NCLEX Questions on Sensory Perception

Extract:

Question 1 of 5

The client recently diagnosed with glaucoma tells the nurse, 'I'm having difficulty remembering to insert my eye drops. I don't have any pain or vision changes when I forget them.' Which statement is the best response?

Correct Answer: C

Rationale: This is a broad opening statement and can assist the client to problem-solve an activity that could serve as a reminder to take the eye drops. The other statements are either belittling, partially incorrect, or do not help with adherence.

Question 2 of 5

The client has an hordeolum of the left eye, which is painful. Which intervention, if prescribed, should the nurse implement?

A. Apply an eye patch on the left eye. B. Insert miotic eye drops twice daily. C. Apply a warm compress four times daily. D. Administer an antibiotic intravenously.

Correct Answer: C

Rationale: Warm compresses are applied to promote drainage of the hordeolum. Patching is not indicated, miotic drops treat glaucoma, and IV antibiotics are unnecessary as topical antibiotics are used.

Question 3 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.

Question 4 of 5

The nurse is caring for a client who is very hard of hearing. How should the nurse communicate with this person?

A. Speak loudly and talk in his better ear B. Stand in front of him and speak clearly and distinctly C. Yell at him using a high-pitched voice D. Write all communication on a note pad or magic slate

Correct Answer: B

Rationale: Standing in front and speaking clearly aids lip-reading and communication for a hard-of-hearing client.

Question 5 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.

NCLEX Questions on Sensory Perception | Nurselytic

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