Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a client who has a cloudy, opaque area over the lens of one eye.
The nurse should identify that this is a manifestation of which of the following visual impairments?
A. Cataracts.
Cataracts are a cloudy, opaque area over the lens of one eye that can impair vision.
B. Diabetic retinopathy.
Choice B is wrong because diabetic retinopathy is a condition that affects the blood vessels of the retina, not the lens. It can cause blurred vision, floaters, or vision loss
C. Glaucoma.
Choice C is wrong because glaucoma is a condition that damages the optic nerve due to high pressure in the eye. It can cause blind spots, halos around lights, or vision loss
D. Macular degeneration.
Choice D is wrong because macular degeneration is a condition that damages the macula, the central part of the retina. It can cause blurred or no vision in the center of the visual field : https://www.nhs.uk/conditions/cataracts/ : https://www.nei.nih.gov/learn-about-eye-health/eye-conditions-and diseases/diabetic-retinopathy : https://www.mayoclinic.org/diseases-conditions/glaucoma/symptoms causes/syc-20372839 : https://en.wikipedia.org/wiki/Macular_degeneration
This question is an excerpt from Nurse Dive's nursing test bank - ATI Custom Sp23 N144 FINAL Proctored Exam. Take the full exam now
Full Explanation
The correct answer is choice A. Cataracts are a cloudy, opaque area over the lens of one eye that can impair vision
Choice B is wrong because diabetic retinopathy is a condition that affects the blood vessels of the retina, not the lens. It can cause blurred vision, floaters, or vision loss
Choice C is wrong because glaucoma is a condition that damages the optic nerve due to high pressure in the eye. It can cause blind spots, halos around lights, or vision loss
Choice D is wrong because macular degeneration is a condition that damages the macula, the central part of the retina. It can cause blurred or no vision in the center of the visual field
: https://www.nhs.uk/conditions/cataracts/
: https://www.nei.nih.gov/learn-about-eye-health/eye-conditions-and diseases/diabetic-retinopathy
: https://www.mayoclinic.org/diseases-conditions/glaucoma/symptoms causes/syc-20372839
: https://en.wikipedia.org/wiki/Macular_degeneration
Similar Questions
The nurse utilizes the SBAR format to give report to the next nurse. Which one of the following statements is correct about the SBAR?
A. The SBAR is used to organize and standardize communication.
The SBAR is used to organize and standardize communication between members of the health care team about a patient’s condition. It is an acronym for Situation, Background, Assessment, and Recommendation.
B. The SBAR is used to help Physical Therapy determine the client’s abilities.
Choice B is wrong because the SBAR is not used to help Physical Therapy determine the client’s abilities. Physical Therapy may use other tools or methods to assess the client’s functional status.
C. The SBAR is used to help physicians with diagnoses.
Choice C is wrong because the SBAR is not used to help physicians with diagnoses. The SBAR is a communication tool, not a diagnostic tool. Physicians may use other sources of information or tests to make diagnoses.
D. The SBAR is used to educate clients about their disease processes.
Choice D is wrong because the SBAR is not used to educate clients about their disease processes. The SBAR is a tool for interprofessional communication, not for patient education. Clients may receive education from other sources or materials.
Full Explanation
The SBAR is used to organize and standardize communication between members of the health care team about a patient’s condition. It is an acronym for Situation, Background, Assessment, and Recommendation.
Choice B is wrong because the SBAR is not used to help Physical Therapy determine the client’s abilities.
Physical Therapy may use other tools or methods to assess the client’s functional status.
Choice C is wrong because the SBAR is not used to help physicians with diagnoses.
The SBAR is a communication tool, not a diagnostic tool.
Physicians may use other sources of information or tests to make diagnoses.
Choice D is wrong because the SBAR is not used to educate clients about their disease processes.
The SBAR is a tool for interprofessional communication, not for patient education.
Clients may receive education from other sources or materials.
A nurse is assisting with teaching a newly licensed nurse about ethical principles.
The nurse should include that working to not cause harm to a client, while trying to achieve the best possible outcome, is an example of which of the following ethical principles?
A. Nonmaleficence.
Nonmaleficence is the ethical principle of doing no harm or preventing harm to a client. It is based on the Hippocratic oath of “primum non nocere” or “first, do no harm”. It means that the nurse should act in the best interest of the client and avoid any actions that could cause injury or suffering.
B. Fidelity.
Fidelity is the ethical principle of being faithful and loyal to a client. It means that the nurse should keep promises, respect confidentiality, and maintain trust.
C. Justice.
Justice is the ethical principle of treating clients fairly and equally. It means that the nurse should distribute resources and services based on the client’s needs and not on personal biases.
D. Autonomy.
Autonomy is the ethical principle of respecting a client’s right to make their own decisions. It means that the nurse should inform the client of their options and support their choices, as long as they do not harm others.
Full Explanation
Nonmaleficence is the ethical principle of doing no harm or preventing harm to a client. It is based on the Hippocratic oath of “primum non nocere” or “first, do no harm”. It means that the nurse should act in the best interest of the client and avoid any actions that could cause injury or suffering.
Choice B. Fidelity is the ethical principle of being faithful and loyal to a client.
It means that the nurse should keep promises, respect confidentiality, and maintain trust.
Choice C. Justice is the ethical principle of treating clients fairly and equally.
It means that the nurse should distribute resources and services based on the client’s needs and not on personal biases.
Choice D. Autonomy is the ethical principle of respecting a client’s right to make their own decisions.
It means that the nurse should inform the client of their options and support their choices, as long as they do not harm others.
A nurse is reinforcing teaching with a client who has a new diagnosis of fibromyalgia.
Which of the following information should the nurse include in the teaching?
A. Avoid taking antidepressant medications during treatment.
Choice A is wrong because antidepressant medications can help ease the pain and fatigue associated with fibromyalgia. They are often prescribed as part of the treatment plan.
B. Physical manifestations of the disease become progressively worse despite treatment.
Choice B is wrong because physical manifestations of the disease do not become progressively worse despite treatment. Fibromyalgia is a chronic condition, but it does not damage the joints, muscles or organs.
C. Low-impact aerobics can help reduce episodes of pain.
According to Mayo Clinic, physical therapy and exercises can improve strength, flexibility and stamina for people with fibromyalgia.
D. Narcotic analgesia will be used for long-term pain control.
Choice D is wrong because narcotic analgesia will not be used for long-term pain control. Opioid medications can cause significant side effects and dependence and will worsen the pain over time. They are not recommended for fibromyalgia treatment.
Full Explanation
According to Mayo Clinic, physical therapy and exercises can improve strength, flexibility and stamina for people with fibromyalgia.
Low-impact aerobics, such as swimming or biking, are recommended as they are less likely to cause muscle soreness or injury.
Choice A is wrong because antidepressant medications can help ease the pain and fatigue associated with fibromyalgia.
They are often prescribed as part of the treatment plan.
Choice B is wrong because physical manifestations of the disease do not become progressively worse despite treatment.
Fibromyalgia is a chronic condition, but it does not damage the joints, muscles or organs.
Choice D is wrong because narcotic analgesia will not be used for long-term pain control. Opioid medications can cause significant side effects and dependence and will worsen the pain over time.
They are not recommended for fibromyalgia treatment.