RNSG- Exam 2 Fall 2025

The school nurse is reviewing the structure of the eye of a group of middle school students. Which structure should the nurse emphasize as the first line of defense against eye infections?

1) Iris

2) Fovea

3) Cornea

4) Conjunctivae

4) Conjunctivae

A patient notices a change in the ability to focus the eyes. Which structure should the nurse suspect is causing this change?

1) Lens

2) Macula

3) Optic disk

4) Optic nerve

1) Lens

A patient is diagnosed with amblyopia. On which eye structure should the nurse focus when explaining this health problem to the patient?

1) Pupil

2) Retina

3) Sclera

4) Orbital muscles

4) Orbital muscles

An older patient reports a vision change of seeing dark spots. Which structure is causing this patient's health concern?

1) Sclera

2) Macula

3) Vitreous humor

4) Retinal blood vessels

3) Vitreous humor

During morning care the nurse cleanses a patient's eyes. Which structure will cause the eyes to blink?

1) Eyelids

2) Eyelashes

3) Lacrimal sacs

4) Lacrimal glands

2) Eyelashes

The nurse determines that a patient's rods are functioning as expected. What color did the patient see that caused the nurse to come to this conclusion?

1) Red

2) Blue

3) Gray

4) Green

3) Gray

The nurse notes that a patient has difficulty seeing objects that are near. Which term should the nurse use when documenting this finding?

1) Myopia

2) Hyperopia

3) Emmetropia

4) Astigmatism

2) Hyperopia

A patient's eyes are dilated. Which term should the nurse use to document this finding?

1) Miosis

2) Myopia

3) Mydriasis

4) Hyperopia

3) Mydriasis

The nurse is preparing to assess a patient's near vision. Which tool should the nurse use for this assessment?

1) Jaegar card

2) Snellen chart

3) Ishihara chart

4) Confrontation test

1) Jaegar card

The nurse notes that a patient's left pupil constricts when the right pupil is exposed to a bright light. What response did the nurse observe?

1) Ocular movements

2) Corneal light reflex

3) Pupillary light reflex

4) Consensual light reflex

4) Consensual light reflex

During an ophthalmologic examination a patient's red reflex was absent from the left eye. What risk is increased in the patient because of this finding?

1) Injury

2) Impaired comfort

3) Ineffective coping

4) Ineffective protection

1) Injury

A patient is demonstrating manifestations of a detached retina. For which diagnostic test should the nurse prepare this patient?

1) MRI

2) CT scan

3) Ultrasound

4) Radioisotope scan

3) Ultrasound

A patient with eye pain is scheduled for slit-lamp testing. What should the nurse instruct the patient to do before this test?

1) Remove contact lenses before the test

2) Take nothing by mouth for four hours before the test

3) Take an over-the-counter analgesic before the test

4) Restrict intake to less than two cups of fluid before the test

1) Remove contact lenses before the test

A patient is scheduled for intraocular pressure testing. What teaching should the nurse provide the patient about this test?

1) Eye shields will need to be worn after the test

2) Avoid consuming alcohol for 12 hours before the test

3) Eye drops will be needed for several hours after the test

4) Take nothing by mouth after midnight the morning of the test

2) Avoid consuming alcohol for 12 hours before the test

A patient is being prepared for corneal staining. Which health problem is this patient most likely experiencing?

1) Cataracts

2) Glaucoma

3) Detached retina

4) Corneal abrasions

4) Corneal abrasions

The nurse is preparing a patient for fluorescein angiography. What should the nurse emphasize about care at home after the test?

1) Increase oral intake of water after the test

2) Avoid lifting and sneezing for three days after the test

3) Remind that the skin may be yellow for a week after the test

4) Teach to notify the health-care provider if the urine turns green after the test

1) Increase oral intake of water after the test

A patient asks why sunglasses need to be worn when out of doors. What health problem should the nurse say is reduced when responding to this patient?

1) Cataracts

2) Glaucoma

3) Detached retina

4) Corneal abrasions

1) Cataracts

A 57-year-old patient asks how frequent eye examinations should be completed. What should the nurse respond to this patient?

1) "It depends upon your age and health status."

2) "Everyone should have an eye exam every year."

