Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

How is vibratory sensation typically tested?

1. Using visual cues with the patient’s eyes open

2. Application of pressure on the great toe

3. Patient closes eyes and indicates sensation when tuning fork is placed against the toe

4. Checking for response to light touch

The correct answer is: Patient closes eyes and indicates sensation when tuning fork is placed against the toe

Vibratory sensation is assessed primarily by using a tuning fork placed on a bony prominence, such as the great toe or the ankle. This method is reliable because it allows for an accurate evaluation of the neural pathways responsible for detecting vibration. When the patient closes their eyes, this removes any visual distractions that can influence the perception of sensation, allowing the patient to focus solely on their sensory experience. The patient indicates when they feel the vibration, which helps the examiner determine whether the sensation is intact, diminished, or absent. In contrast, while using visual cues might sometimes provide context for sensation testing, it can lead to biased responses, as the patient may anticipate or guess sensations based on what they see. Application of pressure might not accurately gauge vibratory sensation, as it focuses on tactile perception rather than vibration. Lastly, checking for response to light touch is a different modality of sensory testing and does not measure vibratory sensation directly; it assesses tactile sensation instead. Thus, the most accurate method for testing vibratory sensation, as stated, involves the use of a tuning fork while the patient’s eyes are closed.