NCLEX Questions on Sensory Perception

Extract:

Question 1 of 5

The client recently diagnosed with age-related macular degeneration (AMD) in both eyes returns to the clinic for a follow-up appointment. Which assessment will the nurse be certain to include during the visit?

Correct Answer: C

Rationale: The nurse should assess for depression because loss of vision can affect functional ability, mood, and quality of life. Depression frequently develops within a few months after AMD is diagnosed in both eyes. GI bleeding, blood glucose, and hearing loss are not directly related to AMD.

Question 2 of 5

Which statement by the daughter of an 80-year-old female client who lives alone warrants immediate intervention by the nurse?

A. I put a night-light in my mother’s bedroom. B. I got carbon monoxide detectors for my mother’s house. C. I changed my mother’s furniture around. D. I got my mother large-print books.

Correct Answer: C

Rationale: Changing furniture increases fall risk in an elderly client with potential sensory deficits, requiring intervention. Night-lights, CO detectors, and large-print books enhance safety.

Question 3 of 5

The nurse is concerned that the Caucasian client experiencing a stroke may have impaired hearing. Which observations of the client's behavior prompted this concern? Select all that apply.

A. Nods and agrees to all statements made by the nurse B. Asks for more information about the therapy schedule C. Slow to respond verbally but answers questions appropriately D. Speaks in an excessively loud tone of voice E. Leans in toward the nurse when the nurse speaks

Correct Answer: A,D,E

Rationale: Nodding and agreeing to all statements, speaking loudly, and leaning toward the speaker suggest hearing impairment. Asking for schedule details and slow but appropriate responses do not indicate hearing issues.

Question 4 of 5

When planning care for a woman with myasthenia gravis, the nurse asks her what time of day she feels strongest. The nurse would expect which of the following replies?

A. I can wash up and comb my hair before breakfast because I feel best in the morning.' B. I only feel good for about an hour after I take my medication.' C. I feel strongest in the evening, so I would prefer to take a shower before bedtime.' D. I feel best after lunch after I've been moving around a little.'

Correct Answer: A

Rationale: Muscle strength in myasthenia gravis is typically best in the morning, with weakness worsening throughout the day.

Question 5 of 5

Which intervention should the nurse include when conducting an in-service to the ancillary nursing staff on caring for elderly clients addressing normal developmental sensory changes?

A. Ensure curtains are open when having the client read written material. B. Provide a variety of written material when discussing a procedure. C. Assist the client when getting out of the bed and sitting in the chair. D. Request a telephone for the hearing impaired for all elderly clients.

Correct Answer: A

Rationale: Open curtains maximize light, compensating for age-related vision decline. Varied materials, mobility assistance, and hearing-impaired phones are less universally applicable.

NCLEX Questions on Sensory Perception | Nurselytic

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