Medical Tests Medical Tests Certifications CEN Questions & Answers

• Question 171:

  Which of the following would be associated with detached retina?

  A. Pain in the affected eye

  B. Total loss of vision

  C. Feeling like a curtain had fallen over their eyes

  D. Yellow discoloration of the scleroses

  Correct Answer: C

  A patient with a detached retinapatient would complain of a sense of a curtain falling across their field of vision There is no pain associated with retinal detachment, but it is an ophthalmic emergency in that immediate steps must be taken to protect the patient's vision.

• Question 172:

  What clinical manifestations would you see if your patient had cataracts?

  A. Eye pain

  B. Floating spots

  C. Blurred vision

  D. Diplopia

  Correct Answer: C

  Blurred vision is a clinical manifestation of cataracts. The patient may also exhibit decreased color

  perception.

  All other signs are not signs of cataracts.

• Question 173:

  Your patient is scheduled to go for cataract surgery. What nursing diagnosis should you include in the patients plan of care?

  A. Self care deficit

  B. Imbalanced nutrition

  C. Disturbed sensory perception

  D. Anxiety

  Correct Answer: C

  Disturbed sensory perception should be included in this patient's plan of care. The patient's vision would be disturbed related to lens extraction and replacement. The other nursing diagnoses may be appropriate for this patient, but are not relevant to cataract surgery.

• Question 174:

  Which of the following would the nurse do when performing an otoscopic exam on a patient?

  A. Pull the pinna up and back.

  B. Pull the earlobe down and back.

  C. Use the smallest speculum available.

  D. Tilt the patients head forward and down.

  Correct Answer: A

  The nurse would pull the pinna up and back before inserting the speculum, holding the head slightly away and holding the otoscope upside down like a large pen. The other three options are incorrect.

• Question 175:

  What is the accurate procedure for performing a confrontational peripheral vision test?

  A. Both examiner and patient cover the same eye and stare at each other while an object is brought into the line of sight.

  B. Examiner and patient cover opposite eyes and stare at each other while an object is brought into the line of sight.

  C. The patient is asked to discriminate numbers from a chart composed of colored dots.

  D. The room is darkened and the patient is asked to identify colored blocks and shapes when they appear in the visual field.

  Correct Answer: B

  The examiner and the patient cover the opposite eyes and stare at each other while an object is brought into the line of sight. This test assumes that the examiner has normal vision. The patient indicates when they can see the object. This tests nasal, superior, temporal and inferior visual fields.

• Question 176:

  When caring for a patient with glaucoma, which of the following symptoms would you not expect to see on the patient's chart?

  A. Severe eye pain

  B. Frequent pink-eye infections

  C. Blurred vision

  D. Nausea and vomiting

  Correct Answer: B

  Frequent pink-eye infections are not symptomatic of glaucoma, but reddening of the eyes is a common sympton.

• Question 177:

  Which of the following orders would the physician prescribe for the patient with retinal detachment?

  A. Bathroom privileges

  B. Head of bed up 45 degrees

  C. Eye patch to affected eye

  D. Dark glasses to read or watch television

  Correct Answer: C

  The physician would order an eye patch to the affected eye. This decreases movement of the eye and prevents further damage to the eye. The physician may limit activity until the eye can be repaired.

• Question 178:

  After a tonsillectomy, your patient begins to vomit. What intervention should be your priority?

  A. Administer an antiemetic

  B. Turn the patient to the side

  C. Notify the physician

  D. Maintain the patient's "nothing by mouth" status

  Correct Answer: B

  Your first priority should be to turn the patient on the side to prevent aspiration. Only then should you notify the physician. It is also important to continue to maintain the "nothing by mouth" feeding status of the patient and give antiemetic if prescribed.

• Question 179:

  You are monitoring a child who had a tonsillectomy. On assessment, which findings would indicate to you that the child might be bleeding?

  A. Decreased pulse

  B. Elevation in blood pressure

  C. Complaints of discomfort

  D. Frequent swallowing

  Correct Answer: D

  Frequent swallowing by the child might indicate that there is bleeding. Other signs or symptoms might include restlessness, vomiting blood, and a fast, thready pulse. Elevation of blood pressure and discomfort do not indicate bleeding.

• Question 180:

  You are caring for the child who has had a tonsillectomy. The physician has written postoperative orders. Which of the following orders would the nurse question?

  A. Clear, cool liquids when awake

  B. No milk or milk products

  C. Monitor for bleeding

  D. Suction every 2 hours

  Correct Answer: D

  You would not want to suction a patient who just had a tonsillectomy. Suction equipment should be available at bedside in case of airway obstruction. Otherwise, a patient would not be suctioned due to the risk of trauma to the oropharynx. All other orders listed are appropriate for this patient.