Test Bank For NURSING HEALTH ASSESSMENT 3rd Edition By Dillon

Test Bank For NURSING HEALTH ASSESSMENT 3rd Edition By Dillon

Chapter 04: Assessing the Eye and the Ear

Multiple Choice

Identify the choice that best completes the statement or answers the question.

____ 1. The nurse is assessing a patient’s ears. Which is a primary function of the ears that the nurse will include in the assessment process?

1)

Visual assessment

2)

Taste assessment

3)

Smell assessment

4)

Equilibrium assessment

____ 2. The nurse is assessing a patient who is experiencing eye pain. Which assessment question is appropriate when collecting the health history for this patient?

1)

“Does light bother your eye?”

2)

“Have you noticed any changes in your vision?”

3)

“Have you noticed any tearing of the eye?”

4)

“Do you wear contact lenses?”

____ 3. The nurse is collecting a health history for a patient who presents with diplopia. Which question is most appropriate for the nurse to include in this patient’s health history?

1)

“Are you experiencing discomfort?”

2)

“Does the double vision get worse when you are tired?”

3)

“Did you experience a sudden loss of vision?”

4)

“Do you wear contact lenses?”

____ 4. The nurse is assessing a patient visual accommodation. Which cranial nerve does the nurse plan to assess?

1)

Cranial nerve I

2)

Cranial nerve II

3)

Cranial nerve III

4)

Cranial nerve IV

____ 5. The nurse is conducting an eye assessment for an infant. The nurse notes the absence of the red reflex. What does this finding suggest to the nurse?

1)

The infant is color blind.

2)

The infant may have retinopathy of prematurity.

3)

The infant has a mature macula.

4)

The infant may have congenital cataracts.

____ 6. The nurse is assessing the patient’s sclera and notes a bluish tinge. Which diagnosis does the nurse anticipate based on this assessment finding?

1)

Episcleritis

2)

Jaundice

3)

Vitamin A deficiency

4)

Osteogenesis imperfecta

____ 7. The nurse assesses a patient and notes difficulty seeing objects that are near. Which medical term will the nurse use when documenting this assessment finding in the medical record?

1)

Astigmatism

2)

Hyperopia

3)

Myopia

4)

Nystagmus

____ 8. The nurse is conducting an eye assessment and plans to assess cranial nerve function. Which cranial nerves (CNs) control eye movements?

1)

CN III

2)

CN IV

3)

CN VI

4)

All of the above

____ 9. A mother is concerned because her newborn is not able to follow a moving toy with her eyes. When educating the mother about fixating and following an object, at which age should the nurse tell the mother to expect this to occur?

1)

2 weeks

2)

4 weeks

3)

2 months

4)

3 months

____ 10. The nurse is screening children before they enter preschool. Which is the expected visual acuity for preschool-age patients?

1)

20/20

2)

20/40

3)

20/60

4)

20/100