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Comprehensive Eye, Ear & Sleep Disorders NCLEX
Practice Questions 2025: High-Yield Nursing Test Bank with
Detailed Explanations
Key Features:
● 100+ up-to-date NCLEX-style multiple-choice questions
● Focused on Eye, Ear, and Sleep Disorders
● Detailed 100+ word explanations for every question
● Questions sourced from recent exams and trusted nursing sites
● Ideal for nursing students preparing for NCLEX-RN and other licensing exams
● Covers anatomy, pathophysiology, clinical manifestations, nursing interventions, and
pharmacology
● Clear formatting optimized for efficient study and revision
● Perfect for self-study, group review, and academic success
Compiled by:
Registered Nurse Expert and Tutor
, 2
Comprehensive Eye, Ear & Sleep Disorders NCLEX
Practice Questions 2025:
1. A nurse is caring for a client with acute angle-closure glaucoma. Which symptom is most
indicative of this condition?
A) Gradual vision loss
B) Night blindness
C) Severe eye pain with halos around lights
D) Dry eyes
The answer is: C) Severe eye pain with halos around lights
Explanation: Acute angle-closure glaucoma presents with sudden, severe eye pain,
blurred vision, halos around lights, headache, and nausea due to rapid increase in
intraocular pressure. It is an emergency that requires immediate intervention to prevent
permanent vision loss.
2. Which assessment finding is common in a client with sensorineural hearing loss?
A) Difficulty hearing low-frequency sounds
B) Difficulty understanding speech despite loud volume
C) Temporary ear pain
D) Presence of ear wax blockage
The answer is: B) Difficulty understanding speech despite loud volume
Explanation: Sensorineural hearing loss results from damage to the inner ear or auditory
nerve, causing problems understanding speech even when sounds are loud. This differs
from conductive hearing loss, which involves impaired sound conduction and difficulty
hearing faint sounds.
3. A nurse is teaching a client about obstructive sleep apnea (OSA). Which statement
indicates correct understanding?
A) “OSA is characterized by continuous breathing during sleep.”
B) “Weight loss can improve symptoms of OSA.”
C) “CPAP therapy helps keep my airway open at night.”
D) “Sleeping on my back reduces symptoms.”
The answer is: C) “CPAP therapy helps keep my airway open at night.”
Explanation: Continuous positive airway pressure (CPAP) is the primary treatment for
OSA, maintaining airway patency during sleep to prevent apneas. Weight loss also
improves symptoms, while sleeping on the back can worsen airway obstruction.
4. Which medication is commonly prescribed for chronic open-angle glaucoma?
A) Atropine drops
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B) Timolol eye drops
C) Corticosteroids
D) Antibiotic eye drops
The answer is: B) Timolol eye drops
Explanation: Timolol is a beta-blocker that decreases aqueous humor production,
lowering intraocular pressure. It is a first-line treatment for open-angle glaucoma.
Atropine is contraindicated because it can increase intraocular pressure.
5. A client reports ringing in the ears and dizziness. Which condition should the nurse
suspect?
A) Otitis media
B) External otitis
C) Meniere’s disease
D) Acoustic neuroma
The answer is: C) Meniere’s disease
Explanation: Meniere’s disease is characterized by episodic vertigo, tinnitus, hearing
loss, and a feeling of ear fullness due to abnormal inner ear fluid buildup. Management
includes symptom control and dietary sodium restriction.
6. Which of the following is a classic symptom of retinal detachment?
A) Eye redness
B) Gradual vision loss
C) Sudden onset of flashes and floaters
D) Eye pain
The answer is: C) Sudden onset of flashes and floaters
Explanation: Retinal detachment often presents with sudden flashes of light and floaters
in the visual field, followed by a shadow or curtain effect over vision. This is a medical
emergency requiring prompt surgical intervention.
7. What is the primary cause of conductive hearing loss?
A) Damage to the cochlea
B) Blockage in the external or middle ear
C) Damage to the auditory nerve
D) Central nervous system disorder
The answer is: B) Blockage in the external or middle ear
Explanation: Conductive hearing loss occurs when sound waves cannot reach the inner
ear due to obstruction such as earwax, fluid, or otitis media. It differs from sensorineural
loss, which involves nerve or cochlear damage.
