PNR201 Med Surg 1 Exam 2 NCLEX |\ |\ |\ |\ |\ |\ |\
Questions with answers |\ |\
A nurse evaluates the visual acuity of a patient using the Snellen
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
chart. Which statement is true regarding the use of the Snellen
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
chart?
1. The chart is placed 40 feet away from the patient.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
2. The patient reads the letters using one eye at a time.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
3. The numerator (top number) indicates the smallest line that
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the patient could read.
|\ |\ |\
4. The denominator (bottom number) refers to the patient's
|\ |\ |\ |\ |\ |\ |\ |\ |\
distance from the chart. - CORRECT ANSWERS ✔✔Correct
|\ |\ |\ |\ |\ |\ |\ |\
Answer: 2 |\
Visual acuity is tested by having the patient read the lines on the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Snellen chart with one eye while the other eye is completely
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
covered. Then the opposite eye is tested in the same manner. (1)
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
The patient is normally 20 feet away from the chart. (3) The top
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
number indicates how far away the patient is. (4) The bottom
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
number refers to the distance at which people with normal vision
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
can read the line of the chart.
|\ |\ |\ |\ |\ |\ |\
While looking at a card with a geometric grid of identical squares,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a patient is asked to focus on a central dot and to describe any
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
distortions of the surrounding boxes. Which patient statement
|\ |\ |\ |\ |\ |\ |\ |\
indicates a need for further diagnostic testing?
|\ |\ |\ |\ |\ |\
1. "I get dizzy staring at these boxes for so long."
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
,2. "I am beginning to see color differences in the squares."
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
3. "I can see all the boxes surrounding the dot."
|\ |\ |\ |\ |\ |\ |\ |\ |\
4. "There are wavy lines around the central dot." - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Correct Answer: 4 |\ |\ |\
Seeing wavy lines on an Amsler grid is an indication that the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient has a macular problem. Further evaluation by an
|\ |\ |\ |\ |\ |\ |\ |\ |\
ophthalmologist should be sought quickly. (1) Getting dizzy does |\ |\ |\ |\ |\ |\ |\ |\ |\
not indicate macular degeneration. (2) Color difference is not a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
function of macular degeneration. (3) Seeing all of the boxes
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
indicates normal vision. |\ |\
During a health care provider visit, a 65-year-old man complains
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of pain in his right eye associated with excessive tearing. You
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
note that the eye is red with lashes rubbing against the cornea. A
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
likely condition would be:
|\ |\ |\ |\
1. ptosis.
|\
2. ectropion.
|\
3. hordeolum.
|\
4. entropion. - CORRECT ANSWERS ✔✔Correct Answer: 4
|\ |\ |\ |\ |\ |\ |\
When the eyelid is inverted and the lashes rub on the eyeball, it
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
is called entropion. (1) Ptosis is a drooping of the lower eyelid. (2)
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Ectropion is when the eyelid folds outward. (3) Hordeolum is a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
disorder of the eyelid. |\ |\ |\
Which nursing action(s) demonstrate(s) appropriate care of a
|\ |\ |\ |\ |\ |\ |\ |\
patient who is visually impaired? (Select all that apply.)
|\ |\ |\ |\ |\ |\ |\ |\
,1. Introduce self before touching.
|\ |\ |\ |\
2. Speak slowly with a loud voice.
|\ |\ |\ |\ |\ |\
3. Keep the door ajar.
|\ |\ |\ |\
4. Ensure ready access to the call button for assistance.
|\ |\ |\ |\ |\ |\ |\ |\ |\
5. Assist with feeding using the clock method. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Correct Answers: 1, 4, 5 |\ |\ |\ |\ |\
To avoid startling the patient, you should introduce yourself
|\ |\ |\ |\ |\ |\ |\ |\ |\
before touching them. The call button should be positioned so
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
that the patient knows where it is and where it can be quickly
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
reached. Describing foods on the plate by where they would be
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
positioned on a clock face helps the patient eat independently.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
(2) Speaking slowly with a loud voice may be used to speak to a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
person with a hearing impairment. (3) Keeping the door ajar may
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
add disruptive noises.
|\ |\
A male patient was informed that he would need to wear a pair
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of corrective lenses for astigmatism. When asked about the
|\ |\ |\ |\ |\ |\ |\ |\ |\
condition, the patient demonstrates understanding when he
|\ |\ |\ |\ |\ |\ |\
states that: |\
1. "Astigmatism is hardening of the ciliary muscles."
|\ |\ |\ |\ |\ |\ |\
2. "Astigmatism is an irregular curvature of the cornea."
|\ |\ |\ |\ |\ |\ |\ |\
3. "Astigmatism enables focusing of light in front of the retina."
