Sensory NCLEX Questions
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Question 1 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?
A. Elderly clients react to pain the same way any other age group does.
B. The elderly client usually requires more pain medication.
C. Reaction to painful stimuli may be decreased with age.
D. The elderly client should use the Wong scale to assess pain.
Explanation: 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 2 of 5.
The client is postoperative retinal detachment surgery, and gas tamponade was used to flatten the retina. Which intervention should the nurse implement first?
A. Teach the signs of increased intraocular pressure.
B. Position the client as prescribed by the surgeon.
C. Assess the eye for signs/symptoms of complications.
D. Explain the importance of follow-up visits.
Explanation: Positioning as prescribed (e.g., face-down) is critical to maintain gas tamponade efficacy and retinal reattachment. Teaching, assessment, and follow-up are secondary.
Question 3 of 5.
The employee health nurse is teaching a class on 'Preventing Eye Injury.' Which information should be discussed in the class?
A. Read instructions thoroughly before using tools and working with chemicals.
B. Wear some type of glasses when working around flying fragments.
C. Always wear a protective helmet with eye shield around dust particles.
D. Pay close attention to the surroundings so eye injuries will be prevented.
Explanation: Reading instructions ensures safe tool and chemical use, preventing eye injuries. Glasses are specific, helmets are not always required, and attention is vague.
Question 4 of 5.
The client has had an enucleation of the left eye. Which intervention should the nurse implement?
A. Discuss the need for special eyeglasses.
B. Refer the client for an ocular prosthesis.
C. Help the client obtain a seeing-eye dog.
D. Teach the client how to instill eyedrops.
Explanation: An ocular prosthesis restores appearance post-enucleation, addressing psychosocial needs. Eyeglasses, guide dogs, and eyedrops are irrelevant post-enucleation.
Question 5 of 5.
The client comes to the emergency department after splashing chemicals into the eyes. Which intervention should the nurse implement first?
A. Have the client move the eyes in all directions.
B. Administer a broad-spectrum antibiotic.
C. Irrigate the eyes with normal saline solution.
D. Determine when the client had a tetanus shot.
Explanation: Immediate irrigation with normal saline removes chemicals, preventing corneal damage. Eye movement, antibiotics, and tetanus history are secondary.