Title WORKBOOK - SPECIAL SENSES (KEY) ✅

COMPREHENSIVE PHASE WORKBOOK SPECIAL SENSES NOVEMBER 2025 Philippine Nurse Licensure Examination Review SITUATION: Lara X is a farmer in Cabanatuan. She was diagnosed with cataract. 1. Cataract manifestations include all but one: I. Blurring of vision II. Absence of red reflex III. Appearance of milky white in the eye IV. Decreased sensitivity to light A. 1, 2 and 3 B. 2 only C. 4 only D. None of the above 2. The following nursing interventions are non-conformance after cataract extraction except: I. Place the client in supine or towards the un-operated side II. Advise to avoid bending stooping, bending, or lifting heavy objects III. Instruct to limit fluid intake to prevent increase in IOP IV. Instruct to protect eye with pads or eye shield A. 1 and 4 B. 3 only C. 1, 2 and 4 D. 2 and 3 3. A client underwent cataract removal with an intraocular lens implant. The nurse is giving the client discharge instructions. These instructions should include which of the following? I. Avoid lifting objects weighing more than 5 lb (2.27 kg) II. Lie on your abdomen when in bed III. Keep rooms brightly lit IV. Avoid straining during bowel movement or bending at the waist A. 2 and 3 B. 1, 3 and 4 C. 4 D. 1 and 4 4. Marina D was admitted for severe boring eye pain. A suspicion of glaucoma was made however further diagnostics is needed to identify if this is an open-angle, from close-angle glaucoma. You know that: A. Open-angle glaucoma occurs less frequently than closed-angle glaucoma B. Open-angle glaucoma's symptoms include pain, severe headache, nausea, and vomiting; whereas closed-angle glaucoma has a slow, silent, and generally painless onset C. The obstruction of aqueous flow in open-angle glaucoma generally occur somewhere in Schlemm's canal. It does not narrow or close the angle of the anterior chamber, as in closed-angle glaucoma D. Open-angle glaucoma rarely occurs in families; however, there is a heredity predisposition for closed-angle glaucoma. 5. Pilocarpine is the drug of choice in the treatment of open-angle glaucoma. The expected outcome following administration would be: A. Blocked action of cholinesterase at the cholinergic nerve endings, and therefore increased pupil size B. Constricted pupil and therefore widened outflow channels and increased flow of aqueous fluid C. Impaired vision from decreased aqueous humor production D. Constriction of aqueous veins and therefore decreased venous pooling in the eye 6. You expect that the initial symptom that brought the client to the ophthalmologist is what? A. Seeing colored flashes of light B. Extreme pain in the eye C. Decreasing vision D. Redness and tearing of the eye 7. Acetazolamide are sometimes used in the treatment of glaucoma because they A. Dilate the pupil B. Paralyze the power of accommodation C. Increase the power of accommodation D. Depress secretion of aqueous humor 8. Jordan X reported that he sees“floaters” prior to admission. The nurse should explain to the client that these spots were caused by. A. Blood cells released into the eye by the detachment B. Spasms of the retinal blood vessels traumatized by the detachment C. Pieces of retina floating in the eye D. Contamination of the aqueous humor 9. Which of the following symptoms would not occur in a client with a detached retina? I. Floaters II. Photopsia III. Eye pain IV. Curtain vision A. 2 only B. 1, 2 and 4 C. 1 and 4 D. 3 only 10. Scleral buckling, a procedure used to treat retinal detachment, involves: A. Creating a splint to hold the retina together until a scar can form and seal off the tear. B. Removing the torn segment of the retina and stitching down the remaining segment. C. Stitching the retina firmly to the optic nerve to give it support. D. Replacing the torn segment of the retina with a strip of retina from a donor. 11. The nurse would expect the client to complain of: I. Discharge from the ear II. Ear pain III. Neurosensory deafness IV. Conductive deafness V. Vertigo VI. Tinnitus VII.Fever A. 3, 5 and 6 B. 3, 4 and 6 C. 2, 3, 5 and 6 D. 1, 3, 5 and 7 12. The correct nursing management of Meniere’s disease is: I. Take diuretic to excrete excess fluids from the body II. Encourage a decrease sodium intake III. Use of bonamine during vertigo episodes IV. Take acetazolamide as prescribed TOP RANK REVIEW ACADEMY, INC. Page 1 | 4


47. Marky D was diagnosed with glaucoma and was prescribed with eye drops. Which of the following instructions would the nurse include in the plan of care? A. Avoid overuse of the eyes. B. Decrease the amount of salt in the diet. C. Eye medications will need to be administered for the client's entire life. D. Decrease fluid intake to control the intraocular pressure. 48. A patient came to the ER and the physician is currently suspecting retinal detachment. Which of the following is associated with this eye disorder? A. Total loss of vision B. Pain in the affected eye C. A yellow discoloration of the sclera D. A sense of a curtain falling across the field of vision 49. Ailla D was about to undergo cryosurgery, to treat retinal detachment. You explain to the client that the goal of the treatment is to A. Creates a splint B. Stimulate an inflammatory response C. Attached the separated layer of the choroid D. Prevent increased IOP 50. True of the Optic nerve I. mediates general sensation of the auricle II. responsible for pupil constriction III. mediates vision IV. functions for corneal blink reflex A. 1, 2, 3, 4 B. 1,2,3 C. 2 only D. 3 only TOP RANK REVIEW ACADEMY, INC. Page 4 | 4