NCLEX-PN
Sensory NCLEX Questions Questions
Extract:
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 nurse completed teaching the client with a corneal abrasion about proper care of the injury. Which statements indicate that the client understood the teaching? Select all that apply.
Correct Answer: D,E
Rationale: Patching the eye for 24 hours reduces irritation and promotes healing. Avoiding rubbing prevents reinjury. Sudden absence of pain, keeping the eye uncovered, and short intervals between drops are incorrect.
Question 3 of 5
A resident of a long-term care facility tells the nurse, 'I'm having a hard time hearing people talk and can't understand the voices on TV.' Which action is most appropriate?
Correct Answer: B
Rationale: The nurse should assess the client's hearing and perform an otoscopic examination to verify symptoms and identify the cause. Other actions follow assessment.
Question 4 of 5
The client is scheduled for ear surgery. Which statement indicates the client needs more preoperative teaching concerning the surgery?
Correct Answer: D
Rationale: Shampooing the day after ear surgery risks water entry and infection; typically, hair washing is delayed. Open-mouth sneezing, dizziness, and temporary hearing loss are correct.
Question 5 of 5
The elderly client is complaining of abdominal discomfort. Which scientific rationale should the nurse remember when addressing an elderly client's perception of pain?
Correct Answer: C
Rationale: Age-related sensory decline reduces pain perception in the elderly, affecting reporting. Pain reaction varies, more medication is not standard, and the Wong scale is pediatric.