Deck 13: Eye

Question 1

The nurse is performing a visual examination on a client due to the client's complaints of black dots appearing in the visual field.Which of the following statement is the nurse's best response to the client?
1)"The black dots are known as floaters and are usually normal."
2)"We need to refer you to an eye surgeon immediately."
3)"You may have glaucoma."
4)"You may have a cataract."

Answer 1

1

Question 2

The nurse noted that the client was unable to control the amount of light that came into her eye.The dysfunction of which of the following structures is the most likely cause of this problem?
1)Cornea
2)Sclera
3)Conjunctiva
4)Iris

Answer 2

4

Question 3

The nurse is assessing a client's visual fields by confrontation.Which of the following nursing actions indicates that the nurse requires further education regarding this test?
1)The nurse asks the client to cover one of her eyes with a card.
2)The nurse uses a penlight to assist with performing the test.
3)The nurse asks the client to sit 20 feet away.
4)The client tells the nurse when she first sees the object.

Answer 3

3

Question 4

The nurse is preparing to assess the client's eye with an ophthalmoscope while a student nurse is observing.Which of the following statements by the nurse to the student nurse is accurate regarding this portion of the assessment?
1)"I'm going to examine the client's right eye with my left eye."
2)"I'm going to advance the ophthalmoscope until the instrument touches the client's cornea."
3)"I'm going to begin with the lens set to the 0 diopter."
4)"I can see the red reflex as the light reflects off of the client's lens."

Question 5

The nurse is interviewing the mother of a three-week-old Caucasian infant.Which statement by the mother indicates she requires further education about her infant's eyes?
1)"It's normal for my baby not to produce tears when she cries."
2)"At this stage,my baby should be able to fixate on a bright light or something that moves."
3)"My baby's eyes are blue and definitely will stay blue."
4)"It was normal for my baby's eyes to be swollen after birth."

Question 6

The nurse is assessing the client's corneal reflex.Draw an arrow pointing to the area of the eye that the nurse should test for the presence of this reflex.

Question 7

The nurse taught the client how to self-administer eye drops and the client was performing a return demonstration.During this time,the client inadvertently touched the applicator to their cornea,which caused the client to blink and produce tears.The nurse may document this response as which of the following?
1)Abnormal and should be reported to the healthcare provider
2)Hyperactive
3)A medication side effect
4)A normal response

Question 8

The nurse is assessing the eyes of an 82-year-old client.Which of the following findings are expected by the nurse based on the client's age?
1)The client is easily able to read from a paper held at close range without corrective glasses.
2)There is a noticeable increase in fat within the orbit of the eye.
3)The client states that she feels her tear production has increased over the years.
4)The pupillary light reflex is slower bilaterally.

Question 9

The nurse is completing a focused interview with assessment of the eye.Which of the following is most helpful to the nurse during the focused interview?
1)The client graduated from college.
2)The client interacts easily with the nurse.
3)The client is an African American male.
4)The client is 23 years old.

Question 10

The nurse notices that a client's pupils constrict when reading the consent form for medical treatment.This observation would lead the nurse to consider which of the following?
1)The room is too dark.
2)The client is able to read.
3)This is a normal response.
4)The client requires glasses for reading.

Question 11

The nurse is examining the eye.The client asks about the specific structures within the eye that are responsible for refraction of light rays.The nurse accurately states that the following structures are involved in this process:
1)Lens
2)Macula
3)Cornea
4)Iris
5)Optic disc

Question 12

The nurse is assessing a client who is 34 weeks pregnant.Which of the following visual changes are usually normal in this stage in pregnancy and should disappear at some point after delivery?
1)The client is complaining that her eyes feel very dry.
2)She states that she is experiencing blurry vision.
3)Periorbital edema is noted.
4)Cataracts are noted.
5)She has been unable to wear her contact lenses.

Question 13

A client was referred to the clinic with complaints of blurred vision.The initial question for the nurse to ask the client would be which of the following?
1)"Would you please tell me about your vision today?"
2)"Do you experience double vision?"
3)"Have you had any eye pain?"
4)"What kinds of activities do you perform at work?"

Question 14

During an eye assessment,a 24-year-old client reports difficulty seeing items well at close range.The nurse realizes this finding is consistent with:
1)aging.
2)presbyopia.
3)hyperopia.
4)astigmatism.

Question 15

The nurse is assessing the fundus of the elderly client's eye with an ophthalmoscope.The nurse determines that there is a cyst within the macula.Which of the following client symptoms may be associated with this finding?
1)Impaired central vision
2)Impaired peripheral vision
3)Consistently elevated serum glucose levels
4)Uncontrolled hypertension

Question 16

The nurse is assessing the client's retina.Draw an arrow pointing toward the location of the optic disc.

Question 17

During an eye examination,the nurse requests that the client read letters located on the Snellen E chart.The client's vision is determined to be 20/200.Which of the following is true regarding these findings?
1)The client is legally blind.
2)The client is unable to read from a paper at close range.
3)The client is found to be farsighted.
4)The client is myopic.
5)This is common in clients who are over 45 years old.

