Question 1

An ophthalmic examination reveals papilledema.The nurse is aware that this finding indicates:

Accepted Answer

A) retinal detachment. 
B) diabetic retinopathy. 
C) acute-angle glaucoma. 
D) increased intracranial pressure. 
A) retinal detachment. 
B) diabetic retinopathy. 
C) acute-angle glaucoma. 
D) increased intracranial pressure. D

Question 2

When examining a patient's eyes,the nurse knows that stimulation of the sympathetic branch of the autonomic nervous system:

Accepted Answer

A) causes pupillary constriction. 
B) adjusts the eye for near vision. 
C) elevates the eyelid and dilates the pupil. 
D) causes contraction of the ciliary body. 
A) causes pupillary constriction. 
B) adjusts the eye for near vision. 
C) elevates the eyelid and dilates the pupil. 
D) causes contraction of the ciliary body. C

Question 3

During an assessment,a patient says that she was diagnosed with open-angle glaucoma 2 years ago.There are various types of glaucoma,such as open-angle glaucoma and closed-angle glaucoma.Which of the following are characteristics of open-angle glaucoma? (Select all that apply. )

Accepted Answer

A) The patient may experience sensitivity to light,nausea,and halos around lights. 
B) It is the most common type of glaucoma. 
C) Immediate treatment is needed. 
D) Vision loss begins with peripheral vision. 
E) It causes sudden attacks of increased pressure that causes blurred vision.
F)There are virtually no symptoms. 
A) The patient may experience sensitivity to light,nausea,and halos around lights. 
B) It is the most common type of glaucoma. 
C) Immediate treatment is needed. 
D) Vision loss begins with peripheral vision. 
E) It causes sudden attacks of increased pressure that causes blurred vision.
F)There are virtually no symptoms. B,D,F

Question 4

Which of the following statements about the outer layer of the eye is true?

Accepted Answer

A) The outer layer of the eye is very sensitive to touch. 
B) The outer layer of the eye is darkly pigmented to prevent light from reflecting internally. 
C) The trigeminal (CN V)and the trochlear (CN IV)nerves are stimulated when the outer surface of the eye is stimulated. 
D) The visual receptive layer of the eye in which light waves are changed into nerve impulses is located in the outer layer of the eye. 
A) The outer layer of the eye is very sensitive to touch. 
B) The outer layer of the eye is darkly pigmented to prevent light from reflecting internally. 
C) The trigeminal (CN V)and the trochlear (CN IV)nerves are stimulated when the outer surface of the eye is stimulated. 
D) The visual receptive layer of the eye in which light waves are changed into nerve impulses is located in the outer layer of the eye.

Question 5

When assessing pupillary light reflex,which of the following techniques should the nurse use?

Accepted Answer

A) Shine a penlight from directly in front of the patient,and inspect for pupillary constriction. 
B) Ask the patient to follow the penlight in eight directions,and observe for bilateral pupil constriction. 
C) Shine a light across the pupil from the side,and observe for direct and consensual pupillary constriction. 
D) Ask the patient to focus on a distant object.Then ask the patient to follow the penlight to about 7 cm (2¾ in. )from the nose. 
A) Shine a penlight from directly in front of the patient,and inspect for pupillary constriction. 
B) Ask the patient to follow the penlight in eight directions,and observe for bilateral pupil constriction. 
C) Shine a light across the pupil from the side,and observe for direct and consensual pupillary constriction. 
D) Ask the patient to focus on a distant object.Then ask the patient to follow the penlight to about 7 cm (2¾ in. )from the nose.

Question 6

In a patient with anisocoria,the nurse would expect to observe:

Accepted Answer

A) dilated pupils. 
B) excessive tearing. 
C) pupils of unequal size. 
D) an uneven curvature of the lens. 
A) dilated pupils. 
B) excessive tearing. 
C) pupils of unequal size. 
D) an uneven curvature of the lens.

Question 7

To assess colour vision in a male child,the nurse would:

Accepted Answer

A) check colour vision annually until the age of 18 years. 
B) ask the child to identify the colour of his or her clothing. 
C) test for colour vision once between the ages of 4 and 8. 
D) begin colour vision screening at the child's 2-year checkup. 
A) check colour vision annually until the age of 18 years. 
B) ask the child to identify the colour of his or her clothing. 
C) test for colour vision once between the ages of 4 and 8. 
D) begin colour vision screening at the child's 2-year checkup.

Question 8

A patient's vision is recorded as 20/80 in each eye.The nurse recognizes that this finding indicates:

Accepted Answer

A) poor vision. 
B) acute vision. 
C) normal vision. 
D) presbyopia. 
A) poor vision. 
B) acute vision. 
C) normal vision. 
D) presbyopia.

