NURSING 121 MORE EYE/EAR QUESTIONS WITH
ACCURATE ANSWERS
A client arrives at the hospital emergency department after an eye injury from a
chemical solution. Which action is the initial nursing action?
1. Irrigate the eye.
2. Test the eye pH with litmus paper.
3. Place a pressure dressing on the eye.
4. Cover the eye with sterile saline solution, and contact the health care provider
(HCP). correct answer 2. Test the eye pH with litmus paper.
A client arrives at the hospital emergency department and tells the nurse that
there is something in his eye. The nurse looks into the client's eye and notes that
the foreign body is visible and is not embedded. Which nursing action is
appropriate?
1. Irrigate the eye with normal saline.
2. Tell the client that the object will work its way out.
3. Tell the client that the surgeon will need to be called.
4. Touch the object gently with a cotton swab and lift it out. correct answer 4.
Touch the object gently with a cotton swab and lift it out.
A client arrives at the hospital emergency department and tells the nurse that
there is something in his eye. Which is the appropriate initial nursing action?
1. Irrigate the eye with normal saline.
2. Check the client's cornea and conjunctiva.
3. Tell the client that the object will work its way out.
,4. Tell the client that a surgeon will need to be called. correct answer 2. Check the
client's cornea and conjunctiva
A client arrives at the hospital emergency department for treatment of an injury
to the eye after being hit by a baseball bat. On assessment the nurse notes that
the eye is bleeding. The nurse should take which action initially?
1. Irrigate the eye.
2. Apply pressure to the eye.
3. Cover the eye with cold sterile saline gauze.
4. Send the client to the radiograph department for a skull series. correct answer
3. Cover the eye with cold sterile saline gauze.
A client comes to the hospital emergency department complaining of redness and
pain on the lower eyelid. A diagnosis of hordeolum is made. The nurse provides
instructions to the client regarding measures to treat the disorder. Which
statement made by the client would best indicate an understanding of these
home care treatment measures?
1. "Antibiotic ointments will not help this condition."
2. "I should apply cool compresses to the eye three times a day."
3. "I should apply warm compresses to the eye for 15 minutes four times a day."
4. "When the hordeolum comes to a head, I should try to press it to make it open
and drain." correct answer 3. "I should apply warm compresses to the eye for 15
minutes four times a day
A client has been diagnosed as having bilateral cataract formation. The nurse
plans care, knowing that this client has altered structure of which parts of the
eye?
1. Iris
, 2. Lens
3. Pupil
4. Cornea correct answer 2. Lens
A client has just had an eye examination and states that the vision test indicated
that the focal point of the light rays entering the eyes is behind the retina. The
nurse understands that this client is referring to which visual disturbance?
1. Myopia
2. Hyperopia
3. Astigmatism
4. Exophthalmos correct answer 2. Hyperopia
A client has sustained significant eye damage as a result of glaucoma and has
impaired vision. The nurse interprets that the client demonstrates a need for
further instruction in adapting to this impairment if the client makes which
statement?
1. "I won't have difficulty seeing if I drive at night."
2. "Night lights have been placed in the hallways at home."
3. "It's important for me to have periodic eye examinations."
4. "My family will drive me to my eye doctor's office when eye examinations are
needed." correct answer 1. "I won't have difficulty seeing if I drive at night."
A client has undergone cataract removal but has not received an intraocular
implant. The client is obviously upset because her vision is blurry. Which approach
should the nurse take to provide emotional support to the client?
1. Explore the meaning of the new permanent vision loss.
2. Determine whether any relatives have lost vision permanently.
ACCURATE ANSWERS
A client arrives at the hospital emergency department after an eye injury from a
chemical solution. Which action is the initial nursing action?
1. Irrigate the eye.
2. Test the eye pH with litmus paper.
3. Place a pressure dressing on the eye.
4. Cover the eye with sterile saline solution, and contact the health care provider
(HCP). correct answer 2. Test the eye pH with litmus paper.
A client arrives at the hospital emergency department and tells the nurse that
there is something in his eye. The nurse looks into the client's eye and notes that
the foreign body is visible and is not embedded. Which nursing action is
appropriate?
1. Irrigate the eye with normal saline.
2. Tell the client that the object will work its way out.
3. Tell the client that the surgeon will need to be called.
4. Touch the object gently with a cotton swab and lift it out. correct answer 4.
Touch the object gently with a cotton swab and lift it out.
A client arrives at the hospital emergency department and tells the nurse that
there is something in his eye. Which is the appropriate initial nursing action?
1. Irrigate the eye with normal saline.
2. Check the client's cornea and conjunctiva.
3. Tell the client that the object will work its way out.
,4. Tell the client that a surgeon will need to be called. correct answer 2. Check the
client's cornea and conjunctiva
A client arrives at the hospital emergency department for treatment of an injury
to the eye after being hit by a baseball bat. On assessment the nurse notes that
the eye is bleeding. The nurse should take which action initially?
1. Irrigate the eye.
2. Apply pressure to the eye.
3. Cover the eye with cold sterile saline gauze.
4. Send the client to the radiograph department for a skull series. correct answer
3. Cover the eye with cold sterile saline gauze.
A client comes to the hospital emergency department complaining of redness and
pain on the lower eyelid. A diagnosis of hordeolum is made. The nurse provides
instructions to the client regarding measures to treat the disorder. Which
statement made by the client would best indicate an understanding of these
home care treatment measures?
1. "Antibiotic ointments will not help this condition."
2. "I should apply cool compresses to the eye three times a day."
3. "I should apply warm compresses to the eye for 15 minutes four times a day."
4. "When the hordeolum comes to a head, I should try to press it to make it open
and drain." correct answer 3. "I should apply warm compresses to the eye for 15
minutes four times a day
A client has been diagnosed as having bilateral cataract formation. The nurse
plans care, knowing that this client has altered structure of which parts of the
eye?
1. Iris
, 2. Lens
3. Pupil
4. Cornea correct answer 2. Lens
A client has just had an eye examination and states that the vision test indicated
that the focal point of the light rays entering the eyes is behind the retina. The
nurse understands that this client is referring to which visual disturbance?
1. Myopia
2. Hyperopia
3. Astigmatism
4. Exophthalmos correct answer 2. Hyperopia
A client has sustained significant eye damage as a result of glaucoma and has
impaired vision. The nurse interprets that the client demonstrates a need for
further instruction in adapting to this impairment if the client makes which
statement?
1. "I won't have difficulty seeing if I drive at night."
2. "Night lights have been placed in the hallways at home."
3. "It's important for me to have periodic eye examinations."
4. "My family will drive me to my eye doctor's office when eye examinations are
needed." correct answer 1. "I won't have difficulty seeing if I drive at night."
A client has undergone cataract removal but has not received an intraocular
implant. The client is obviously upset because her vision is blurry. Which approach
should the nurse take to provide emotional support to the client?
1. Explore the meaning of the new permanent vision loss.
2. Determine whether any relatives have lost vision permanently.
