NU1213 unit 4 practice questions
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1. To prevent recurrence of uric acid renal cal- b. sardines and liver.
culi, the nurse teaches the patient to avoid
eating Organ meats and fish such as sardines
increase purine levels and uric acid.
a. milk and cheese. Spinach, chocolate, and tomatoes
b. sardines and liver. should be avoided in patients who have
c. legumes and dried fruit. oxalate stones. Milk, dairy products,
d. spinach, chocolate, and tea. legumes, and dried fruits may
increase the incidence of calcium-con-
taining stones.
2. Which nursing action is of highest priority a. Administer prescribed analgesics.
for a 68-year-old patient with renal calculi
who is being admitted to the hospital with Although all of the nursing actions may
gross hematuria and severe colicky left flank be used for patients with renal lithiasis,
pain? the patients presentation
indicates that management of pain is the
a. Administer prescribed analgesics. highest priority action. If the patient has
b. Monitor temperature every 4 hours. urinary obstruction, increasing oral flu-
c. Encourage increased oral fluid intake. ids may increase the symptoms. There is
d. Give antiemetics as needed for nausea. no evidence of infection or nausea.
3. 1. A patient has been diagnosed with uri- b. Liver
nary tract calculi that are high in uric acid. d. Chicken
Which foods will the nurse teach the patient
to avoid (select all that apply)? Meats contain purines, which are me-
tabolized to uric acid. The other foods
a. Milk might be restricted in patients who have
b. Liver calcium or oxalate stones.
c. Spinach
d. Chicken
, NU1213 unit 4 practice questions
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e. Cabbage
f. Chocolate
4. The nurse is providing health promotion a. A Tono-pen will be applied to the sur-
teaching to a group of older adults. Which in- face of the eye.
formation will the nurse include when teach-
ing about routine glaucoma testing? Glaucoma is caused by an increase in in-
traocular pressure, which would be mea-
a. A Tono-pen will be applied to the surface sured using the Tono-pen. The other
of the eye. techniques are used in testing for other
b. The test involves reading a Snellen chart eye disorders.
from 20 feet.
c. Medications will be used to dilate the
pupils for the test.
d. The examination involves checking the
pupils reaction to light.
5. The nurse is performing an eye examination b. The patient reports persistent photo-
on a 76-year-old patient. The nurse should phobia.
refer the patient for a more extensive as-
sessment based on which finding? Photophobia is not a normally occurring
change with aging, and would require
a. The patients sclerae are light yellow. further assessment. The other
b. The patient reports persistent photopho- assessment data are common geronto-
bia. logic differences and would not be un-
c. The pupil recovers slowly after responding usual in a 76-year-old patient.
to a bright light.
d. There is a whitish gray ring encircling the
periphery of the iris.
6. The nurse performing an eye examination d. the pupils constrict while fixating on
will document normal findings for accom- an object being moved closer to the pa-
modation when tients eyes
, NU1213 unit 4 practice questions
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a. shining a light into the patients eye causes Accommodation is defined as the ability
pupil constriction in the opposite eye. of the lens to adjust to various distances.
b. a blink reaction follows touching the pa- The pupils constrict while
tients pupil with a piece of sterile cotton. fixating on an object being moved far
c. covering one eye for 1 minute and noting away to near the eyes. The other re-
pupil constriction as the cover is removed. sponses may also be elicited as part of
d. the pupils constrict while fixating on an the eye examination, but they do not in-
object being moved closer to the patients dicate accommodation.
eyes.
7. Which assessment finding alerts the nurse c. Blurred vision and light sensitivity
to provide patient teaching about cataract
development? Classic signs of cataracts include blurred
vision and light sensitivity. Thyroid prob-
a. History of hyperthyroidism lems are a major cause of
b. Unequal pupil size and shape exophthalmos. Unequal pupil is indica-
c. Blurred vision and light sensitivity tive of anisocoria, not cataracts. Loss of
d. Loss of peripheral vision in both eyes peripheral vision is a sign of
glaucoma.
