NCLEX Questions on Sensory Perception

Extract:

Question 1 of 5

The nurse is administering eye drops to a client. Which action is correct?

Correct Answer: B

Rationale: Applying pressure to the nasolacrimal canal prevents systemic absorption of eye drops, enhancing safety and efficacy.

Question 2 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 3 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 4 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.

Question 5 of 5

The elderly client has undergone a right-eye cataract removal with an intraocular implant. Which discharge instructions should the nurse teach the client?

A. Have the client demonstrate placing the otic drops in the ear. B. Teach the client to instill the eyedrops as prescribed. C. Remind the client to keep the lights in the home low at all times. D. Encourage the client to sleep on two pillows at night.

Correct Answer: B

Rationale: Instilling prescribed eyedrops (e.g., antibiotics, steroids) prevents infection and inflammation post-cataract surgery. Otic drops are irrelevant, low lights are unnecessary, and elevation is not standard.

NCLEX Questions on Sensory Perception | Nurselytic

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