Exam 15: Eye

The nurse is assessing the client's eye with an ophthalmoscope. The nurse is preparing to focus on the fundus and rotates the lens diopter wheel into the negative numbers. Based on this information, which condition does the client most likely have?

The nurse is assessing the client's corneal reflex. Which is the correct location for assessing the presence of this reflex?

The nurse is assessing an African American adult client who is experiencing visual changes. Which question to the client is the priority?

During the assessment of a client's eyes, the nurse suspects that the client has ptosis. Which assessment data caused the nurse to come to this conclusion?

A client is referred to the clinic with complaints of blurred vision. Which initial question to the client is the priority?

The nurse taught the client how to self-administer eye drops and the client was performing a return demonstration. During this time, the client inadvertently touched the applicator to their cornea, which caused the client to blink and produce tears. How will the nurse document this occurrence?

During an eye examination, the nurse requests that the client read letters located on the Snellen E chart. The client's vision is determined to be 20/200. Which statements regarding this client's vision are accurate?

The nurse is examining the eye. The client asks about the specific structures within the eye that are responsible for refraction of light rays. Which structures are involved in this process?

The nurse is performing the cover test and notes inward turning of the client's eye. Which term will the nurse use to document this finding?

The nurse is assessing the adult client's eyes during a comprehensive health assessment. Which pieces of information should the nurse also gather during the assessment process?

The nurse is educating a student on the proper use of an ophthalmoscope for an eye examination. Which statement by the nurse to the student is accurate?

The nurse is assessing the client's retina. Where is the optic disc located?

The nurse is teaching a group of nursing students about the cultural implications associated with eye diseases. At the conclusion of the teaching session, which student comment indicates the need for further education?

The nurse is teaching a middle-aged African American client who was recently diagnosed with glaucoma. Which statement by the client indicates for further education on this diagnosis?

The nurse presented a program regarding objectives related to the overall health of eyes that are addressed in Healthy People 2020. Which client statement made by an adult participant in the program indicates an adequate understanding of these objectives?

After a comprehensive eye examination, it is determined that the client requires corrective lenses for myopia. Which explanation by the nurse to the client is the most appropriate?

The nurse is assessing the client's pupillary responses. The client is found to have no consensual response. Which conclusion by the nurse is the most appropriate?

The nurse is assessing a client who is 34 weeks pregnant. Which visual changes are usually normal in this stage in pregnancy and should disappear at some point after delivery?

The client requests information about where visual information is processed within the brain. When teaching the client about this process, which portion of the brain will the nurse point out?

The nurse is assessing the eyes of an older adult client. Which finding is expected by the nurse based on the client's age?