8. Assessment of a patients visual acuity re- a. OS 20/50; OD 20/40
veals that the left eye can see at 20 feet what
a person with normal vision can see at 50 When documenting visual acuity, the first
feet and the right eye can see at 20 feet what number indicates the standard (for nor-
a person with normal vision can see at 40 mal vision) of 20 feet and the second
feet. The nurse records which finding? number indicates the line that the pa-
tient is able to read when standing 20
a. OS 20/50; OD 20/40 feet from the Snellen chart. OS is the
b. OU 20/40; OS 50/20 abbreviation for left eye and OD is the
c. OD 20/40; OS 20/50 abbreviation for right eye. The remaining
d. OU 40/20; OD 50/20 three answers do not correctly describe
the patients visual acuity.
, NU1213 unit 4 practice questions
Study online at https://quizlet.com/_dwsn4g
9. When assessing a patients consensual pupil d. shine a light into one pupil and ob-
response, the nurse should serve the response of both pupils.
a. have the patient cover one eye while fac- The consensual pupil response is tested
ing the nurse. by shining a light into one pupil and ob-
b. observe for a light reflection in the center serving for both pupils to
of both corneas. constrict. Observe the corneal light reflex
c. instruct the patient to follow a moving ob- to evaluate for weakness or imbalance of
ject using only the eyes. the extraocular muscles. In
d. shine a light into one pupil and observe a darkened room, ask the patient to look
the response of both pupils. straight ahead while a penlight is shone
directly on the cornea. The
light reflection should be located in the
center of both corneas as the patient
faces the light source. To perform
confrontation visual field testing, the pa-
tient faces the examiner and covers one
eye, then counts the number of
fingers that the examiner brings into the
visual field. Instructing the patient to fol-
low a moving object only
with the eyes is testing for visual fields
and extraocular movements.
10. When obtaining a health history from a d. I cant see as far over to the side.
49-year-old patient, which patient statement
is most important to communicate to the The decrease in peripheral vision may
primary health care provider? indicate glaucoma, which is not a normal
visual change associated with
a. My eyes are dry now. aging and requires rapid treatment. The
b. It is hard for me to see at night. other patient statements indicate visual
Study online at https://quizlet.com/_dwsn4g
1. To prevent recurrence of uric acid renal cal- b. sardines and liver.
culi, the nurse teaches the patient to avoid
eating Organ meats and fish such as sardines
increase purine levels and uric acid.
a. milk and cheese. Spinach, chocolate, and tomatoes
b. sardines and liver. should be avoided in patients who have
c. legumes and dried fruit. oxalate stones. Milk, dairy products,
d. spinach, chocolate, and tea. legumes, and dried fruits may
increase the incidence of calcium-con-
taining stones.
2. Which nursing action is of highest priority a. Administer prescribed analgesics.
for a 68-year-old patient with renal calculi
who is being admitted to the hospital with Although all of the nursing actions may
gross hematuria and severe colicky left flank be used for patients with renal lithiasis,
pain? the patients presentation
indicates that management of pain is the
a. Administer prescribed analgesics. highest priority action. If the patient has
b. Monitor temperature every 4 hours. urinary obstruction, increasing oral flu-
c. Encourage increased oral fluid intake. ids may increase the symptoms. There is
d. Give antiemetics as needed for nausea. no evidence of infection or nausea.
3. 1. A patient has been diagnosed with uri- b. Liver
nary tract calculi that are high in uric acid. d. Chicken
Which foods will the nurse teach the patient
to avoid (select all that apply)? Meats contain purines, which are me-
tabolized to uric acid. The other foods
a. Milk might be restricted in patients who have
b. Liver calcium or oxalate stones.
c. Spinach
d. Chicken
, NU1213 unit 4 practice questions
Study online at https://quizlet.com/_dwsn4g
e. Cabbage
f. Chocolate
4. The nurse is providing health promotion a. A Tono-pen will be applied to the sur-
teaching to a group of older adults. Which in- face of the eye.
formation will the nurse include when teach-
ing about routine glaucoma testing? Glaucoma is caused by an increase in in-
traocular pressure, which would be mea-
a. A Tono-pen will be applied to the surface sured using the Tono-pen. The other
of the eye. techniques are used in testing for other
b. The test involves reading a Snellen chart eye disorders.
from 20 feet.
c. Medications will be used to dilate the
pupils for the test.
d. The examination involves checking the
pupils reaction to light.
