NCLEX EXAM zm
Exam Solution zm
Lippincott's QA review book ?s: Eyes and Ears 2026 A+ zm zm zm zm zm zm zm zm zm zm
GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIE zm zm zm zm zm
D ANSWERS (65CAD)
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QUESTION 1 zm
1. The nurse is observing a student nurse administer eyedrops, as shown in the figure
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. What should the nurse instruct the student to do? 1. Move the dropper to the inner
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canthus. 2. Have the client raise her eyebrows. 3. Administer the drops in the center o
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f the lower lid. 4. Have the client squeeze both eyes after administering the drops.
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ANSWER
3. The student has positioned the dropper and the client correctly to prevent injury to the client's e
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ye. The student should administer the drops in the center of the lower lid. Following administration
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mof the eyedrops, the client should blink her eyes to distribute the medication; squeezing or rubbing
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her eyes might cause the medication to drip out of the eye.
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QUESTION 2 zm
2. A client is having a cataract removed and will use eyeglasses after the surgery. The
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mnurse should develop a teaching plan that includes which of the following? Select all t
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hat apply. 1. Images will appear to be one-
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third larger. 2. Look through the center of the glasses. 3. The changes will be immedia
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te. 4. Use handrails when climbing stairs. 5. Stay out of the sun for 2 weeks.
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ANSWER
1, 2, 4. The use of glasses following cataract surgery does not totally restore binocular vision. Glasse
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s will cause images to appear larger and peripheral vision will be distorted; the client should look t
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hrough the center of the glasses and turn his or her head to view objects in the periphery. The clie
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nt should also use caution when walking or climbing stairs until he or she has adjusted to the chan
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ge in vision. Changes in vision following cataract surgery are not immediate and the nurse can instr
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uct the client to be patient while adjusting to the changes. The client does not need to stay out of t
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he sun, but should wear dark glasses to prevent discomfort from photophobia.
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QUESTION 3 zm
, 3. The client has had a cataract removed. The nurse's discharge instructions should in
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clude which of the following? 1. Keep the head aligned straight. 2. Utilize bright lights
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min the home. 3. Use an eye shield at night. 4. Change the eye patch as needed.
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ANSWER
3. Using an eye shield at night prevents rubbing the eye. The head should be turned to the side to s
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can the entire visual field to compensate for impaired peripheral vision. Eye medications may initiall
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y cause sensitivity to bright light. The surgeon changes the eye patch on the second postoperative d
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ay.
QUESTION 4 zm
5. A client tells the nurse his vision is blurred and hazy throughout the entire day. Th
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e nurse should recommend that the client do which of the following? 1. Purchase a pa
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ir of magnifying glasses. 2. Wear glasses with tinted lenses. 3. Schedule an appointme
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nt with an optician. 4. Schedule an appointment with an ophthalmologist.
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ANSWER
4. An ophthalmologist is a physician who specializes in the treatment of disorders of the eye, and th
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e nurse should advise the client to see a physician. An optician makes glasses and it is not known a
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t this point what the best treatment for the client is. Magnifying glasses, or glasses with tinted lense
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s, do not correct hazy or blurred vision. If glasses are needed to correct refractive errors, they shoul
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d be prescription glasses.
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QUESTION 5 zm
7. A short time after cataract surgery, the client complains of nausea. The nurse shoul
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d first: 1. Instruct the client to take a few deep breaths until the nausea subsides. 2. E
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xplain that this is a common feeling that will pass quickly. 3. Tell the client to call the
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nurse promptly if vomiting occurs. 4. Medicate the client with an antiemetic, as order
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ed.
ANSWER
4. A prescribed antiemetic should be administered as soon as the client complains of nausea followi
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ng a cataract extraction. Vomiting can increase intraocular pressure, which should be avoided after e
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ye surgery because it can cause complications. Deep breathing is unlikely to relieve nausea. Postoper
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ative nausea may be common; however, it doesn't necessarily pass quickly and can lead to vomiting.
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mTelling the client to call only if vomiting occurs ignores the client's need for comfort and interven-
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tion to prevent complications.
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QUESTION 6 zm
8. Which of the following is a potential complication following cataract surgery? Select
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all that apply. 1. Acute bacterial endophthalmitis. 2. Retrobulbar hemorrhage. 3. Rupt
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ure of the posterior capsule. 4. Suprachoroidal hemorrhage. 5. Vision loss.