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
4. "Astigmatism is an increased opacity of the lens." - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Correct Answer: 2 |\ |\ |\
Astigmatism is caused by an irregular curvature of the cornea. |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
(1) Hardening of the ciliary muscles is not astigmatism. (3)
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
, Astigmatism focuses light in several points. (4) Cataracts are |\ |\ |\ |\ |\ |\ |\ |\ |\
increased opacity of the lens. |\ |\ |\ |\
Which instruction must be included in the discharge teaching of a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient who has undergone corneal transplant?
|\ |\ |\ |\ |\ |\
1. Increase physical activity.
|\ |\ |\
2. Wear an eye shield when in close contact with children or pets.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
3. Remove the pressure dressing as needed.
|\ |\ |\ |\ |\ |\
4. Lie only on the operative side. - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Correct Answer: 2 |\ |\
The patient should protect the eye with an eye shield when
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
around children or pets to prevent an accidental injury to the eye
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
with disruption of the corneal transplant. (1) Physical activity
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
should be reduced. (3) The pressure dressing should be kept in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
place. (4) The patient should lie on the opposite side of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
surgery.
An older adult is admitted for cataract extraction. Which sign or
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
symptom is associated with this condition? |\ |\ |\ |\ |\
1. Increased tearing
|\ |\
2. Increasing farsightedness
|\ |\
3. Increasing complaints about glare
|\ |\ |\ |\
4. Bluish discolorations - CORRECT ANSWERS ✔✔Correct Answer:
|\ |\ |\ |\ |\ |\ |\ |\
3
Questions with answers |\ |\
A nurse evaluates the visual acuity of a patient using the Snellen
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
chart. Which statement is true regarding the use of the Snellen
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
chart?
1. The chart is placed 40 feet away from the patient.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
2. The patient reads the letters using one eye at a time.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
3. The numerator (top number) indicates the smallest line that
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the patient could read.
|\ |\ |\
4. The denominator (bottom number) refers to the patient's
|\ |\ |\ |\ |\ |\ |\ |\ |\
distance from the chart. - CORRECT ANSWERS ✔✔Correct
|\ |\ |\ |\ |\ |\ |\ |\
Answer: 2 |\
Visual acuity is tested by having the patient read the lines on the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Snellen chart with one eye while the other eye is completely
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
covered. Then the opposite eye is tested in the same manner. (1)
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
The patient is normally 20 feet away from the chart. (3) The top
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
number indicates how far away the patient is. (4) The bottom
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
number refers to the distance at which people with normal vision
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
can read the line of the chart.
|\ |\ |\ |\ |\ |\ |\
While looking at a card with a geometric grid of identical squares,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a patient is asked to focus on a central dot and to describe any
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
distortions of the surrounding boxes. Which patient statement
|\ |\ |\ |\ |\ |\ |\ |\
indicates a need for further diagnostic testing?
|\ |\ |\ |\ |\ |\
1. "I get dizzy staring at these boxes for so long."
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
,2. "I am beginning to see color differences in the squares."