5. The nurse is performing an eye examination b. The patient reports persistent photo-
on a 76-year-old patient. The nurse should phobia.
refer the patient for a more extensive as-
sessment based on which finding? Photophobia is not a normally occurring
change with aging, and would require
a. The patients sclerae are light yellow. further assessment. The other
b. The patient reports persistent photopho- assessment data are common geronto-
bia. logic differences and would not be un-
c. The pupil recovers slowly after responding usual in a 76-year-old patient.
to a bright light.
d. There is a whitish gray ring encircling the
periphery of the iris.
6. The nurse performing an eye examination d. the pupils constrict while fixating on
will document normal findings for accom- an object being moved closer to the pa-
modation when tients eyes
, NU1213 unit 4 practice questions
Study online at https://quizlet.com/_dwsn4g
a. shining a light into the patients eye causes Accommodation is defined as the ability
pupil constriction in the opposite eye. of the lens to adjust to various distances.
b. a blink reaction follows touching the pa- The pupils constrict while
tients pupil with a piece of sterile cotton. fixating on an object being moved far
c. covering one eye for 1 minute and noting away to near the eyes. The other re-
pupil constriction as the cover is removed. sponses may also be elicited as part of
d. the pupils constrict while fixating on an the eye examination, but they do not in-
object being moved closer to the patients dicate accommodation.
eyes.
7. Which assessment finding alerts the nurse c. Blurred vision and light sensitivity
to provide patient teaching about cataract
development? Classic signs of cataracts include blurred
vision and light sensitivity. Thyroid prob-
a. History of hyperthyroidism lems are a major cause of
b. Unequal pupil size and shape exophthalmos. Unequal pupil is indica-
c. Blurred vision and light sensitivity tive of anisocoria, not cataracts. Loss of
d. Loss of peripheral vision in both eyes peripheral vision is a sign of
glaucoma.
8. Assessment of a patients visual acuity re- a. OS 20/50; OD 20/40
veals that the left eye can see at 20 feet what
a person with normal vision can see at 50 When documenting visual acuity, the first
feet and the right eye can see at 20 feet what number indicates the standard (for nor-
a person with normal vision can see at 40 mal vision) of 20 feet and the second
feet. The nurse records which finding? number indicates the line that the pa-
tient is able to read when standing 20
a. OS 20/50; OD 20/40 feet from the Snellen chart. OS is the
b. OU 20/40; OS 50/20 abbreviation for left eye and OD is the
c. OD 20/40; OS 20/50 abbreviation for right eye. The remaining
d. OU 40/20; OD 50/20 three answers do not correctly describe
the patients visual acuity.
, NU1213 unit 4 practice questions
Study online at https://quizlet.com/_dwsn4g
9. When assessing a patients consensual pupil d. shine a light into one pupil and ob-
response, the nurse should serve the response of both pupils.
a. have the patient cover one eye while fac- The consensual pupil response is tested
ing the nurse. by shining a light into one pupil and ob-
b. observe for a light reflection in the center serving for both pupils to
of both corneas. constrict. Observe the corneal light reflex
c. instruct the patient to follow a moving ob- to evaluate for weakness or imbalance of
ject using only the eyes. the extraocular muscles. In
d. shine a light into one pupil and observe a darkened room, ask the patient to look
the response of both pupils. straight ahead while a penlight is shone
directly on the cornea. The
light reflection should be located in the
center of both corneas as the patient
faces the light source. To perform
confrontation visual field testing, the pa-
tient faces the examiner and covers one
eye, then counts the number of
fingers that the examiner brings into the
visual field. Instructing the patient to fol-
low a moving object only
with the eyes is testing for visual fields
and extraocular movements.
10. When obtaining a health history from a d. I cant see as far over to the side.
49-year-old patient, which patient statement
is most important to communicate to the The decrease in peripheral vision may
primary health care provider? indicate glaucoma, which is not a normal
visual change associated with
a. My eyes are dry now. aging and requires rapid treatment. The
b. It is hard for me to see at night. other patient statements indicate visual
