Free Eye and ENT Nursing MCQs with Answers

50 Eye and ENT Nursing MCQs from Medical Surgical Nursing, each with the correct answer and a written explanation of why it is correct. Free and unlimited, with no account needed.

Covers nursing care for cataract, glaucoma, conjunctivitis, retinal disorders, ear infections, hearing loss, vertigo, sinusitis, tonsillitis and laryngeal disease. It includes visual and hearing assessment, eye and ear medication administration, postoperative precautions, airway concerns and the difference between conductive and sensorineural hearing loss.

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50 questions · page 3 of 3

  • A. Snellen visual acuity test
  • B. Ishihara colour vision test
  • C. Amsler grid examination
  • D. Confrontation field test

Explanation: The Ishihara test uses coloured plates to identify red-green colour vision deficiency.

Correct answer: Ishihara colour vision test
  • A. Share clean towels with family members
  • B. Wash hands before and after touching the eyes
  • C. Cover both eyes continuously during the day
  • D. Stop cleaning discharge when redness improves

Explanation: Hand hygiene before and after eye care prevents transferring organisms to the other eye or another person.

Correct answer: Wash hands before and after touching the eyes
Moderate
  • A. Arrange urgent ophthalmic assessment
  • B. Apply a warm compress to the eyelid
  • C. Encourage the patient to rest in a dark room
  • D. Irrigate the eye with sterile saline

Explanation: Sudden painless monocular visual loss may indicate retinal artery occlusion or another sight-threatening disorder and requires urgent…

Correct answer: Arrange urgent ophthalmic assessment
  • A. The sound lateralises clearly to the left ear
  • B. The sound lateralises clearly to the right ear
  • C. The sound is heard equally in both ears
  • D. The sound is heard only through bone conduction

Explanation: In a normal Weber test, the vibrating tuning fork is heard equally in both ears without lateralisation.

Correct answer: The sound is heard equally in both ears
  • A. Insert a cotton bud deeply into the canal
  • B. Keep water out of the affected ear
  • C. Flush the ear with tap water afterward
  • D. Use an ear candle to dry the canal

Explanation: Keeping moisture out helps reduce irritation and supports healing in otitis externa.

Correct answer: Keep water out of the affected ear
Moderate
  • A. Glaucoma commonly causes early loss of peripheral vision
  • B. Glaucoma first causes complete loss of colour vision
  • C. Glaucoma usually causes sudden central blindness
  • D. Glaucoma initially produces severe ear pain

Explanation: Progressive optic nerve damage in glaucoma often affects peripheral vision before central vision.

Correct answer: Glaucoma commonly causes early loss of peripheral vision
  • A. Suggest increased oral fluids at home
  • B. Report the findings promptly to the provider
  • C. Teach the patient to blow the nose forcefully
  • D. Apply a cold pack and reassess tomorrow

Explanation: Periorbital swelling with fever may indicate spread of infection beyond the sinuses and needs prompt medical review.

Correct answer: Report the findings promptly to the provider
Easy
  • A. Ask the patient to whisper until the voice returns
  • B. Provide a writing board or picture communication aid
  • C. Tell the patient to breathe through the mouth
  • D. Place a speaking valve over the permanent stoma

Explanation: After total laryngectomy, airflow no longer passes through the larynx, so normal speech is absent initially.

Correct answer: Provide a writing board or picture communication aid
  • A. Gradual painless blurring of vision
  • B. Sudden severe eye pain with vomiting
  • C. Flashing lights followed by a curtain-like shadow
  • D. Marked redness with purulent eye discharge

Explanation: A cataract is an opacity of the lens that commonly causes gradual, painless blurring and glare.

Correct answer: Gradual painless blurring of vision
  • A. Offer solid food to assess swallowing
  • B. Place the patient flat and encourage sleep
  • C. Assess the airway and notify the provider urgently
  • D. Ask the patient to gargle with concentrated antiseptic

Explanation: Drooling and difficulty opening the mouth may signal a deep throat infection with risk of airway obstruction.

Correct answer: Assess the airway and notify the provider urgently