“ MED SURG NEURO TEST BANK TEST BANK “ NEWEST
UPDATED EXAM 2025 – 2026 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION)
Med Surg/Neuro Test bank
A patient who presents for an eye examination is diagnosed as having a visual
acuity of 20/40. The patient asks the nurse what these numbers specifically
mean. What's the correct response by the nurse?
A) "A person whose vision is 20/40 can see an object from 40 feet away that a
person with 20/20 vision can see from 20 feet away."
B) "A person whose vision is 20/40 can see an object from 20 feet away that a
person with 20/20 vision can see from 40 feet away."
C) "A person whose vision is 20/40 can see an object from 40 inches away that
a person with 20/20 vision can see from 20 inches away
D) "A person whose vision is 20/40 can see an object from 20 inches away that
a person with 20/20 vision can see from 40 inches away."
B) "A person whose vision is 20/40 can see an object from 20 feet away that a
person with 20/20 vision can see from 40 feet away."
A patient comes to the ophthalmology clinic for an eye examination. The
patient tells the nurse that he often sees floaters in his vision. How should the
nurse best interpret this subjective assessment finding?
A) This is a normal aging process of the eye.
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B) Glasses will minimize this phenomenon.
C) The patient may be exhibiting signs of glaucoma.
D) This may be a result of weakened ciliary muscles.
A) This is a normal aging process of the eye.
The nurse's assessment of a patient with significant visual loss reveals that
the patient cannot count fingers. How should the nurse proceed with
assessment of the patient's visual acuity?
A) Assess the patient's vision using a Snellen chart.
B) Determine whether the patient is able to see the nurse's hand motion.
C) Perform a detailed examination of the patient's external eye structures.
D) Palpate the patient's periocular regions.
B) Determine whether the patient is able to see the nurse's hand motion.
5. A patient has informed the home health nurse that she has recently noticed
distortions when she looks at the Amsler grid that she has mounted on her
refrigerator. What is the nurse's most appropriate action?
A) Reassure the patient that this is an age-related change in vision
B) Arrange for the patient to have her visual acuity assessed.
C) Arrange for the patient to be assessed for macular degeneration. D)
Facilitate tonometry testing.
C) Arrange for the patient to be assessed for macular degeneration.
6. A 56-year-old patient has come to the clinic for a routine eye examination
and informed bifocals will be prescribed. The patient asks the nurse what
change in his eyes has caused a need for bifocals. How should the nurse
respond?
A) As you age, vision typically deteriorates to a point where many people
require bifocals.
B) "The parts of our eyes age, just like the rest of us, and this is nothing to
cause you to worry."
C) "There is a gradual thickening of the lens of the eye and it can limit the
eye's ability for accommodation."
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D) "The eye gets shorter, back to front, as we age and it changes how we see
things."
C) "There is a gradual thickening of the lens of the eye and it can limit the eye's
ability for accommodation."
8. The public health nurse is addressing eye health and vision projection
during an educational event. What statement by a participant best
demonstrates an understanding of threats to vision?
A) "I'm planning to avoid exposure to direct sunlight on my vacation."
B) "I've never exercised regularly, but I'm going to start working out at the gym
daily."
C) "I'm planning to talk with my pharmacist to review my current medications."
D) "I'm certainly going to keep a close eye on my blood pressure from now
on."
D) "I'm certainly going to keep a close eye on my blood pressure from now on."
7. An older adult patient has been diagnosed with macular degeneration and
the nurse is assessing for changes in visual acuity since last visit. When
assessing the patient for recent changes in visual acuity, the patient states
that the lines on an Amsler grid as being distorted. What is the nurse's most
appropriate response?
A) Ask if the patient has been using OTC vasoconstrictors.
B) Instruct the patient to repeat the test at different times of the day when at
home.
C) Arrange for the patient to visit an ophthalmologist .
D) Encourage the patient to adhere to prescribed drug regimen.
C) Arrange for the patient to visit an ophthalmologist .
Following a motorcycle accident, a 17-year-old man is brought to the ED. What
physical assessment findings related to the ear should be reported by the
nurse immediately?
A) The malleus can be visualized during otoscopic examination
B) The tympanic membrane is pearly gray.
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C) Tenderness is reported by the patient when the mastoid area is palpated.
D) Clear, watery fluid is draining from the patient's ear
D) Clear, watery fluid is draining from the patient's ear
10. A group of high school students is attending a concert, which will be at a
volume of 80 to 90 dB. What is a health consequence of this sound
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A) Hearing will not be affected by a decibel level in this range.
B) Hearing loss may occur with a decibel level in this range.
C) Sounds in this decibel level are not perceived to be
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D) Ear plugs will have no effect on these decibel levels.
B) Hearing loss may occur with a decibel level in this range.
11. The nurse is discussing the results of a patient's diagnostic testing with
the nurse practitioner. What Weber test result would indicate the presence of a
sensorineural loss?
A) The sound is heard better in the ear in which hearing is better.
B) The sound is heard equally in both ears.
C) The sound is heard better in the ear in which hearing is poorer.
D) The sound is heard longer in the ear in which hearing is better.
A) The sound is heard better in the ear in which hearing is better.
12. The advanced practice nurse is attempting to examine the patient's ear
with an otoscope. Because of impacted cerumen, the tympanic membrane
cannot be visualized. The nurse irrigates the patient's ear with a solution of
hydrogen peroxide water to remove the impacted cerumen. What nursing
intervention is most important to minimize nausea and vertigo during the
procedure?
A) Maintain the irrigation fluid at a warm temperature.
B) Instill short, sharp bursts of fluid into the ear canal.
C) Follow the procedure with insertion of a cerumen curette to extract missed