NUR 330 Exam 2 Sensory/Perceptual/Cardiovascular/Vascular Health/ – UPDATED Questions…
NUR 330 Exam 2
Sensory/Perceptual/Cardiovascular/Vascular
Health/ – UPDATED Questions with 100% Verified
Answers
Section 1: Nurse, Client, Glaucoma (Q1–Q13)
Question & Answer
Q1 A nurse is planning care for a client one day postoperative following a detached retina
repair. Which of the following instruction should the nurse include in the plan?
A) encourage coughing and deep breathing
B)allow the client ambulate
C) remove the eyepatch during the day
D) avoid reading and writing
A D) avoid reading and writing
The client should avoid reading, writing, and close work with first postoperative week to decrease
rapid eye movement and promote reattachment of the retina
Q2 A nurse is at an ophthalmology clinic is providing teaching to a client who has an open
angle glaucoma and a new treatment regimen of Timolol and pilocarpine eye drops.
Which of the following instruction should the nurse provide?
A. administer the medication by touching the tip of the dropper to the square of the I
B. hold pressure on the conjunctiva sac for two minutes following the application drop
C. administer the medication five minutes apart
D. it is not necessary to remove contact lenses before administering
A C) administer the medication five minutes apart
The nurse should instruct the client that, if more than one ophthalmic medication is to be
administered, they should be given five minutes apart
Q3 A nurse is providing education for a client who has glaucoma. Which of the following
statements should the nurse in clued in the teaching?
A. without treatment glaucoma can cause blindness
B. double vision is a common sign of glaucoma
C. glaucoma is caused by inadequate production of fluid within the eye
D. use of eyedrops will improve vision overtime
A A) without treatment glaucoma can cause blindness
The nurse should explain that without treatment glaucoma can result in blindness due to the
irreversible damage to the retina and optic nerve
Page 1 of 20
,NUR 330 Exam 2 Sensory/Perceptual/Cardiovascular/Vascular Health/ – UPDATED Questions…
Question & Answer
Q4 A home health nurse is assessing an older adult client in the home who has decreased
vision due to a history of glaucoma. Which of the following findings should the nurse
identify as a safety risk?
A. electrical cords that are placed along the walls
B. scattered rugs that are present in the kitchen
C. handrails are present in the kitchen
D. a microwave for cooking
A B) scattered rugs that are present in the kitchen
Scattered rugs in the kitchen are a safety hazard. The client could trip on one of the rugs and fall
due to the impaired vision
Q5 The nurse is developing a plan of care for a client who is postoperative following a
pneumatic retinopexy to repair a detached retina. Which of the following intervention
should the nurse include in the plan?
A. position the client prone
B. encourage the client to cough and deep breathe
C. keep both eyes bandage
D. provide a magazine for the client to read during recovery
A A) position the client prone
The client is positioned on the abdomen if oil or gas is placed in the eye during the surgery. The
position allows the injected bubble to float into position overlying the area of detachment and
provide consistent pressure to reattach the retina
Q6 A nurse at an Ophthalmic G clinic is providing teaching to a client who has an open angle
glaucoma and a new prescription for timolol eye drops. Which of the following
instruction should the nurse provide?
A. the medication is to be applied when the client is expressing our pain
B. the medication will be used into the client in ocular pressure return to normal
C. the medication should be applied on a regular schedule for the rest of the clients life
D. the medication is to be used for approximately 10 days following a gradual tapering
off
A C) the medication should be applied on a regular schedule for the rest of the clients life
Medications prescribed for open angle glaucoma are intended to enhance adequate outflow, or
decrease its production, or both. The client must continue to use the eyedrops or an on interrupted
basis for life to maintain intraocular pressure at an acceptable level
Q7 The nurse is administering timolol Eyedrops to a client who has glaucoma. Which of the
following actions should the nurse take?
A. apply pressure to the bridge of the nose after administering
B. wipe the eye from the outer campus to the inner canthus before installation
C. drop the prescribed amount of medication into the conjunctiva sac
D. protect the distal portion of the eyedropper using clean technique
A C) drop the prescribed amount of medication into the conjunctiva sac
With the dominant hand resting on the clients four head, gold filled medication eyedropper or the
ophthalmic solution approximately 1 to 2 cm above the conjunctiva sack. And still prescribe
number of medication drops into the conjunctiva sack. After instilling the drops, ask the client to
close his eyes gently. If the client is to receive more than one eye medication to the same I, we at
least five minutes before administering the next medication
Page 2 of 20
, NUR 330 Exam 2 Sensory/Perceptual/Cardiovascular/Vascular Health/ – UPDATED Questions…
Question & Answer
Q8 A nurse is planning care for a client who has a detached retina and is pre-operative for a
surgical repair. The nurse should prepare to administer which of the following
medications?