3) "Most people need an examination every five years."

4) "If you have a chronic illness, an exam is needed every six months."

1) "It depends upon your age and health status."

A middle-aged adult is concerned about needing reading glasses. On which eye structure should the nurse focus when explaining this age-related change to the patient?

1) Lens

2) Pupil

3) Retina

4) Vitreous humor

1) Lens

An older patient is concerned because the eyes are dry and feel gritty. What should the nurse respond to this patient's concern?

1) "This is because the eyelids lose elasticity with aging."

2) "This is because the arteries in the eyes narrow with aging."

3) "This is an emergency and needs to be treated immediately."

4) "This is because the tear glands and conjunctiva don't lubricate the eye as well with aging."

4) "This is because the tear glands and conjunctiva don't lubricate the eye as well with aging."

A sharp object that was impaled into a patient's right eye has punctured the uvea. Which eye structures are at risk because of this injury? Select all that apply.

1) Iris

2) Sclera

3) Retina

4) Choroid

5) Ciliary body

1) Iris

4) Choroid

5) Ciliary body

The nurse is preparing a tool to teach preoperative patients about the eye. What should the nurse include about the functions of the ciliary body? Select all that apply.

1) Maintains lens zonules

2) Produces aqueous humor

3) Allows for accommodation

4) Supplies blood to the retina

5) Changes the shape of the lens

1) Maintains lens zonules

2) Produces aqueous humor

3) Allows for accommodation

The nurse is assessing a patient's eye function. On which cranial nerves should the nurse focus during this assessment? Select all that apply.

1) CN II

2) CN III

3) CN IV

4) CN V

5) CN VI

1) CN II

2) CN III

3) CN IV

5) CN VI

The nurse is preparing to assess a patient's eyes. Which eye functions are responsible for maintaining clear images of objects? Select all that apply.

1) Myopia

2) Refraction

3) Convergence

4) Pupillary constriction

5) Accommodation

2) Refraction

3) Convergence

4) Pupillary constriction

5) Accommodation

The nurse is reviewing the mechanism of vision with a group of patients planning to have LASIK surgery. In which order should the nurse explain this process? (Enter the number of each step in the proper sequence; do not use punctuation or spaces. Example: 1234)

1) Light hits the lens

2) Light enters the pupil

3) Lens focuses light rays on retina

4) Ciliary muscles change lens shape

5) Retina changes light to nerve signals

2 1 3 4 5

While reviewing collected data the nurse notes that a patient has been newly diagnosed with myopia. What information in the patient's history might have contributed to this refractive error?

1) Has 3 children

2) Smokes 1 PPD of cigarettes

3) Raises homegrown tomatoes

4) Worked for 30 years as a tailor

4) Worked for 30 years as a tailor

The nurse is planning care for a patient with an astigmatism. What action should the nurse take to reduce this patient's headaches and blurred vision?

1) Encourage to wear corrective lenses while awake

2) Apply cool compresses to the eyes every four to six hours

3) Recommend removing corrective lenses every few hours

4) Instruct to gently massage out eye canthus several times a day

1) Encourage to wear corrective lenses while awake

The nurse suspects that a patient has undiagnosed hyperopia. What did the nurse assess to come to this conclusion?

1) Squints, has headaches, and blurred vision

2) Sees distance objects better than those near

3) Sees near objects better than those at a distance

4) Unable to focus on objects held close to the face

2) Sees distance objects better than those near

A patient has watery eye discharge affecting both eyes. Which health problem should the nurse suspect this patient is experiencing?

1) Cataracts

2) Eye trauma

3) Conjunctivitis

4) Corneal abrasions

3) Conjunctivitis

The nurse is evaluating teaching provided to a patient with bacterial conjunctivitis. Which patient statement indicates that additional teaching is required?

1) "I should place my towel in the bathroom."

2) "I should wash my hands frequently during the day."

3) "I should complete all of my prescribed medications."

4) "I should make a follow up appointment as directed."

1) "I should place my towel in the bathroom."

A patient is diagnosed with a corneal abrasion. Which diagnostic test was used to confirm this diagnosis?