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
3. "I can see all the boxes surrounding the dot."
|\ |\ |\ |\ |\ |\ |\ |\ |\
4. "There are wavy lines around the central dot." - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Correct Answer: 4 |\ |\ |\
Seeing wavy lines on an Amsler grid is an indication that the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient has a macular problem. Further evaluation by an
|\ |\ |\ |\ |\ |\ |\ |\ |\
ophthalmologist should be sought quickly. (1) Getting dizzy does |\ |\ |\ |\ |\ |\ |\ |\ |\
not indicate macular degeneration. (2) Color difference is not a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
function of macular degeneration. (3) Seeing all of the boxes
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
indicates normal vision. |\ |\
During a health care provider visit, a 65-year-old man complains
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of pain in his right eye associated with excessive tearing. You
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
note that the eye is red with lashes rubbing against the cornea. A
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
likely condition would be:
|\ |\ |\ |\
1. ptosis.
|\
2. ectropion.
|\
3. hordeolum.
|\
4. entropion. - CORRECT ANSWERS ✔✔Correct Answer: 4
|\ |\ |\ |\ |\ |\ |\
When the eyelid is inverted and the lashes rub on the eyeball, it
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
is called entropion. (1) Ptosis is a drooping of the lower eyelid. (2)
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Ectropion is when the eyelid folds outward. (3) Hordeolum is a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
disorder of the eyelid. |\ |\ |\
Which nursing action(s) demonstrate(s) appropriate care of a
|\ |\ |\ |\ |\ |\ |\ |\
patient who is visually impaired? (Select all that apply.)
|\ |\ |\ |\ |\ |\ |\ |\
,1. Introduce self before touching.
|\ |\ |\ |\
2. Speak slowly with a loud voice.
|\ |\ |\ |\ |\ |\
3. Keep the door ajar.
|\ |\ |\ |\
4. Ensure ready access to the call button for assistance.
|\ |\ |\ |\ |\ |\ |\ |\ |\
5. Assist with feeding using the clock method. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Correct Answers: 1, 4, 5 |\ |\ |\ |\ |\
To avoid startling the patient, you should introduce yourself
|\ |\ |\ |\ |\ |\ |\ |\ |\
before touching them. The call button should be positioned so
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
that the patient knows where it is and where it can be quickly
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
reached. Describing foods on the plate by where they would be
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
positioned on a clock face helps the patient eat independently.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
(2) Speaking slowly with a loud voice may be used to speak to a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
person with a hearing impairment. (3) Keeping the door ajar may
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
add disruptive noises.
|\ |\
A male patient was informed that he would need to wear a pair
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of corrective lenses for astigmatism. When asked about the
|\ |\ |\ |\ |\ |\ |\ |\ |\
condition, the patient demonstrates understanding when he
|\ |\ |\ |\ |\ |\ |\
states that: |\
1. "Astigmatism is hardening of the ciliary muscles."
|\ |\ |\ |\ |\ |\ |\
2. "Astigmatism is an irregular curvature of the cornea."
|\ |\ |\ |\ |\ |\ |\ |\
3. "Astigmatism enables focusing of light in front of the retina."
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
4. "Astigmatism is an increased opacity of the lens." - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Correct Answer: 2 |\ |\ |\
Astigmatism is caused by an irregular curvature of the cornea. |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
(1) Hardening of the ciliary muscles is not astigmatism. (3)
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
, Astigmatism focuses light in several points. (4) Cataracts are |\ |\ |\ |\ |\ |\ |\ |\ |\
increased opacity of the lens. |\ |\ |\ |\
Which instruction must be included in the discharge teaching of a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient who has undergone corneal transplant?
|\ |\ |\ |\ |\ |\
1. Increase physical activity.
|\ |\ |\
2. Wear an eye shield when in close contact with children or pets.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
3. Remove the pressure dressing as needed.
|\ |\ |\ |\ |\ |\
4. Lie only on the operative side. - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Correct Answer: 2 |\ |\
The patient should protect the eye with an eye shield when
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
around children or pets to prevent an accidental injury to the eye
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
with disruption of the corneal transplant. (1) Physical activity
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
should be reduced. (3) The pressure dressing should be kept in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
place. (4) The patient should lie on the opposite side of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
surgery.
An older adult is admitted for cataract extraction. Which sign or
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
symptom is associated with this condition? |\ |\ |\ |\ |\
1. Increased tearing
|\ |\
2. Increasing farsightedness
|\ |\
3. Increasing complaints about glare
|\ |\ |\ |\
4. Bluish discolorations - CORRECT ANSWERS ✔✔Correct Answer:
|\ |\ |\ |\ |\ |\ |\ |\
3
