The nurse tells a patient that he will be performing a visual acuity test using the Snellen eye chart. The patient asks how the test is done. The nurse's best reply is:

"You stand 20 feet away from the chart while I test each of your eyes."

The number beside the largest print read is your visual acuity score!

"I will be testing your vision with your reading glasses on."

"You stand 50 feet away from the chart while I test each of your eyes."

Answer and Explanation

The Correct Answer is A

A.   The patient should stand 20 feet away from the Snellen chart to accurately measure visual acuity, which is the standard procedure.

B.   The number beside the largest print is not the correct visual acuity score; the patient must read progressively smaller lines.
C.   Testing with reading glasses is appropriate only for patients who need them for close-up vision, but the Snellen test typically measures distance vision.
D.   The distance should be 20 feet, not 50 feet, to ensure proper testing conditions.

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Correct Answer is B

Explanation

A. While auscultating lung and abdominal sounds is important, it is not as urgent as checking neurological function in a head trauma patient.
B. Assessing verbal and motor responses is critical to evaluate the level of consciousness and neurological function in a patient with head trauma.
C. Monitoring daily weight is not an immediate concern for a patient with possible head trauma.
D. Monitoring intake and output is important but not the priority compared to assessing the neurological status in head trauma patients.

A. date of previous diagnostic tests B. where the patient is living C. treatment for previous illnesses D. any allergies to medications

Correct Answer is D

Explanation

A. The date of previous diagnostic tests may be important, but it is secondary to immediate safety concerns like allergies.
B. Information about the patient's living situation can be useful for discharge planning but is not the most urgent piece of information.
C. Previous treatment for illnesses is important but does not supersede immediate health threats like allergies.
D. Knowing any allergies to medications is critical to avoid potentially harmful reactions. This is a priority when beginning care, as it informs medication administration and treatment options.

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The nurse tells a patient that he will be performing a visual acuity test using the Snellen eye chart. The patient asks how the test is done. The nurse's best reply is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient was admitted with possible head trauma after a motor vehicle accident. The nursing implementation with the highest priority is to:

Correct Answer is B

Explanation

When performing an initial assessment on a patient, which piece of information is of highest priority?

Correct Answer is D

Explanation

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The nurse taking a blood pressure should:

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