AVN 2035 MED SURG 3 MIDTERM EXAM 2025 UPDATE WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+|BRAND NEW
VERSION!!
The nurse is providing health promotion teaching to a group of older adults. Which
information will the nurse include about routine glaucoma testing? - ANSWER-A Tono-pen
will be applied to the surface of the eye.
Rationale: Glaucoma is caused by an increase in intraocular pressure, which would be
measured using the Tono-pen; normal range is 10-21 mmHg.
The nurse is performing an eye examination on a 76 year old patient. The nurse should
refer the patient for a more extensive assessment based on which finding? - ANSWER-The
patient reports persistent photophobia.
Rationale: Photophobia is not a normally occurring change with aging and would require
further assessment.
The nurse performing an eye examination will document normal findings for
accommodation when .. - ANSWER-The pupils constrict while fixating on an object being
moved closer to the patient's eyes.
Rationale: Accommodation is defined as the ability of the lens to adjust to various
distances. The pupils constrict while fixating on an object being moved far away to near
the eyes.
Which assessment finding alerts the nurse to provide patient teaching about cataract
development? - ANSWER-Blurred vision and light sensitivity
Rationale: Classic signs of cataracts include blurred and light sensitivity. Proteins in the
lens deteriorate and clump together causing the lens to thicken/harden obstructing the
passage of light through the lens to the retina.
, Assessment of a patients visual acuity reveals that the left eye can see at 20 feet what a
person with normal vision can see at 50 feet and the right eye can see at 20 feet what a
person with normal vision can see at 40 feet. The nurse records which finding? -
ANSWER-a. OS 20/50; OD 20/40
Rationale : OS = left eye, OD "ojo derecho" = right eye, OU= both eyes. When
documenting for visual acuity the first number indicates the standard (for normal vision)
of 20 feet and the second number indicates the line that the patient is able to read when
standing 20 feet from the Snellen chart.
When assessing a patients consensual pupil response, the nurse should - ANSWER-Shine
a light into one pupil and observe the response of both pupils.
The nurse is observing a student who is preparing to perform an ear examination for a 30
year old patient. The nurse will need to intervene if the student .. - ANSWER-Chooses a
speculum larger than the ear canal.
Rationale: The speculum should be smaller than the ear canal so it can be inserted
without damage to the external ear canal.
The nurse is assessing a 65 year old patient for presbyopia. Which instruction will the
nurse give the patient before the test? - ANSWER-"Hold this card and read the print out
loud."
Rationale: The Jaeger card is used to assess near vision problems and presbyopia in
persons over 40 years old age. The card should be held 14 inches away from the eyes
while the patient reads words in various print sizes.
When the nurse is taking a health history of a new patient at the ear clinic, the patient
states, "I have to sleep with the television on." Which follow-up question is most
appropriate to obtain more information about possible hearing problems? - ANSWER-
"Have you noticed ringing in your ears?"
Rationale: Patients with tinnitus may use masking techniques, such as playing a radio, to
block out the ringing in the ears.
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+|BRAND NEW
VERSION!!
The nurse is providing health promotion teaching to a group of older adults. Which
information will the nurse include about routine glaucoma testing? - ANSWER-A Tono-pen
will be applied to the surface of the eye.
Rationale: Glaucoma is caused by an increase in intraocular pressure, which would be
measured using the Tono-pen; normal range is 10-21 mmHg.
The nurse is performing an eye examination on a 76 year old patient. The nurse should
refer the patient for a more extensive assessment based on which finding? - ANSWER-The
patient reports persistent photophobia.
Rationale: Photophobia is not a normally occurring change with aging and would require
further assessment.
The nurse performing an eye examination will document normal findings for
accommodation when .. - ANSWER-The pupils constrict while fixating on an object being
moved closer to the patient's eyes.
Rationale: Accommodation is defined as the ability of the lens to adjust to various
distances. The pupils constrict while fixating on an object being moved far away to near
the eyes.
Which assessment finding alerts the nurse to provide patient teaching about cataract
development? - ANSWER-Blurred vision and light sensitivity
Rationale: Classic signs of cataracts include blurred and light sensitivity. Proteins in the
lens deteriorate and clump together causing the lens to thicken/harden obstructing the
passage of light through the lens to the retina.
, Assessment of a patients visual acuity reveals that the left eye can see at 20 feet what a
person with normal vision can see at 50 feet and the right eye can see at 20 feet what a
person with normal vision can see at 40 feet. The nurse records which finding? -
ANSWER-a. OS 20/50; OD 20/40
Rationale : OS = left eye, OD "ojo derecho" = right eye, OU= both eyes. When
documenting for visual acuity the first number indicates the standard (for normal vision)
of 20 feet and the second number indicates the line that the patient is able to read when
standing 20 feet from the Snellen chart.
When assessing a patients consensual pupil response, the nurse should - ANSWER-Shine
a light into one pupil and observe the response of both pupils.
The nurse is observing a student who is preparing to perform an ear examination for a 30
year old patient. The nurse will need to intervene if the student .. - ANSWER-Chooses a
speculum larger than the ear canal.
Rationale: The speculum should be smaller than the ear canal so it can be inserted
without damage to the external ear canal.
The nurse is assessing a 65 year old patient for presbyopia. Which instruction will the
nurse give the patient before the test? - ANSWER-"Hold this card and read the print out
loud."
Rationale: The Jaeger card is used to assess near vision problems and presbyopia in
persons over 40 years old age. The card should be held 14 inches away from the eyes
while the patient reads words in various print sizes.
When the nurse is taking a health history of a new patient at the ear clinic, the patient
states, "I have to sleep with the television on." Which follow-up question is most
appropriate to obtain more information about possible hearing problems? - ANSWER-
"Have you noticed ringing in your ears?"
Rationale: Patients with tinnitus may use masking techniques, such as playing a radio, to
block out the ringing in the ears.
