Sample Questions and Answers
A client is experiencing visual disturbances. Which of the following should the nurse assess first?
A) Ability to identify colors
B) Ability to read printed text
C) Eye redness or swelling
D) Blurred or double vision
Answer: D) Blurred or double vision
A nurse is caring for a client with sudden loss of vision in one eye. Which of the following is the most appropriate initial action?
A) Administer pain medication
B) Assess for signs of a stroke
C) Prepare for an eye examination
D) Perform a neurological assessment
Answer: B) Assess for signs of a stroke
A client with diabetic retinopathy asks the nurse about preventing further damage. Which response is most appropriate?
A) “You should decrease the amount of fluids you drink.”
B) “Maintaining good blood sugar control is important.”
C) “There is no way to prevent the damage, but you can try to protect your eyes from bright lights.”
D) “You should wear glasses with a protective coating.”
Answer: B) “Maintaining good blood sugar control is important.”
A client who is hard of hearing is admitted to the hospital. Which of the following should the nurse do to facilitate communication?
A) Speak in a high-pitched voice
B) Avoid the use of written communication
C) Ensure the client’s hearing aids are in place
D) Speak with the door closed to reduce distractions
Answer: C) Ensure the client’s hearing aids are in place
Which of the following is the most common cause of hearing loss in older adults?
A) Meniere’s disease
B) Presbycusis
C) Otosclerosis
D) Ear infections
Answer: B) Presbycusis
A client is diagnosed with glaucoma. Which of the following interventions should the nurse include in the plan of care?
A) Administering corticosteroid drops
B) Instructing the client to avoid tight clothing around the neck
C) Encouraging the client to avoid sudden head movements
D) Teaching the client to limit sodium intake
Answer: C) Encouraging the client to avoid sudden head movements
A client with cataracts is scheduled for surgery. Which of the following is an important teaching point for the nurse to include?
A) “You will need to wear a patch over your eye for several weeks.”
B) “Postoperative care includes keeping the eye clean and dry.”
C) “You will be given antibiotics to prevent infection, but no other medication is necessary.”
D) “You should expect temporary blindness after the surgery.”
Answer: B) “Postoperative care includes keeping the eye clean and dry.”
A nurse is caring for a client with a diagnosis of macular degeneration. The nurse should focus on teaching the client to:
A) Monitor blood pressure regularly
B) Perform regular eye exercises
C) Use visual aids for reading
D) Avoid excessive sun exposure
Answer: C) Use visual aids for reading
Which of the following interventions should the nurse include when caring for a client with impaired taste?
A) Encourage a bland diet
B) Promote oral hygiene before meals
C) Provide extra salt to enhance food flavor
D) Increase fluid intake to decrease mouth dryness
Answer: B) Promote oral hygiene before meals
A client with conductive hearing loss asks what caused the problem. The nurse should explain that conductive hearing loss results from:
A) Damage to the inner ear
B) Obstruction of the auditory canal
C) Age-related changes in the ear
D) Nerve degeneration
Answer: B) Obstruction of the auditory canal
A client with vertigo is receiving treatment. Which of the following should the nurse include in the care plan?
A) Encourage the client to stay in a low-stimulus environment
B) Instruct the client to turn the head slowly when changing positions
C) Discourage the use of assistive devices for walking
D) Instruct the client to avoid all physical activity
Answer: B) Instruct the client to turn the head slowly when changing positions
The nurse is caring for a client who is at risk for sensory overload. Which of the following interventions should the nurse implement?
A) Provide a bright light source in the room
B) Limit visitors and distractions in the environment
C) Use noisy equipment to keep the environment stimulating
D) Offer caffeinated beverages to increase alertness
Answer: B) Limit visitors and distractions in the environment
A client is at risk for sensory deprivation. Which of the following interventions should the nurse consider?
A) Ensure a quiet environment with limited stimulation
B) Provide regular opportunities for the client to engage in conversation
C) Keep the client’s room dark and without interaction
D) Minimize the use of television or radio to reduce distraction
Answer: B) Provide regular opportunities for the client to engage in conversation
A nurse is providing care to a client with a neurological disorder who has partial loss of sensation in the legs. The nurse should:
A) Provide safety precautions to prevent falls
B) Encourage the client to exercise the legs frequently
C) Assess the client’s legs for pain
D) Teach the client to avoid using the legs
Answer: A) Provide safety precautions to prevent falls
Which of the following should the nurse include in the care plan for a client with sensory deficits?
A) Ensure the client is isolated to reduce stimulation
B) Encourage the client to participate in physical therapy
C) Provide support to help the client manage the deficit
D) Teach the client to avoid social interaction
Answer: C) Provide support to help the client manage the deficit
A client is diagnosed with diabetic neuropathy. Which of the following should the nurse include in the teaching plan?
A) “Massage your feet daily to promote circulation.”
B) “Wear tight-fitting shoes to reduce irritation.”
C) “Monitor your feet regularly for cuts, blisters, and redness.”
D) “Keep your feet warm and dry at all times.”
Answer: C) “Monitor your feet regularly for cuts, blisters, and redness.”
