NCLEX Questions on Sensory Perception
Home / Nursing & Allied Health Certifications / NCLEX PN / Sensory
Question 1 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.
Explanation: 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 2 of 5.
The client is diagnosed with glaucoma. Which symptom should the nurse expect the client to report?
A. Loss of peripheral vision.
B. Floating spots in the vision.
C. A yellow haze around everything.
D. A curtain coming across vision.
Explanation: Glaucoma causes loss of peripheral vision due to optic nerve damage from increased intraocular pressure. Floaters suggest vitreous issues, yellow haze is unrelated, and a curtain indicates retinal detachment.
Question 3 of 5.
The 65-year-old client is diagnosed with macular degeneration. Which statement by the client indicates the client needs more discharge teaching?
A. I should use magnification devices as much as possible.
B. I will look at my Amsler grid at least twice a week.
C. I need to use low-watt light bulbs in my house.
D. I am going to contact a low-vision center to evaluate my home.
Explanation: Low-watt bulbs reduce visibility, counterproductive in macular degeneration. Magnification, Amsler grid monitoring (daily preferred), and low-vision centers are appropriate.
Question 4 of 5.
The 65-year-old male client who is complaining of blurred vision reports he thinks his glasses need to be cleaned all the time, and he denies any type of eye pain. Which eye disorder should the nurse suspect the client has?
A. Corneal dystrophy.
B. Conjunctivitis.
C. Diabetic retinopathy.
D. Cataracts.
Explanation: Blurred vision and a sense of dirty glasses without pain suggest cataracts, common in older adults. Corneal dystrophy is rarer, conjunctivitis causes redness, and diabetic retinopathy involves floaters or spots.
Question 5 of 5.
The client diagnosed with glaucoma is prescribed a miotic cholinergic medication. Which data indicate the medication has been effective?
A. No redness or irritation of the eyes.
B. A decrease in intraocular pressure.
C. The pupil reacts briskly to light.
D. The client denies any type of floaters.
Explanation: Miotic cholinergics (e.g., pilocarpine) reduce intraocular pressure in glaucoma by increasing aqueous outflow. Redness, pupil reaction, and floaters are not primary indicators.
Related Questions