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1.The nurse uses a visual aid to show how the ______ refracts light rays to be directed to the lens.
a.Pupil
b.Cornea
c.Retina
d.Ciliary body
2.The nurse explains that, when the physician takes a tonometer reading, the reading reflects the amount of pressure applied by the:
a.Sclera
b.Aqueous humor
c.Vitreous humor
d.Cornea
3.The nurse explains to the patient that the assessment of a choked disc while examining the fundus of the eye indicates:
a.The disc has an infarct.
b.There is increased intracranial pressure (ICP).
c.There is significant hypertension.
d.The lens has become opaque.
4.An office assistant tells the nurse his job requires him to work at his computer 7 to 8 hours each day. What preventive information should the nurse provide to the patient?
a.Wear protective goggles.
b.Wear corrective eyeglasses.
c.Rest his eyes every 2 hours.
d.Irrigate his eyes every day.
5.The nurse is reviewing the health history of a 26-year-old patient. Which finding is consistent with recommendations concerning preventive eye examinations?
a.The patient has had annual eye examinations since age 18.
b.The patient has not had an eye examination since age 18.
c.The patient had a baseline eye examination at age 25.
d.The patient had an eye examination 3 years ago.
6.The nurse cautions her teenage daughter that eye cosmetics should be discarded every:
a.2 months
b.3 months
c.6 months
d.Year
7.The nurse is caring for a blind patient. When the nurse enters the patient’s room, which action is most appropriate?
a.Touch the patient before speaking to allow her to locate the nurse’s position.
b.Speak to the patient by name when entering the room to avoid startling her.
c.Speak to the patient only when at bedside to increase orientation.
d.Walk about in the room, carrying on conversation.
8.In orienting a visually impaired patient to a meal plate, the most appropriate actions of the nurse would include:
a.Identifying the location of the plate.
b.Holding the patient’s hand and directing it to the plate.
c.Putting eating utensil in the patient’s hand.
d.Identifying food according to an imaginary clock face.
9.The visually impaired person has entered the outpatient clinic with a guide dog. What action by the nurse is most appropriate?
a.The nurse should quietly greet the dog and pat it.
b.The nurse should direct the patient and the dog to an area where the dog will not be distracted.
c.The nurse should take the harness from the patient and direct the dog and patient to a seat.
d.The nurse should not interact with the patient and dog until the dog has led the patient to a seat.
10.A 40-year-old patient has questioned the nurse about being tested for glaucoma. To encourage eye health, the nurse should encourage the patient to have a glaucoma test every:
a.Year
b.1 to 2 years
c.2 to 3 years
d.3 to 5 years
11.When assessing for macular degeneration, the nurse will use which assessment tool?
a.Snellen eye chart
b.Corneal reflex test
c.Visual field test
d.Amsler grid test
12.The nurse is caring for a patient who is experiencing diabetes-related visual changes. The nurse correctly explains to the patient that vision-related complications of diabetes are caused by:
a.Prolonged periods of hyperglycemia
b.Frequent injections of regular insulin
c.Lens opacity
d.Corneal dryness
13.The nurse is assessing an 84-year-old patient. Which finding is consistent with aging?
a.Thick cerumen
b.Increased perception of low-frequency sounds
c.Pain in outer ear canal
d.Increased hair on the pinna
14.The patient is experiencing frequent attacks of vertigo. When planning care, the nurse may encourage which potential remedy?
a.Increasing sodium in the diet
b.Quitting smoking
c.Increasing fluid intake
d.Drinking a glass of red wine before supper
15.The nurse is observing a patient read a pamphlet. The nurse notes that the patient has her head tilted to the side. Which inference can the nurse make about these behaviors?
a.The patient has poor vision.
b.The patient is experiencing nystagmus.
c.The patient is experiencing photophobia.
d.The patient is experiencing diplopia.
16.The nurse is teaching a group of schoolchildren about the relationship between diet and vision. The nurse encourages the ingestion of foods high in vitamin A. Which food is considered a good source of this vitamin?
a.Kale
b.Cauliflower
c.Strawberries
d.Apples
17.The nurse is caring for a patient who has come to the clinic with reports of an eye disorder. The assessment reveals a small, hard lesion on the eyelid. The nurse is aware that which condition is consistent with these findings?
a.Blepharitis
b.Chalazion
c.Hordeolum
d.Conjunctivitis
MULTIPLE RESPONSE:
18.The student nurse is ambulating with a blind patient. Which actions indicate the need for further instruction by the nursing instructor? (Select all that apply.)
a.The student nurse holds the patient’s dominant arm.
b.The student nurse allows the patient to put both hands on his shoulders.
c.The student nurse allows the patient to hold the nurse’s arm.
d.The student nurse holds the patient’s hand.
e.The student nurse walks just behind the patient.
19.The nurse assesses the age-related changes that occur in the eye. Which findings would be consistent with aging? (Select all that apply.)
a.Subcutaneous fat increases.
b.Cornea flattens and increases astigmatism.
c.There is loss of water from lens.
d.Presbyopia occurs.
e.Ectropion occurs.
20.The nurse recalls that the Healthy People 2020 objectives for vision include directives for: (Select all that apply.)
a.Vision screening for children 10 years of age and younger.
b.Reduction of uncorrected refractive errors.
c.Reduction of diabetic retinopathy.
d.Reduction of visual impairment related to cataracts.
e.Increased use of protective eyewear.
21.When providing education to the patient, the nurse discusses symptoms of visual problems that require professional attention. The teaching includes conditions or problems in which the eyes: (Select all that apply.)
a.Tire easily
b.Burn
c.Itch
d.Redden with use
e.Protrude
22.When assessing the visual field, which actions should be performed by the examiner? (Select all that apply.)
a.Cover his own right eye.
b.Cover the patient’s left eye.
c.Move a finger from the examiner’s nose to an area outside of the visual field.
d.Ask the patient to report when the examiner’s finger is seen.
e.Direct the patient to look directly into the examiner’s eyes.
23.The nurse points out that the person with disorders of the inner ear can be injured by falls because of: (Select all that apply.)
a.Dizziness
b.Vertigo
c.Tinnitus
d.Loss of balance
e.Ataxia
24.Drugs that would alert a nurse to the possibility of ototoxicity include: (Select all that apply.)
a.vancomycin
b.furosemide
c.aspirin
d.ibuprofen
e.amoxicillin
COMPLETION:
25.The nurse clarifies to the patient with an eye disorder that the fluid in the anterior chamber is called __________ humor, whereas the fluid in the posterior chamber is called __________ humor.
26.The receptors of light and color in the eyeball are the __________ and the __________.
27.The nurse interviewing a patient with macular degeneration will inquire about the patient’s habits, especially __________, which is a significant contributor to the disorder.
MATCHING:
Place the steps of instillation of eye drops in appropriate order.
a.Expose the conjunctival sac.
b.Ask the patient to close the eyelids and move the eyes back and forth.
c.Ask the patient to look up.
d.Ask the patient to tilt the head toward the eye receiving the drops.
e.Drop medication in the conjunctival sac.
28.Step 1
29.Step 2
30.Step 3
31.Step 4
32.Step 5