NUR 509 Exam 1 HEENT (Chapters 18-24) Questions With
Complete Solutions
A client, diagnosed with keratoconus, asks the nurse what
caused the disorder to develop. The nurse should instruct the
client on which of the following as risk factors for the
development of this disorder. Select all that apply:
A. Sun exposure
B. Ocular allergies
C. Wearing rigid contact lenses
D. Vigorous eye rubbing
E. Herpes simplex virus
F. Dry eyes
B. Ocular allergies
C. Wearing rigid contact lenses
D. Vigorous eye rubbing
Risk factors for the development of keratoconus include ocular
allergies, rigid contact lens wear, and vigorous eye rubbing
Sun exposure, herpes simplex, and dry eyes are not risk factors
for this disorder
A client is diagnosed with a vision disorder. The nurse realizes
that the client will experience an alteration in sensory
information because the eyes transmit what percentage of all
sensory information to the brain?
A. 30%
B. 50%
,C. 70%
D. 90%
C. 70%
Approximately 70% of all sensory information reaches the brain
through the eyes. The other percentages are incorrect
A client tells the nurse that she sees a shadow that is slowly
getting worse in her left eye. Which of the following should the
nurse do?
A. Instruct the client to return home to rest in bed
B. Encourage the client to continue with normal daily activities
C. Notify the ophthalmologist
D. Encourage fluids and saline drops
C. Notify the ophthalmologist
A client is diagnosed with strabismus. Which of the following
will the client most likely experience with this disorder?
A. Nystagmus
B. Diplopia
C. Aphakic vision
D. Ptosis
B. Diplopia
Diplopia, or double vision, is the primary symptom of
strabismus.
,Nystagmus is a disorder that causes involuntary rhythmic
movements in the eye.
Aphakic vision occurs when the lens of the eye is removed
Ptosis is drooping of the eyelid
A client is experiencing a gradual blurring of vision in both eyes
not associated with any pain. The nurse suspects the client is
experiencing:
A. Glaucoma
B. Cataracts
C. Macular degeneration
D. Retinal detachment
B. Cataracts
Cataracts occur as the opacity of the lens becomes cloudy,
blurring vision. It occurs in both eyes, but is usually worse in
one eye.
Gradual eye blurring is not associated with glaucoma, macular
degeneration, or retinal detachment
A client tells the nurse that he does not want to develop macular
degeneration like his mother. Which of the following should the
nurse instruct the client as being risk factors for the development
of this disorder? Select all that apply.
A. There is greater risk as people age
B. Women are at greater risk than men
C. African Americans are at greater risk than Caucasians
D. Family history of macular degeneration increases risk
, E. Smoking does not increase risk
F. Alcohol prevents onset of this disorder
A. There is greater risk as people age
B. Women are at greater risk than men
D. Family history of macular degeneration increases risk
Recent statistics show that macular degeneration is age related
and that women are at greater risk than men. Family history and
smoking are also significant risk factors. Caucasians are at
greater risk than African Americans. Alcohol does not prevent
the onset of this disorder
A client is receiving tests to diagnose glaucoma. Which of the
following diagnostic tests will be used to identify this disorder in
the client? Select all that apply.
A. Visual acuity
B. Visual field test
C. Tonometry
D. Weber test
E. Rinne test
F. Electroencephalpgram
A. Visual acuity
B. Visual field test
C. Tonometry
Glaucoma is determined through a comprehensive eye exam
including a visual acuity test, visual fields tests, and tonometry.
The Weber and Rinne tests are used in an ear assessment
Complete Solutions
A client, diagnosed with keratoconus, asks the nurse what
caused the disorder to develop. The nurse should instruct the
client on which of the following as risk factors for the
development of this disorder. Select all that apply:
A. Sun exposure
B. Ocular allergies
C. Wearing rigid contact lenses
D. Vigorous eye rubbing
E. Herpes simplex virus
F. Dry eyes
B. Ocular allergies
C. Wearing rigid contact lenses
D. Vigorous eye rubbing
Risk factors for the development of keratoconus include ocular
allergies, rigid contact lens wear, and vigorous eye rubbing
Sun exposure, herpes simplex, and dry eyes are not risk factors
for this disorder
A client is diagnosed with a vision disorder. The nurse realizes
that the client will experience an alteration in sensory
information because the eyes transmit what percentage of all
sensory information to the brain?
A. 30%
B. 50%
,C. 70%
D. 90%
C. 70%
Approximately 70% of all sensory information reaches the brain
through the eyes. The other percentages are incorrect
A client tells the nurse that she sees a shadow that is slowly
getting worse in her left eye. Which of the following should the
nurse do?
A. Instruct the client to return home to rest in bed
B. Encourage the client to continue with normal daily activities
C. Notify the ophthalmologist
D. Encourage fluids and saline drops
C. Notify the ophthalmologist
A client is diagnosed with strabismus. Which of the following
will the client most likely experience with this disorder?
A. Nystagmus
B. Diplopia
C. Aphakic vision
D. Ptosis
B. Diplopia
Diplopia, or double vision, is the primary symptom of
strabismus.
,Nystagmus is a disorder that causes involuntary rhythmic
movements in the eye.
Aphakic vision occurs when the lens of the eye is removed
Ptosis is drooping of the eyelid
A client is experiencing a gradual blurring of vision in both eyes
not associated with any pain. The nurse suspects the client is
experiencing:
A. Glaucoma
B. Cataracts
C. Macular degeneration
D. Retinal detachment
B. Cataracts
Cataracts occur as the opacity of the lens becomes cloudy,
blurring vision. It occurs in both eyes, but is usually worse in
one eye.
Gradual eye blurring is not associated with glaucoma, macular
degeneration, or retinal detachment
A client tells the nurse that he does not want to develop macular
degeneration like his mother. Which of the following should the
nurse instruct the client as being risk factors for the development
of this disorder? Select all that apply.
A. There is greater risk as people age
B. Women are at greater risk than men
C. African Americans are at greater risk than Caucasians
D. Family history of macular degeneration increases risk
, E. Smoking does not increase risk
F. Alcohol prevents onset of this disorder
A. There is greater risk as people age
B. Women are at greater risk than men
D. Family history of macular degeneration increases risk
Recent statistics show that macular degeneration is age related
and that women are at greater risk than men. Family history and
smoking are also significant risk factors. Caucasians are at
greater risk than African Americans. Alcohol does not prevent
the onset of this disorder
A client is receiving tests to diagnose glaucoma. Which of the
following diagnostic tests will be used to identify this disorder in
the client? Select all that apply.
A. Visual acuity
B. Visual field test
C. Tonometry
D. Weber test
E. Rinne test
F. Electroencephalpgram
A. Visual acuity
B. Visual field test
C. Tonometry
Glaucoma is determined through a comprehensive eye exam
including a visual acuity test, visual fields tests, and tonometry.
The Weber and Rinne tests are used in an ear assessment
