Chapter 51. Sensory System Function, Assessment,
and Therapeutic Measures: Vision and Hearing
1. The nurse is collecting data and has just completed the Weber test on a patient with normal
findings. How should the nurse correctly document the findings?
a. BC greater than A3
b. Left and right ear heard equally
c. Left ear heard better than right ear
d. Air conduction greater than bone conduction (BC) - B
2. The nurse performs a Snellen chart examination on a patient. What Snellen chart
documentation indicates normal vision for the patient?
a. Left eye 80/20
b. Left eye 20/200
c. Both eyes 20/20
d. Right eye 200/20 - C
3. The nurse has reinforced teaching with a patient after diagnostic testing reveals tinnitus.
Which patient statement indicates that teaching has been effective?
a. There is a toxic substance in my ear.
b. That is why I have so much discharge all of the time.
c. My ear pain should get better if I follow the doctors orders.
d. The ringing sound I hear in my ear may be a symptom of another problem. - D
4. The nurse palpates a downward small protrusion the helix of a patients ear known as Darwins
tubercle. How should the nurse document this finding?
a. A tumor
, b. Within normal limits
c. A lump filled with fluid
d. An abnormal palpable calcification - B
5. The nurse is conducting an initial screening to determine a patients gross hearing acuity as
part of a complete physical. Which test should the nurse include in the assessment?
a. Romberg
b. Calorie test
c. Whisper voice
d. Otoscopic examination - C
6. After collecting data the nurse suspects a patient has hearing loss. Which finding supports
this conclusion?
a. Converses easily with the nurse
b. Answers questions appropriately
c. Speaks in an unusually loud voice
d. Relaxes facial features during conversation - C
7. The nurse is caring for a patient who asks what arcus senilis is. How should the nurse explain
this finding?
a. An eye infection.
b. A mental condition.
c. A drooping of the eyelid.
d. A lipid deposit in the cornea. - D
8. The nurse is assisting with a patient who is having a test to measure intraocular pressure.
Which equipment should the nurse expect to be used?
a. A tonometer
and Therapeutic Measures: Vision and Hearing
1. The nurse is collecting data and has just completed the Weber test on a patient with normal
findings. How should the nurse correctly document the findings?
a. BC greater than A3
b. Left and right ear heard equally
c. Left ear heard better than right ear
d. Air conduction greater than bone conduction (BC) - B
2. The nurse performs a Snellen chart examination on a patient. What Snellen chart
documentation indicates normal vision for the patient?
a. Left eye 80/20
b. Left eye 20/200
c. Both eyes 20/20
d. Right eye 200/20 - C
3. The nurse has reinforced teaching with a patient after diagnostic testing reveals tinnitus.
Which patient statement indicates that teaching has been effective?
a. There is a toxic substance in my ear.
b. That is why I have so much discharge all of the time.
c. My ear pain should get better if I follow the doctors orders.
d. The ringing sound I hear in my ear may be a symptom of another problem. - D
4. The nurse palpates a downward small protrusion the helix of a patients ear known as Darwins
tubercle. How should the nurse document this finding?
a. A tumor
, b. Within normal limits
c. A lump filled with fluid
d. An abnormal palpable calcification - B
5. The nurse is conducting an initial screening to determine a patients gross hearing acuity as
part of a complete physical. Which test should the nurse include in the assessment?
a. Romberg
b. Calorie test
c. Whisper voice
d. Otoscopic examination - C
6. After collecting data the nurse suspects a patient has hearing loss. Which finding supports
this conclusion?
a. Converses easily with the nurse
b. Answers questions appropriately
c. Speaks in an unusually loud voice
d. Relaxes facial features during conversation - C
7. The nurse is caring for a patient who asks what arcus senilis is. How should the nurse explain
this finding?
a. An eye infection.
b. A mental condition.
c. A drooping of the eyelid.
d. A lipid deposit in the cornea. - D
8. The nurse is assisting with a patient who is having a test to measure intraocular pressure.
Which equipment should the nurse expect to be used?
a. A tonometer
