NCLEX-PN
NCLEX Questions on Sensory Perception Questions
Extract:
Question 1 of 5
Which referral is most important for the nurse to implement for the client with permanent hearing loss?
Correct Answer: A
Rationale: Aural rehabilitation addresses communication strategies and hearing aids, critical for permanent hearing loss. Speech therapy, social work, and vocational rehab are secondary.
Question 2 of 5
A 68-year-old woman is brought to the emergency room by ambulance. She was found by her husband slumped in her chair and unresponsive. Tentative diagnosis is cerebrovascular accident (CVA). The physician orders a 15% solution of mannitol IV. The nurse knows that this drug is given for what purpose?
Correct Answer: C
Rationale: Mannitol reduces intracranial pressure and blood pressure by promoting diuresis in CVA patients with cerebral edema.
Question 3 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 4 of 5
The client following removal of a right-sided acoustic neuroma by a translabyrinthine approach calls the nurse to report pain. The nurse finds that the client has new-onset right-sided facial drooping and numbness. Place the nurse's actions in priority order.
Correct Answer: B,C,D,A
Rationale: Assess the incision and arms for drift first (
B), then contact the stroke team and HCP for possible complications (
C), medicate for pain (
D), and finally patch the eye due to inability to close it (
A).
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?
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.