Question 1

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 2

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.

Question 3

In assessing the sclera of a black patient,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 color of the sclera that extends up to the iris 
D) The presence of small brown macules on the sclera

Question 4

A 52-year-old patient describes the presence of occasional "floaters or spots" moving 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 fibers.

Question 5

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) an uneven curvature of the lens.

Question 6

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

Accepted Answer

A) Convergence of the 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 to inferior position

Question 7

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 8

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

Accepted Answer

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

Question 9

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 10

The nurse notes the presence of periorbital edema when performing an 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.

Question 11

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

Accepted Answer

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

Question 12

When examining a patient's eyes,the nurse recalls 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.

Exam 14: Eyes