BSN246 HEALTH ASSESSMENT, Exams of Advanced Education

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BSN246 HEALTH ASSESSMENT: EXAM,

2025/2026 WITH CORRECT/ACCURATE

ANSWERS

While educating a patient with age-related macular degeneration (AMD), the nurse discusses modifiable risk factors. Which modifiable risk factor should the nurse include in the teaching? A. Smoking B. Alcohol use C. Hypotension D. White ethnicity A. Smoking The nurse is caring for a pt with a family hx of age-related macular degeneration (AMD), a medical hx of high blood pressure, and social hx including daily cigar smoking. Th ept asks if there is any way to prevent development of the disease. Which responses by the nurse are correct? A. Protect your eyes from trauma B. Reduce or quit smoking cigars. C. Keep your BP under control D. AMD is not genetic, you have nothing to worry about. E. If you have the gene for the disease, then there is no way to prevent.

B. Reduce or quit smoking cigars C. Keep your BP under control. A nurse is caring for a pt who has prolonged pupil dilation related to ophthalmic medication usage. The nurse will monitor the pt for which signs of acute PACG? A. Acute vision loss B. Nausea, vomiting, acute eye pain C. Ocular redness, hypertension, headache. D. Growth of new blood vessels in an abnormal location. B. Nausea, vomiting, acute eye pain A nurse is caring for a patient who reports loss of peripheral vision that developed over time. Which diagnostic tests would the nurse anticipate the patient to undergo? A. Tonometry B. Gonioscopy C. Glare testing D. IV angiography E. Amsler grid test A. Tomomerty B. Gonioscopy A nurse is counseling a patient about to undergo cataract surgery. The patient will have cataracts removed from both eyes, but just the poorest eye will be operated on initially. Which statement demonstrates that the patient understands the procedure?

A. Take note of the furniture placement in the room B. Begin discharge planning to a rehabilitation facility C. Ensure that the bed is placed next to the window to maximize light exposure D. Place a bedpan on the bedside table so the patient doesn't need to find the bathroom A. Take note of the furniture placement in the room The nurse is caring for a patient with age-related macular degeneration (AMD) and refers the patient to a psychologist. Which responses by the nurse are appropriate when the patient questions the reason for the referral? SATA A. The permanent loss of central vision can be very difficult. B. This is done to discuss the need for additional support systems. C. Safety issues are a top priority in patients who have sight problems. D. This is done to determine if you will still be able to care for yourself after this diagnosis. E. This is done to evaluate your understanding of the disease process and treatment. A, B A patient in the emergency department is diagnosed with Ménière's disease after an acute episode and asks the nurse how long the attack will last. What is the nurse's correct response? A. You should start to feel better soon. B. These attacks can last for hours to days.

C. You may feel like this for the rest of your life. D. It can be several months before you feel better. B. These attacks can last for hours to days. A nurse is caring for a patient with hearing loss. The patient asks the nurse what it means to have sensorineural hearing loss. Which response from the nurse is correct? A. It is just a normal part of aging. B. It is a type of mixed hearing loss. C. It may be caused by a psychological issue, so you may need to see a psychiatrist. D. It is an impairment of one of your cranial nerves that affects the function of your ear. D. It is an impairment of one of your cranial nerves that affects the function of your ear. While caring for a patient with hearing loss, the nurse notes a deficit of 75 decibels on the audiogram. The nurse understands this is consistent with which type of hearing loss? A. Profound deafness B. Severe impairment C. Moderate impairment D. Moderately severe impairment B. Severe impairment The wife of an older adult patient states, "If I don't speak loudly to my husband, he can't hear me. It's been getting much worse these past

additional information D. Take a careful medical and family history, especially assessing for deafness in the family D. Take a careful medical and family history, especially assessing for deafness in the family The nurse is assessing a patient with Ménière's disease. The patient presents with complaints of vertigo. What additional sign or symptom would the nurse suspect? A. Ear pain B. Sudden hearing loss C. Significant inability to function D. Difficulty understanding speech C. Significant inability to function A patient has central and functional hearing loss. The nurse understands that which finding may have contributed to this disorder? A. Impacted cerumen B. History of ototoxic medication use C. History of multiple ear infections as a child D. No physical reason for hearing loss can be identified D. No physical reason for hearing loss can be identified A patient calls the office and reports that his 78-year-old spouse has suddenly lost hearing in one ear. Which recommendation by the nurse is correct?

A. Bring his spouse in to be evaluated immediately B. Suggest gently cleaning out the ears to remove impacted cerumen C. Monitor the patient's hearing and call back the next day with an update D. Advise that this is normal with aging, and suggest facing his spouse when speaking A. Bring his spouse in to be evaluated immediately The student nurse is caring for a patient with an acute attack of Ménière's disease. Which finding indicates a need for further teaching of the student nurse? A. The patient's urine output is measured. B. An emesis basin is kept on the bedside table. C. The patient is placed in the dayroom to watch a favorite action movie. D. Three side rails on the patient's bed are placed in the upright position. C. The patient is placed in the dayroom to watch a favorite action movie. A nurse receives orders for a patient with an acute attack of Ménière's disease. Which drug order should the nurse question? A. Antiemetics B. ACE inhibitors C. Anticholinergics D. Benzodiazepines B. ACE inhibitors

A. Glaucoma can be precipitated by exposure to bright lights. B. Glaucoma is usually caused by trauma. Have you been in an accident recently? C. Let me start your assessment, and your provider will be able to tell you based on the results. D. People with glaucoma often don't have symptoms right away and are not aware of the disease until they are evaluated by a health care provider. D. People with glaucoma often don't have symtpoms right away, and are not aware of the disease until they are evaluated by health care provider. The nurse is caring for a pt with cataracts. The healthcare provider informs the nurse that the pt will be undergoing surgery to replace the affected lens. The nurse anticipates preparing the pt for which procedure? A. Gonioscopy B. IV angiography C. Indirect ophthalmoscopy D. Keratometry and A-scan ultrasound D. Keratomerty and A-scan ultrasound The nurse is developing a nutritional plan for a pt at risk for age- related macular degeneration (AMD). Which food item should the nurse encourage in the pts diet? A. Skim milk B. Kale salad

C. Lean protein D. Carrots and sweet potatoes B. Kale salad The nurse is caring for a pt with a new diagnosis of primary open-angle glaucoma (POAG). When reviewing the health care providers orders, which prescription should the nurse question? A. Ibuprofen B. Betaxolol C. Dipivefrin D. Brinzolamide A. Ibuprofen The nurse is preparing a pt for surgery to correct an age-related cataract of the left eye. Which nursing assessments are appropriate for the pt? SATA A. Pain levels B. Anxiety levels C. Visual acuity in the right eye D. Presence of metamorphopsia E. Knowledge of different therapeutic options B. Anxiety levels C. Visual acuity in the right eye E. Knowldge of different therapeutic options

D. This is related to the car accident that I had last week and nothing can be done. C. I will need to follow my treatment plan to prevent damage to the optic nerve.