Visual and Auditory Problems Test
Questions and Answers
The nurse evaluates that wearing bifocals improved the patient's myopia and presbyopia by assessing
for
a. strength of the eye muscles.
b. both near and distant vision.
c. cloudiness in the eye lenses.
d. intraocular pressure changes. - Answer-ANS: B
The lenses are prescribed to correct the patient's near and distant vision. The nurse may also assess for
cloudiness of the lenses, increased intraocular pressure, and eye movement, but these data do not
evaluate whether the patient's bifocals are effective.
A nurse should instruct a patient with recurrent staphylococcal and seborrheic blepharitis to
a. irrigate the eyes with saline solution.
b. schedule an appointment for eye surgery.
c. use a gentle baby shampoo to clean the eyelids. d. apply cool compresses to the eyes three times
daily. - Answer-ANS: C
,Baby shampoo is used to soften and remove crusts associated with blepharitis. The other interventions
are not used in treating this disorder.
The safest technique for the nurse to use when assisting a blind patient in ambulating to the bathroom
is to
a. have the patient place a hand on the nurse's shoulder and guide the patient.
b. lead the patient slowly to the bathroom, holding on to the patient by the arm.
c. stay beside the patient and describe any obstacles on the path to the bathroom.
d. walk slightly ahead of the patient, allowing the patient to hold the nurse's elbow. - Answer-ANS: D
When using the sighted-guide technique, the nurse walks slightly in front and to the side of the patient
and has the patient hold the nurse's elbow. The other techniques are not as safe in assisting a blind
patient.
A nurse should include which instructions when teaching a patient with repeated hordeolum how to
prevent further infection?
a. Apply cold compresses.
b. Discard used eye cosmetics.
c. Wash the scalp and eyebrows with an antiseborrheic shampoo.
d. Be examined for recurrent sexually transmitted infections (STIs). - Answer-ANS: B
Hordeolum (styes) are commonly caused by Staphylococcus aureus, which may be present in cosmetics
that the patient is using. Warm compresses are recommended to treat hordeolum. Antiseborrheic
shampoos are recommended for seborrheic blepharitis. Patients with adult inclusion conjunctivitis,
which is caused by Chlamydia trachomatis, should be referred for STI testing.
The nurse developing a teaching plan for a patient with herpes simplex keratitis should include which
instruction?
, a. Wash hands frequently and avoid touching the eyes.
b. Apply antibiotic drops to the eye several times daily.
c. Apply a new occlusive dressing to the affected eye at bedtime.
d. Use corticosteroid ophthalmic ointment to decrease inflammation. - Answer-ANS: A
The best way to avoid the spread of infection from one eye to another is to avoid rubbing or touching
the eyes and to use careful hand washing when touching the eyes is unavoidable. Occlusive dressings
are not used for herpes keratitis. Herpes simplex is a virus, and antibiotic drops will not be prescribed.
Topical corticosteroids are immunosuppressive and typically are not ordered because they can
contribute to a longer course of infection and more complications.
Which teaching point should the nurse plan to include when caring for a patient whose vision is
corrected to 20/200?
a. How to access audio books
b. How to use a white cane safely
c. Where Braille instruction is available
d. Where to obtain hand-held magnifiers - Answer-ANS: D
Various types of magnifiers can enhance the remaining vision enough to allow the performance of many
tasks and activities of daily living. Audio books, Braille instruction, and canes usually are reserved for
patients with no functional vision.
The nurse is developing a plan of care for an adult patient diagnosed with adult inclusion conjunctivitis
(AIC) caused by Chlamydia trachomatis. Which action should be included in the plan of care?
a. Applying topical corticosteroids to decrease inflammation
b. Discussing the need for sexually transmitted infection testing
c. Educating about the use of antiviral eyedrops to treat the infection
d. Assisting with applying for community visual rehabilitation services - Answer-ANS: B
Patients with AIC have a high risk for concurrent genital Chlamydia infection and should be referred for
sexually transmitted infection testing. AIC is treated with antibiotics. Antiviral and corticosteroid
Questions and Answers
The nurse evaluates that wearing bifocals improved the patient's myopia and presbyopia by assessing
for
a. strength of the eye muscles.
b. both near and distant vision.
c. cloudiness in the eye lenses.
d. intraocular pressure changes. - Answer-ANS: B
The lenses are prescribed to correct the patient's near and distant vision. The nurse may also assess for
cloudiness of the lenses, increased intraocular pressure, and eye movement, but these data do not
evaluate whether the patient's bifocals are effective.