Question 9

During an ophthalmoscopic examination of a patient,the examiner notes areas of exudate that look like "cotton wool" or fluffy grey-white cumulus clouds.Which of the possible problems below does this finding indicate?

Accepted Answer

A) Diabetes 
B) Hyperthyroidism 
C) Glaucoma 
D) Hypotension 
A) Diabetes 
B) Hyperthyroidism 
C) Glaucoma 
D) Hypotension

Question 10

A man comes to the emergency department after he had participated in a boxing match,and his left eye is swollen almost shut.He has bruises on his face and neck.He says he is worried because he "can't see well" from his left eye.The physician suspects retinal damage.Signs of retinal detachment include:

Accepted Answer

A) loss of central vision. 
B) shadow or diminished vision in one quadrant or one half of the visual field. 
C) loss of peripheral vision. 
D) sudden loss of pupillary constriction and accommodation. 
A) loss of central vision. 
B) shadow or diminished vision in one quadrant or one half of the visual field. 
C) loss of peripheral vision. 
D) sudden loss of pupillary constriction and accommodation.

Question 11

The nurse is testing a patient's visual accommodation,which refers to:

Accepted Answer

A) pupillary constriction when looking at a near object. 
B) pupillary dilation when looking at a far object. 
C) changes in peripheral vision in response to light. 
D) involuntary blinking in the presence of bright light. 
A) pupillary constriction when looking at a near object. 
B) pupillary dilation when looking at a far object. 
C) changes in peripheral vision in response to light. 
D) involuntary blinking in the presence of bright light.

Question 12

When examining the eye,the nurse is aware that the bulbar conjunctiva:

Accepted Answer

A) overlies the sclera. 
B) covers the iris and pupil. 
C) is visible at the inner canthus of the eye. 
D) is a thin mucous membrane that lines the lids. 
A) overlies the sclera. 
B) covers the iris and pupil. 
C) is visible at the inner canthus of the eye. 
D) is a thin mucous membrane that lines the lids.

Question 13

A patient comes into the emergency department after an accident at work.He had not been wearing safety glasses,and a machine had blown dust into his eyes.The nurse examines his corneas by shining a light from the side across the cornea.What findings would suggest that he has suffered corneal abrasion?

Accepted Answer

A) Smooth and clear corneas 
B) Opacity of the lens behind the cornea 
C) Bleeding from the areas across the cornea 
D) A shattered look to the light rays reflecting off the cornea 
A) Smooth and clear corneas 
B) Opacity of the lens behind the cornea 
C) Bleeding from the areas across the cornea 
D) A shattered look to the light rays reflecting off the cornea

Question 14

The mother of a newborn asks the nurse when her baby's eyesight will be fully developed.The nurse should say:

Accepted Answer

A) "Vision is not totally developed until 2 years of age." 
B) "Infants develop the ability to focus on an object around 8 months." 
C) "By about 3 months,infants develop more coordinated eye movements and can fixate on an object." 
D) "Most infants have uncoordinated eye movements in the first year of life." 
A) "Vision is not totally developed until 2 years of age." 
B) "Infants develop the ability to focus on an object around 8 months." 
C) "By about 3 months,infants develop more coordinated eye movements and can fixate on an object." 
D) "Most infants have uncoordinated eye movements in the first year of life."

Question 15

The nurse notes the presence of periorbital edema when performing eye assessment on a 70-year-old patient.The nurse will:

Accepted Answer

A) check for the presence of exophthalmos. 
B) suspect that the patient has hyperthyroidism. 
C) ask the patient if he or she has a history of heart failure. 
D) assess for blepharitis because this is often associated with periorbital edema. 
A) check for the presence of exophthalmos. 
B) suspect that the patient has hyperthyroidism. 
C) ask the patient if he or she has a history of heart failure. 
D) assess for blepharitis because this is often associated with periorbital edema.

Question 16

Which of the following statements regarding visual pathways and visual fields is true?

Accepted Answer

A) The right side of the brain interprets vision for the right eye. 
B) The image formed on the retina is upside down and reversed from its actual appearance in the outside world. 
C) Light rays are refracted through the transparent media of the eye before striking the pupil. 
D) The light impulses are conducted through the optic nerve to the temporal lobes of the brain. 
A) The right side of the brain interprets vision for the right eye. 
B) The image formed on the retina is upside down and reversed from its actual appearance in the outside world. 
C) Light rays are refracted through the transparent media of the eye before striking the pupil. 
D) The light impulses are conducted through the optic nerve to the temporal lobes of the brain.

Question 17

When the retina is examined,which of the following is considered a normal finding?

