NCLEX Questions on Sensory Perception

Extract:

Question 1 of 5

The 65-year-old client is diagnosed with macular degeneration. Which statement by the client indicates the client needs more discharge teaching?

Correct Answer: C

Rationale: Low-watt bulbs reduce visibility, counterproductive in macular degeneration. Magnification, Amsler grid monitoring (daily preferred), and low-vision centers are appropriate.

Question 2 of 5

The client diagnosed with chronic otitis media is scheduled for a mastoidectomy. Which discharge teaching should the nurse discuss with the client?

A. Instruct the client to blow the nose with the mouth closed. B. Explain the client will never be able to hear from the ear. C. Instill ophthalmic drops in both ears and then insert a cotton ball. D. Do not allow water to enter the ear for six (6) weeks.

Correct Answer: D

Rationale: Keeping the ear dry for six weeks prevents infection post-mastoidectomy. Blowing the nose closed increases pressure, hearing loss is not guaranteed, and ophthalmic drops are incorrect.

Question 3 of 5

Which instruction should the nurse discuss with the client when completing a sensory assessment regarding proprioception?

A. Instruct the client to lie flat without a pillow during the assessment. B. Instruct the client to keep both eyes shut during the assessment. C. During the assessment the client must be in a treatment room. D. Keep the lights off during the client's sensory assessment.

Correct Answer: B

Rationale: Closing eyes during proprioception testing (e.g., Romberg test) isolates balance to proprioceptive input. Lying flat, treatment rooms, and lights off are irrelevant.

Question 4 of 5

Which statement best describes the scientific rationale for the nurse holding the otoscope with the hand in a pencil-hold position when examining the client's ear?

A. It is usually the most comfortable position to hold the otoscope. B. This allows the best visualization of the tympanic membrane. C. This prevents inserting the otoscope too far into the external ear. D. It ensures the nurse will not cause pain when examining the ear.

Correct Answer: C

Rationale: The pencil-hold prevents deep insertion, protecting the ear canal and tympanic membrane. Comfort, visualization, and pain avoidance are secondary.

Question 5 of 5

During an assessment, the nurse covers the client's right eye and then observes a shift in the client's gaze after the eye is uncovered. Which conclusion should the nurse make about the results of the test?

A. The client has opacity of the lens. B. The client has absence of the blink reflex. C. The client has increased intraocular pressure. D. The client has weakness in the extraocular muscles.

Correct Answer: D

Rationale: Covering and then uncovering the client's eye and then observing for a shift in the client's gaze is the cover-uncover test used to detect weakness in the extraocular muscles. Lens opacity is detected by direct observation. Stroking the eyelashes will evoke the blink reflex. The intraocular pressure is measured by tonometry.

NCLEX Questions on Sensory Perception | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN