Try Naxlex NCLEX-RN (Free-Trial)

The nurse is performing a focused interview and eye assessment on a client. Which assessment findings indicate the client is experiencing a vision problem? (Select all that apply)

As the nurse dims the lights in the room, the client’s pupils dilate.

As the nurse checks for accommodation, the pupils remain dilated.

The clients far vision acuity is 20/20 bilaterally.

The client exhibits a symmetrical pupillary light reﬂex response.

Answer and Explanation

Correct Answer : B,E

A. Dilated pupils in response to dimmed lights are a normal response and not an indication of a

vision problem.

B. Pupils that remain dilated during an accommodation test indicate that the client may have an

issue with their autonomic nervous system and is not able to adjust their pupil size appropriately.

C. Far vision acuity of 20/20 bilaterally indicates normal vision.

D. A symmetrical pupillary light reﬂex response is a normal finding and not an indication of a vision

problem.

E. Frowning and squinting while reading the Snellen chart may indicate that the client is having difficulty seeing the letters clearly and may have a vision problem.

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

When assessing the abdomen, the nurse would expect to auscultate bowel sounds, which are the sounds made by the movement of gas and ﬂuid through the intestines. The normal bowel sounds are characterized as high-pitched, gurgling, and occurring at a rate of 5-30 sounds per minute.

Bruits are abnormal sounds indicating turbulent blood ﬂow and are usually assessed in other areas of the body, such as the epigastric and renal arteries, as well as in the aorta.

Friction rubs are also abnormal sounds, but they are typically heard during auscultation of the heart and lungs.

Low-pitched sonorous sounds are not typical sounds that are expected to be heard during an abdominal assessment

A. CAGE assessment B. Heinrich Fall Scale C. Mini-Mental Status Exam D. Activities of Daily Living Tool

Correct Answer is ["C","D"]

Explanation

The Mini-Mental Status Exam assesses cognitive function, which is often included in the psychosocial assessment, and the Activities of Daily Living Tool assesses the patient's ability to perform daily tasks, which is also important to understand the patient's level of functioning.

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

The nurse is performing a focused interview and eye assessment on a client. Which assessment findings indicate the client is experiencing a vision problem? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When assessing the abdomen, the nurse would expect to auscultate which sounds?

Correct Answer is A

Explanation

The nurse is conducting a psychosocial assessment. Which of the following would be included in this assessment? (Select all that apply)

Correct Answer is ["C","D"]

Explanation

The nurse assesses the patient's visual acuity to be 20/25 using an eye chart. The patient asks what that means. Which of the following is the nurse’s best response?

The nurse is checking for edema in the lower extremities of a patient with Congestive heart failure. The nurse will do which of the following when checking for edema. (Select all that apply)

The nurse is assessing the patients sleep habits. Which of the patients responses indicate a need for the nurse to provide teaching?

The nurse auscultates the client’s abdomen for 1 minute and does not hear any bowel sounds. What should the nurse do next?

The nurse is assessing the patient's ear. The correct procedure for straightening the ear canal of an adult is to pull the pinna…

In the SBAR reporting system, which of the following would be an example of a recommendation?

The nurse would use which of the following skills first when examining the cardiovascular system of a patient?

The nurse is mapping the client’s abdomen into four quadrants. Which landmarks should the nurse use to perform this assessment? (Select all that apply)