1) MRI

2) CT scan

3) Ultrasound

4) Fluorescein stain

4) Fluorescein stain

A patient seeks treatment for a corneal abrasion that occurred the previous week. What should the nurse expect to be prescribed to reduce this patient's risk of developing a complication?

1) Tetanus vaccination

2) Topical steroid drops

3) Systemic pain medication

4) Topical antihistamine drops

1) Tetanus vaccination

The nurse suspects that a patient is developing a cataract. What finding did the nurse use to make this clinical decision?

1) Itching of both eyes

2) Tearing of both eyes

3) Redness of the sclera

4) Double vision in one eye

4) Double vision in one eye

A patient contemplating cataract surgery asks if there are any risk factors. How should the nurse respond?

1) Blindness

2) Detached retina

3) Corneal abrasion

4) Macular degeneration

2) Detached retina

The nurse is caring for a patient recovering from cataract removal surgery. Which action should the nurse take to reduce intraocular pressure (IOP)?

1) Restrict fluids

2) Position on the operative side

3) Administer mydriatic eye drops

4) Elevate the head of the bed 45 degrees

4) Elevate the head of the bed 45 degrees

During a vision test, the nurse notes that a patient has decreased peripheral vision of both eyes. Which health problem should the nurse suspect that this patient is experiencing?

1) Secondary glaucoma

2) Acute angle glaucoma

3) Normal-tension glaucoma

4) Primary open-angle glaucoma

4) Primary open-angle glaucoma

The nurse notes that a patient is diagnosed with primary open-angle glaucoma. What diagnostic test would have been used to diagnose this health problem?

1) MRI

2) CT scan

3) Tonometry

4) Ultrasound

3) Tonometry

The nurse is visiting the home of a patient recovering from laser trabeculoplasty. Which observation made by the nurse increases this patient's risk of developing a postoperative complication?

1) Takes a daily laxative

2) Picks up a 3-year-old grandchild

3) Washes hands before applying eye drops

4) Applies pressure to the lacrimal duct after applying eye drops

2) Picks up a 3-year-old grandchild

The nurse is reviewing teaching provided to a patient with glaucoma. Which patient statement indicates that teaching has been effective?

1) "I should consider surgery to cure this disorder."

2) "I should use the eye drops when my vision blurs."

3) "I should cut down on eating salty and high-fat foods."

4) "I should call my doctor before taking any over-the-counter medications."

4) "I should call my doctor before taking any over-the-counter medications."

The nurse notes that a patient known to the community clinic was unable to recognize the health-care provider. What health problem should the nurse suspect is occurring with this patient?

1) Cataracts

2) Glaucoma

3) Corneal abrasions

4) Macular degeneration

4) Macular degeneration

A patient has been experiencing a gradual loss of central vision. Which tool should the nurse use when assessing this patient?

1) Jaeger card

2) Amsler grid

3) Snellen chart

4) Ishihara chart

2) Amsler grid

A patient with macular degeneration is being treated with verteporfin (Visudyne). What should the nurse emphasize in the patient teaching in order to reduce the risk of complications from this treatment?

1) Apply lotion to the skin for two weeks after the treatment

2) Increase the intake of water for three days after the treatment

3) Avoid indoor and outdoor light for five days after treatment

4) Wear sunglasses when going out of doors for one week after treatment

3) Avoid indoor and outdoor light for five days after treatment

It is documented in the medical record that a patient has a rhegmatogenous detached retina. How should this

diagnosis be explained to the patient?

1) Eye trauma causes the retinal to detach from the retinal pigment epithelium (RPE).

2) Eye inflammation causes vitreous fluid leaks into the area under the retina.

3) Vitreous fluid moves under the retina and separates the retina from the pigmented cell layer.

4) Scar tissue on the retina causes the retina to separate from the retinal pigment epithelium (RPE).

3) Vitreous fluid moves under the retina and separates the retina from the pigmented cell layer.

A patient is demonstrating signs of a detached retina. What is the reason this occurred?

1) Blood vessels in the eye spasm

2) Inner layers of the retina separate

3) Overgrowth of vessels damages vision

4) Drainage of vitreous humor is blocked

2) Inner layers of the retina separate

A patient comes into the emergency department with manifestations of retinal detachment. What should the nurse do to minimize this patient's eye movements?

