NCLEX Questions on Sensory Perception
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Question 1 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?
A. You should be diligent in inserting the eye drops; if not, then you will need surgery.
B. You wouldn't have pain, but untreated glaucoma will eventually lead to vision loss.
C. Tell me about your day; planning a time with a daily activity often helps as a reminder.
D. I know this must be hard for you; not everyone is able to remember everything.
Explanation: 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 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.
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