Deck 44: A Person-Centred Approach to Assessing the Eye and Ear

Question 1

A person with a sore throat is complaining of 'trouble hearing.' What might this person be experiencing?

A)Infected tonsils
B)Sinusitis
C)A middle ear infection
D)An outer ear infection

Answer 1

A middle ear infection

Question 2

The nurse notes that a person's left eye deviates inward while focusing on an object. What is this finding consistent with?

A)Glaucoma
B)Strabismus
C)Nystagmus
D)Myopia

Answer 2

Strabismus

Question 3

A person sustained an injury to the inner layer of the left retina. With what will this person have difficulty?

A)Peripheral vision and colour perception
B)Bright lights
C)Night vision
D)Visual discrimination

Answer 3

Peripheral vision and colour perception

Question 4

A person who is recovering from a stroke is demonstrating vision changes. Why is this occurring?

A)The stroke occurred in the optic region of the person's brain.
B)The stroke has damaged the person's retina.
C)The person is unable to talk because of the stroke.
D)The person is experiencing another stroke.

Question 5

While assisting with morning care, the person's left cornea was accidentally touched, causing the person to blink and create tears. What should the nurse identify this response as being?

A)Unusual but something that would clear up in time
B)Abnormal and should be reported to the doctor
C)Normal
D)An exaggerated response suggestive of an underlying eye disease

Question 6

During an assessment, the nurse notes the absence of a person's fovea centralis. What should the nurse assess next?

A)Macula
B)Pupillary response
C)Cornea
D)Red reflex

Question 7

A person is having difficulty maintaining equilibrium. Which part of the ear is involved with this symptom?

A)Ossicles
B)Oval window
C)Auricles
D)Labyrinth

Question 8

During a Weber test, an older person is found to have increased hearing in the right ear. With what is this finding consistent?

A)Sensorineural hearing loss in the right ear
B)Conductive hearing loss in the left ear
C)Possible buildup of cerumen or otitis media in the right ear
D)Perforated left ear drum

Question 9

A person who is using atropine eye drops has a poor consensual light response. What is this finding considered to be?

A)Evidence of retinal degeneration
B)Normal because of the eye drops
C)Evidence of optic nerve damage
D)Difficulty with depth perception

Question 10

The nurse notices that a person's pupils constrict when reading the consent form for medical treatment. What is this observation considered to be?

A)Evidence that the person has normal vision
B)A normal pupillary response
C)An abnormal pupillary response that should not happen when reading
D)Evidence that the person needs reading glasses

Question 11

A 20-year-old person is demonstrating difficulty with near vision. What does this finding indicate?

A)Myopia
B)Hyperopia
C)Normal ageing
D)Presbyopia

Question 12

After repeated attempts, a person standing at a distance of 6 metres is able to read all of the letters on the Snellen chart without difficulty. How should the nurse document this person's vision?

A)Normal vision
B)Visual impairments
C)Normal 6/6 vision
D)Impaired depth perception

Question 13

A person with a right eye injury has received an eye patch. With what might this person have difficulty?

A)Bright lights
B)Night vision
C)Depth perception
D)Colour perception

Question 14

A person is found to have small, raised lesions on the rim of the ear. What does this finding indicate?

A)Renal impairment
B)Hypertension
C)Cardiac disease
D)Gout

Question 15

A person's eyebrows and lashes were singed while exiting a burning building. What is the person likely to experience?

A)Foreign bodies in the eyes
B)Itchiness as the hair grows back
C)Diplopia
D)Increased lacrimation

Question 16

A person is found to need corrective lenses. Which diagnostic test was most likely used to determine this finding?

A)Retinoscopy
B)Convergence test
C)Computed tomography (CT)scan
D)Tonometry

Question 17

The nurse, preparing to assess visual fields, obscures the vision of the person's right eye with an opaque covering. What should the nurse do next?

A)Cover own right eye.
B)Cover own left eye.
C)Observe the movements of the person's eye.
D)Assess the convergence of the person's eye.

Question 18

During the assessment of a person's outer eyes, the nurse suspects that the person has a hair follicle infection and elevated lipid levels. What did the nurse most likely assess in this person? Select all that apply.

A)Exophthalmos
B)Ptosis
C)Sty
D)Xanthelasma

Question 19

A person is scheduled for diagnostic tests to determine the cause of a hearing and balance disorder. Which diagnostic tests could be used to help this person? Select all that apply.

A)Tonometry
B)Computed tomography (CT)scan
C)Convergence test
D)Caloric test

Question 20

An older adult says, 'I seem to be talking so much louder these days and I don't know why!' What is this person experiencing?

A)Impacted cerumen
B)Stiffening of the middle ear bones
C)Loss of hair cells in the middle ear
D)Auditory nerve damage