1) Provide a sedative

2) Loosely cover both eyes

3) Elevate the head of the bed 45 degrees.

4) Apply an eye patch over the affected eye

2) Loosely cover both eyes

During a softball game a child was hit in the eye with a bat. What common manifestation should the nurse expect when assessing this patient?

1) Edema

2) Blood-tinged tears

3) Loss of central vision

4) Loss of peripheral vision

1) Edema

The nurse is evaluating teaching provided to a patient recovering from eye trauma. Which statement indicates that additional teaching is required?

1) "I have to wear the eye patch."

2) "I can play ball again this weekend."

3) "I need to see the doctor in a few days."

4) "I should call the doctor if my sight changes."

2) "I can play ball again this weekend."

A patient with myopia asks what can be done to correct the disorder. Which procedures should the nurse review with this patient? Select all that apply.

1) LASIK

2) Radical keratotomy

3) Thermal keratoplasty

4) Phakic intraocular lens

5) Photorefractive keratotomy

1) LASIK

2) Radical keratotomy

4) Phakic intraocular lens

5) Photorefractive keratotomy

A patient is diagnosed with bacterial conjunctivitis. What should the nurse expect to assess in this patient? Select all that apply.

1) Tearing

2) Red sclera

3) Puffy eyelids

4) Purulent eye discharge

5) Matting of the eyelashes

4) Purulent eye discharge

5) Matting of the eyelashes

A patient is diagnosed with viral conjunctivitis. What should the nurse expect to be prescribed for this patient? Select all that apply.

1) Eye lubricants

2) Cold compresses

3) Topical steroid drops

4) Ocular decongestants

5) Topical antihistamine drops

1) Eye lubricants

2) Cold compresses

4) Ocular decongestants

The nurse suspects that a patient is experiencing a corneal abrasion. What did the nurse assess to come to this conclusion? Select all that apply.

1) Tearing

2) Eye pain

3) Squinting

4) Photophobia

5) Purulent drainage

1) Tearing

2) Eye pain

3) Squinting

4) Photophobia

The nurse is preparing information about cataracts for a community health fair. What should the nurse include about risk factors for the disorder? Select all that apply.

1) Obesity

2) Age over 60

3) Family history

4) Alcohol intake

5) Chronic health problems

1) Obesity

2) Age over 60

3) Family history

5) Chronic health problems

The nurse is preparing a tool about macular degeneration that will be posted during a health fair. Which modifiable risk factors should the nurse include in this tool? Select all that apply.

1) Race

2) Gender

3) Obesity

4) Smoking

5) High blood pressure

3) Obesity

4) Smoking

5) High blood pressure

The school nurse is preparing a poster for students focusing on the structures of the ear. What information should be included about the Eustachian tube?

1) It is the most visible part of the ear

2) It is lined with glands that secrete cerumen

3) It connects the middle ear with the nasopharynx

4) It holds the sensory organs for equilibrium and hearing

3) It connects the middle ear with the nasopharynx

A patient is being evaluated for a hearing disorder. How should the nurse explain the semicircular canals?

1) Contain glands that make cerumen

2) Is the smallest bone in the human body

3) Cartilage containing fluid and hair cells

4) Separates the external from the middle ear

3) Cartilage containing fluid and hair cells

A patient is diagnosed with a bone conduction hearing disorder. Which bones are responsible for transmitting sound for bone conduction?

1) Skull

2) Maxilla

3) Mastoid

4) Mandible

1) Skull

A patient is experiencing extreme vertigo. Which part of the ear is malfunctioning?

1) Pinnae

2) Malleus

3) Labyrinth

4) Organs of Corti

3) Labyrinth

Which observation made by the nurse indicates that the patient might be experiencing a hearing disorder?

1) Answers most questions incorrectly

2) Sits with the hands folded in the lap

3) Looks at the nurse's face when talking

4) Takes a few extra seconds before responding

1) Answers most questions incorrectly

During an assessment the nurse determines that a patient is at risk for a perforated eardrum. What information caused the nurse to have this concern?

