LAST PATHO EXAM QUESTIONS AND ANSWERS #21
The nurse is conducting hearing tests in a neighborhood clinic. The nurse isconcerned
about the number of young adult patients who exhibit signs of sensorineural
hearingloss. For which reason does the nurse suspect this type of hearing loss in this
population? - correct answer Prolonged exposure to loud noise
The nurse is collecting data from a patient with diabetes mellitus. The patient'smedical
history reveals multiple episodes of hyperglycemia requiring medical management.
Thepatient tells the nurse, "I just got new glasses, but I still do not see very well." Which
conditiondoes the nurse suspect? - correct answer Background retinopathy
The nurse is reinforcing teaching provided to a patient with primary open-
angleglaucoma (POAG) about symptoms to report. Which patient statement regarding
symptomsindicates a correct understanding of the teaching? - correct answer
"Headache and seeing halos around lights"
The nurse is assisting with the care of a patient being prepared for
emergencyintervention for a detached retina. If the nurse asks the patient about the
ability to maintain areclining position for 16 hours, which procedure is planned for this
patient? - correct answer Pneumatic retinopexy
The nurse is providing care for a patient with a sensorineural hearing loss.
Whichprescribed medications does the nurse question before administering medications
to this patient?(Select all that apply.) - correct answer Gentamicin Furosemide
Indomethacin
The nurse is collecting data from a patient with a detached retina. Which findings
doesthe nurse expect in this patient? (Select all that apply.) - correct answer Flashing
lights
Loss of peripheral vision
Loss of acuity in the affected eye
Which of the following is a sign of a detached retina? - correct answer No pain,
development of a dark area in the visual field
Which of the following is an example of conduction deafness? - correct answer
Adhesions reducing the movement of the ossicles
How does otosclerosis cause hearing loss? - correct answer Fixation of the stapes to
the oval window
Why does vertigo occur with Ménière's syndrome? - correct answer Excessive
endolymph impairs the function of hair cells in the labyrinth.
, Which of the following is often the first sign of ototoxicity from drugs or chemicals? -
correct answer Tinnitus
An infection that damages the auditory nerve can cause what type of hearing loss? -
correct answer Sensorineural
During accommodation, pupillary dilation partially compensates for the reduced size of
theretinal image by: - correct answer Increasing light entering the pupil
Diabetic and hypertensive retinopathy are both characterized by the appearance of: -
correct answer Intraretinal hemorrhages
As part of the community health department, a nurse is educating a group of
diabeticclients about prevention of blindness. Which of the following topics should be
coveredduring this class? Select all that apply. - correct answer A) Importance of yearly
eye examsc) Tight control of blood glucose levelsd) Keep BP below 130.85 (Am. Heart
Assoc. Guidelines)
A client has been diagnosed with open-angle glaucoma during routine eye exam. The
client has been prescribed a topical b-adrenergic antagonist. Client teaching about how
this drug works should include which of the following statements? B-adrenergic
antagonists: - correct answer Lower intraocular pressure by decreasing aqueous humor
production
Which of the following clients are at risk for developing and acute episode of angle-
closure glaucoma? Select all that apply. - correct answer A) A 60-year-old female
emotionally devastated after divorcing her husband of 35years
B) A soldier ordered to stay in a pitch-black cave to observe enemy militants for an
extended period of time
E) A surgical client who has received many doses of IV atropine to keep heart rate
above 50
During a routine 2-month checkup at the pediatric clinic, a mother expresses concern
thather son looks "cross-eyed." She asks if she need to put patches over his good
eye.Assessment reveals full eye movement, and the child uses each eye independently.
Thehealth care provider explains that the best treatment for the infant's eye problem is: -
correct answer To prepare for some surgery to correct this problem early on to correct
the eyemuscle disorder.
A new mother brings her infant to the clinic reporting that the child is not sleeping or
eating much. Upon assessment, the health care provider notes that the infant's ear
canal is reddened with a bulging tympanic membrane. Which other data collected would
lead to the diagnosis of acute otitis media (AOM)? Select all that apply. - correct answer
A) "Yes, he has been pulling at his ear."C) "He's been very irritable and fussy the past
couple of days."
