NCLEX Eye And Ear Disorder Quiz
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So, prepare yourself to take the NCLEX eye and ear disorder quiz. This quiz is meant for those who are preparing for NCLEX examinations. Here, we have prepared some questions related to eye and ear disorders that will help you practice as well as expand your knowledge. Read the questions carefully and then pick the correct option. We hope you score the best marks. All the best!
- 1.
Which of the following procedures or assessments must the nurse perform when preparing a client for eye surgery?
- A.
Clipping the client’s eyelashes
- B.
Verifying the affected eye has been patched 24 hours before surgery.
- C.
Verifying the client has been NPO since midnight or at least 8 hours before surgery.
- D.
Obtaining informed consent with the client’s signature and placing the forms on the chart.
Correct Answer
C. Verifying the client has been NPO since midnight or at least 8 hours before surgery.Explanation
The nurse must verify that the client has been NPO (nothing by mouth) since midnight or at least 8 hours before surgery. This is important to prevent aspiration and complications during anesthesia. Clipping the client's eyelashes is not necessary for eye surgery. Verifying if the affected eye has been patched 24 hours before surgery is not a standard procedure for all eye surgeries. Obtaining informed consent and placing the forms on the chart is a general requirement for any surgical procedure, but it is not specific to eye surgery.Rate this question:
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- 2.
Cataract surgery results in aphakia. Which of the following statements best describes this term?
- A.
Absence of the crystalline lens
- B.
A “keyhole” pupil
- C.
Loss of accommodation
- D.
Retinal detachment
Correct Answer
A. Absence of the crystalline lensExplanation
Aphakia refers to the absence of the crystalline lens in the eye. During cataract surgery, the cloudy lens is removed and replaced with an artificial lens, resulting in aphakia. The crystalline lens is responsible for focusing light onto the retina, so its absence can cause a significant loss of visual acuity. Patients with aphakia often require corrective lenses, such as glasses or contact lenses, to improve their vision.Rate this question:
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- 3.
When developing a teaching session on glaucoma for the community, which of the following statements would the nurse stress?
- A.
Glaucoma is easily corrected with eyeglasses.
- B.
White and Asian individuals are at the highest risk for glaucoma.
- C.
Yearly screening for people ages 20-40 years is recommended.
- D.
Glaucoma can be painless, and vision may be lost before the person is aware of a problem.
Correct Answer
D. Glaucoma can be painless, and vision may be lost before the person is aware of a problem.Explanation
The nurse would stress the statement "Glaucoma can be painless, and vision may be lost before the person is aware of a problem" because it highlights an important aspect of glaucoma. This statement emphasizes the need for regular eye exams and early detection of glaucoma, as it can progress silently without any symptoms until significant vision loss occurs. By educating the community about this, the nurse can raise awareness about the importance of regular eye screenings and prompt treatment to prevent irreversible vision loss.Rate this question:
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- 4.
For a client having an episode of acute narrow-angle glaucoma. A nurse expects to give which of the following medications?
- A.
Acetazolamide (Diamox)
- B.
Atropine
- C.
Furosemide (Lasix)
- D.
Urokinase (Abbokinase)
Correct Answer
A. Acetazolamide (Diamox)Explanation
Acute narrow-angle glaucoma is a condition characterized by increased pressure in the eye due to blocked drainage channels. Acetazolamide (Diamox) is a medication commonly used to reduce intraocular pressure in glaucoma. It works by inhibiting the enzyme carbonic anhydrase, which reduces the production of aqueous humor in the eye. Atropine is not typically used for acute narrow-angle glaucoma, as it can worsen the condition by dilating the pupil and causing the iris to block the drainage angle. Furosemide (Lasix) is a diuretic that is not indicated for glaucoma. Urokinase (Abbokinase) is a thrombolytic agent used to dissolve blood clots and is not relevant to the treatment of glaucoma.Rate this question:
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- 5.
Which of the following symptoms would occur in a client with a detached retina?
- A.
Flashing lights and floaters
- B.
Homonymous hemianopia
- C.
Loss of central vision
- D.