1) Flushes the ears with warm water

2) Uses a hair pin to remove ear wax

3) Cleanses the outer ear areas with a wash cloth

4) Places cotton balls in the ears before swimming

2) Uses a hair pin to remove ear wax

The nurse is preparing to use an otoscope to examine an adult patient's external ear structures. What should the nurse do to ensure the ear canal is straight?

1) Pull the pinna down

2) Pull the pinna up and back

3) Hold the otoscope upright

4) Tilt the patient's head toward the nurse

2) Pull the pinna up and back

During a hearing assessment the nurse has the patient cover one ear and asks the patient to repeat a few words spoken near the uncovered ear. Which assessment technique is the nurse using?

1) Voice test

2) Watch test

3) Weber test

4) Tympanic test

1) Voice test

A patient is scheduled for an audiometry examination. What should the nurse explain as being the purpose of this test?

1) Determines hearing acuity

2) Measures cranial nerve function

3) Identifies if the middle ear is inflamed

4) Analyzes brain interpretation of sound

1) Determines hearing acuity

A patient is experiencing "fullness" in the ears. Which diagnostic test should be anticipated for this patient?

1) MRI

2) CT scan

3) Tympanometry

4) Electronystagmography

3) Tympanometry

A patient with a hearing disorder just underwent a CT scan with contrast. What should the nurse emphasize to the patient after the test?

1) Increase oral fluids

2) Avoid caffeinated beverages

3) Take nothing by mouth for three hours

4) Avoid over-the-counter analgesics

1) Increase oral fluids

A patient is directed to schedule an MRI to help diagnose a new onset of unilateral deafness. For which health reason should this diagnostic procedure be delayed?

1) Patient has a pacemaker

2) Patient takes metformin

3) Patient has claustrophobia

4) Patient is allergic to iodine

1) Patient has a pacemaker

A patient is experiencing a new onset of reduced hearing. Which medication should the nurse suspect is causing this patient's disorder?

1) Prilosec

2) Gentamycin

3) Dexamethasone

4) Calcium supplement

2) Gentamycin

During an assessment the nurse becomes concerned that a patient is at risk for a hearing loss. What information caused the nurse to have this concern?

1) Age 35 years

2) Lives with spouse and two children

3) Works for a lawn and garden service

4) Has a ranch-style home in the country

3) Works for a lawn and garden service

The mother of an adolescent is frustrated because the teen appears to be "deaf." What observation made by the nurse might suggest a potential risk to hearing for this teen?

1) Use of earbuds

2) Time spent on the computer

3) Number of followers on Twitter

4) Frequency of posting on Facebook

1) Use of earbuds

A patient who swims twice a week has been experiencing frequent ear infections. What should the nurse suggest to this patient?

1) Use waterproof earplugs

2) Place cotton in the ears before swimming

3) Instill castor oil into the ears before swimming

4) Flush the ears with hydrogen peroxide after swimming

1) Use waterproof earplugs

An older patient has an impaction of cerumen in both ears. What should the nurse explain as the reason for this occurrence?

1) Poor diet

2) Drier Cerumen

3) Reduced fluid intake

4) Stiffening of blood vessels

2) Drier Cerumen

The ear-nose-and-throat health-care professional documents that a patient has a stiff tympanic membrane. What should this information indicate to the nurse?

1) Antibiotics should be prescribed

2) Progressive hearing loss will occur

3) Middle ear changes affect the patient's hearing

4) Special care is required to protect the ears when showering

3) Middle ear changes affect the patient's hearing

A middle-aged patient avoids eating out in restaurants because of the inability to hear dining partners talk. What should the nurse realize that this patient is describing?

1) Presbycusis

2) Mixed hearing loss

3) Conductive hearing loss

4) Sensorineural hearing loss

1) Presbycusis

The nurse notices that an older patient takes a few extra seconds to respond to conversation. What should the nurse realize is causing this to occur?

1) Presbycusis

2) Use of NSAIDs for pain

3) Nerve damage from medication

4) Increased auditory reaction time

4) Increased auditory reaction time

A patient is diagnosed with a middle ear infection. What structures are affected by this infection? Select all that apply.

1) Cochlea

2) Bony labyrinth

3) Eustachian tube

4) Mastoid process

5) Tympanic membrane

3) Eustachian tube

5) Tympanic membrane

The nurse notes that a patient has Level III Usher's syndrome. What should the nurse expect when assessing this patient? Select all that apply.