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8. Which assessment finding is expected in a client with chronic otitis media?
A) Severe ear pain
B) Hearing loss with possible tympanic membrane perforation
C) Vertigo
D) Tinnitus
The answer is: B) Hearing loss with possible tympanic membrane perforation
Explanation: Chronic otitis media may cause hearing loss due to persistent middle ear
infection, sometimes leading to tympanic membrane perforation. Pain is usually less
severe than in acute otitis media.
9. A nurse is instructing a client about the use of a hearing aid. Which statement indicates
effective teaching?
A) “I should remove the hearing aid while sleeping.”
B) “I should adjust the volume to the highest level.”
C) “I should clean the hearing aid regularly.”
D) “I should use the hearing aid only when I feel like it.”
The answer is: C) “I should clean the hearing aid regularly.”
Explanation: Regular cleaning of hearing aids prevents infection and device
malfunction. Volume should be adjusted comfortably, and hearing aids should be used
consistently during waking hours for best results.
10.Which symptom is most common in clients with obstructive sleep apnea?
A) Insomnia
B) Nightmares
C) Loud snoring with daytime sleepiness
D) Restless leg syndrome
The answer is: C) Loud snoring with daytime sleepiness
Explanation: Obstructive sleep apnea commonly presents with loud snoring, episodes of
apnea, and excessive daytime sleepiness due to interrupted sleep cycles. It increases risks
for hypertension and cardiovascular disease.
11.A client with presbycusis is expected to experience which symptom?
A) Ear pain
B) Sudden hearing loss
C) Gradual loss of high-frequency sounds
D) Dizziness
The answer is: C) Gradual loss of high-frequency sounds
Explanation: Presbycusis is age-related sensorineural hearing loss, often causing
gradual decline in the ability to hear high-frequency sounds and difficulty understanding
Comprehensive Eye, Ear & Sleep Disorders NCLEX
Practice Questions 2025: High-Yield Nursing Test Bank with
Detailed Explanations
Key Features:
● 100+ up-to-date NCLEX-style multiple-choice questions
● Focused on Eye, Ear, and Sleep Disorders
● Detailed 100+ word explanations for every question
● Questions sourced from recent exams and trusted nursing sites
● Ideal for nursing students preparing for NCLEX-RN and other licensing exams
● Covers anatomy, pathophysiology, clinical manifestations, nursing interventions, and
pharmacology
● Clear formatting optimized for efficient study and revision
● Perfect for self-study, group review, and academic success
Compiled by:
Registered Nurse Expert and Tutor
, 2
Comprehensive Eye, Ear & Sleep Disorders NCLEX
Practice Questions 2025:
1. A nurse is caring for a client with acute angle-closure glaucoma. Which symptom is most
indicative of this condition?
A) Gradual vision loss
B) Night blindness
C) Severe eye pain with halos around lights
D) Dry eyes
The answer is: C) Severe eye pain with halos around lights
Explanation: Acute angle-closure glaucoma presents with sudden, severe eye pain,
blurred vision, halos around lights, headache, and nausea due to rapid increase in
intraocular pressure. It is an emergency that requires immediate intervention to prevent
permanent vision loss.
2. Which assessment finding is common in a client with sensorineural hearing loss?
A) Difficulty hearing low-frequency sounds
B) Difficulty understanding speech despite loud volume
C) Temporary ear pain
D) Presence of ear wax blockage
The answer is: B) Difficulty understanding speech despite loud volume
Explanation: Sensorineural hearing loss results from damage to the inner ear or auditory
nerve, causing problems understanding speech even when sounds are loud. This differs
from conductive hearing loss, which involves impaired sound conduction and difficulty
hearing faint sounds.
3. A nurse is teaching a client about obstructive sleep apnea (OSA). Which statement
indicates correct understanding?
A) “OSA is characterized by continuous breathing during sleep.”
