NCLEX Questions on Sensory Perception

Extract:

Question 1 of 5

The nurse is questioning the client about vision changes. Which symptom indicates that the client may be developing a cataract?

Correct Answer: A

Rationale: The lens opacity from a developing cataract diminishes vision. Blurriness and decreased night vision are early symptoms. Shooting eye pain is often associated with a subarachnoid hemorrhage, not a cataract. Headaches are not associated with cataract formation. Floating dark spots in the vision field are associated with bleeding within the eye that occurs with detached retina.

Question 2 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 3 of 5

The client tells the nurse about being diagnosed with 'wet type' macular degeneration. Which finding should the nurse expect to observe when examining the client's eyes using an ophthalmoscope?

A. Growth of abnormal blood vessels in the macula has occurred. B. Structures in the macula have atrophied. C. The lens of the eye has become cloudy. D. The edge of the cornea has a thin grayish arc.

Correct Answer: A

Rationale: The 'wet type' of macular degeneration results from the growth of abnormal blood vessels in the macula. The blood vessels often leak fluid and blood. Atrophy occurs in dry macular degeneration, cloudy lens indicates cataract, and corneal arcus is a normal finding in older clients.

Question 4 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 5 of 5

The client with diminished sight has problems with the glare from light. Which recommendation should the nurse make?

A. Install fluorescent lighting throughout the home. B. Wear sunglasses and hats with brims when outdoors. C. Avoid going outdoors on days that are sunny. D. Use direct sunlight from windows rather than lights.

Correct Answer: B

Rationale: Wearing sunglasses and hats with brims while outdoors blocks direct light, reducing glare. Fluorescent lighting and direct sunlight increase glare, and avoiding sunny days is unnecessary.

NCLEX Questions on Sensory Perception | Nurselytic

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