NUR 170 Exam 2 a Version a – 2026/2027
Edition – Complete 50 Questions and Verified
Correct Answers
Questions with Step-by-Step Answers | 100% Verified | A+ Graded Review
OVERVIEW:
This NUR 170 Exam 2 a Version a – 2026/2027 covers sensory, neurological and
respiratory systems. Key topics include hearing loss, glaucoma, pilocarpine,
retinal detachment, macular degeneration, cataract, multiple sclerosis,
Parkinson's, benztropine, stroke management, TPA, ICP, migraine, cranial nerves,
thoracentesis, asthma, COPD, ABGs, tracheostomy, tuberculosis, influenza and
pneumonia management. With pharmacology, safety, and interdisciplinary care
priorities included for exam preparation.
Answers are in bold Green, with rationales after.
1. The nurse is caring for a client who has hearing loss in the left ear.
Which of the following nursing actions should the nurse take?
a. Move closer to the client's right ear when speaking.
b. Over-articulate words to improve client understanding.
c. Ask the client if they understand what is said.
d. Use exaggerated hand motions.
Rationale: Speak toward unaffected ear at normal volume, face client,
reduce background noise. Over-articulation and exaggerated motions
distort lip reading.
,2. The nurse is teaching a client who has open-angle glaucoma about self-
administration of pilocarpine. Which statement indicates correct
understanding?
a. "I should expect increased salivation immediately after use of this
medication."
b. "I should decrease the lighting in my room since this medication can
make it difficult to see objects in bright light."
c. "I will wait 30 seconds between instilling pilocarpine and my other
prescribed eyedrops."
d. "I will place pressure on the inner corner of my eye immediately
after instilling the eyedrops."
Rationale: Pilocarpine is a miotic. Perform punctal occlusion: press
inner canthus 1-2 min after instillation to reduce systemic absorption.
Wait 5-10 min between different drops.
3. The nurse is assessing a client who has a suspected retinal detachment.
Which client statement is consistent with this diagnosis?
a. "I have the sensation of a curtain being pulled over my vision."
b. "I am having a gradual loss of vision that is foggy."
c. "I have a sharp, sudden onset of pain in my eye."
d. "I am seeing colored halos around lights."
Rationale: Retinal detachment: painless, curtain/veil, sudden floaters
and flashes. Pain + halos = acute angle-closure glaucoma. Foggy
gradual loss = cataract.
4. The nurse is taking a history on a client who has seizures. The nurse
questions regarding any aura prior to seizures. Which client statement
should be identified as an aura?
a. "My muscles become very stiff."
b. "I notice the smell of an offensive odor."
, c. "My face gets warm and flushed."
d. "I feel very weak and fatigued."
Rationale: Aura = focal aware sensory prodrome: olfactory
hallucination, visual changes, deja vu. Stiffness = tonic phase, fatigue =
postictal.
5. The home health nurse is visiting an older adult who reports distortions
in vision when reading. Which action should the nurse take?
a. Refer the client to the ophthalmologist for an eye exam.
b. Encourage the client to use large-print books for reading.
c. Encourage the client to purchase glasses made for reading.
d. Reassure the client that this is a normal age-related finding.
Rationale: Metamorphopsia when reading suggests macular
degeneration, not normal presbyopia. Urgent ophthalmology referral +
Amsler grid testing.
6. The clinic nurse is caring for a client being discharged after cataract
surgery. Which statement should be reported to the PHCP immediately?
a. "My eye hurts a bit when I blink."
b. "I have some clear discharge from my eye that I noticed right after
surgery."
c. "I have flashes of light in my field of vision."
d. "My vision is a little blurry."
Rationale: Flashes of light post cataract surgery may indicate retinal
detachment – surgical emergency. Mild pain and blur are expected.
7. The nurse is assessing a client who has multiple sclerosis (MS). Which is
an expected finding?
a. Involuntary tremors at rest.
Edition – Complete 50 Questions and Verified
Correct Answers
Questions with Step-by-Step Answers | 100% Verified | A+ Graded Review
OVERVIEW:
This NUR 170 Exam 2 a Version a – 2026/2027 covers sensory, neurological and
respiratory systems. Key topics include hearing loss, glaucoma, pilocarpine,
retinal detachment, macular degeneration, cataract, multiple sclerosis,
Parkinson's, benztropine, stroke management, TPA, ICP, migraine, cranial nerves,
thoracentesis, asthma, COPD, ABGs, tracheostomy, tuberculosis, influenza and
pneumonia management. With pharmacology, safety, and interdisciplinary care
priorities included for exam preparation.
Answers are in bold Green, with rationales after.
1. The nurse is caring for a client who has hearing loss in the left ear.
Which of the following nursing actions should the nurse take?
a. Move closer to the client's right ear when speaking.
b. Over-articulate words to improve client understanding.
c. Ask the client if they understand what is said.
d. Use exaggerated hand motions.
Rationale: Speak toward unaffected ear at normal volume, face client,
reduce background noise. Over-articulation and exaggerated motions
distort lip reading.
,2. The nurse is teaching a client who has open-angle glaucoma about self-
administration of pilocarpine. Which statement indicates correct
understanding?
a. "I should expect increased salivation immediately after use of this
medication."
b. "I should decrease the lighting in my room since this medication can
make it difficult to see objects in bright light."
c. "I will wait 30 seconds between instilling pilocarpine and my other
prescribed eyedrops."
d. "I will place pressure on the inner corner of my eye immediately
after instilling the eyedrops."
Rationale: Pilocarpine is a miotic. Perform punctal occlusion: press
inner canthus 1-2 min after instillation to reduce systemic absorption.
Wait 5-10 min between different drops.
3. The nurse is assessing a client who has a suspected retinal detachment.
Which client statement is consistent with this diagnosis?
a. "I have the sensation of a curtain being pulled over my vision."
b. "I am having a gradual loss of vision that is foggy."
c. "I have a sharp, sudden onset of pain in my eye."
d. "I am seeing colored halos around lights."
Rationale: Retinal detachment: painless, curtain/veil, sudden floaters
and flashes. Pain + halos = acute angle-closure glaucoma. Foggy
gradual loss = cataract.
4. The nurse is taking a history on a client who has seizures. The nurse
questions regarding any aura prior to seizures. Which client statement
should be identified as an aura?
a. "My muscles become very stiff."
b. "I notice the smell of an offensive odor."
, c. "My face gets warm and flushed."
d. "I feel very weak and fatigued."
Rationale: Aura = focal aware sensory prodrome: olfactory
hallucination, visual changes, deja vu. Stiffness = tonic phase, fatigue =
postictal.
5. The home health nurse is visiting an older adult who reports distortions
in vision when reading. Which action should the nurse take?
a. Refer the client to the ophthalmologist for an eye exam.
b. Encourage the client to use large-print books for reading.
c. Encourage the client to purchase glasses made for reading.
d. Reassure the client that this is a normal age-related finding.
Rationale: Metamorphopsia when reading suggests macular
degeneration, not normal presbyopia. Urgent ophthalmology referral +
Amsler grid testing.
6. The clinic nurse is caring for a client being discharged after cataract
surgery. Which statement should be reported to the PHCP immediately?
a. "My eye hurts a bit when I blink."
b. "I have some clear discharge from my eye that I noticed right after
surgery."
c. "I have flashes of light in my field of vision."
d. "My vision is a little blurry."
Rationale: Flashes of light post cataract surgery may indicate retinal
detachment – surgical emergency. Mild pain and blur are expected.
7. The nurse is assessing a client who has multiple sclerosis (MS). Which is
an expected finding?
a. Involuntary tremors at rest.
