NCLEX-PN
Sensory NCLEX Questions Questions
Extract:
Question 1 of 5
Which ototoxic medication should the nurse recognize as potentially life altering or threatening to the client?
Correct Answer: B
Rationale: Aminoglycosides (e.g., gentamicin) are ototoxic, causing permanent hearing loss, which is life-altering. Calcium channel blockers, glucocorticoids, and loop diuretics are less ototoxic.
Question 2 of 5
The 60-year-old client notices a gradual decline in visual acuity and asks if it could be from a cataract. Which question will help determine whether a cataract is developing?
Correct Answer: A
Rationale: Asking about a change in the ability to perceive colors will help in determining cataract development. Cataract formation involves the lens of the eye becoming more opaque, thus decreasing the vibrancy of colors. Distorted central vision is a sign of macular degeneration. A darkened area in the center of the visual field is associated with macular degeneration. Seeing flashes of bright lights is associated with retinal detachment.
Question 3 of 5
The nurse is assessing the client’s sensory system. Which assessment data indicate an abnormal stereognosis test?
Correct Answer: D
Rationale: Abnormal stereognosis is the inability to identify objects (e.g., a key) by touch with eyes closed, indicating parietal lobe dysfunction.
Toe movement, sharp/dull, and Babinski reflex test other functions.
Question 4 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.
Question 5 of 5
What should the nurse include when teaching the client with Parkinson's disease?
Correct Answer: B
Rationale: Frequent swallowing can reduce drooling, a common symptom in Parkinson's disease, improving comfort and social interaction.