A nurse who works at a primary care clinic is precepting a nursing student in their senior year of nursing school. The student has evaluated the medical records for the clients that day and will perform assessments and education as appropriate. The preceptor will be able to validate her student is able to prioritize those that are at high risk for developing cataracts if she is able to verbalize which client?

A 55-year-old client with hyperthyroidism

A 30-year-old client who drinks a beer twice a week

A 75-year-old client who has smoked for 50 years

A 40-year-old with arteriosclerosis

Answer and Explanation

The Correct Answer is C

Choice A reason: Hyperthyroidism may cause eye issues like exophthalmos, not cataracts. Lens opacity from aging or smoking outweighs thyroid risk, making this 55-year-old less prioritized for cataract screening than older, smoking-exposed clients in this context fully.
Choice B reason: Minimal alcohol (two beers weekly) at 30 poses no cataract risk. Age and smoking are stronger factors; this young client lacks the cumulative exposure or oxidative stress tied to lens clouding, excluding them entirely here.
Choice C reason: At 75, with 50 years of smoking, this client faces high cataract risk. Aging degrades lens proteins, and smoking’s oxidative damage accelerates opacity, making this the priority for assessment and education on cataract prevention accurately here.
Choice D reason: Arteriosclerosis at 40 affects vessels, not lenses directly. While vascular health matters, age and smoking outweigh this risk for cataracts, rendering this client lower priority than the older, heavily smoking individual in this scenario fully.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A reason: Trigeminal neuralgia causes sharp, intermittent facial pain lasting minutes due to cranial nerve V irritation. Normal vitals and no systemic symptoms align with this neuropathic condition, distinguishing it from inflammatory or vascular headache causes in this presentation.

Choice B reason: Meningitis presents with fever, neck stiffness, and severe headache, not intermittent facial pain. Normal temperature and vitals here rule out this acute infection, which affects meninges broadly, not just facial nerves, making it an unlikely fit.

Choice C reason: Migraines involve throbbing head pain, often with nausea or photophobia, lasting hours, not minutes of facial pain. The client’s brief, episodic description and normal vitals don’t match migraine’s typical systemic or prolonged profile, excluding it here.

Choice D reason: TMJ dysfunction causes jaw pain, often with chewing difficulty or joint sounds, not intermittent facial pain alone. Normal vitals and no joint-specific complaints suggest this isn’t TMJ-related, pointing instead to a neural origin like trigeminal neuralgia.

A. Instruct the client to lie on his back and slowly slide his heel down the shin of the opposite leg, from the knee to the ankle. B. Instruct the client to walk across the room on his heels and to return walking on his toes. C. Have the client stand with feet together, arms at the sides. Begin with eyes open then with eyes closed. Try to maintain position for 20 seconds. D. Ask the client to touch the thumb of one hand to each finger on that same hand and then repeat using the other hand.

Correct Answer is C

Explanation

Choice A reason: Heel-to-shin tests cerebellar coordination, not balance like Romberg’s. It assesses motor precision, not proprioception or vestibular function, which Romberg’s targets by checking sway with eyes closed, making this technique irrelevant to the intended assessment here.

Choice B reason: Walking on heels and toes evaluates motor strength and coordination, not stationary balance. Romberg’s tests proprioceptive stability, not gait, missing the core focus on vestibular and sensory integration critical to this neurological balance assessment fully.

Choice C reason: Romberg’s test assesses balance by having the client stand, feet together, eyes open then closed for 20 seconds. Sway with eyes closed indicates proprioceptive or vestibular issues, making this the precise, standard technique for this evaluation accurately.

Choice D reason: Finger-to-thumb tests fine motor skills and coordination, not balance. Romberg’s focuses on postural stability via sensory input, not hand dexterity, rendering this action unrelated to assessing the client’s equilibrium as intended in this context completely.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse is completing the Romberg's test on a patient. Which is the correct technique for conducting this?

Correct Answer is C

Explanation

A nurse is completing a full assessment for their client on a telemetry unit. During the eye exam, a nurse shines a light into one of the client's eyes and the pupil of the other eye constricts. What is the most appropriate description of this finding?

While examining a client's mouth the nurse notes the presence of fasciculations, fine tremors of the client's tongue. How should the nurse best respond to the assessment finding?

A client comes in with complaints of a headache. The client states, "I always wake up with a headache in the morning, but it gets better in a couple hours. I notice that it always gets worse if I cough or sneeze." What action by the nurse is most appropriate?

The client reports a decreased sense of smell for the past week. Which condition would the nurse assess for?

A nurse is providing a subjective data assessment for an older female. The client verbalizes a list of symptoms regarding their concern. Which findings would lead the nurse to supply education about menopause?

When performing a genitourinary assessment of an older male patient, the nurse notes that the urethral meatus is positioned dorsally. What is the most important concern the nurse identifies from their assessment?

While inspecting the tympanic membrane the nurse notes a pearly gray and shiny appearance. What would this finding indicate?

A health promotion teaching is focusing on hygiene and the prevention of illness. When instructing clients on how to clean their ears, what action should the nurse recommend?