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Level 1 Exam 1 Success Session

Total questions: 11

Worksheet time: 17mins

Name
Class
Date
1.

The client who had cataract surgery with a lens implant 1 week ago remarks to the home care nurse that after his daughter left to go to her home in another state yesterday, he combined all of his prescribed eye drops together in one container so he had fewer drops to administer. What is the nurse's best response?

a)

This is not a good idea because not all of the drugs are on the same schedule.

b)

That is a good idea; just remember to not touch the dropper to your eye when giving yourself the drops.

c)

Call your surgeon immediately and get new prescriptions because together these drugs can lower your blood pressure.

d)

Call your surgeon immediately and get new prescriptions to use one at a time because these drugs cannot be mixed together.

2.

Which precaution is most important for the nurse to teach a 62-year-old client newly diagnosed with early-stage dry age-related macular degeneration?

a)

Quit smoking

b)

Quit drinking alcoholic beverages

c)

Eat more dark green, red, and yellow vegetables

d)

Wear dark glasses whenever he or she is outside or in bright interior lighting environments

3.

A client with glaucoma is being assessed for new symptoms. Which symptom indicates a high priority need for reassessment of intraocular pressure?

a)

Burning in the eye

b)

Inability to differentiate colors

c)

Increased sensitivity to light

d)

Gradual vision changes

4.

In addition to aging, which of the following may contribute to hearing loss in the older adult?

 

 

Select all that apply. One, some, or all responses may be correct.

a)

Exposure to loud noises

b)

Recurrent otitis media and trauma

c)

Excessive hair in the ear

d)

Certain medications

e)

Diabetes

5.

The nurse is caring for a client that is hearing impaired. Which approach will facilitate communication?

a)

Speak frequently

b)

Speak loudly

c)

Speak directly into the impaired ear

d)

Speak in a normal tone

6.

The 77-year-old male smoker has developed cataracts on both eyes and is awaiting surgery. The cataracts have prevented the patient from driving, reading, and seeing television. Which statement would be appropriate for the nurse in the preoperative holding area to communicate to the patient?

a)

Did your eye doctor explain to you that you could choose to use eye drops six times a day to dissolve the cataract?

b)

You are wise to have both eyes done at the same time.

c)

If you were a non-smoker, you would never have developed cataracts.

d)

Most patients undergoing cataract surgery do well and enjoy the improved vision.

7.

The patient with glaucoma has been prescribed travoprost, a prostaglandin analog, to improve the outflow of aqueous humor and reduce ocular pressure. Which symptom will the nurse teach the patient to report immediately to the eye doctor regarding this medication?

a)

Burning in the eye when the eye drops are used

b)

Tearing in the eye when the eye drops are used

c)

Changes in the color of the eyes

d)

Intolerable pain in the eyes after the drops are used

8.

Which age group has the greatest potential to demonstrate regression when they are sick?

a)

Infant

b)

Toddler

c)

Adolescent

d)

Young adult

9.

When admitting a child to the inpatient pediatric unit, the nurse should assess for which risk factors that can increase the child's stress level associated with hospitalization?

 

 

Select all that apply. One, some, or all responses may be correct.

a)

Mild temperament

b)

Lack of closeness between parent and child

c)

Below-average intelligence

d)

Age

e)

Gender

10.

A child is scheduled for a tonsillectomy and is afraid of the surgery. The child asks the nurse, "Will I need another operation when I have a sore throat again?" Which response should the nurse give to the child?

a)

Once your tonsils are taken out, you will not need the surgery again.

b)

You will need to repeat the surgery when you have another infection.

c)

You will need to have another surgery when you turn 14 years old.

d)

Once your tonsils are fixed, you will not have any more sore throats.

11.

The nurse is discharging a young child from the hospital. The nurse should instruct the parents to look for which post-hospital child behaviors?

 

Select all that apply. One, some, or all responses may be correct.

a)

Tendency to cling to parents

b)

Jealousy toward others

c)

Demands for parents' attention

d)

Anger toward parents

e)

New fears such as nightmares