NUR 2960 NCLEX-RN EXAM 2026 UPDATED
EXAM 3 BUNDLE PRACTICE QUESTIONS
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The client diagnosed with glaucoma is prescribed a biotic cholinergic medication. Which data indicate
the medication has been effective?
a. No redness or irritation of the eyes
b. A decrease in intraocular pressure
c. The pupil reacts briskly to light
d. The client denies any type of floaters –
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Correct Answer :b. A decrease in intraocular pressure
Rationale: Both systemic and topical medications are used to decrease the intraocular pressure in the
eye, which causes glaucoma
The client is scheduled for laser-assisted in situ keratomileusis (LASIK) surgery for severe myopia.
Which instruction should the nurse discuss prior to the client's discharge from day surgery?
a. Wear bilateral eye patches for 3 days
b. Wear corrective lenses until the follow-up visit
c. Do not read any material for at least one week.
d. Teach the client how to instill corticosteroid ophthalmic drops. –
Correct Answer :d. Teach the client how to instill corticosteroid ophthalmic drops.
Rationale: LASIK surgery is an effective, safe, predictable surgery performed in day surgery; there is
minimal postoperative care. Instilling topical corticosteroid drops helps decrease inflammation and
edema of the eye
The client comes to the emergency department after splashing chemicals into the eye. Which
intervention should the nurse implement first?
a. Have the client move the eyes in all directions
b. Administer a broad-spectrum antibiotic
c. Irrigate the eyes with normal saline solution
d. Determine when the client had a tetanus shot. –
Correct Answer :c. Irrigate the eyes with normal saline solution
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Rationale: Before any further evaluation or treatment, the eyes must be thoroughly flushed with
sterile normal saline solution
Which statement indicates to the nurse the client is experiencing some hearing loss?
a. "I clean my ears every day after I take a shower".
b. "I keep turning up the sound on my television".
c. "My ears hurt, especially when I yawn"
d. " I get dizzy when I get up from the chair". –
Correct Answer :b. "I keep turning up the sound on my television".
Rationale: The need to turn up the volume on the television is an early sign of hearing impairment
Which risk factors should the nurse discuss with the client concerning reasons for hearing loss? SATA
a. Perforation of the tympanic membrane
b. Chronic exposure to loud noises
c. Recurrent ear infections
d. Use of nephrotoxic medications
e. Multiple piercings in the auricle –
Correct Answer :a. Perforation of the tympanic membrane
Rationale: The tympanic membrane is the eardrum, and if it is punctured it may lead to hearing loss
b. Chronic exposure to loud noises
Rationale: Loud persistent noise, such as heavy machinery, engines, and artillery, over time may cause
noise-induced hearing loss
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c. Recurrent ear infections
Rationale:Multiple ear infections scar the tympanic membrane, which can lead to hearing loss
The nurse is caring for a client diagnosed with acute otitis media. Which s/s support this medical
diagnosis?
a. Unilateral pain in the ear
b. Green, foul-smelling drainage
c. Sensation of congestion in the ear
d. Reports of hearing loss –
Correct Answer :a. Unilateral pain in the ear
Rationale: Otalgia (ear pain) is experienced by clients with otitis media
The client is diagnosed with Meniere's disease. Which statement indicates the client understands the
medical management for this disease?
a."After intravenous antibiotic therapy, I will be cured".
b. "I will have to use a hearing aid for the rest of my life".
c. "I must adhere to a low-sodium diet, 2,000 mg/day".
d. "I should sleep with the head of my bed elevated".
- Correct Answer :c. "I must adhere to a low-sodium diet, 2,000 mg/day".
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