Eye and Ear Disorders Post Test

1.
) The primary problem in cataract is:

A. Blurring of vision
B. Loss of peripheral vision
C. Presence of floaters
D. Halos around light
2.) The primary reason for performing iridectomy after cataract extraction is:
A. To prevent secondary glaucoma
B. To improve the vision of the client
C. To prevent postop hemorrhage
D. To reduce eye discomfort
3.) Pterygium is caused primarily by:
A. Exposure to sunlight
B. Exposure to dust
C. Exposure to wind
D. Exposure to chemicals
4.) The surgical procedure which involves removal of the eyeball is:
A. Enucleation
B. Evisceration
C. Exanteration
D. Extraction
5.) A sterile chronic granulomatous inflammation of the meibomian gland is:
A. Chalazion
B. Hordeulum
C. Uveitis
D. Keratoconjunctivitis
6.) The following are nursing interventions for a blind person EXCEPT:
A. When approaching the client, talk before touching
B. Orient the client to the environment
C. When assisting the client during ambulation, the nurse stays beside the client
D. Promote the independence in activities of daily living
7.) Otosclerosis is characterized by:
A. Increased endolymphatic pressure
B. Replacement of normal bones by spongy and highly-vascularized bones and the stapes
become fixed with the oval window
C. Rupture of the tympanic membrane
D. Damage of the labyrinth or acoustic nerve
8.) Hyperopia is corrected with that type of lens?
A. Concave lens
B. Convex lens
C. Aphakic lens
D. Bifocal lens
9.) The following are appropriate nursing interventions after cataract extraction
EXCEPT:
A. Place the client in supine position or turn towards unoperated side
B. Advise the client to avoid bending, stooping or lifting heavy objects for several weeks
postop
C. Instruct the client to limit fluid intake
D. Advise the client to protect his eyes with eye pad and eye shield for a week
10.) The client with retinal detachment would least likely manifest which of the
following signs & symptoms:
A. Floating spots before the eyes
B. Flashes of light
C. Progressive constriction of vision in one area
D. Pain in the eye
11.) In acute glaucoma, the obstruction to the flow of aqueous humor is
caused by:
A. Thickening of the trabecular meshwork
B. Displacement of the iris
C. Narrowing of the canal schlemm
D. Constriction of the pupil
12.) Which of the following is true about glaucoma?
A. It is characterized by irreversible blindness
B. It is treated with mydriatics
C. The IOP is 14-21mmHg
D. Central vision is lost initially, followed by the peripheral vision
13.) The following drugs maybe administered to the client with glaucoma
EXCEPT:
A. Diamox (Acetazolamide)
B. Pilocarpine
C. Atropine SO4
D. Timolol maleate
14.) The client with retinal detachment had undergone scleral buckling. The
following are appropriate nursing interventions EXCEPT:
A. Position the client with the area of detachment dependent
B. Cover the eyes with pressure dressing
C. Advise the client to avoid reading for few weeks
D. Encourage the client to increase fluid intake
15.) Which of the following is the most characteristic manifestation of
Menieres Dse?
A. Tinnitus
B. Headache
C. Vertigo
D. Nausea and Vomiting
16.) The diet of the client with Menieres disease should be:
A. Low-Protein
B. Low-fats
C. Low-potassium
D. Low-Sodium
17.) Which of the following is inappropriate nursing intervention for the client
with hearing impairment:
A. Talk in clearly enunciated words using normal tone of voice
B. Talk directly in front of the client
C. Use speech with gestures
D. Use high-pitch voice
18.) Which of the following dx tests compare air conduction with bone
conduction
A. Rinnes test
B. Webers test
C. Baranys Rotation Test
D. Caloric Ice Test
19.) A client who had cataract should be told to call his MD if he has which of
the following situations?
A. Blurred Vision
B. Eye Pain
C. Glare
D. Itching
20.) The following are appropriate nursing interventions after ear surgery
EXCEPT:
A. Position the client on the operated side
B. Instruct the client not to blow the nose for at least 2 weeks
C. Observe for signs and symptoms of 7th cranial nerve damage
D. Advise the client against wathing TV or fast-moving objects for few weeks postop
21.) Which of the ff test assesses visual acuity
A. Snellens Test
B. Ishihara Plate
C. Retinoscopy
D. Tonometry
22.) Which of the following nursing interventions has priority when a client has
a foreign body protruding from the eye?
A. Irrigate the eye with sterile saline
B. Assess visual acuity with snellens chart
C. Remove the foreign body with sterile gauze
D. Patch both eyes until seen by Opthalmologist
23.) A client is diagnosed with Menieres disease. Which of the following
nursing diagnosis should take priority for the client?
A. Altered body image
B. Risk for injury
C. Impaired social interaction
D. Ineffective coping
24.) The following are characteristics of conductive hearing loss EXCEPT:
A. The client hears better in a noisy environment
B. The client talks in a loud voice
C. The client hears and understands telephone conversation well
D. The external or the middle ear is damaged
25.) It is an eye disorder characterized by lessening of the effective powers of
accommodation:
A. Myopia
B. Presbyopia
C. Hypertropia
D. Presbycusis
Answers
1. A.) Blurring of vision
2. A.) To prevent secondary glaucoma
3. B.) Exposure to dust
4. A.) Enucleation
5. A.) Chalazion
6. C.) When assisting the client during ambulation, the nurse stays beside the client
7. B.) Replacement of normal bones by spongy and highly-vascularized bones and
the stapes
8. B.) Convex lens
9. C.) Instruct the client to limit fluid intake
10. D.) Pain in the eye
11. B.) Displacement of the iris
12. A.) It is characterized by irreversible blindness
13. C.) Atropine SO4
14. A.) Position the client with the area of detachment dependent
15. C.) Vertigo
16. D.) Low-Sodium
17. D.) Use high-pitch voice
18. A.) Rinnes test
19. B.) Eye Pain
20. A.) Position the client on the operated side
21. A.) Snellens Test
22. A.) Irrigate the eye with sterile saline
23. B.) Risk for injury
24. B.) The client talks in a loud voice
25. B.) Presbyopia

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) The primary problem in cataract is:

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