Good Stuff Happens in 1:1 Meetings: Why you need them and how to do them well
Assessing clients with eye or ear disorders
1. Assessing Clients with Eye or Ear Disorders
NCLEX Review
1 . A nurse, performing a vision screening on a client, notes the client has to stand
20 feet from the chart to read a line that a person with normal vision could read
100 feet from the chart. The nurse documents the reading as which of the
following?
20/20
100/20
20/100
120
2 . A 50-year-old client has impaired near vision resulting from a loss of elasticity of
the lens related to aging. This is called
myopia.
hyperopia.
presbyopia.
nearsightedness.
3 . Which of the following will the nurse implement to assess convergence?
Direct a light source onto the bridge of the nose from 12 to 15 inches.
Observe for equal reflection of the light from each eye.
Hold an object at a distance of a few feet from the client. Assess for pupil
dilation.
Cover one of the client's eyes and note any movement of the uncovered
eye.
Ask the client to follow an object as the nurse moves it towards the client's
eyes.
4 . A nurse assessing a client notes yellow plaques on the lid margins. The nurse
documents the finding as
exophthalmos.
xanthelasma.
corneal arcus.
ptosis.
5 . The nurse, teaching a group of clients with chronic ear complications, plans to
2. include which of the following as being involved in equilibrium?
The external ear
The middle ear
The inner ear
All three areas of the ear
6 . When performing hearing examinations on a client, the nurse recognizes which
of the following as normal?
Bone conduction greater than air conduction
Air conduction greater than bone conduction
Air conduction equal with bone conduction
No relationship between air conduction and bone conduction
7 . A nurse assessing a client notes small, raised lesions on the rim of the ear.
Based on this finding, the nurse asks the client about a history of which of the
following?
Gout
Chronic otitis media
Hearing loss
High cholesterol
8 . A nurse, assessing a client's ear with an otoscope, notes the tympanic
membrane has white opaque areas. The nurse recognizes this finding as which
of the following?
A normal finding
Otitis media
Retraction of the tympanic membrane
Scars from previous perforations
9 . A client asks the nurse to explain the purpose of ear wax (cerumen). The nurse
knows that which of the following is not a function of cerumen?
Protects the tympanic membrane from infection
Protects the middle ear from infections
Traps foreign bodies
3. Serves to direct sound waves into the ear
10
.
A nursing student studying ear anatomy and physiology recognizes that which of
the following helps to equalize the air pressure in the middle ear?
Tympanic membrane
Eustachian tube
Labyrinth
Cochlea