PNR 201
PNR 201 Med Surg 1 Exam 2 NCLEX
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Answers Latest Update (2025/2026)
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A woman complains of eye itching, tearing, halos around lights, and
decreased central vision. Which symptom most clearly relates to
macular degeneration?
1. Eye itching
2. Tearing
3. Halos around lights
4. Decreased central vision - ANS ✓Correct Answer: 4
A decrease in central vision is most characteristic of macular
degeneration. (1) Eye itching, (2) tearing, and (3) halos around lights are
not symptoms of macular degeneration.
Before eye surgery, a patient is instructed to take stool softeners. When
asked about the rationale for taking the stool softener, an appropriate
response would be:
1. "The medication reduces the possibility of straining at stool
postoperatively."
2. "The medication prevents constipation caused by anesthetic agents."
3. "The medication cleanses the gastrointestinal tract."
4. "The medication enhances surgical recovery." - ANS ✓Correct
Answer: 1
Stool softeners help decrease the possibility of straining to pass stool.
Straining may cause increased intraocular pressure. Stool softeners are
not used for (2) reducing possible constipation from operative drugs, (3)
cleansing the gastrointestinal tract, or (4) enhancing recovery.
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What advice may you give to an aging adult to help prevent macular
degeneration? (Select all that apply.)
1. Do not smoke or quit if you do smoke.
2. Maintain a healthy weight; especially do not carry weight around the
waist.
3. Avoid bending or heavy lifting.
4. Drink with a straw. - ANS ✓Correct Answers: 1, 2
Smoking doubles the risk for macular degeneration. Excess weight—
especially around the waist—puts a person at increased risk as well. (3)
Bending at the waist and (4) drinking with or without a straw have no
associated risk for macular degeneration.
When a patient is receiving furosemide (Lasix) for a problem with
edema, which side effect relative to this drug is important to the patient's
health?
1. Decreased rate of respirations
2. Nausea
3. Constipation
4. Hearing loss - ANS ✓Correct Answer: 4
Lasix (furosemide) can cause tinnitus and hearing loss. (1) Lasix does
not affect respiratory rate. (2) Lasix is not associated with nausea. (3)
Diarrhea is associated with Lasix.
A nurse applies a vibrating tuning fork to the middle of a patient's
forehead. What response would indicate normal hearing?
1. Hearing the sound in the back of the head
2. Feeling a vibration but hearing no sound
3. Hearing the sound in the middle of the head
4. Feeling a vibration and hearing a sound in the temporal area - ANS
✓Correct Answer: 3
This is the Weber test, and hearing the sound in the middle of the head
is normal. (1) Hearing the sound in the back of the head is abnormal. (2)
Hearing no sound is abnormal. (4) Hearing a sound in the temporal area
is abnormal.
When administering ear drops to an adult, you would:
1. draw the pinna upward and toward the front of the head.
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2. draw the pinna upward and toward the back of the head.
3. pull the pinna downward and toward the front of the head.
4. pull the pinna downward and toward the back of the head. - ANS
✓Correct Answer: 2
Pulling the pinna up and backward straightens the ear canal on the
adult, allowing the drops to coat the whole canal and reach the eardrum.
(1) Pulling the pinna toward the front of the head will block the ear canal.
(3) Pulling the pinna down and frontward will not straighten the ear
canal. (4) Pulling the pinna down and backward will not straighten the
ear canal.
A patient returns 1 week after receiving hearing aids and states, "I guess
I may as well return these; I just cannot get used to them." What is an
appropriate nursing response?(Select all that apply.)
1. "Maybe a different type of hearing aid would be better for you."
2. "You have not been able to hear well for a long time. Adjusting to the
way you hear the sound through a hearing aid may take quite a bit of
time, but it will be worth it!"
3. "To adjust to the hearing aids, you must wear them most of the time.
Are you able to keep them in most of the time, or do you spend most of
your time without them?"
4. "My daughter adjusted to hers in just a few days. Something is not
right here." - ANS ✓Correct Answers: 2, 3
It can take several months to realize the full benefit of hearing aids. The
more a patient goes without them, the longer it will take to adjust. The
patient should be encouraged to keep trying. (1) It is too early to test
other aids. Test one hearing aid for several months. (4) People adjust to
hearing aids differently.
When communicating with a patient who is hearing impaired, you
should:(Select all that apply.)
1. sit at eye level facing the patient.
2. use a slightly higher tone than usual.
3. enunciate clearly.
4. speak directly into the patient's ear.
5. use simple, short sentences. - ANS ✓Correct Answers: 1, 3, 5
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