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Content text RECALLS 5 (NP5) - STUDENT COPY

1 | Page Prepared by: ENCARNACION, JESIKAH DE JESUS, JERICHO RECALLS EXAMINATION 5 NURSING PRACTICE V CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS (PART C) MAY 2025 Philippine Nurse Licensure Examination Review GENERAL INSTRUCTIONS: 1. This test questionnaire contains 100 test questions 2. Shade only one (1) box for each question on your answer sheets. Two or more boxes shaded will invalid your answer. 3. AVOID ERASURES. 4. Detach one (1) answer sheet from the bottom of your Examinee ID/Answer Sheet Set. 5. Write the subject title “NURSING PRACTICE V” on the box provided Situation: The senses—sight, hearing, touch, taste, and smell—play a crucial role in how we interact with the world around us. Accurate assessment and understanding of sensory function, including both vision and hearing, are essential for nurses to provide holistic patient care. The following questions explore key aspects of these two senses and related assessments, including visual acuity testing, examination techniques, auditory assessments, and diagnostic procedures. 1. A patient reports blurred vision and difficulty reading. Which of the following assessments is the MOST appropriate initial step for the nurse to take? A. Administer eye drops to relieve dryness. B. Assess the patient's visual acuity using a Snellen chart. C. Inspect the external eye for any abnormalities. D. Refer the patient to an ophthalmologist immediately. 2. A patient's visual acuity is documented as OD: 20/40 and OS: 20/20. How should the nurse interpret this finding? A. The patient has normal vision in both eyes. B. The patient has better vision in the right eye than the left eye. C. The patient has better vision in the left eye than the right eye. D. The patient is legally blind in the right eye. 3. During an external eye examination, the nurse observes ptosis of the right eyelid. What does this finding suggest? A. Entropion B. Ectropion C. Drooping of the eyelid D. Nystagmus 4. A patient is scheduled for a slit-lamp examination. What is the PRIMARY purpose of this diagnostic procedure? A. To measure intraocular pressure. B. To visualize the retina and optic nerve. C. To examine the structures of the eye under high magnification. D. To assess the patient's visual field. 5. During a direct ophthalmoscopy, the examiner observes a "cotton-wool spot" on the patient's retina. What does this finding suggest? A. Normal aging process B. Macular degeneration C. Hypertension or diabetes D. Cataracts 6. A patient is diagnosed with homonymous hemianopsia due to a stroke. What does this visual deficit mean? A. The patient has double vision. B. The patient has blindness in half of the visual field in both eyes. C. The patient has difficulty seeing at night. D. The patient has a loss of peripheral vision. 7. Which of the following assessments is MOST important when caring for a patient with homonymous hemianopsia? A. Placing objects on the patient's affected side. B. Approaching the patient from their intact side. C. Encouraging the patient to close their affected eye. D. Limiting the patient's mobility. 8. A patient is scheduled for tonometry. What is the PRIMARY purpose of this procedure? A. To assess for cataracts. B. To measure intraocular pressure. C. To examine the optic nerve. D. To evaluate visual acuity. 9. A patient with age-related macular degeneration (AMD) is instructed on how to use an Amsler grid. What is the PRIMARY purpose of this tool? A. To assess for changes in peripheral vision. B. To evaluate the ability to distinguish colors. C. To detect distortions or blind spots in the central visual field. D. To measure intraocular pressure. 10. Which of the following BEST describes the primary function of rods in the eye? A. Color vision in bright light B. Sharp, detailed vision C. Vision in low light conditions D. Depth perception 11. A patient is diagnosed with glaucoma. The nurse understands that the primary pathophysiological mechanism leading to optic nerve damage in this condition involves: A. Decreased production of aqueous humor. B. Obstruction of the trabecular meshwork, impairing aqueous humor outflow. C. Inflammation of the ciliary body, reducing aqueous humor production. D. Degeneration of the lens, affecting light transmission to the retina. 12. Which of the following factors is considered a significant risk factor for the development of glaucoma? A. Hyperopia (farsightedness) B. History of migraines C. Regular use of nonsteroidal anti-inflammatory drugs (NSAIDs) D. Consumption of a diet high in saturated fat * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *


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