Question 1

During the health history interview with a 65-year-old male patient of African descent with hypertension, the nurse encourages the patient to have regular eye examinations because of his risk for:

Accepted Answer

A)  Cataract.
B)  Glaucoma.
C)  Strabismus.
D)  Proptosis. B

Question 2

A patient comes into the emergency department after an accident at work.A machine blew dust into his eyes, and he was not wearing safety glasses.The nurse examines his corneas by shining a light from the side across the cornea.The nurse recognizes that the patient may have a corneal abrasion when:

Accepted Answer

A)  The corneas are smooth and clear.
B)  The lens behind the cornea is opaque.
C)  There are areas of bleeding across the cornea.
D)  There is a shattered look to the light rays reflecting off the cornea. D

Question 3

The nurse is working at a community health fair to promote eye examinations for populations at higher risk to have vision problems, including: (Select all that apply.)

Accepted Answer

A)  Indigenous people.
B)  People of European descent.
C)  People with diabetes.
D)  People of African descent.
E)  People of French descent.F) People with a family history of glaucoma. A, C, D, F

Question 4

When examining a patient's eyes, the nurse uses eye drops to stimulate the sympathetic branch of the autonomic nervous system to:

Accepted Answer

A)  Cause pupillary constriction.
B)  Adjust the eye for near vision.
C)  Elevate the eyelid and dilate the pupil.
D)  Cause contraction of the ciliary body.

Question 5

During an examination, a patient states that she was diagnosed with open-angle glaucoma 2 years ago.The nurse assesses for characteristics of open-angle glaucoma.Which of these are characteristics of open-angle glaucoma? (Select all that apply.)

Accepted Answer

A)  Patient may experience sensitivity to light, nausea, and halos around lights.
B)  Patient experiences tunnel vision in the late stages.
C)  Immediate treatment is needed.
D)  Vision loss begins with peripheral vision.
E)  Open-angle glaucoma causes sudden attacks of increased pressure that cause blurred vision.F) Virtually no symptoms are exhibited.

Question 6

Papilledema is revealed during an ophthalmic examination which the nurse recognizes as indicating:

Accepted Answer

A)  Retinal detachment.
B)  Diabetic retinopathy.
C)  Acute-angle glaucoma.
D)  Increased intracranial pressure.

Question 7

The nurse is performing an eye assessment on an 80-year-old patient and is concerned about finding that the patient has:

Accepted Answer

A)  Decreased tear production.
B)  Unequal pupillary constriction in response to light.
C)  Arcus senilis around the cornea.
D)  Loss of the outer hair on the eyebrows attributable to a decrease in hair follicles.

Question 8

During assessment of the lacrimal apparatus, the nurse would document the following as a normal finding:

Accepted Answer

A)  Presence of tears along the inner canthus
B)  Blocked nasolacrimal duct in a newborn infant
C)  Slight swelling over the upper lid and along the bony orbit if the individual has a cold
D)  Absence of drainage from the puncta when pressing against the inner orbital rim

Question 9

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 notices the presence of blood in the anterior chamber of the eye indicating the presence of:

Accepted Answer

A)  Hypopyon.
B)  Hyphema.
C)  Corneal abrasion.
D)  Pterygium.

Question 10

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

Accepted Answer

A)  Dilated pupils.
B)  Excessive tearing.
C)  Pupils of unequal size.
D)  Uneven curvature of the lens.

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 she may have:

Accepted Answer

A)  Macular degeneration.
B)  Vision that is normal for someone her age.
C)  The beginning stages of cataract formation.
D)  Increased intraocular pressure or glaucoma.

Question 12

The nurse is conducting a visual examination.Which of these statements regarding visual pathways and visual fields is true?

Accepted Answer

A)  The right side of the brain interprets the 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)  Light impulses are conducted through the optic nerve to the temporal lobes of the brain.

Question 13

A 60-year-old man with suspected ptosis of one eye is at the clinic for an eye examination.The nurse confirms ptosis by:

Accepted Answer

A)  Performing the confrontation test.
B)  Assessing the patient's near vision.
C)  Observing the distance between the palpebral fissures.
D)  Performing the corneal light test, and looking for symmetry of the light reflex.

Question 14

When examining a 2-week-old infant the nurse notices that he watches an object but does not follow it with his eyes when moved to different positions.The nurse will:

Accepted Answer

A)  Document this as a normal finding.
B)  Assess the pupillary light reflex for possible blindness.
C)  Refer the infant to a specialist.
D)  Continue assessment with the Allen chart.

Question 15

When testing a patient's visual accommodation the nurse notes a normal finding when the patient demonstrates:

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.

Question 16

The nurse is reviewing age-related changes of the eye for a class.Which of these 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 17

When using the ophthalmoscope to assess a patient's eyes, the nurse notices a red glow in the patient's pupils.The nurse will:

Accepted Answer

A)  Document that an opacity is present in the lens or cornea.
B)  Check the light source of the ophthalmoscope to verify that it is functioning.
C)  Continue with the examination knowing that the red glow is a normal finding.
D)  Refer the patient for further evaluation.

Question 18

The nurse is performing the diagnostic positions test and notes normal findings with:

Accepted Answer

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

Question 19

The nurse is conducting an eye-screening clinic at a daycare centre.When examining a 2-year-old child, the nurse suspects that the child has a "lazy eye" and will:

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.

Question 20

During ocular examinations, the nurse assesses the movement of the extraocular muscles by stimulating:

Accepted Answer

A)  Cranial nerves VII and VIII.
B)  The ciliary body.
C)  The corneal reflex.
D)  Cranial nerves III, IV, and VI.

Exam 15: Eyes