1) Deafness

2) Unilateral hearing loss

3) Variable vestibular dysfunction

4) Profound sensorineural hearing loss

5) Progressive sensorineural hearing loss

3) Variable vestibular dysfunction

5) Progressive sensorineural hearing loss

A patient is scheduled for an electronystagmography. What should the nurse instruct the patient to prepare for this test? Select all that apply.

1) Bring eyeglasses to the test

2) Report an allergy to iodine or shellfish

3) Drinking fluids after the test will occur slowly

4) Take nothing by mouth for three hours before the test

5) Avoid caffeine products for 24 hours prior to the test

1) Bring eyeglasses to the test

3) Drinking fluids after the test will occur slowly

4) Take nothing by mouth for three hours before the test

5) Avoid caffeine products for 24 hours prior to the test

The nurse is preparing a teaching tool on hearing for a community fair. Which medication classifications should the nurse identify as potentially causing hearing problems? Select all that apply.

1) Diuretics

2) Antibiotics

3) Vasodilators

4) Chemotherapy agents

5) Nonsteroidal anti-inflammatory drugs (NSAIDs)

1) Diuretics

2) Antibiotics

4) Chemotherapy agents

5) Nonsteroidal anti-inflammatory drugs (NSAIDs)

The nurse is explaining the mechanism of hearing through sound conduction to a group of high school students. In which order should the nurse explain this process? (Enter the number of each step in the proper sequence; do not use punctuation or spaces. Example: 1234)

1) Sound enters the pinna

2) Vibrations enter the cochlea

3) Vibrations cause the ossicles to move

4) Vibrations travel through nerves to the brain

5) Sound travels to the tympanic membrane

1 5 3 2 4

During a home visit the nurse suspects that someone in the family has hearing loss. What did the nurse observe to come to this conclusion?

1) Television volume on loud

2) Patient sitting in the kitchen

3) Music playing in the background

4) Family member cooking at the stove

1) Television volume on loud

A patient with a hearing loss is wearing headphones as a part of a diagnostic test. What test is being completed with this patient?

1) Tympanometry

2) Pure-tone threshold

3) MRI with gadolinium

4) Speech reception threshold

2) Pure-tone threshold

A patient is scheduled for a cochlear implant. Which patient statement indicates that teaching about this surgery has been effective?

1) "This implant will not restore my hearing."

2) "I will be able to hear perfectly after this surgery."

3) "This surgery will drain fluid from my middle ear."

4) "This surgery will rebuild my damaged tympanic membrane."

1) "This implant will not restore my hearing."

The nurse is planning care for a patient recovering from a tympanoplasty. Which action should the nurse include to ensure the ear packing stays intact?

1) Increase fluid intake

2) Administer tobramycin

3) Maintain nothing by mouth status

4) Position flat with the operative side up

4) Position flat with the operative side up

A patient who swims several times a week asks why the ears are becoming frequently infected. What should the nurse explain to this patient?

1) "The pool water is entering your Eustachian tubes."

2) "The pool water has microorganisms that are entering your ears."

3) "The pool water is drying out your ears causing skin breakdown."

4) "The pool water has chlorine that is killing all of the good bacteria."

3) "The pool water is drying out your ears causing skin breakdown."

A patient with external otitis has a ruptured tympanic membrane. Which medication should the nurse expect to be prescribed for this patient?

1) Tobramycin

2) Fluoroquinolone

3) 2.0% Acetic acid (Vosol)

4) 90% to 95% isopropyl alcohol

2) Fluoroquinolone

A patient with external otitis rates pain as 8 on a scale of 0 to 10. What should the nurse do to improve this patient's comfort?

1) Apply warm, dry heat to the ear

2) Apply a cool compress to the ear

3) Position supine with the affected ear down

4) Obtain an order for an opioid pain medication

1) Apply warm, dry heat to the ear

During a well-child visit the nurse suspects that a two-year-old is experiencing otitis media. What finding did the nurse use to make this clinical determination?

1) Drowsiness

2) Tugging at the ear

3) Tearing of the eyes

4) Clear mucous from the nose

2) Tugging at the ear

A patient with a low-grade fever is diagnosed with otitis media. Which medication should the nurse expect to be prescribed as a priority for this patient?