Question 18

The nurse is assessing a client's eyes during a comprehensive health assessment.The nurse knows that the client who demonstrates clinical manifestations of which of the following conditions will require immediate intervention?
1)Acute glaucoma
2)Blepharitis
3)Periorbital edema
4)Anisocoria

Question 19

The nurse is assessing the client's eye with an ophthalmoscope.The nurse is preparing to focus on the fundus and rotates the lens diopter wheel into the negative numbers.Based on this information,which of the following conditions does the client most likely have?
1)Hyperopia
2)Presbyopia
3)Myopia
4)Astigmatism

Question 20

The nurse is assessing the client's eyes during a comprehensive health assessment.Which of the following pieces of information should the nurse also gather?
1)The client is 62 years old.
2)The client's parents were born in Spain.
3)The client's annual income is below the poverty level.
4)The client is a welder.
5)The client recently attempted to commit suicide after his wife died in an automobile accident.

Question 21

The nurse is performing a focused interview and eye assessment on a client.The nurse suspects that the client is experiencing problems associated with her vision based on which of the following pieces of data?
1)The client is frowning and squinting while she is reading the Snellen chart.
2)The client exhibits a symmetrical pupillary light reflex response.
3)As the nurse checks for accommodation,the pupils remain dilated.
4)The client's near vision acuity is 14/14 bilaterally.
5)When the cornea is lightly touched in the right eye,both eyelids close.

Question 22

A client is found to need corrective lenses for myopia.Which of the following explanations would the nurse provide to this client?
1)"Your glasses will help you to see objects in the distance."
2)"Your glasses will help you to see objects that are very close to you."
3)"Your glasses will help you to improve your eyes' ability to focus and reduce your blurred vision."
4)"Your age has made it more difficult to read items that are at close range.Your new glasses will help."

Question 23

The nurse is performing the cover test and notes inward turning of the eye.Which of the following ways will the nurse accurately document this finding?
1)Exophoria
2)Strabismus
3)Esophoria
4)Mydriasis

Question 24

The nurse is assessing the client's pupillary responses.The client is found to have no consensual response.The finding indicates which of the following to the nurse?
1)Cranial nerve III may not be functioning appropriately.
2)This is a normal finding.
3)This is evidence of increased intracranial pressure.
4)This is evidence of optic nerve damage.

Question 25

The nurse is assessing an adult African American client who is experiencing visual changes.Which of the following questions would be the most important to ask this client?
1)"Have you or anyone in your family ever been diagnosed with diabetes?"
2)"Do you wear sunglasses when you are outside?"
3)"Did your mother have a vaginal infection at the time of your delivery?"
4)"Do you see any halos around lights?"

Question 26

The nurse is assessing the client's eyes.Which of the following findings is most consistent with glaucoma?
1)Eyeballs are firm to palpation.
2)Pupils are constricted bilaterally.
3)Central vision is impaired.
4)The client has a history of syphilis.

Question 27

The nurse is preparing to discuss the cultural implications associated with eye diseases with a small group of nursing students.Which of the following statement indicates that the nurse requires further education about this subject?
1)"It is important to assess the African American client for clinical manifestations associated with increased intraocular pressure."
2)"We should assess serum glucose levels in our adult Hispanic clients."
3)"Our diabetic clients should return every 2 years for an assessment of their vision and their retina."
4)"Poorly controlled serum glucose levels can result in retinal changes that affect the client's vision and can even result in blindness."

Question 28

During the assessment of a client's eyes,the nurse suspects that the client has ptosis.Which of the following did the nurse most likely find?
1)The palpebral conjunctiva is exposed.
2)The iris and cornea are reddened.
3)The eyelid is drooping.
4)The eyelids are swollen and puffy.

Question 29

The African American middle-aged client has been diagnosed with glaucoma.Which of the following statements by the client indicate that further education is required?
1)"I just thought my pupils were big,I didn't know it could be associated with glaucoma."
2)"So,my headaches may be occurring because of the increased pressure within my eyes."
3)"My race doesn't have anything to do with this diagnosis."
4)"Those halos that I see around lights are associated with glaucoma."

Question 30

During the assessment of a client's eyes,the nurse suspects the client has entropian.Which of the following did the nurse most likely find while assessing this client?
1)Eversion of the lower eyelid
2)Inversion of the lid and eyelashes
3)Swollen,red hair follicles
4)Firm,nontender nodule on the eyelid

Question 31

The nurse presented a program regarding objectives related to the overall health of eyes that are addressed in Healthy People 2020.Which of the following statements made by an adult participant in the program indicates an adequate understanding of these objectives?
1)"My 4-year-old doesn't need his vision screened."
2)"I'm going to call my eye doctor and ask that she performs a dilated eye exam."
3)"My mom has been complaining of dry eyes,but I knew it was all in her head."
4)"I didn't know that Asians have the highest risk for developing glaucoma."

Question 32

The nurse is assessing a child previously diagnosed with fetal alcohol syndrome.Which of the following statements by the client's adoptive mother are consistent with the child's diagnosis?
1)"It seems as if one of his eyelids is droopy."
2)"There's a firm little bump on his eyelid but he says it doesn't hurt."
3)"His eyes almost look cloudy."
4)"He has required glasses to see well since he was 2 years old."
5)"His eyelids look they have turned under and he complains that his eyes hurt."