Accepted Answer

A) An optic disc that is a yellow-orange colour 
B) Optic disc margins that are blurred around the edges 
C) The presence of pigmented crescents in the macular area 
D) The presence of the macula located on the nasal side of the retina 
A) An optic disc that is a yellow-orange colour 
B) Optic disc margins that are blurred around the edges 
C) The presence of pigmented crescents in the macular area 
D) The presence of the macula located on the nasal side of the retina

Question 18

The nurse is conducting an eye clinic at the day care centre.When examining a 2-year-old child,if "lazy eye" is suspected,the nurse would:

Accepted Answer

A) examine the external structures of the eye. 
B) assess visual acuity with the Snellen eye chart. 
C) assess the child's visual fields with the confrontation test. 
D) test for strabismus by performing the corneal light reflex test. 
A) examine the external structures of the eye. 
B) assess visual acuity with the Snellen eye chart. 
C) assess the child's visual fields with the confrontation test. 
D) test for strabismus by performing the corneal light reflex test.

Question 19

In assessing the sclera of a patient of African descent,which of the following would be an expected finding?

Accepted Answer

A) Yellow fatty deposits over the cornea 
B) Pallor near the outer canthus of the lower lid 
C) Yellow colour of the sclera that extends up to the iris 
D) The presence of small brown macules on the sclera 
A) Yellow fatty deposits over the cornea 
B) Pallor near the outer canthus of the lower lid 
C) Yellow colour of the sclera that extends up to the iris 
D) The presence of small brown macules on the sclera

Question 20

During ocular examinations,the nurse keeps in mind that movement of the extraocular muscles is:

Accepted Answer

A) decreased in the older adult. 
B) impaired in a patient with cataracts. 
C) stimulated by cranial nerves (CNs)I and II. 
D) stimulated by CNs III,IV,and VI. 
A) decreased in the older adult. 
B) impaired in a patient with cataracts. 
C) stimulated by cranial nerves (CNs)I and II. 
D) stimulated by CNs III,IV,and VI.

Exam 15: Eyes

An ophthalmic examination reveals papilledema.The nurse is aware that this finding indicates:

When examining a patient's eyes,the nurse knows that stimulation of the sympathetic branch of the autonomic nervous system:

During an assessment,a patient says that she was diagnosed with open-angle glaucoma 2 years ago.There are various types of glaucoma,such as open-angle glaucoma and closed-angle glaucoma.Which of the following are characteristics of open-angle glaucoma? (Select all that apply. )

Which of the following statements about the outer layer of the eye is true?

When assessing pupillary light reflex,which of the following techniques should the nurse use?

In a patient with anisocoria,the nurse would expect to observe:

To assess colour vision in a male child,the nurse would:

A patient's vision is recorded as 20/80 in each eye.The nurse recognizes that this finding indicates:

During an ophthalmoscopic examination of a patient,the examiner notes areas of exudate that look like "cotton wool" or fluffy grey-white cumulus clouds.Which of the possible problems below does this finding indicate?

The nurse is testing a patient's visual accommodation,which refers to:

When examining the eye,the nurse is aware that the bulbar conjunctiva:

The mother of a newborn asks the nurse when her baby's eyesight will be fully developed.The nurse should say:

The nurse notes the presence of periorbital edema when performing eye assessment on a 70-year-old patient.The nurse will:

Which of the following statements regarding visual pathways and visual fields is true?

When the retina is examined,which of the following is considered a normal finding?

The nurse is conducting an eye clinic at the day care centre.When examining a 2-year-old child,if "lazy eye" is suspected,the nurse would:

In assessing the sclera of a patient of African descent,which of the following would be an expected finding?

During ocular examinations,the nurse keeps in mind that movement of the extraocular muscles is:

Critical Thinking and Evidence-Informed Assessment

Health Promotion in the Context of Health Assessment

Cultural Competence: Cultural Care and Social Considerations in Health Assessment

The Interview

The Complete Health History

Mental Health Assessment

Substance Use in the Context of Health Assessment

Interpersonal Violence Assessment

Assessment Techniques and the Clinical Setting

General Survey, measurement, and Vital Signs

Pain Assessment

Nutritional Assessment and Nursing Practice

Skin, hair, and Nails

Head and Neck, including Regional Lymphatic System

Ears

Nose, mouth, and Throat

Breasts and Regional Lymphatic System

Thorax and Lungs

Heart and Neck Vessels

Peripheral Vascular System and Lymphatic System

Abdomen

Anus,rectum and Prostate

Musculoskeletal System

Neurological System

Male Genitourinary System

Female Genitourinary System

The Complete Health Assessment: Putting It All Together

Bedside Assessment of the Hospitalized Patient

Pregnancy

Functional Assessment of the Older Adult

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