Practice Questions For Eyes and Ears

Eye and Ear
Practice
Questions
The nurse is asked to test the visual acuity of a
client using a Snellen chart. The nurse
prepares to perform the test, knowing that
which of the following identifies the accurate
procedure for this visual acuity test?
1. Both eyes are tested together followed

by the testing of the right and then the
left eye
2. The right eye is tested, followed by the
left eye, then both eyes are tested
3. The client is asked to stand 40 feet
from the chart and is asked to read the
largest line on the chart
4. The client is asked to stand 40 feet
from the chart and to read the line that
can be read 20 feet away by an
individual with unimpaired vision
2. The right eye is tested, followed
by the left eye, then both eyes
are tested
The clinic notes that following several eye
examinations, the physician has documented a
diagnosis of legal blindness in the client’s chart.
Which of the following does the nurse expect to note
documented as the result of the Snellen chart test?
1. 20/20 vision
2. 20/40 vision
3. 20/60 vision
4. 20/200 vision
4. 20/200 vision
Tonometry is performed on the client with a
suspected diagnosis of glaucoma. The nurse reviews
the test results as documented in the client’s chart
and understands that normal intraocular pressure is
1. 2 to 7 mmHg
2. 10 to 21 mmHg
3. 22 to 30 mmHg
4. 31 to 35 mmHg
2. 10 to 21 mmHg
The nurse is assisting in developing a plan of care
for the client scheduled for cataract surgery. The
nurse make suggestions regarding the plan, knowing
that which of the following problems is most
specifically associated with this type of surgery?
1. Self-care deficit
2. Alternation in nutrition
3. Sensory perceptual alteration
4. anxiety
3. Sensory perceptual alteration
The nurse is reviewing the health record of a client
diagnosed with glaucoma. The chief clinical
manifestation that the nurse expects to note the
early stages of cataract information is
1. Eye pain
2. Floating spots
3. Blurred vision
4. diplopia
3. Blurred vision
The nurse is assigned to administer the prescribed
eye drops for a client preparing for cataract surgery.
Which of the following types of eye drops does the
nurse expect to be prescribed?
1. An osmotic diuretic
2. A miotic agent
3. A mydriatic medication
4. A thiazide diuretic
3. A mydriatic medication
The nurse is assigned to care for a client
following a cataract extraction. The nurse
plans to position the client
1. On the operative side

2. On the nonoperative side
3. Prone
4. Supine
2. On the nonoperative side
The client is diagnosed with glaucoma. Which of the
following data gathered by the nurse indicates a risk
factor associated with glaucoma?
1. A history of migraine headaches

2. Frequent urinary tract infections
3. Cardiovascular disease
4. Frequent upper respiratory
infections
3. Cardiovascular disease
The nurse is assigned to care for a client with a
detached retina. Which of the following assessment
signs does the nurse expect to be documented in the
client’s record?
1. Pain in the affected eye

2. Blurred vision
3. A sense of a curtain falling
across the field of vision
4. A yellow discoloration of the
sclera
3. A sense of a curtain falling across
the field of vision
The nurse is assigned to care for a client with a
diagnosis of detached retina. Which of the following
findings indicates the bleeding has occurred as a
result of retinal detachment?
1. Complaints of a burst of black

spots or floaters
2. A sudden sharp pain in the eye
3. Total loss of vision
4. A reddened conjunctiva
1. Complaints of a burst of black
spots or floaters
The client arrives in the emergency department
following an automobile accident. The client’s
forehead hit the stirring wheel and a hyphema was
diagnosed. The nurse prepares to position the client
1. Flat on bed rest

2. On bed rest in a semi-Fowler’s
position
3. In the lateral position on the
affected side
4. In lateral position on the
unaffected side
2. On bed rest in a semi-Fowler’s
position
The client arrives in the emergency department with
a penetrating eye injury from wood chips while
cutting wood. The nurse checks the eye and notes
the piece of wood protruding from the eye. The nurse
immediately prepares the client for which of the
following?
1. Removal of the piece of wood

using a sterile eye clamp
2. Application of an eye patch
3. Visual acuity tests
4. Irrigation of the eye with sterile
saline
3. Visual acuity tests
The client sustains a chemical eye injury from
a splash of battery acid. The nurse prepares
the client for which of the following immediate
measures?
1. Assessment of visual acuity

normal saline
3. Swabbing the eye with antibiotic
ointment
4. Covering the eye with a pressure
patch
normal saline
A client arrives at the emergency department
with a foreign body in the left ear that has been
determined to be an insect. Which of the
following interventions does the nurse
anticipate to be prescribed initially?
1. Irrigation of the ear

2. Instillation of diluted alcohol
3. Instillation of antibiotic ear drops
4. Instillation of corticosteroid
ointment
2. Instillation of diluted alcohol
A client with Meniere’s disease is experiencing
severe vertigo. The nurse instructs the client to
do which of the following to assist in
controlling the vertigo?
1. Increase fluid intake to 3000 mL

a day
2. Avoid sudden head movements
3. Lie still and watch TV
4. Increase sodium in the diet
2. Avoid sudden head movements
The nurse is caring for a client following craniotomy
for removal of an acoustic neuroma. The nurse
understands that assessment of which of the
following cranial nerves identifies a complication
specifically associated with this surgery?
1. Cranial nerve I, olfactory

2. Cranial nerve III, oculomotor
3. Cranial nerve IV, trochlear
4. Cranial nerve VII, facial nerve
4. Cranial nerve VII, facial nerve
The nurse is monitoring a client with a blunt
head injury sustained from a motor vehicle
accident. Which of the following indicates a
basal skull fracture as a result of the injury?
1. Purulent drainage from the

auditory canal
2. Bloody or clear drainage from the
auditory canal
3. Epistaxis
4. Periorbital edema
2. Bloody or clear drainage from the
auditory canal
The nurse is reviewing the physician’s orders
on a client admitted to the hospital with a
diagnosis of an acute attack of Meniere’s
disease. Which of the following orders if noted
on the client’s chart does the nurse question?
1. The administration of a sedative

2. The administration of an
antihistamine
3. The administration of a
vasoconstrictor
4. Bed rest
3. The administration of a
vasoconstrictor

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What is the proper procedure for performing a visual acuity test using a Snellen chart?

What vision is considered legally blind based on a Snellen chart test?

Eye and Ear

1. Both eyes are tested together followed

1. On the operative side

1. A history of migraine headaches

1. Pain in the affected eye

1. Complaints of a burst of black

1. Flat on bed rest

1. Removal of the piece of wood

1. Assessment of visual acuity

1. Irrigation of the ear

1. Increase fluid intake to 3000 mL

1. Cranial nerve I, olfactory

1. Purulent drainage from the

1. The administration of a sedative

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