Ptosis
Correct Answer
A. Flashing lights and floatersExplanation
A detached retina occurs when the retina, the thin layer of tissue at the back of the eye, becomes separated from its normal position. This can cause the client to experience flashing lights and floaters. Flashing lights are caused by the retina being tugged or pulled, while floaters are small specks or clouds that appear in the field of vision. These symptoms are often described as seeing flashes of light or spots moving across the visual field. Homonymous hemianopia refers to a visual field defect where half of the vision is lost in both eyes, while loss of central vision refers to a decrease or complete loss of vision in the center of the visual field. Ptosis is a drooping of the upper eyelid and is not directly related to a detached retina.Rate this question:
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- 6.
A male client has just had a cataract operation without a lens implant. In discharge teaching. The nurse will instruct the client’s wife to:
- A.
Feed him soft foods for several days to prevent facial movement
- B.
Keep the eye dressing on for one week
- C.
Have her husband remain in bed for 3 days
- D.
Allow him to walk upstairs only with assistance.
Correct Answer
D. Allow him to walk upstairs only with assistance.Explanation
After a cataract operation without a lens implant, the client may experience temporary vision impairment and difficulty navigating stairs. Allowing him to walk upstairs only with assistance ensures his safety and reduces the risk of falls or accidents. This instruction promotes a cautious approach to prevent any strain or injury to the client's eyes during the recovery period.Rate this question:
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- 7.
The nurse is performing a voice test to assess hearing. Which of the following describes the accurate procedure for performing this test?
- A.
Stand 4 feet away from the client to ensure that the client can hear at this distance.
- B.
Whisper a statement and ask the client to repeat it.
- C.
Whisper a statement with the examiner back facing the client
- D.
Whisper a statement while the client blocks both ears.
Correct Answer
B. Whisper a statement and ask the client to repeat it.Explanation
The accurate procedure for performing a voice test to assess hearing is to whisper a statement and ask the client to repeat it. This allows the nurse to determine if the client can hear and understand the whispered statement clearly. Standing 4 feet away from the client is not necessary for this test, and whispering with the examiner's back facing the client or while the client blocks both ears would not provide an accurate assessment of hearing ability.Rate this question:
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- 8.
During the early postoperative period. The client who had a cataract extraction complains of nausea and severe eye pain over the operative site. The initial nursing action is to:
- A.
Call the physician
- B.
Administer the ordered main medication and antiemetic
- C.
Reassure the client that this is normal.
- D.
Turn the client on his or her operative side
Correct Answer
C. Reassure the client that this is normal.Explanation
Nausea and severe eye pain are common symptoms following a cataract extraction. These symptoms are usually temporary and expected during the early postoperative period. Reassuring the client that this is normal helps alleviate their anxiety and provides them with reassurance. Calling the physician may not be necessary unless the symptoms worsen or persist. Administering the ordered pain medication and antiemetic may be done after reassurance, if needed. Turning the client on their operative side is not necessary in this situation.Rate this question:
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- 9.
The nurse is caring for a client that is hearing impaired. Which of the following approaches will facilitate communication?
- A.
Speak frequently
- B.
Speak loudly
- C.
Speak directly into the impaired ear
- D.
Speak in a normal tone
Correct Answer
D. Speak in a normal toneExplanation
When caring for a hearing impaired client, speaking in a normal tone is the most appropriate approach to facilitate communication. Speaking frequently or loudly may not necessarily improve understanding for the client, and speaking directly into the impaired ear may not be effective if the client has bilateral hearing loss. Speaking in a normal tone allows the client to lip-read and use any residual hearing they may have, making it easier for them to understand and engage in conversation.Rate this question:
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- 10.
The nurse has conducted discharge teaching for a client who had a fenestration procedure for the treatment of otosclerosis. Which of the following, if stated by the client, would indicate that teaching was effective?
- A.
“I should drink liquids through a straw for the next 2-3 weeks.”
- B.
“It’s ok to take a shower and wash my hair.”
- C.
“I will take stool softeners as prescribed by my doctor.”
- D.
“I can resume my tennis lessons starting next week.”
Correct Answer
C. “I will take stool softeners as prescribed by my doctor.”Explanation
The correct answer is "I will take stool softeners as prescribed by my doctor." This statement indicates that the client understands the importance of taking stool softeners to prevent constipation, which is a common side effect of the procedure and the associated pain medication. It shows that the client is aware of the post-operative instructions and is willing to follow them, demonstrating effective teaching. The other options are unrelated to the procedure or do not reflect the necessary precautions and care needed after the surgery.Rate this question:
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