NCLEX-PN
NCLEX Sensory Questions Questions
Question 1 of 5
The nurse is assessing a client and performs a whisper test. Which should the nurse implement? Rank in order of performance.
Correct Answer: E,C,B,A,D
Rationale: 1) Ask for participation (consent); 2) Explain the procedure; 3) Position 12–24 inches away; 4) Cover the non-tested ear; 5) Repeat for the opposite ear.
Question 2 of 5
The client is scheduled for laser-assisted in situ keratomileusis (LASIK) surgery for severe myopia. Which instruction should the nurse discuss prior to the client's discharge from day surgery?
Correct Answer: D
Rationale: Corticosteroid drops reduce inflammation post-LASIK, requiring teaching. Eye patches are not used, corrective lenses are unnecessary, and reading restrictions are shorter.
Question 3 of 5
Which situation makes the nurse suspect the client has glaucoma?
Correct Answer: A
Rationale: Not seeing a car in the next lane suggests peripheral vision loss, a hallmark of glaucoma. Taste, color perception, and stoplight issues are unrelated.
Question 4 of 5
The client comes to the clinic and is diagnosed with otitis media. Which intervention should the clinic nurse include in the discharge teaching?
Correct Answer: C
Rationale: Abrupt pain relief in otitis media may indicate tympanic membrane rupture, requiring HCP notification. OTC pain meds are safe, cold packs are less effective, and ear plugs are unnecessary.
Question 5 of 5
The nurse is preparing to administer otic drops into an adult client's right ear. Which intervention should the nurse implement?
Correct Answer: B
Rationale: Inserting drops without touching the ear prevents contamination. Pulling the auricle up and back (not down) is correct for adults, and blowing is unnecessary.