1) Cefixime (Suprax)

2) Ibuprofen (Motrin)

3) Acetaminophen (Tylenol)

4) Normalsaline nose drops

1) Cefixime (Suprax)

A patient being treated for otitis media is experiencing reduced hearing and dizziness. Which complication should the nurse suspect is occurring with this patient?

1) Petrositis

2) Meningitis

3) Mastoiditis

4) Labyrinthitis

4) Labyrinthitis

A patient seeking medical attention for "buzzing in the ears" asks why the blood pressure is being measured. How should the nurse respond to this patient?

1) "Blood pressure measurement is done on every patient."

2) "The ear buzzing means your blood vessels are constricted."

3) "Elevated blood pressure makes the buzzing more noticeable."

4) "The blood pressure is used to determine what medication you will need."

3) "Elevated blood pressure makes the buzzing more noticeable."

A patient asks what can be done to stop the "noises" in the ears. What should the nurse ask to determine if the patient is experiencing tinnitus?

1) "What does the noise sound like?"

2) "How often do the noises occur?"

3) "What are the noises saying to you?"

4) "Do the noises occur mostly at night?"

1) "What does the noise sound like?"

A patient with tinnitus is prescribed diphenhydramine. What should the nurse explain to the patient about this medication?

1) "This is an antibiotic that will cure the problem."

2) "This is a decongestant to help reduce the symptoms."

3) "This is an anticonvulsant that will stop the aura of the noises."

4) "This is a vitamin supplement that will improve blood flow to the ears."

2) "This is a decongestant to help reduce the symptoms."

A middle-aged patient is experiencing tinnitus. What should the nurse suggest to help determine the reason for this health problem?

1) Increase the intake of fresh fruit

2) Write down when the noises occur

3) Sleep a few extra hours each night

4) Reduce fluid intake after 1800 hours

2) Write down when the noises occur

After an assessment the nurse suspects a patient is experiencing vertigo. Which data caused the nurse to come to this conclusion?

1) Nasal congestion

2) Spinning sensation at rest

3) Feeling of fullness in the ears

4) Mucopurulent drainage from the nose

2) Spinning sensation at rest

During a home visit the nurse notes that a patient continues to experience vertigo. On what should the nurse focus care during this visit?

1) Safety

2) Nutrition

3) Perfusion

4) Fluid balance

1) Safety

The nurse is evaluating teaching provided to a patient with vertigo. Which observation indicates that teaching has been effective?

1) Sips a cup of coffee

2) Changes positions slowly

3) Prepares canned soup for lunch

4) Drinks diet soda during the day

2) Changes positions slowly

The nurse is reviewing data in a patient's medical record. Which information increases the patient's risk for developing Ménière's disease?

1) Follows a gluten-free diet

2) Allergic to house dust and pet dander

3) Works as a computer science technician

4) Treated for a pinched nerve in the lower back

2) Allergic to house dust and pet dander

A patient with Ménière's disease is admitted for intravenous fluid administration. What additional manifestation is seen in this disease process?

1) Muscle cramps

2) Drop in blood pressure

3) Capillary glucose 90 mg/dL

4) Uncontrollable eye movements

4) Uncontrollable eye movements

A patient with Ménière's disease is experiencing severe nausea and vomiting. Which medication should the nurse expect to be prescribed for this patient?

1) Diazepam (Valium)

2) Meclizine (Antivert)

3) Promethazine (Phenergan)

4) Dimenhydrinate (Dramamine)

3) Promethazine (Phenergan)

A patient with severe Ménière's disease is considering a labyrinthectomy. What should the nurse emphasize as a complication of this procedure?

1) Long-term tinnitus

2) Chronic otitis media

3) Rupture of the tympanic membrane

4) Complete hearing loss of the affected ear

4) Complete hearing loss of the affected ear

The nurse suspects that patient is experiencing undiagnosed Ménière's disease. Which assessment finding supports the nurse's clinical decision?

1) Facial pain

2) Nasal drainage

3) Positive Romberg test

4) Decreased deep tendon reflexes

3) Positive Romberg test