The nurse will need to intervene if
| | | | | | | | | | | | |
the student .. - CORRECT ANSWER✔✔-Chooses a speculum larger than
| | | | | | | | | | |
the ear canal.
| | |
Rationale: The speculum should be smaller than the ear canal so it can
| | | | | | | | | | | | |
be inserted without damage to the external ear canal.
| | | | | | | |
The nurse is assessing a 65 year old patient for presbyopia. Which
| | | | | | | | | | | |
instruction will the nurse give the patient before the test? - CORRECT
| | | | | | | | | | | |
ANSWER✔✔-"Hold this card and read the print out loud." | | | | | | | |
Rationale: The Jaeger card is used to assess near vision problems and
| | | | | | | | | | | |
presbyopia in persons over 40 years old age. The card should be held 14
| | | | | | | | | | | | | |
inches away from the eyes while the patient reads words in various print
| | | | | | | | | | | |
|sizes.
