NCLEX-PN
Sensory NCLEX Questions Questions
Question 1 of 5
The client is postoperative retinal detachment surgery, and gas tamponade was used to flatten the retina. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Positioning as prescribed (e.g., face-down) is critical to maintain gas tamponade efficacy and retinal reattachment. Teaching, assessment, and follow-up are secondary.
Question 2 of 5
The employee health nurse is teaching a class on 'Preventing Eye Injury.' Which information should be discussed in the class?
Correct Answer: A
Rationale: Reading instructions ensures safe tool and chemical use, preventing eye injuries. Glasses are specific, helmets are not always required, and attention is vague.
Question 3 of 5
The client has had an enucleation of the left eye. Which intervention should the nurse implement?
Correct Answer: B
Rationale: An ocular prosthesis restores appearance post-enucleation, addressing psychosocial needs. Eyeglasses, guide dogs, and eyedrops are irrelevant post-enucleation.
Question 4 of 5
The client comes to the emergency department after splashing chemicals into the eyes. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Immediate irrigation with normal saline removes chemicals, preventing corneal damage. Eye movement, antibiotics, and tetanus history are secondary.
Question 5 of 5
The nurse is caring for a client diagnosed with acute otitis media. Which signs/symptoms support this medical diagnosis?
Correct Answer: A
Rationale: Unilateral ear pain is a primary symptom of acute otitis media. Foul drainage suggests chronic infection, congestion is non-specific, and hearing loss is less common acutely.