Questions and Correct
Answers | New Update
When examining the eye, the nurse notices that the patients eyelid
margins approximate completely. The nurse recognizes that this
assessment finding: - ANSWER ✔✔Is expected
- The palpebral fissure is the elliptical open space between the eyelids,
and, when closed, the lid margins approximate completely, which is a
normal finding.
During ocular examinations, the nurse keeps in mind that movement of
the extraocular muscles is: - ANSWER ✔✔Stimulated by CNs III, IV,
and VI
,- Movement of the extraocular muscles is stimulated by three CNs: III,
IV, and VI.
The nurse is performing an external eye examination. Which statement
regarding the outer layer of the eye is true? - ANSWER ✔✔The outer
layer of the eye is very sensitive to touch.
- The cornea and the sclera make up the outer layer of the eye. The
cornea is very sensitive to touch. The middle layer, the choroid, has dark
pigmentation to prevent light from reflecting internally. The trigeminal
nerve (CN V) and the facial nerve (CN VII) are stimulated when the outer
surface of the eye is stimulated. The retina, in the inner layer of the eye,
is where light waves are changed into nerve impulses.
When examining a patients eyes, the nurse recalls that stimulation of the
sympathetic branch of the autonomic nervous system: - ANSWER
✔✔Elevates the eyelid and dilates pupil
The nurse is reviewing causes of increased intraocular pressure. Which
of these factors determines intraocular pressure? - ANSWER
✔✔Amount of aqueous produced resistance to its outflow at the angle of
the anterior chamber
The nurse is conducting a visual examination. Which of these
statements regarding visual pathways and visual fields is true? -
, ANSWER ✔✔The image formed on the retina is upside down and
reversed from its actual appearance in the outside world.
The nurse is testing a patients visual accommodation, which refers to
which action? - ANSWER ✔✔Pupillary constriction when looking at a
near object
A patient has a normal pupillary light reflex. The nurse recognizes that
this reflex indicates that: - ANSWER ✔✔Constriction of both pupils
occurs in response to bright light.
A mother asks when her newborn infants eyesight will be developed.
The nurse should reply: - ANSWER ✔✔By approximately 3 months of
age, infants develop more coordinated eye movements and can fixate
on an object.
The nurse is reviewing in age-related changes in the eye for a class.
Which of these physiologic changes is responsible for presbyopia? -
ANSWER ✔✔Loss of lens elasticity
- The lens loses elasticity and decreases its ability to change shape to
accommodate for near vision. This condition is called presbyopia
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3
, Which of these assessment findings would the nurse expect to see when
examining the eyes of a black patient? - ANSWER ✔✔Dark retinal
background
A 52-year-old patient describes the presence of occasional floaters or
spots moving in front of his eyes. The nurse should: - ANSWER
✔✔Know that floaters are usually insignificant and are caused by
condensed vitreous fibers.
The nurse is preparing to assess the visual acuity of a 16-year-old
patient. How should the nurse proceed? - ANSWER ✔✔Use the
Snellen chart positioned 20 feet away from the patient.
A patients vision is recorded as 20/30 when the Snellen eye chart is
used. The nurse interprets these results to indicate that: - ANSWER
✔✔The patient can read at 20 feet what a person with normal vision can
read at 30 feet.
A patient is unable to read even the largest letters on the Snellen chart.
The nurse should take which action next? - ANSWER ✔✔Shorten the
distance between the patient and the chart until the letters are seen, and
record that distance