Sensory NCLEX Questions
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Question 1 of 5.
The nurse completed teaching the client with a corneal abrasion about proper care of the injury. Which statements indicate that the client understood the teaching? Select all that apply.
A. I should promptly report a sudden absence of pain.
B. I should keep my affected eye uncovered when up.
C. I should insert the eye drops 10 to 15 seconds apart.
D. I should leave the eye patch in place for 24 hours.
E. I will avoid rubbing my affected eye or the eye patch.
Explanation: Patching the eye for 24 hours reduces irritation and promotes healing. Avoiding rubbing prevents reinjury. Sudden absence of pain, keeping the eye uncovered, and short intervals between drops are incorrect.
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.