Question 1

Which of the following physiological changes is responsible for presbyopia?

Accepted Answer

A) Degeneration of the cornea 
B) Loss of lens elasticity 
C) Decreased adaptation to darkness 
D) Decreased distance vision abilities

Question 2

What would be a normal finding when assessing the lacrimal apparatus during an eye examination?

Accepted Answer

A) The presence of tears along the inner canthus 
B) A blocked nasolacrimal duct in a newborn infant 
C) A slight swelling over the upper lid and along the bony orbit if the patient has a cold 
D) The absence of drainage from the puncta when the inner orbital rim is pressed

Question 3

A 60-year-old man is at the clinic for an eye examination.The nurse suspects that he has ptosis of one eye.Ptosis is:

Accepted Answer

A) a cloudy cornea 
B) an unequal red reflex 
C) drooping of the upper eyelid 
D) protruding and bulging eyes

Question 4

A 52-year-old patient complains of seeing occasional "floaters or spots" in front of his eyes.The nurse should:

Accepted Answer

A) examine the retina to determine the number of floaters. 
B) presume the patient has glaucoma and refer him for further testing. 
C) consider this an abnormal finding and refer him to an ophthalmologist. 
D) know that "floaters" are usually not significant and are caused by condensed vitreous fibres.

Question 5

A patient is unable to read the 20/100 line on the Snellen chart.The nurse would:

Accepted Answer

A) refer the patient to an ophthalmologist or optometrist for further evaluation. 
B) assess whether the patient can count the nurse's fingers when they are placed in front of his or her eyes. 
C) ask the patient to put on his or her reading glasses and attempt to read the Snellen chart again. 
D) shorten the distance between the patient and the chart,and ask him or her to read the smallest line of print possible.

Question 6

Which of the following is an expected normal finding in the diagnostic positions test?

Accepted Answer

A) Convergence of vision in both eyes 
B) Parallel movement of both eyes 
C) Nystagmus in extreme superior gaze 
D) A slight amount of lid lag when moving the eyes from a superior position to an inferior position

Question 7

A patient has a normal pupillary light reflex.The nurse recognizes this to indicate that:

Accepted Answer

A) vision in both eyes converges to focus on the light. 
B) light is reflected at the same spot in both eyes. 
C) the eye focuses the image at the centre of the pupil. 
D) constriction of both pupils occurs in response to bright light.

Question 8

During a physical education class,a student is hit in the eye with the end of a baseball bat.When examined in the emergency department,the nurse notes the presence of blood in the anterior chamber of the eye.This finding indicates the presence of:

Accepted Answer

A) hypopyon. 
B) hyphema. 
C) corneal abrasion. 
D) iritis.

Question 9

The nurse is assessing a patient's eyes for the accommodation response and would expect to see:

Accepted Answer

A) dilation of the pupils. 
B) a consensual light reflex. 
C) conjugate movement of the eyes. 
D) convergence of the axes of the eyes.

Question 10

The nurse is preparing to assess the visual acuity of a 16-year-old patient.How would the nurse proceed?

Accepted Answer

A) Perform the confrontation test. 
B) Ask the patient to read the print on a handheld Jaeger card. 
C) Use the Snellen chart positioned 6.1 m (20 ft)away from the patient. 
D) Determine the patient's ability to read newsprint at a distance of 30 to 35 cm (12 to 14 in. ).

Question 11

A 68-year-old woman is in the eye clinic for a checkup.She tells the nurse that she has been having trouble reading the paper,sewing,and even seeing the faces of her grandchildren.On examination,the nurse notes that she has some loss of central vision but her peripheral vision is normal.These findings suggest that:

Accepted Answer

A) she may have macular degeneration. 
B) her vision is normal for someone her age. 
C) she has the beginning stages of cataract formation. 
D) she has increased intraocular pressure or glaucoma.

Question 12

A 2-week-old infant can fixate on an object but not follow a light or bright toy.The nurse would:

Accepted Answer

A) consider this a normal finding. 
B) assess the pupillary light reflex for possible blindness. 
C) continue with the examination and assess visual fields. 
D) expect that a 2-week-old infant should be able to fixate and follow an object.

Question 13

When a light is directed across the iris of the eye from the temporal side,the examiner is assessing for:

Accepted Answer

A) drainage from dacryocystitis. 
B) the presence of conjunctivitis over the iris. 
C) the presence of shadows,which may indicate glaucoma. 
D) a scattered light reflex,which may be indicative of cataracts.

Question 14

When performing the corneal light reflex assessment,the nurse notes that the light is reflected at the 2 o'clock position in each eye.The nurse would:

Accepted Answer

A) consider this a normal finding. 
B) refer the individual for further evaluation. 
C) document this as an asymmetrical light reflex. 
D) perform the confrontation test to validate the findings.

Question 15

A patient's vision is recorded as 20/30 when the Snellen eye chart is used.The nurse recognizes that these results indicate that:

Accepted Answer

A) at 9.1 m (30 ft)the patient can read the entire chart. 
B) the patient can read at 6.1 m (20 ft)what a person with normal vision can read at 9.1 m (30 ft). 
C) the patient can read the chart from 6.1 m (20 ft)with the left eye and 9.1 m (30 ft)with the right eye. 
D) the patient can read from 9.1 m (30 ft)what a person with normal vision can read from 6.1 m (20 ft).

Question 16

A patient complains of pain in her right eye.On examination,the nurse sees a pustule at the lid margin that is painful to touch,red,and swollen.The nurse recognizes that this is:

Accepted Answer

A) a chalazion. 
B) a hordeolum (stye). 
C) dacryocystitis. 
D) blepharitis.

Question 17

The nurse is performing an eye assessment on an 80-year-old patient.Which of the following findings is considered abnormal?

Accepted Answer

A) A decrease in tear production 
B) Unequal pupillary constriction in response to light 
C) The presence of arcus senilis seen around the cornea 
D) Loss of hair at the outer line of the eyebrows due to a decrease in hair follicles

Question 18

In using the ophthalmoscope to assess a patient's eyes,the nurse notes a red glow in the patient's pupils.On the basis of this finding,the nurse would:

Accepted Answer

A) suspect that there is an opacity in the lens or cornea. 
B) check the light source of the ophthalmoscope to verify that it is functioning. 
C) consider this a normal reflection of the ophthalmoscope light off the inner retina. 
D) continue with the ophthalmoscopic examination,and refer the patient for further evaluation.

Question 19

Which of the following would the nurse expect to find when examining the eyes of a patient of African descent?

Accepted Answer

A) Increased night vision 
B) A dark retinal background 
C) Increased photosensitivity 
D) Narrowed palpebral fissures

Question 20

Intraocular pressure is determined by the:

Accepted Answer

A) thickness or bulging of the lens. 
B) posterior chamber as it accommodates an increase in fluid. 
C) contraction of the ciliary body in response to the aqueous humor within the eye. 
D) amount of aqueous humor produced and resistance to its outflow at the angle of the anterior chamber.

Exam 15: Eyes