Deck 43: Eye Disorders

Question 1

The nurse is using an Amsler grid to assess the vision of a client. The client tells the nurse, "I am noticing black spots while looking through the grid." Which interpretation does the nurse associate with the assessment finding?
1)The client has cataracts.
2)The client has retinoblastoma.
3)The client has diabetic retinopathy.
4)The client has age-related macular degeneration.

Answer 1

4

Question 2

The nurse is performing a physical assessment on a client. When assessing the client's eyes, the nurse notes a change in the pupil when examined with a pen light. Which reaction indicates normal functioning?
1)Mydriasis
2)Refraction
3)Miosis
4)Accommodation

Answer 2

3

Question 3

Which vision impairment is associated with elongation of the eyeball?
1)Myopia
2)Hyperopia
3)Presbyopia
4)Astigmatism

Answer 3

1

Question 4

A client who is middle-aged has impaired vision corrected with reading glasses. Which vision impairment does the nurse place in the client's medical history?
1)Myopia
2)Presbyopia
3)Hyperopia
4)Amblyopia

Question 5

On reviewing a client's eyeglass prescription, the nurse finds that the client is prescribed concave lenses for the treatment of impaired vision. Which condition does the nurse identify in the client?
1)Myopia
2)Hyperopia
3)Amblyopia
4)Astigmatism

Question 6

While assessing the eye of a client, the nurse finds that the skin around the eye is flaking, and the client has greasy eyelids that appear scaly. Which interpretation does the nurse make from these findings?
1)The client has a stye.
2)The client has chalazion.
3)The client has blepharitis.
4)The client has conjunctivitis.

Question 7

A client tells the nurse, "I am unable to tolerate light and have a gritty sensation in my eye." The health-care provider prescribes a fluorescent dye test for the client. Which condition does the nurse anticipate in the client?
1)Glaucoma
2)Presbyopia
3)Exophthalmos
4)Corneal abrasion

Question 8

A client reports sensations of dry and irritated eyes. After examination, the health-care provider diagnoses the client with exophthalmos. Which most common cause of this condition does the nurse identify?
1)Hyperthyroidism
2)Horner's syndrome
3)Rheumatoid arthritis
4)Genetic disorder

Question 9

Which eye disorder is associated with irregular clumping of proteinaceous substances within the lens?
1)Cataract
2)Glaucoma
3)Papilledema
4)Diabetic retinopathy

Question 10

The school nurse notices a number of children exhibiting redness and drainage of the eyes along with complaints of itching. For which suspected eye infection does the school nurse send the affected children home?
1)Scleritis
2)Chalazion
3)Blepharitis
4)Conjunctivitis

Question 11

The nurse is performing a physical assessment on a school-age client. When assessing the client's eyes, the nurse notes strabismus, eye redness, white spots in the pupil, and an absence of red reflex in both eyes. Which treatment strategy does the nurse expect will be beneficial for the client?
1)Enucleation surgery
2)Antihistamine eye drops
3)Pyridoxine supplements
4)Laser photocoagulation

Question 12

During assessment of a client, the nurse finds the client has blurred vision and swelling of the optic disc. Which condition does the nurse interpret from the findings?
1)The client has a cataract.
2)The client has conjunctivitis.
3)The client has papilledema.
4)The client has retinal detachment.

Question 13

A client reports symptoms of severe headache, vomiting, and double vision. After assessing the client, the nurse determines the client has swelling of the optic nerve. Which interpretation does the nurse associate with these findings?
1)The client has cataracts.
2)The client has papilledema.
3)The client has diabetic retinopathy.
4)The client has acute angle closure glaucoma.

Question 14

While assessing a client with glaucoma, the nurse uses a tonometry instrument. Which clinical information does the nurse document from this instrument?
1)Shape of the iris of the eye
2)Coloration of the sclera of the eye
3)Texture of the cornea of the eye
4)Measurement of intraocular pressure

Question 15

A client reports to a health-care provider a decrease in the ability to see faces and to read over a period of several months. Medical history reveals treatment for high cholesterol and a smoking habit of one pack of cigarettes daily. Which diagnosis is the health-care provider most likely to associate with the client's condition?
1)Cataracts
2)Nonexudative age-related macular degeneration (AMD)
3)Exudative AMD
4)Diabetic retinopathy

Question 16

The health-care provider is examining a client who reports headache and intermittent diplopia since experiencing a head injury. Funduscopic examination reveals unclear and undefined borders of the optic disc. Which immediate response is expected from the health-care provider?
1)Inquiring about nausea and vomiting
2)Asking about the presence of tinnitus
3)Providing drops to lower eye pressure
4)Prescribing magnetic resonance imaging (MRI) on the brain

Question 17

The health-care provider is assessing a client presenting with eye irritation, excessive tearing, and eye dryness. The health-care provider diagnoses the client with ectropion. Which physical manifestation does the nurse expect to observe in the client?
1)Bulging of the eye out of the orbit
2)Recession of the eyeball within the orbit
3)Damage to epithelial surface of the cornea
4)Turning of the eyelid outward, revealing the conjunctiva

Question 18

The nurse is assessing the eyes of a client and finds red, watery eyes with purulent exudates and obstruction in the nasolacrimal duct. Which condition does the nurse identify from these findings?
1)The client has uveitis.
2)The client has scleritis.
3)The client has keratitis.
4)The client has dacryocystitis.

Question 19

A client has a painful, swollen eyelid and reports severe pain on exposure to sunlight. The health-care provider prescribes surgical excision for the client. Which eye infection does the nurse identify in the client?
1)Stye
2)Chalazion
3)Blepharitis
4)Conjunctivitis

Question 20

A client with rheumatoid arthritis has purplish-red coloration in the eye and reports severe eye pain, which radiates to the eyebrow and jaw. Which treatment strategy is beneficial for the client?
1)Acyclovir
2)Antihistamines
3)Corticosteroids
4)Antibiotics

Question 21

On reviewing the laboratory reports of a client with an eye infection, the nurse finds that the client has Chlamydia trachomatis infection. Which parts of the eye are inflamed? Select all that apply.
1)Iris
2)Eyelids
3)Cornea
4)Eyebrow
5)Conjunctiva

Question 22

Which eye disorders are associated with autoimmune disorders? Select all that apply.
1)Uveitis
2)Scleritis
3)Entropion
4)Exophthalmos
5)Keratoconjunctivitis sicca

Question 23

Which finding indicates the client has acute angle closure glaucoma?
1)Cup-to-disc ratio of 0.1
2)Cup-to-disc ratio of 0.2
3)Cup-to-disc ratio of 0.5
4)Cup-to-disc ratio of 1.0

Question 24

Which are the conditions associated with congenital cataracts? Select all that apply.
1)Rubella
2)Syphilis
3)Toxoplasmosis
4)Cytomegalovirus
5)Chlamydia trachomatis
6)Streptococcus

Question 25

The nurse is teaching a client with age-related macular degeneration about the necessary measures to improve the condition. Which statements made by the client indicate effective learning? Select all that apply.
1)"I should maintain a low-fat diet."
2)"I should limit smoking to twice a day."
3)"I should take folic acid supplements."
4)"I should wear wraparound sunglasses."
5)"I should apply a cold compress to my eyes."