A nurse should instruct a patient with recurrent staphylococcal and seborrheic blepharitis to
a. irrigate the eyes with saline solution.
b. schedule an appointment for eye surgery.
c. use a gentle baby shampoo to clean the eyelids. d. apply cool compresses to the eyes three times
daily. - Answer-ANS: C
,Baby shampoo is used to soften and remove crusts associated with blepharitis. The other interventions
are not used in treating this disorder.
The safest technique for the nurse to use when assisting a blind patient in ambulating to the bathroom
is to
a. have the patient place a hand on the nurse's shoulder and guide the patient.
b. lead the patient slowly to the bathroom, holding on to the patient by the arm.
c. stay beside the patient and describe any obstacles on the path to the bathroom.
d. walk slightly ahead of the patient, allowing the patient to hold the nurse's elbow. - Answer-ANS: D
When using the sighted-guide technique, the nurse walks slightly in front and to the side of the patient
and has the patient hold the nurse's elbow. The other techniques are not as safe in assisting a blind
patient.
A nurse should include which instructions when teaching a patient with repeated hordeolum how to
prevent further infection?
a. Apply cold compresses.
b. Discard used eye cosmetics.
c. Wash the scalp and eyebrows with an antiseborrheic shampoo.
d. Be examined for recurrent sexually transmitted infections (STIs). - Answer-ANS: B
Hordeolum (styes) are commonly caused by Staphylococcus aureus, which may be present in cosmetics
that the patient is using. Warm compresses are recommended to treat hordeolum. Antiseborrheic
shampoos are recommended for seborrheic blepharitis. Patients with adult inclusion conjunctivitis,
which is caused by Chlamydia trachomatis, should be referred for STI testing.
The nurse developing a teaching plan for a patient with herpes simplex keratitis should include which
instruction?
, a. Wash hands frequently and avoid touching the eyes.
b. Apply antibiotic drops to the eye several times daily.
c. Apply a new occlusive dressing to the affected eye at bedtime.
d. Use corticosteroid ophthalmic ointment to decrease inflammation. - Answer-ANS: A
The best way to avoid the spread of infection from one eye to another is to avoid rubbing or touching
the eyes and to use careful hand washing when touching the eyes is unavoidable. Occlusive dressings
are not used for herpes keratitis. Herpes simplex is a virus, and antibiotic drops will not be prescribed.
Topical corticosteroids are immunosuppressive and typically are not ordered because they can
contribute to a longer course of infection and more complications.
Which teaching point should the nurse plan to include when caring for a patient whose vision is
corrected to 20/200?
a. How to access audio books
b. How to use a white cane safely
c. Where Braille instruction is available
d. Where to obtain hand-held magnifiers - Answer-ANS: D
Various types of magnifiers can enhance the remaining vision enough to allow the performance of many
tasks and activities of daily living. Audio books, Braille instruction, and canes usually are reserved for
patients with no functional vision.
The nurse is developing a plan of care for an adult patient diagnosed with adult inclusion conjunctivitis
(AIC) caused by Chlamydia trachomatis. Which action should be included in the plan of care?
a. Applying topical corticosteroids to decrease inflammation
b. Discussing the need for sexually transmitted infection testing
c. Educating about the use of antiviral eyedrops to treat the infection
d. Assisting with applying for community visual rehabilitation services - Answer-ANS: B
Patients with AIC have a high risk for concurrent genital Chlamydia infection and should be referred for
sexually transmitted infection testing. AIC is treated with antibiotics. Antiviral and corticosteroid