A)Phenylephrine
B) latanoprost
C) pocarpine
D) timolol
A A)Phenylephrine
Mydriatic medications such as Phenylephrine, are used preoperatively to dilate pupils to facility
inocular surgery
Q9 A nurse is assessing a client who is ineffective endocarditis which of the following
findings should the nurse as a priority to report to the provider?
A. splinter hemorrhages to the nails
B. dyspnea
C. fever
D. cluster of the petechiae in the mouth
A B) dyspnea
The client who has ineffective endocarditis and develops dyspnea, tachycardia, or a cough might be
developing heart failure or experiencing pulmonary emboli, two complications of the infection
Q10 A nurse in a cardiac care unit is caring for a client with acute right sided heart failure
due to myocarditis. Which of the following findings should the nurse expect?
A. decreased brain natriuretic peptide(BNP)
B. elevated center venous pressure (CVP)
C. increased pulmonary artery wedge pressure (PAWP)
D. decreased specific gravity
A B) elevated center venous pressure (CVP)
CVP is a measurement of the pressure in the right atria or ventricle at the end of diastole. An
elevated CVP is an indication of heart failure
Q11 A nurse is assessing a client who has left-sided heart failure due to myocarditis. Which
of the following findings should the nurse expect?
A. jugular vein distention
B. abdominal distention
C. dependent edema
D. hacking cough
A D) hacking cough
A hacking cough is a manifestation of left-sided heart failure that occurs due to pulmonary
congestion
Q12 A client tells the nurse that he is concerned because his provider told him he has a heart
murmur due to endocarditis. The nurse should explain to the client that a murmur
A. is a high pitch sound due to a narrowing valve
B. an extra sound due to blood entering an inflexible chamber
C. means that there is some inflammation around the heart
D. indication of turbulent blood flow through a valve
A D) indication of turbulent blood flow through a valve
Turbulent blood flow through a valve generate a murmur, possibly due to malfunctioning valve,
increased blood flow, or some type of defect in the structures of or around the heart
Page 3 of 20
NUR 330 Exam 2
Sensory/Perceptual/Cardiovascular/Vascular
Health/ – UPDATED Questions with 100% Verified
Answers
Section 1: Nurse, Client, Glaucoma (Q1–Q13)
Question & Answer
Q1 A nurse is planning care for a client one day postoperative following a detached retina
repair. Which of the following instruction should the nurse include in the plan?
A) encourage coughing and deep breathing
B)allow the client ambulate
C) remove the eyepatch during the day
D) avoid reading and writing
A D) avoid reading and writing
The client should avoid reading, writing, and close work with first postoperative week to decrease
rapid eye movement and promote reattachment of the retina
Q2 A nurse is at an ophthalmology clinic is providing teaching to a client who has an open
angle glaucoma and a new treatment regimen of Timolol and pilocarpine eye drops.
Which of the following instruction should the nurse provide?
A. administer the medication by touching the tip of the dropper to the square of the I
B. hold pressure on the conjunctiva sac for two minutes following the application drop
C. administer the medication five minutes apart
D. it is not necessary to remove contact lenses before administering
A C) administer the medication five minutes apart
The nurse should instruct the client that, if more than one ophthalmic medication is to be
administered, they should be given five minutes apart
Q3 A nurse is providing education for a client who has glaucoma. Which of the following
statements should the nurse in clued in the teaching?
A. without treatment glaucoma can cause blindness
B. double vision is a common sign of glaucoma
C. glaucoma is caused by inadequate production of fluid within the eye
D. use of eyedrops will improve vision overtime
A A) without treatment glaucoma can cause blindness
The nurse should explain that without treatment glaucoma can result in blindness due to the
irreversible damage to the retina and optic nerve
Page 1 of 20
,NUR 330 Exam 2 Sensory/Perceptual/Cardiovascular/Vascular Health/ – UPDATED Questions…
Question & Answer
Q4 A home health nurse is assessing an older adult client in the home who has decreased
vision due to a history of glaucoma. Which of the following findings should the nurse
identify as a safety risk?