B) “Weight loss can improve symptoms of OSA.”
C) “CPAP therapy helps keep my airway open at night.”
D) “Sleeping on my back reduces symptoms.”
The answer is: C) “CPAP therapy helps keep my airway open at night.”
Explanation: Continuous positive airway pressure (CPAP) is the primary treatment for
OSA, maintaining airway patency during sleep to prevent apneas. Weight loss also
improves symptoms, while sleeping on the back can worsen airway obstruction.
4. Which medication is commonly prescribed for chronic open-angle glaucoma?
A) Atropine drops
, 3
B) Timolol eye drops
C) Corticosteroids
D) Antibiotic eye drops
The answer is: B) Timolol eye drops
Explanation: Timolol is a beta-blocker that decreases aqueous humor production,
lowering intraocular pressure. It is a first-line treatment for open-angle glaucoma.
Atropine is contraindicated because it can increase intraocular pressure.
5. A client reports ringing in the ears and dizziness. Which condition should the nurse
suspect?
A) Otitis media
B) External otitis
C) Meniere’s disease
D) Acoustic neuroma
The answer is: C) Meniere’s disease
Explanation: Meniere’s disease is characterized by episodic vertigo, tinnitus, hearing
loss, and a feeling of ear fullness due to abnormal inner ear fluid buildup. Management
includes symptom control and dietary sodium restriction.
6. Which of the following is a classic symptom of retinal detachment?
A) Eye redness
B) Gradual vision loss
C) Sudden onset of flashes and floaters
D) Eye pain
The answer is: C) Sudden onset of flashes and floaters
Explanation: Retinal detachment often presents with sudden flashes of light and floaters
in the visual field, followed by a shadow or curtain effect over vision. This is a medical
emergency requiring prompt surgical intervention.
7. What is the primary cause of conductive hearing loss?
A) Damage to the cochlea
B) Blockage in the external or middle ear
C) Damage to the auditory nerve
D) Central nervous system disorder
The answer is: B) Blockage in the external or middle ear
Explanation: Conductive hearing loss occurs when sound waves cannot reach the inner
ear due to obstruction such as earwax, fluid, or otitis media. It differs from sensorineural
loss, which involves nerve or cochlear damage.
, 4
8. Which assessment finding is expected in a client with chronic otitis media?
A) Severe ear pain
B) Hearing loss with possible tympanic membrane perforation
C) Vertigo
D) Tinnitus
The answer is: B) Hearing loss with possible tympanic membrane perforation
Explanation: Chronic otitis media may cause hearing loss due to persistent middle ear
infection, sometimes leading to tympanic membrane perforation. Pain is usually less
severe than in acute otitis media.
9. A nurse is instructing a client about the use of a hearing aid. Which statement indicates
effective teaching?
A) “I should remove the hearing aid while sleeping.”
B) “I should adjust the volume to the highest level.”
C) “I should clean the hearing aid regularly.”
D) “I should use the hearing aid only when I feel like it.”
The answer is: C) “I should clean the hearing aid regularly.”
Explanation: Regular cleaning of hearing aids prevents infection and device
malfunction. Volume should be adjusted comfortably, and hearing aids should be used
consistently during waking hours for best results.
10.Which symptom is most common in clients with obstructive sleep apnea?
A) Insomnia
B) Nightmares
C) Loud snoring with daytime sleepiness
D) Restless leg syndrome
The answer is: C) Loud snoring with daytime sleepiness
Explanation: Obstructive sleep apnea commonly presents with loud snoring, episodes of
apnea, and excessive daytime sleepiness due to interrupted sleep cycles. It increases risks
for hypertension and cardiovascular disease.
11.A client with presbycusis is expected to experience which symptom?
A) Ear pain
B) Sudden hearing loss
C) Gradual loss of high-frequency sounds
D) Dizziness
The answer is: C) Gradual loss of high-frequency sounds
Explanation: Presbycusis is age-related sensorineural hearing loss, often causing
gradual decline in the ability to hear high-frequency sounds and difficulty understanding
