Dunphy HEENT Respiratory And Skin
Exam Questions And Correct Answers
\Q\.Which of the following should the nurse assess in a client diagnosed with open-angle
glaucoma?
Degree of lost vision
Severity of headaches
Amount of blurred vision
Date of onset - ANSWERS✔-Degree of lost vision. Open-angle glaucoma is characterized by a
gradual pressure increase and loss of vision. Closed-angle glaucoma presents with a sudden
onset causing headache, blurred vision, and eye pain.
\Q\.A client tells the nurse that she sees a shadow that is slowly getting worse in her left eye.
Which of the following should the nurse do?
Instruct the client to return home to rest in bed.
Encourage the client to continue with normal daily activities.
Notify an ophthalmologist.
Encourage fluids and normal saline eyedrops. - ANSWERS✔-Notify an ophthalmologist.
\Q\.A client is experiencing a loss of central vision but not a loss of peripheral vision. The nurse
realizes the client should be evaluated for:
detached retina syndrome.
nystagmus.
macular degeneration.
,conjunctivitis. - ANSWERS✔-Macular degeneration is a deterioration of part of the retina,
causing loss of central vision but not affecting peripheral vision. The loss of central vision is not
typically seen in a detached retina, nystagmus, or conjunctivitis.
\Q\.A client is experiencing redness, burning, itching, and pain of the eyes. The nurse suspects
the client is experiencing:
blepharitis.
conjunctivitis.
keratitis.
iritis. - ANSWERS✔-Clinical manifestations of conjunctivitis (pink eye) include watery eyes,
redness, itching, and burning pain. Blepharitis is associated with a sticky exudate. Keratitis is
associated with photophobia. Iritis is associated with blurred vision and photophobia.
\Q\.A client has been diagnosed as being legally blind. The nurse realizes this client's vision is:
20/200 or less in the better eye with correction.
20/200 or less in the worse eye without correction.
20/100 or less in the better eye without correction.
20/100 or less in the worse eye with correction. - ANSWERS✔-20/200 or less in the better eye
with correction.
\Q\.The nurse realizes that the best medication treatment for open-angle glaucoma would be:
timolol (Timoptic) eyedrops.
latanoprost (Xalatan) eyedrops.
timolol (Timoptic) and Latanoprost (Xalatan) eyedrops.
metoprolol oral medication. - ANSWERS✔-For the best effect in the treatment of open-angle
glaucoma, timolol (Timoptic) and latanoprost (Xalatan) should be prescribed together.
Metoprolol is not prescribed for open-angle glaucoma.
, \Q\.A client tells the nurse that he does not want to develop macular degeneration like his
mother. Which of the following should the nurse instruct the client as being risk factors for the
development of this disorder? (Select all that apply.)
There is greater risk as people age.
Women are at greater risk than men.
African Americans are at greater risk than Caucasians.
Family history of macular degeneration increases risk.
Smoking does not increase risk.
Alcohol prevents the onset of this disorder. - ANSWERS✔-There is greater risk as people age.
Women are at greater risk than men.
Family history of macular degeneration increases risk.
\Q\.A client is receiving tests to diagnose glaucoma. Which of the following diagnostic tests will
be used to identify this disorder in the client? (Select all that apply.)
Visual acuity
Visual field test
Tonometry
Weber test
Rinne test
Electroencephalogram - ANSWERS✔-Visual acuity
Visual field test
Tonometry
\Q\.3. A client is diagnosed with ocular cancer. The nurse realizes this client could be treated
with: (Select all that apply.)
Enucleation
Laser surgery
Exam Questions And Correct Answers
\Q\.Which of the following should the nurse assess in a client diagnosed with open-angle
glaucoma?
Degree of lost vision
Severity of headaches
Amount of blurred vision
Date of onset - ANSWERS✔-Degree of lost vision. Open-angle glaucoma is characterized by a
gradual pressure increase and loss of vision. Closed-angle glaucoma presents with a sudden
onset causing headache, blurred vision, and eye pain.
\Q\.A client tells the nurse that she sees a shadow that is slowly getting worse in her left eye.
Which of the following should the nurse do?
Instruct the client to return home to rest in bed.
Encourage the client to continue with normal daily activities.
Notify an ophthalmologist.
Encourage fluids and normal saline eyedrops. - ANSWERS✔-Notify an ophthalmologist.
\Q\.A client is experiencing a loss of central vision but not a loss of peripheral vision. The nurse
realizes the client should be evaluated for:
detached retina syndrome.
nystagmus.
macular degeneration.
,conjunctivitis. - ANSWERS✔-Macular degeneration is a deterioration of part of the retina,
causing loss of central vision but not affecting peripheral vision. The loss of central vision is not
typically seen in a detached retina, nystagmus, or conjunctivitis.
\Q\.A client is experiencing redness, burning, itching, and pain of the eyes. The nurse suspects
the client is experiencing:
blepharitis.
conjunctivitis.
keratitis.
iritis. - ANSWERS✔-Clinical manifestations of conjunctivitis (pink eye) include watery eyes,
redness, itching, and burning pain. Blepharitis is associated with a sticky exudate. Keratitis is
associated with photophobia. Iritis is associated with blurred vision and photophobia.
\Q\.A client has been diagnosed as being legally blind. The nurse realizes this client's vision is:
20/200 or less in the better eye with correction.
20/200 or less in the worse eye without correction.
20/100 or less in the better eye without correction.
20/100 or less in the worse eye with correction. - ANSWERS✔-20/200 or less in the better eye
with correction.
\Q\.The nurse realizes that the best medication treatment for open-angle glaucoma would be:
timolol (Timoptic) eyedrops.
latanoprost (Xalatan) eyedrops.
timolol (Timoptic) and Latanoprost (Xalatan) eyedrops.
metoprolol oral medication. - ANSWERS✔-For the best effect in the treatment of open-angle
glaucoma, timolol (Timoptic) and latanoprost (Xalatan) should be prescribed together.
Metoprolol is not prescribed for open-angle glaucoma.
, \Q\.A client tells the nurse that he does not want to develop macular degeneration like his
mother. Which of the following should the nurse instruct the client as being risk factors for the
development of this disorder? (Select all that apply.)
There is greater risk as people age.
Women are at greater risk than men.
African Americans are at greater risk than Caucasians.
Family history of macular degeneration increases risk.
Smoking does not increase risk.
Alcohol prevents the onset of this disorder. - ANSWERS✔-There is greater risk as people age.
Women are at greater risk than men.
Family history of macular degeneration increases risk.
\Q\.A client is receiving tests to diagnose glaucoma. Which of the following diagnostic tests will
be used to identify this disorder in the client? (Select all that apply.)
Visual acuity
Visual field test
Tonometry
Weber test
Rinne test
Electroencephalogram - ANSWERS✔-Visual acuity
Visual field test
Tonometry
\Q\.3. A client is diagnosed with ocular cancer. The nurse realizes this client could be treated
with: (Select all that apply.)
Enucleation
Laser surgery
