A patient comes into the clinic complaining of pain in her right eye. On examination, the nurse sees a pustule at the lid margin that is painful to touch, red, and swollen. The nurse recognizes that this is a:

Blepharitis.

Dacryocystitis.

Chalazion

Hordeolum (Stye)

Answer and Explanation

The Correct Answer is D

A. Blepharitis: Inflammation of the eyelid margins, typically associated with itching, burning, and crusting, but not localized pustules.
B. Dacryocystitis: Inflammation of the lacrimal sac, causing swelling near the inner canthus, not on the lid margin.
C. Chalazion: A painless lump or cyst inside the eyelid, not typically painful, red, or swollen at the lid margin.
D. Hordeolum (Stye): A stye is a localized infection of a sebaceous gland at the eyelid margin, causing pain, redness, and swelling.

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Correct Answer is C

Explanation

A. High-pitched, tinkling sounds: These may indicate bowel obstruction, not expected immediately after surgery.
B. Normal bowel sounds: Normal bowel sounds usually return gradually after surgery, but are unlikely within the first 24 hours.
C. Hypoactive bowel sounds: It is common to hear hypoactive or diminished bowel sounds in the first 24-48 hours after abdominal surgery due to postoperative ileus.
D. Hyperactive bowel sounds: These suggest increased peristalsis and are not typical immediately after surgery.

A. Pupillary dilation when looking at a far object B. Pupillary constriction when looking at a near object C. Changes in peripheral vision in response to light D. Involuntary blinking in the presence of bright light

Correct Answer is B

Explanation

A. Pupillary dilation when looking at a far object: While dilation occurs with distance, the question specifically refers to near vision.

B. Pupillary constriction when looking at a near object: Accommodation is the process by which the eyes adjust to focus on near objects, which includes pupillary constriction and lens thickening.

C. Changes in peripheral vision: This describes visual field testing, not accommodation.

D. Involuntary blinking in bright light: This describes the corneal reflex, not accommodation.

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A patient comes into the clinic complaining of pain in her right eye. On examination, the nurse sees a pustule at the lid margin that is painful to touch, red, and swollen. The nurse recognizes that this is a:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient had abdominal surgery yesterday when auscultating his abdomen, you would expect to hear:

Correct Answer is C

Explanation

The nurse is testing a patient's visual accommodation, which refers to which action?

Correct Answer is B

Explanation

The nurse gave a client an instruction sheet for a colonoscopy. The client held the instructions approximately 18 inches from their face and read the description of the procedure aloud. The nurse recognizes that the client

A patient has been diagnosed with venous stasis. Which of these findings would the nurse most likely observe?

During an assessment of an older adult, the nurse should expect to notice which finding as a normal physiologic change associated with the aging process?

The nurse is performing an assessment on an adult. The adult's vital signs are normal, and capillary refill time is 5 seconds. What should the nurse do next?

During an abdominal assessment, the nurse is unable to hear bowel sounds in a patient's abdomen. How long should the nurse listen before reporting absent bowel sounds?

Which of the following should the nurse perform to assess the arterial function of the lower extremities?

The nurse is reviewing the risk factors for venous disease. Which of these situations best describes a person at highest risk for the development of venous disease?

A nurse is educating a patient regarding arterial insufficiency. The nurse knows the patient has a correct understanding of arterial risk factors by listing the following: