Question 1

The nurse is aware that the refractive media of the eye is made up of the:

Accepted Answer

A)   Aqueous humor
B)   Retina
C)   Vitreous humor
D)   Cornea
E)   Lens A,C,D,E

Question 2

The nurse would include in the information given to a patient who is using topical eye medications to:

Accepted Answer

A)   Look upward and drop the medication into the inner canthus.
B)   Pull the lower lid down and drop the medication into the conjunctival sac.
C)   Hold both lids open and drop the medication onto the sclera.
D)   Tilt the head to the side and drop the medication into the outer canthus. B

Question 3

When providing patient education about protecting vision,the nurse should tell the patient that:

Accepted Answer

A)   After 40 years of age, eye examinations should be performed every 2 years.
B)   Crusted lids on awakening are caused by decreased tear production.
C)   Floaters are a sign of eye infection.
D)   Blurred vision without pain is temporary eye strain. A

Question 4

The nurse instructs a family member how to guide a visually impaired person when ambulating by:

Accepted Answer

A)   Holding the visually impaired person by his or her nondominant arm and walking side by side.
B)   Holding the nondominant hand, wrapping the arm around his or her waist, and walking side by side.
C)   Allowing the visually impaired person to hold the helper's arm, with the helper slightly ahead.
D)   Allowing the visually impaired person to hold the shoulder of the helper and walk slightly behind the helper.

Question 5

When the patient asks what electroretinography is supposed to measure,the nurse responds that:

Accepted Answer

A)   A fluorescein dye is injected intravenously (IV)  into a vein in the arm, and the retina is observed as the dye circulates.
B)   Electrodes are placed on the scalp, each eye is stimulated, and retinal activity is assessed.
C)   A small plunger is used to apply pressure on the sclera while the retinal vessels are evaluated.
D)   A contact lens electrode is placed on the eye and exposed to flashes of light to evaluate the retinal response.

Question 6

A nursing diagnosis for a visually impaired patient might include all of the following except:

Accepted Answer

A)   Impaired sensory perception
B)   Risk for delayed development
C)   Self-care deficit
D)   Ineffective coping

Question 7

A patient in the emergency department complains of severe pain in his eye and is seeing halos around lights and feeling nauseous.The nurse recognizes these symptoms as probable:

Accepted Answer

A)   Open-angle glaucoma
B)   Angle-closure glaucoma
C)   Cataracts
D)   Retinal detachment

Question 8

When asked about his vision,the patient says that the last time he had it tested his vision was recorded as 20/50.This means that the patient:

Accepted Answer

A)   Can read at 20 feet what a person with normal vision can read at 50 feet.
B)   Can read at 50 feet what a person with normal vision can read at 20 feet.
C)   Needs to be 50 feet from objects to see them.
D)   Can see objects the best between 20 and 50 feet.

Question 9

The nurse performing the eye irrigation would:

Accepted Answer

A)   Ask the patient to tip her head up, and run the irrigation fluid over her open eye.
B)   Direct the irrigating fluid from the inner canthus to the outer canthus.
C)   Not allow the patient to blink.
D)   Place the irrigating syringe directly onto the corner of the eye and allow the fluid to move across the eye.

Question 10

The 60-year-old patient who has had an enucleation asks when he can get his prosthesis fitted.The nurse responds that the prosthesis will be fitted by an optician in approximately _________ weeks.

Accepted Answer

A)   2
B)   4
C)   8
D)   12

Question 11

The nurse explains that the portion of the eye that will make it possible for a person to see in a darkened environment is the:

Accepted Answer

A)   Macula
B)   Rods
C)   Cones
D)   Optic nerve

Question 12

The patient reports to the home health care nurse of having cloudy vision and seeing spots and halos around lights.Based on these complaints,the nurse suggests a medical evaluation for:

Accepted Answer

A)   Cataracts
B)   Glaucoma
C)   Detached retina
D)   Macular degeneration

Question 13

During the initial assessment of a very thin patient at the eye clinic,the nurse notes that the patient has very prominent eyes.The nurse should inquire about a history of:

Accepted Answer

A)   Diabetes
B)   Glomerulonephritis
C)   Graves disease
D)   Hypertension

Question 14

When being interviewed,a 50-year-old patient says that he cannot see the newspaper as well as he used to.The nurse knows that vision changes from near to far occur because:

Accepted Answer

A)   The ciliary muscle changes the pupil size.
B)   The lens of the eye changes shape as the ciliary muscle contracts and relaxes.
C)   Of nearsightedness.
D)   Of a clouding of the vitreous humor.

Question 15

The newly diagnosed patient with macular degeneration flings her book at the television set and furiously says,"I can't read this blasted book,and I can't see what is on the stupid TV!" The nurse recognizes this behavior as:

Accepted Answer

A)   Anger stage of grieving.
B)   Poor impulse control.
C)   Ineffective management of a therapeutic regimen.
D)   Psychotic reaction to loss.

Question 16

The patient who has been taking opioid medication for postoperative pain exhibits pinpoint pupils.The anatomic portion of the eye that has been affected by the medication is the:

Accepted Answer

A)   Sclera
B)   Retina
C)   Choroid
D)   Bulbar conjunctiva

Question 17

The patient who has had surgery this morning for cataracts is now going home.Discharge instructions include that the patient should:

Accepted Answer

A)   Sleep on the affected side.
B)   Use stool softeners.
C)   Avoid bending over.
D)   Avoid lifting anything heavier than 5 pounds.
E)   Not wear an eye shield at night.

Question 18

The nurse explains to the patient who is to have a pneumatonometric study of the eye that this procedure requires that:

Accepted Answer

A)   His eye may be anesthetized.
B)   A pneumotonometer will be placed into his eye.
C)   A puff of air will be directed at the surface of the eye.
D)   An applanation will be performed with a slit-lamp microscope.

Question 19

The nurse assesses the patient's accommodation by:

Accepted Answer

A)   Holding his or her finger approximately 20 inches in front of the patient's eyes.
B)   Observing for pupillary constriction.
C)   Assessing for convergence.
D)   Noting blinking.
E)   Moving his or her finger slowly toward the patient's nose.

Question 20

The nurse explains that laser-assisted in situ keratomileusis (Lasik)and photorefractive keratectomy (PRK)are methods to correct refractive errors surgically.These procedures are used to reshape the:

Accepted Answer

A)   Cornea
B)   Lens
C)   Iris
D)   Pupil

Exam 51: Eye and Vision Disorders