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Exam Solution zm
Lippincott's QA review book ?s: Eyes and Ears 2026 A+ zm zm zm zm zm zm zm zm zm zm
GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIE zm zm zm zm zm
D ANSWERS (65CAD)
zm zm
QUESTION 1 zm
1. The nurse is observing a student nurse administer eyedrops, as shown in the figure
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. What should the nurse instruct the student to do? 1. Move the dropper to the inner
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canthus. 2. Have the client raise her eyebrows. 3. Administer the drops in the center o
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f the lower lid. 4. Have the client squeeze both eyes after administering the drops.
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ANSWER
3. The student has positioned the dropper and the client correctly to prevent injury to the client's e
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ye. The student should administer the drops in the center of the lower lid. Following administration
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mof the eyedrops, the client should blink her eyes to distribute the medication; squeezing or rubbing
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her eyes might cause the medication to drip out of the eye.
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QUESTION 2 zm
2. A client is having a cataract removed and will use eyeglasses after the surgery. The
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mnurse should develop a teaching plan that includes which of the following? Select all t
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hat apply. 1. Images will appear to be one-
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third larger. 2. Look through the center of the glasses. 3. The changes will be immedia
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te. 4. Use handrails when climbing stairs. 5. Stay out of the sun for 2 weeks.
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ANSWER
1, 2, 4. The use of glasses following cataract surgery does not totally restore binocular vision. Glasse
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
s will cause images to appear larger and peripheral vision will be distorted; the client should look t
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
hrough the center of the glasses and turn his or her head to view objects in the periphery. The clie
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nt should also use caution when walking or climbing stairs until he or she has adjusted to the chan
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ge in vision. Changes in vision following cataract surgery are not immediate and the nurse can instr
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uct the client to be patient while adjusting to the changes. The client does not need to stay out of t
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he sun, but should wear dark glasses to prevent discomfort from photophobia.
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QUESTION 3 zm
, 3. The client has had a cataract removed. The nurse's discharge instructions should in
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clude which of the following? 1. Keep the head aligned straight. 2. Utilize bright lights
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min the home. 3. Use an eye shield at night. 4. Change the eye patch as needed.
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ANSWER
3. Using an eye shield at night prevents rubbing the eye. The head should be turned to the side to s
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can the entire visual field to compensate for impaired peripheral vision. Eye medications may initiall
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y cause sensitivity to bright light. The surgeon changes the eye patch on the second postoperative d
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ay.
QUESTION 4 zm
5. A client tells the nurse his vision is blurred and hazy throughout the entire day. Th
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e nurse should recommend that the client do which of the following? 1. Purchase a pa
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ir of magnifying glasses. 2. Wear glasses with tinted lenses. 3. Schedule an appointme
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nt with an optician. 4. Schedule an appointment with an ophthalmologist.
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ANSWER
4. An ophthalmologist is a physician who specializes in the treatment of disorders of the eye, and th
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
e nurse should advise the client to see a physician. An optician makes glasses and it is not known a
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
t this point what the best treatment for the client is. Magnifying glasses, or glasses with tinted lense
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s, do not correct hazy or blurred vision. If glasses are needed to correct refractive errors, they shoul
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d be prescription glasses.
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QUESTION 5 zm
7. A short time after cataract surgery, the client complains of nausea. The nurse shoul
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d first: 1. Instruct the client to take a few deep breaths until the nausea subsides. 2. E
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xplain that this is a common feeling that will pass quickly. 3. Tell the client to call the
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nurse promptly if vomiting occurs. 4. Medicate the client with an antiemetic, as order
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ed.
ANSWER
4. A prescribed antiemetic should be administered as soon as the client complains of nausea followi
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ng a cataract extraction. Vomiting can increase intraocular pressure, which should be avoided after e
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ye surgery because it can cause complications. Deep breathing is unlikely to relieve nausea. Postoper
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ative nausea may be common; however, it doesn't necessarily pass quickly and can lead to vomiting.
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm z
mTelling the client to call only if vomiting occurs ignores the client's need for comfort and interven-
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tion to prevent complications.
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QUESTION 6 zm
8. Which of the following is a potential complication following cataract surgery? Select
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all that apply. 1. Acute bacterial endophthalmitis. 2. Retrobulbar hemorrhage. 3. Rupt
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ure of the posterior capsule. 4. Suprachoroidal hemorrhage. 5. Vision loss.
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