Deck 41: Introduction to the Sensory System

Question 1

A client comes to the eye clinic for a routine check-up. The client tells the nurse they think they are color blind. What screening test does the nurse know will be performed on this client to assess for color-blindness?

A) Rosenbaum
B) Jaeger
C) Ishihara
D) Snellen

Answer 1

Ishihara

Question 2

When gathering an ocular history on a male client aged 42, what would be an important for the nurse to ask?

A) Have you ever failed an eye exam?
B) Have you ever failed an Ishihara?
C) Would you rather have a Rosenbaum or a Jaeger?
D) When was your last eye exam?

Answer 2

When was your last eye exam?

Question 3

Which of the following nursing intervention should be included during the assessment of a client with an eye disorder?

A) Check the extraocular muscles by instructing the client to keep his or her head still when following an object.
B) Examine the retina with a direct ophthalmoscope.
C) Use a tonometer to indent or flatten the surface of the eye.
D) Instruct the client to stare at the central fixation spot on an Amsler grid and report if he or she sees any distortion of the squares.

Answer 3

Check the extraocular muscles by instructing the client to keep his or her head still when following an object.

Question 4

A client presents at the clinic complaining of a loss of balance. What test should the nurse expect the physician to carry out on a client with a loss of balance?

A) Audiometric test
B) Romberg test
C) Weber test
D) Rinne test

Question 5

The nursing student hopefuls are taking a pre-nursing anatomy and physiology class. What will they learn is the anatomical feature that equalizes air pressure in the middle ear?

A) Eustachian tube
B) The malleus
C) The pinna
D) The meatus

Question 6

A client, diagnosed with a cataract, comes into the clinic. What assessments should the nurse observe in this client?

A) A burning sensation and the sensation of an object in the eye
B) Blurred or cloudy visual image
C) Inability to produce sufficient tears
D) A swollen lacrimal caruncle

Question 7

You are doing hearing tests at the local junior high school. Which child has normal hearing acuity?

A) A client who first perceives sound at 20 dB
B) A client who first perceives sound at 40 dB
C) A client for whom the painful sound occurs at 80 dB
D) A client for whom the painful sound occurs at 100 dB

Question 8

The nurse is giving a visual field examination to a 55-year-old male client. The client asks what this test is for. What would be the nurse's best answer?

A) "This test measures visual acuity."
B) "This test measures how well your eyes move."
C) "This test is to see how well your eyes are aging."
D) "This test measures peripheral vision and detects gaps in the visual field."

Question 9

The nurse is preparing a client for electronystagmography. The nurse knows that this test is done in conjunction with what?

A) Audioscope exam
B) Caloric stimulation
C) Hearing screening
D) Audiometry

Question 10

Audiometry is testing that measures hearing acuity precisely. Who does the nurse know can perform audiometric testing?

A) School nurse
B) Hearing aide salesperson
C) Audiologist
D) Nursing assistant

Question 11

A client is having problems with dizziness and complains of the "room spinning". The physician performs the caloric stimulation test. The nurse knows that a diminished response in one eye during the caloric stimulation testis indicative of what?

A) Inner ear disorder
B) Middle ear disorder
C) Outer ear disorder
D) Age-related macular degeneration

Question 12

The client is having a Weber test. During a Weber test, where should the tuning fork be placed?

A) On the mastoid process behind the ear
B) In the midline of the client's skull or in the center of the forehead
C) Near the external meatus of each ear
D) Under the bridge of the nose

Question 13

You are the clinic nurse in an ophthalmic clinic. When assessing clients, what client has an abnormal intraocular pressure (IOP)?

A) A client with an IOP of 8 mm Hg
B) A client with an IOP of 15 mm Hg
C) A client with an IOP of 19 mm Hg
D) A client with an IOP of 21 mm Hg

Question 14

What is located in the cochlea of the inner ear?

A) Semicircular canals
B) Labyrinth
C) Vestibulocochlear nerve
D) Organ of Corti

Question 15

A client comes to the occupational health nurse complaining of eye irritation. The client works in a dusty, outdoor environment. Why should the nurse advise periodic blinking to this client?

A) To control the amount of sunlight that enters the eye
B) To minimize the impact of the wind on the eye and to trap foreign debris
C) To clear the dust and particles from the surface of the eyes
D) To prevent the collection of tears over the surface of the eye

Question 16

A client has been referred to an ophthalmologist for suspected macular degeneration. The nurse knows to prepare what test for the physician to give the client?

A) Ishihara polychromatic plates
B) Visual field
C) Amsler grid
D) Slit lamp

Question 17

A client is scheduled to have a cataract removed and an artificial lens implanted. What test would the nurse know would be useful in measuring for an intraocular lens implant in this client?

A) Slit lamp
B) Retinal angiography
C) Visual field
D) Ultrasonography

Question 18

A client comes to the walk-in clinic complaining of an earache. The cause is found to be impacted cerumen. The client asks the nurse what they can do at home to soften hardened cerumen. What should the nurse recommend to a client to soften hardened cerumen?

A) Avoid harsh sunlight.
B) Increase intake of red meat.
C) Increase intake of beta-carotene.
D) Take nonprescription preparations.

Question 19

An aging client is brought to the eye clinic by the son. The son states he has seen his parent holding reading materials at an increasing distance to focus properly. What age-related changes does this indicate?

A) Cataract
B) Presbyopia
C) Myopia
D) Macular degeneration

Question 20

While assessing a client's ocular history, what would be an important to ask the client?

A) Are you having your eyes dilated?
B) Do you know what peripheral vision means?
C) Are you having any current problems seeing?
D) Do you know what a Snellen chart is?

Question 21

The nurse is taking an ocular history. What would be most important for the nurse to ask the client?

A) What medications are you taking?
B) Is there a family history of visual acuity problems?
C) Have you been exposed to any toxic chemicals?
D) Would you have any recent eye injuries?

Question 22

The nurse is precepting a nursing student when a new client comes to the eye clinic. The client explains that they think they have a corneal abrasion. The nurse should explain what to the student nurse?

A) "To detect corneal abrasions, an opthalmoscope is used."
B) "To detect corneal abrasions, ultrasonography is used."
C) "To detect corneal abrasions, a slit lamp is used."
D) "To detect corneal abrasions, retinal angiography is used."

Question 23

The school nurse is testing the kindergarten class with the Snellen chart. What is the nurse testing the children for?

A) Near vision
B) Visual acuity
C) Hearing
D) Color vision

Question 24

A client complains to the nurse about having difficulty seeing to read, but reports no difficulty with driving. What test would the nurse prepare for the physician to administer to this client?

A) Rosenbaum
B) Snellen
C) Ishihara
D) Jobst

Question 25

A diabetic client has come to the eye clinic to have a retinal angiography test done. What client teaching should the nurse provide to this client prior to the test?

A) Your urine will turn orange from the dye used in this test.
B) We will need to inject this dye directly into your eyes.
C) Everything you see will be bright yellow for 6 to 8 hours.
D) The dye used in this test will turn your skin yellow for up to 8 hours.