The nurse completes an assessment of the older adult client. Which dis

NCLEX Sensory Questions

Home / Nursing & Allied Health Certifications / NCLEX PN / Sensory

Question 1 of 5.

The nurse completes an assessment of the older adult client. Which disorder should the nurse associate with the finding illustrated?

A. Glaucoma

B. Arcus senilis

C. Cataract

D. Mydriasis

Explanation: The illustration shows opacity of the lens of the eye. The nurse should associate this finding with a cataract. Glaucoma causes increased pressure within the eye and is not visible. Arcus senilis is a bluish-white ring within the outer edge of the cornea, which is not present in this illustration. Mydriasis is constriction of the pupil, which is not present in the illustration.

Question 2 of 5.

The client is scheduled for right-eye cataract removal surgery in five (5) days. Which preoperative instruction should be discussed with the client?

A. Administer dilating drops to both eyes for 72 hours prior to surgery.

B. Prior to surgery do not lift or push any objects heavier than 15 pounds.

C. Make arrangements for being in the hospital for at least three (3) days.

D. Avoid taking any type of medication which may cause bleeding, such as aspirin.

Explanation: Avoiding bleeding-risk medications like aspirin prevents intraoperative hemorrhage. Dilating drops are not used for 72 hours, lifting restrictions are postoperative, and cataract surgery is typically outpatient.

Question 3 of 5.

The nurse who is at a local park sees a young man on the ground who has fallen and has a stick lodged in his eye. Which intervention should the nurse implement at the scene?

A. Carefully remove the stick from the eye.

B. Stabilize the stick as best as possible.

C. Flush the eye with water if available.

D. Place the young man in a high-Fowler's position.

Explanation: Stabilizing the stick prevents further damage until surgical removal. Removing it risks bleeding, flushing is contraindicated, and positioning is secondary.

Question 4 of 5.

The nurse is administering eyedrops to the client. Which guidelines should the nurse adhere to when instilling the drops into the eye? Select all that apply.

A. Do not touch the tip of the medication container to the eye.

B. Apply gentle pressure on the outer canthus of the eye.

C. Apply sterile gloves prior to instilling eyedrops.

D. Hold the lower lid down and instill drops into the conjunctiva.

E. Gently pat the skin to absorb excess eyedrops on the cheek.

Explanation: Avoiding container contact prevents contamination, instilling into the conjunctiva ensures absorption, and patting excess drops maintains hygiene. Pressure on the outer canthus is incorrect (nasolacrimal duct pressure prevents systemic absorption), and sterile gloves are unnecessary.

Question 5 of 5.

The client is scheduled for laser-assisted in situ keratomileusis (LASIK) surgery for severe myopia. Which instruction should the nurse discuss prior to the client's discharge from day surgery?

A. Wear bilateral eye patches for three (3) days.

B. Wear corrective lenses until the follow-up visit.

C. Do not read any material for at least one (1) week.

D. Teach the client how to instill corticosteroid ophthalmic drops.

Explanation: Corticosteroid drops reduce inflammation post-LASIK, requiring teaching. Eye patches are not used, corrective lenses are unnecessary, and reading restrictions are shorter.