The nurse is conducting hearing tests in a neighborhood clinic. The nurse isconcerned
about the number of young adult patients who exhibit signs of sensorineural
hearingloss. For which reason does the nurse suspect this type of hearing loss in this
population? - correct answer Prolonged exposure to loud noise
The nurse is collecting data from a patient with diabetes mellitus. The patient'smedical
history reveals multiple episodes of hyperglycemia requiring medical management.
Thepatient tells the nurse, "I just got new glasses, but I still do not see very well." Which
conditiondoes the nurse suspect? - correct answer Background retinopathy
The nurse is reinforcing teaching provided to a patient with primary open-
angleglaucoma (POAG) about symptoms to report. Which patient statement regarding
symptomsindicates a correct understanding of the teaching? - correct answer
"Headache and seeing halos around lights"
The nurse is assisting with the care of a patient being prepared for
emergencyintervention for a detached retina. If the nurse asks the patient about the
ability to maintain areclining position for 16 hours, which procedure is planned for this
patient? - correct answer Pneumatic retinopexy
The nurse is providing care for a patient with a sensorineural hearing loss.
Whichprescribed medications does the nurse question before administering medications
to this patient?(Select all that apply.) - correct answer Gentamicin Furosemide
Indomethacin
The nurse is collecting data from a patient with a detached retina. Which findings
doesthe nurse expect in this patient? (Select all that apply.) - correct answer Flashing
lights
Loss of peripheral vision
Loss of acuity in the affected eye
Which of the following is a sign of a detached retina? - correct answer No pain,
development of a dark area in the visual field
Which of the following is an example of conduction deafness? - correct answer
Adhesions reducing the movement of the ossicles
How does otosclerosis cause hearing loss? - correct answer Fixation of the stapes to
the oval window
Why does vertigo occur with Ménière's syndrome? - correct answer Excessive
endolymph impairs the function of hair cells in the labyrinth.
, Which of the following is often the first sign of ototoxicity from drugs or chemicals? -
correct answer Tinnitus
An infection that damages the auditory nerve can cause what type of hearing loss? -
correct answer Sensorineural
During accommodation, pupillary dilation partially compensates for the reduced size of
theretinal image by: - correct answer Increasing light entering the pupil
Diabetic and hypertensive retinopathy are both characterized by the appearance of: -
correct answer Intraretinal hemorrhages
As part of the community health department, a nurse is educating a group of
diabeticclients about prevention of blindness. Which of the following topics should be
coveredduring this class? Select all that apply. - correct answer A) Importance of yearly
eye examsc) Tight control of blood glucose levelsd) Keep BP below 130.85 (Am. Heart
Assoc. Guidelines)
A client has been diagnosed with open-angle glaucoma during routine eye exam. The
client has been prescribed a topical b-adrenergic antagonist. Client teaching about how
this drug works should include which of the following statements? B-adrenergic
antagonists: - correct answer Lower intraocular pressure by decreasing aqueous humor
production
Which of the following clients are at risk for developing and acute episode of angle-
closure glaucoma? Select all that apply. - correct answer A) A 60-year-old female
emotionally devastated after divorcing her husband of 35years
B) A soldier ordered to stay in a pitch-black cave to observe enemy militants for an
extended period of time
E) A surgical client who has received many doses of IV atropine to keep heart rate
above 50
During a routine 2-month checkup at the pediatric clinic, a mother expresses concern
thather son looks "cross-eyed." She asks if she need to put patches over his good
eye.Assessment reveals full eye movement, and the child uses each eye independently.
Thehealth care provider explains that the best treatment for the infant's eye problem is: -
correct answer To prepare for some surgery to correct this problem early on to correct
the eyemuscle disorder.
A new mother brings her infant to the clinic reporting that the child is not sleeping or
eating much. Upon assessment, the health care provider notes that the infant's ear
canal is reddened with a bulging tympanic membrane. Which other data collected would
lead to the diagnosis of acute otitis media (AOM)? Select all that apply. - correct answer
A) "Yes, he has been pulling at his ear."C) "He's been very irritable and fussy the past
couple of days."