A client is receiving treatment for presbyopia. The nurse should advise the client to:
A) Use reading glasses for near-vision tasks
B) Increase the lighting in the room for better vision
C) Limit outdoor activities due to sensitivity to light
D) Perform regular eye exercises to strengthen the eye muscles
Answer: A) Use reading glasses for near-vision tasks
A client who is deaf asks the nurse about alternative communication methods. The nurse should suggest:
A) Using an interpreter for sign language
B) Speaking in a louder voice
C) Using written communication only
D) Relying on gestures and body language
Answer: A) Using an interpreter for sign language
A nurse is caring for a client with a newly inserted cochlear implant. Which of the following should the nurse include in the teaching plan?
A) “The implant will restore hearing to normal levels.”
B) “You will need to avoid loud environments.”
C) “Avoid using the implant while sleeping.”
D) “The implant is usually effective immediately.”
Answer: B) “You will need to avoid loud environments.”
A client with a recent stroke is experiencing difficulty swallowing. Which of the following interventions should the nurse implement?
A) Position the client in a low-Fowler’s position during meals
B) Encourage the client to eat quickly to avoid choking
C) Offer small, frequent meals of soft foods
D) Allow the client to drink large amounts of fluids with meals
Answer: C) Offer small, frequent meals of soft foods
Which of the following is an early symptom of diabetic retinopathy?
A) Blurred vision
B) Loss of peripheral vision
C) Tunnel vision
D) Sudden loss of vision in one eye
Answer: A) Blurred vision
A client with hearing impairment asks about assistive devices. Which of the following would the nurse recommend?
A) Digital hearing aids
B) Visual alerts for telephones
C) Closed captioning on televisions
D) All of the above
Answer: D) All of the above
A client has just been diagnosed with macular degeneration. The nurse should recommend which of the following?
A) Regular eye exams
B) Wearing sunglasses at all times
C) Limiting physical activity
D) Avoiding bright lighting
Answer: A) Regular eye exams
A client is receiving medications that can affect hearing. Which of the following should the nurse assess for?
A) Tinnitus
B) Blurred vision
C) Dizziness
D) Pain in the ear
Answer: A) Tinnitus
A nurse is assessing a client for sensory deficits. Which of the following would be most important to assess first?
A) Visual acuity
B) Pain response
C) Skin sensation
D) Hearing ability
Answer: B) Pain response
Which of the following is a potential risk factor for cataracts?
A) Excessive alcohol consumption
B) Frequent use of eye drops
C) A family history of macular degeneration
D) Chronic sun exposure
Answer: D) Chronic sun exposure
A nurse is preparing to discharge a client with glaucoma. Which of the following instructions is most important to include?
A) “You must avoid all physical activity.”
B) “Take your prescribed eye drops as directed.”
C) “You should limit fluid intake.”
D) “You will need to wear glasses all the time.”
Answer: B) “Take your prescribed eye drops as directed.”
A client with a history of chronic ear infections is experiencing drainage from the ear. What should the nurse do first?
A) Administer pain medications
B) Notify the healthcare provider
C) Instruct the client to keep the ear dry
D) Clean the ear canal
Answer: B) Notify the healthcare provider
A nurse is caring for a client with hearing loss. Which of the following is an appropriate communication strategy?
A) Speak loudly and slowly
B) Face the client while speaking and use clear articulation
C) Avoid using gestures or facial expressions
D) Use written communication exclusively
Answer: B) Face the client while speaking and use clear articulation
A nurse is educating a client about preventing further vision loss due to diabetic retinopathy. Which of the following is the most important recommendation?
A) “Avoid activities that involve bright lights.”
B) “Ensure regular blood sugar control.”
C) “Wear sunglasses every day.”
D) “Limit the intake of foods high in cholesterol.”
Answer: B) “Ensure regular blood sugar control.”
31. A client who has recently undergone cataract surgery asks when they can resume normal activities. The nurse’s response should be based on which of the following?
A) “You can resume normal activities in 1 week.”
B) “You will need to avoid bending over for 4 to 6 weeks.”
C) “You should avoid bright lights for 2 weeks.”
D) “You can return to work immediately.”
Answer: B) “You will need to avoid bending over for 4 to 6 weeks.”
32. A nurse is caring for a client with sudden visual loss. The nurse should assess for which of the following possible causes?
A) Cataracts
B) Glaucoma
C) Retinal detachment
D) Dry eyes
Answer: C) Retinal detachment
33. A client who is recovering from a stroke is having difficulty swallowing. The nurse should assess the client for which of the following?
A) Aphasia
B) Dysphagia
C) Ataxia
D) Agnosia
Answer: B) Dysphagia
34. A nurse is providing education to a client with diabetic neuropathy. Which of the following statements by the client indicates a need for further teaching?
A) “I will inspect my feet daily for injuries.”
B) “I should apply hot water bottles to my feet for warmth.”
C) “I need to wear shoes that fit well to avoid pressure points.”
D) “I will avoid walking barefoot to prevent injury.”
Answer: B) “I should apply hot water bottles to my feet for warmth.”
35. A nurse is teaching a client with a newly diagnosed diagnosis of glaucoma. Which of the following should the nurse emphasize to the client?
A) “Glaucoma is easily treatable with antibiotics.”
B) “You will need to use eye drops regularly to control intraocular pressure.”
C) “Vision loss due to glaucoma is reversible with treatment.”
D) “Surgical intervention is required for all cases of glaucoma.”
Answer: B) “You will need to use eye drops regularly to control intraocular pressure.”
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