A. electrical cords that are placed along the walls
B. scattered rugs that are present in the kitchen
C. handrails are present in the kitchen
D. a microwave for cooking
A B) scattered rugs that are present in the kitchen
Scattered rugs in the kitchen are a safety hazard. The client could trip on one of the rugs and fall
due to the impaired vision
Q5 The nurse is developing a plan of care for a client who is postoperative following a
pneumatic retinopexy to repair a detached retina. Which of the following intervention
should the nurse include in the plan?
A. position the client prone
B. encourage the client to cough and deep breathe
C. keep both eyes bandage
D. provide a magazine for the client to read during recovery
A A) position the client prone
The client is positioned on the abdomen if oil or gas is placed in the eye during the surgery. The
position allows the injected bubble to float into position overlying the area of detachment and
provide consistent pressure to reattach the retina
Q6 A nurse at an Ophthalmic G clinic is providing teaching to a client who has an open angle
glaucoma and a new prescription for timolol eye drops. Which of the following
instruction should the nurse provide?
A. the medication is to be applied when the client is expressing our pain
B. the medication will be used into the client in ocular pressure return to normal
C. the medication should be applied on a regular schedule for the rest of the clients life
D. the medication is to be used for approximately 10 days following a gradual tapering
off
A C) the medication should be applied on a regular schedule for the rest of the clients life
Medications prescribed for open angle glaucoma are intended to enhance adequate outflow, or
decrease its production, or both. The client must continue to use the eyedrops or an on interrupted
basis for life to maintain intraocular pressure at an acceptable level
Q7 The nurse is administering timolol Eyedrops to a client who has glaucoma. Which of the
following actions should the nurse take?
A. apply pressure to the bridge of the nose after administering
B. wipe the eye from the outer campus to the inner canthus before installation
C. drop the prescribed amount of medication into the conjunctiva sac
D. protect the distal portion of the eyedropper using clean technique
A C) drop the prescribed amount of medication into the conjunctiva sac
With the dominant hand resting on the clients four head, gold filled medication eyedropper or the
ophthalmic solution approximately 1 to 2 cm above the conjunctiva sack. And still prescribe
number of medication drops into the conjunctiva sack. After instilling the drops, ask the client to
close his eyes gently. If the client is to receive more than one eye medication to the same I, we at
least five minutes before administering the next medication
Page 2 of 20
, NUR 330 Exam 2 Sensory/Perceptual/Cardiovascular/Vascular Health/ – UPDATED Questions…
Question & Answer
Q8 A nurse is planning care for a client who has a detached retina and is pre-operative for a
surgical repair. The nurse should prepare to administer which of the following
medications?
A)Phenylephrine
B) latanoprost
C) pocarpine
D) timolol
A A)Phenylephrine
Mydriatic medications such as Phenylephrine, are used preoperatively to dilate pupils to facility
inocular surgery
Q9 A nurse is assessing a client who is ineffective endocarditis which of the following
findings should the nurse as a priority to report to the provider?
A. splinter hemorrhages to the nails
B. dyspnea
C. fever
D. cluster of the petechiae in the mouth
A B) dyspnea
The client who has ineffective endocarditis and develops dyspnea, tachycardia, or a cough might be
developing heart failure or experiencing pulmonary emboli, two complications of the infection
Q10 A nurse in a cardiac care unit is caring for a client with acute right sided heart failure
due to myocarditis. Which of the following findings should the nurse expect?
A. decreased brain natriuretic peptide(BNP)
B. elevated center venous pressure (CVP)
C. increased pulmonary artery wedge pressure (PAWP)
D. decreased specific gravity
A B) elevated center venous pressure (CVP)
CVP is a measurement of the pressure in the right atria or ventricle at the end of diastole. An
elevated CVP is an indication of heart failure
Q11 A nurse is assessing a client who has left-sided heart failure due to myocarditis. Which
of the following findings should the nurse expect?
A. jugular vein distention
B. abdominal distention
C. dependent edema
D. hacking cough
A D) hacking cough
A hacking cough is a manifestation of left-sided heart failure that occurs due to pulmonary
congestion
Q12 A client tells the nurse that he is concerned because his provider told him he has a heart
murmur due to endocarditis. The nurse should explain to the client that a murmur
A. is a high pitch sound due to a narrowing valve
B. an extra sound due to blood entering an inflexible chamber
C. means that there is some inflammation around the heart
D. indication of turbulent blood flow through a valve
A D) indication of turbulent blood flow through a valve
Turbulent blood flow through a valve generate a murmur, possibly due to malfunctioning valve,
increased blood flow, or some type of defect in the structures of or around the heart
Page 3 of 20
