NSG 323 Practice Exam Questions and Correct Answers
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Course
NUR 323
Institution
NUR 323
1. Nurse Kaye is carrying out her operative teachings for an older client who will have cataract surgery on the right eye. The nurse concludes that the client needs further understanding about the teachings if he says:
A. "I will sleep on my left side after surgery." B. "I will wipe my nose gently...
NSG 323 Practice Exam Questions and
Correct Answers
1. Nurse Kaye is carrying out her operative teachings for an older client who will have
cataract surgery on the right eye. The nurse concludes that the client needs further
understanding about the teachings if he says:
A. "I will sleep on my left side after surgery."
B. "I will wipe my nose gently if it is congested after surgery."
C. "I will call my physician if I have sharp and sudden pain or a fever after surgery."
D. "I will bend below my waist frequently to increase circulation after surgery." ✅1.
Answer: D. "I will bend below my waist frequently to increase circulation after surgery."
D: Immediately after the procedure, the client should avoid bending over, to prevent
putting extra pressure on the eye.
A: Sleeping on the left side avoids injuring the operated side.
B: Wiping the nose gently avoids increasing the intraocular pressure.
C: The patient must recognize any signs and symptoms of complications.
2. After cataract surgery, the patient is encouraged to:
A. Maintain bed rest for 1 week.
B. Lie on his or her stomach while sleeping.
C. Avoid bending his or her head below the waist.
D. Lift weights to increase muscle strength. ✅2. Answer: C. Avoid bending his or her
head below the waist.
C & B: Bending the head below the waist and lying on the stomach increase the
intraocular pressure and affect the newly operated eye.
A: Bed rest for a week is unnecessary for post cataract surgery patients.
D: Lifting heavy objects ate contraindicated after a cataract surgery.
3. Upon assessment, the patient told the nurse that she was experiencing the three
common symptoms found with cataracts and these are listed below except for:
A. Blurred vision.
B. Glare.
C. Halos.
D. Eye pain. ✅3. Answer: D. Eye pain.
D: Pain is not present in cataract; only in glaucoma.
A, B, C are the three common symptoms found with cataract.
4. On ophthalmic examination, the physician noted the major objective finding seen with
cataracts:
A. Tunnel vision.
B. Glare.
C. Opaque lens.
, D. Eye pain. ✅4. Answer: C. Opaque lens.
C: The lens of the eye turns milky white in cataracts, and this is the major objective
finding seen.
A & D: Tunnel vision and eye pain are common in patients with glaucoma.
B: Patients with cataracts experience glare, but this is not a major finding in cataract
5. The nurse is right when she instructs the patient to avoid:
A. Getting up from bed for 2 weeks after surgery.
B. Chewing on the same side of the operated area.
C. Taking anticoagulants.
D. Using eyeglasses when going outside. ✅5. Answer: C. Taking anticoagulants.
C: Taking anticoagulants predisposes the patient to hemorrhage
A & B: Complete bed rest for 2 weeks and chewing on the side of the operated area
unnecessary for a post cataract surgery patient
D: The sunglasses protect the eyes from potential infectious agents such as dust and
smoke.
Tonometry is performed on the client with a suspected diagnosis of glaucoma. The
nurse analyzes the test results as documented in the client's chart and understands that
normal intraocular pressure is:
1. 2-7 mmHg
2. 10-21 mmHg
3. 22-30 mmHg
4. 31-35 mmHg ✅Answer: 2. 10-21 mmHg
Tonometry is the method of measuring intraocular fluid pressure using a calibrated
instrument that indents or flattens the corneal apex. Pressures between 10 and 21
mmHg are considered within normal range.
The client with glaucoma asks the nurse is complete vision will return. The most
appropriate response is:
1. "Although some vision as been lost and cannot be restored, further loss may be
prevented by adhering to the treatment plan."
2. "Your vision will return as soon as the medications begin to work."
3. "Your vision will never return to normal."
4. "Your vision loss is temporary and will return in about 3-4 weeks." ✅Answer: 1.
"Although some vision as been lost and cannot be restored, further loss may be
prevented by adhering to the treatment plan."
Vision loss to glaucoma is irreparable. The client should be reassured that although
some vision has been lost and cannot be restored, further loss may be prevented by
adhering to the treatment plan. Option C does not provide reassurance to the client.
The nurse is developing a teaching plan for the client with glaucoma. Which of the
following instructions would the nurse include in the plan of care?
1. Decrease fluid intake to control the intraocular pressure
2. Avoid overuse of the eyes
3. Decrease the amount of salt in the diet
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