NUR 130 ACTUAL FINALS QUESTIONS AND
ANSWERS SET A+
✔✔A client is seen in the ophthalmology clinic with bacterial conjunctivitis. Which
statements by the client indicate a good understanding of home management of this
condition? (Select all that apply.) - ✔✔i will throw away all my eye make-up when i get
home, when the infection if gone i can wear my contacts again
✔✔A nurse is seeing clients in the ophthalmology clinic. Which client should the nurse
see first? - ✔✔Client who has had cataract surgery and has worsening vision
✔✔A client is taking timolol (Timoptic) eyedrops. The nurse assesses the clients pulse
at 48 beats/min. What action by the nurse is the priority? - ✔✔Hold the eyedrops and
notify the provider.
✔✔A client who is near blind is admitted to the hospital. What action by the nurse is
most important? - ✔✔Orient the patient to the room using a focal point
✔✔A client had a retinal detachment and has undergone surgical correction. What
discharge instruction is most important? - ✔✔Avoid reading, writing, or close work such
as sewing
✔✔A client does not understand why vision loss due to glaucoma is irreversible. What
explanation by the nurse is best? - ✔✔Because eye pressure was too high, the tissue
died.
✔✔An older client has decided to give up driving due to cataracts. What assessment
information is most important to collect? - ✔✔Feelings related to loss of driving
✔✔The nursing student learns that age-related changes affect the eyes and vision.
Which changes does this include? (Select all that apply.) - ✔✔Decreased eye muscle
, tone, Decrease in general color perception, Increase in point of near vision,
Development of arcus senilis
✔✔The student learning about vision should remember which facts related to the eyes?
(Select all that apply.) - ✔✔Aqueous humor controls intraocular pressure, glaucoma
occurs due to increased pressure in the eye, muscles of the iris control light entering the
eye, rods work in low light settings
✔✔A nurse who is applying eyedrops to a client holds pressure against the corner of
the eye nearest the nose after instilling the drops. The client asks what the nurse is
doing. What response by the nurse is best? - ✔✔This avoids systemic absorption
✔✔A nurse is dismissing a client from the emergency department who has a mild
traumatic brain injury. What information obtained from the client represents a possible
barrier to self-management? (Select all that apply.) - ✔✔Is allergic to acetaminophen
(Tylenol), Lives alone and is new in town with no friends, Plans to have a beer and go to
bed once home
✔✔A nurse is seeing many clients in the neurosurgical clinic. With which clients should
the nurse plan to do more teaching? (Select all that apply.) - ✔✔Client with an
aneurysm coil placed 2 months ago who is taking ibuprofen (Motrin) for sinus
headaches, Client with an aneurysm clip who states that his family is happy there is no
chance of recurrence
✔✔A client has a small-bore feeding tube (Dobhoff tube) inserted for continuous enteral
feedings while recovering from a traumatic brain injury. What actions should the nurse
include in the clients care? (Select all that apply.) - ✔✔Assess tube placement per
agency policy, Keep the head of the bed elevated at least 30 degrees, listen to lung
sounds at least every 4 hours, run continuous feeds on the feeding pump
✔✔A nurse is working with many stroke clients. Which clients would the nurse consider
referring to a mental health provider on discharge? (Select all that apply.) - ✔✔Client
who exhibits extreme emotional lability, Client with an initial National Institutes of Health
(NIH) Stroke Scale score of 38, Client who has a past hospitalization for a suicide
attempt, Client who is unable to walk or eat 3 weeks post-stroke
✔✔A client has meningitis following brain surgery. What comfort measures may the
nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.) -
✔✔Applying a cool washcloth to the head, Assisting the client to a position of comfort,
Keeping voices soft and soothing, Maintaining low lighting in the room
✔✔A nurse cares for older clients who have traumatic brain injury. What should the
nurse understand about this population? (Select all that apply.) - ✔✔Admission can
ANSWERS SET A+
✔✔A client is seen in the ophthalmology clinic with bacterial conjunctivitis. Which
statements by the client indicate a good understanding of home management of this
condition? (Select all that apply.) - ✔✔i will throw away all my eye make-up when i get
home, when the infection if gone i can wear my contacts again
✔✔A nurse is seeing clients in the ophthalmology clinic. Which client should the nurse
see first? - ✔✔Client who has had cataract surgery and has worsening vision
✔✔A client is taking timolol (Timoptic) eyedrops. The nurse assesses the clients pulse
at 48 beats/min. What action by the nurse is the priority? - ✔✔Hold the eyedrops and
notify the provider.
✔✔A client who is near blind is admitted to the hospital. What action by the nurse is
most important? - ✔✔Orient the patient to the room using a focal point
✔✔A client had a retinal detachment and has undergone surgical correction. What
discharge instruction is most important? - ✔✔Avoid reading, writing, or close work such
as sewing
✔✔A client does not understand why vision loss due to glaucoma is irreversible. What
explanation by the nurse is best? - ✔✔Because eye pressure was too high, the tissue
died.
✔✔An older client has decided to give up driving due to cataracts. What assessment
information is most important to collect? - ✔✔Feelings related to loss of driving
✔✔The nursing student learns that age-related changes affect the eyes and vision.
Which changes does this include? (Select all that apply.) - ✔✔Decreased eye muscle
, tone, Decrease in general color perception, Increase in point of near vision,
Development of arcus senilis
✔✔The student learning about vision should remember which facts related to the eyes?
(Select all that apply.) - ✔✔Aqueous humor controls intraocular pressure, glaucoma
occurs due to increased pressure in the eye, muscles of the iris control light entering the
eye, rods work in low light settings
✔✔A nurse who is applying eyedrops to a client holds pressure against the corner of
the eye nearest the nose after instilling the drops. The client asks what the nurse is
doing. What response by the nurse is best? - ✔✔This avoids systemic absorption
✔✔A nurse is dismissing a client from the emergency department who has a mild
traumatic brain injury. What information obtained from the client represents a possible
barrier to self-management? (Select all that apply.) - ✔✔Is allergic to acetaminophen
(Tylenol), Lives alone and is new in town with no friends, Plans to have a beer and go to
bed once home
✔✔A nurse is seeing many clients in the neurosurgical clinic. With which clients should
the nurse plan to do more teaching? (Select all that apply.) - ✔✔Client with an
aneurysm coil placed 2 months ago who is taking ibuprofen (Motrin) for sinus
headaches, Client with an aneurysm clip who states that his family is happy there is no
chance of recurrence
✔✔A client has a small-bore feeding tube (Dobhoff tube) inserted for continuous enteral
feedings while recovering from a traumatic brain injury. What actions should the nurse
include in the clients care? (Select all that apply.) - ✔✔Assess tube placement per
agency policy, Keep the head of the bed elevated at least 30 degrees, listen to lung
sounds at least every 4 hours, run continuous feeds on the feeding pump
✔✔A nurse is working with many stroke clients. Which clients would the nurse consider
referring to a mental health provider on discharge? (Select all that apply.) - ✔✔Client
who exhibits extreme emotional lability, Client with an initial National Institutes of Health
(NIH) Stroke Scale score of 38, Client who has a past hospitalization for a suicide
attempt, Client who is unable to walk or eat 3 weeks post-stroke
✔✔A client has meningitis following brain surgery. What comfort measures may the
nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.) -
✔✔Applying a cool washcloth to the head, Assisting the client to a position of comfort,
Keeping voices soft and soothing, Maintaining low lighting in the room
✔✔A nurse cares for older clients who have traumatic brain injury. What should the
nurse understand about this population? (Select all that apply.) - ✔✔Admission can
