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NCLEX Eye Ear Nose Questions - NCLEX Questions on Eye Ear Nose
Eye Ear Nose NCLEX Practice Questions
Question 1.
Patient X is a 65-year-old male who has been experiencing gradual loss of peripheral vision in both eyes for the past year. He also reports occasional eye pain and sensitivity to light. During a routine eye exam, his optometrist notices that the intraocular pressure in both eyes is elevated and refers him to an ophthalmologist for further evaluation. The ophthalmologist diagnoses Patient X with glaucoma and recommends treatment to lower the intraocular pressure and prevent further damage to the optic nerve.
Which of the following is NOT a typical symptom of glaucoma?
(a) Gradual loss of peripheral vision
(b) Sudden eye pain
(c) Decreased color perception
(d) Floating spots in vision
Answer:
(b) Sudden eye pain
Explanation:
The primary symptom of glaucoma is the gradual loss of peripheral vision, which may not be noticeable until significant damage has occurred. Sudden eye pain, nausea, and vomiting are associated with acute angle-closure glaucoma, which is a medical emergency but not a typical symptom of glaucoma.
Decreased color perception may indicate other eye conditions such as cataracts, while floating spots in vision are more commonly associated with eye floaters or uveitis, which are not typical symptoms of glaucoma. Therefore, option (b) is the correct answer as sudden eye pain is not a typical symptom of glaucoma.
Question 2.
Nurse Aisha is assigned to take care of a client who has a hearing impairment. Aisha wants to communicate effectively with the client. Which of the following approaches should Aisha use for better communication?
What approach should Nurse Aisha take to communicate better with a client who has a hearing impairment?
(a) Speak directly into the impaired ear
(b) Speak at a very slow pace
(c) Speak very loudly
(d) Speak at a normal pace and volume
Answer:
(d) Speak at a normal pace and volume
Explanation:
Nurse Aisha should speak facing the client and at a normal pace and volume. Speaking directly into the impaired ear (Option a) may not be helpful since the client may still have some hearing ability in the other ear. Speaking very slowly (Option b) could cause the client to lose interest or become frustrated. Speaking very loudly (Option c) may not be effective and could also be uncomfortable for the client. Therefore, the best approach is to speak at a normal pace and volume facing directly towards the client.
Question 3.
What is the correct procedure for assessing visual acuity using a Snellen chart?
(a) Both eyes are assessed together
(b) The client is asked to stand at a distance of 50ft. from the chart
(c) The client is asked to stand at a distance of 10ft. from the chart
(d) The client is asked to move farther if unable to read the top line
Answer:
(a) Both eyes are assessed together
Explanation:
In visual acuity testing using a Snellen chart, one eye is assessed at a time, and then both eyes are assessed together. The right eye is tested with the left eye covered, and then the left eye is tested with the right eye covered. Visual acuity is measured with or without corrective lenses, and the client stands at a distance of 20ft. from the chart.
Option (b) is incorrect because the testing distance is typically 20 feet (6 m). not 50ft. Option (c) is incorrect because the testing distance is typically 20 feet, not 10ft. Option (d) is incorrect because the client is asked to move closer to the chart, not farther, if they are unable to read the top line. Therefore, option (a) is the correct answer.
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