CH.58: ASSESSMENT AND MANAGEMENT OF PATIENTS
WITH EYE AND VISION DISORDERS PREP U & TEST BANK
EXAMS WITH 100% CORRECT DETAILED ANSWERS
UPDATED 2025/2026 BEST SOLUTION RATED A+ FOR
SUCCESS
Which surgical procedure involves flattening the anterior curvature of
the cornea by removing a stromal lamella layer?
Laser-assisted stromal in situ keratomileusis (LASIK)
Explanation:
LASIK involves flattening the anterior curvature of the cornea by
removing a stromal lamella or layer. PRK is used to treat myopia and
hyperopia with or without astigmatism. Keratoconus is a cone-shaped
deformity of the cornea. Keratoplasty involves replacing abnormal host
tissue with healthy donor (cadaver) corneal tissue.
Which client statement would lead the nurse to suspect that the client
is experiencing bacterial conjunctivitis?
"My eyes hurt when I'm in the bright sunlight."
"It feels like there is something stuck in my eye."
"My eyes feel like they are on fire."
"My eyelids were stuck together this morning."
"My eyelids were stuck together this morning."
Explanation:
Burning, a sensation of a foreign body, and pain in bright light
(photophobia) are signs and symptoms associated with any type of
conjunctivitis. The drainage related to bacterial conjunctivitis is usually
present in the morning, and the eyes may be difficult to open because
of adhesions caused by the exudate.
,CH.58: ASSESSMENT AND MANAGEMENT OF PATIENTS
WITH EYE AND VISION DISORDERS PREP U & TEST BANK
EXAMS WITH 100% CORRECT DETAILED ANSWERS
UPDATED 2025/2026 BEST SOLUTION RATED A+ FOR
SUCCESS
Which of the following medications decreases the production of
aqueous humor?
Beta blockers
Miotics
Sympathomimetics
Mydriatics
Beta blockers
Explanation:
Beta blockers decrease the production of aqueous humor, with a
resultant decrease in IOP.
Miotics and sympathomimetics decrease the size of the pupil,
facilitating the outflow of the aqueous humor, which decreases IOP.
Mydriatics dilate the pupil.
A client with multiple sclerosis is being seen by a neuro-ophthalmologist
for a routine eye exam. The nurse explains to the client that during the
examination, the client will be asked to maintain a fixed gaze on a
stationary point while an object is moved from a point on the side,
where it can't be seen, toward the center. The client will indicate when
the object becomes visible The nurse further explains that the test
being performed is called a:
a) retinal angiography
b) perimetry test
,CH.58: ASSESSMENT AND MANAGEMENT OF PATIENTS
WITH EYE AND VISION DISORDERS PREP U & TEST BANK
EXAMS WITH 100% CORRECT DETAILED ANSWERS
UPDATED 2025/2026 BEST SOLUTION RATED A+ FOR
SUCCESS
c) slit-lamp examination
d) color vision test
perimetry test
Explanation:
A visual field test or perimetry test measures peripheral vision and
detects gaps in the visual field.
The nurse should monitor for which manifestation in a client who has
had LASIK surgery?
Excessive tearing
Cataract formation
Halos and glare
Stye formation
Halos and glare
Explanation:
After LASIK surgery, symptoms of central islands and decentered
ablations can occur that include monocular diplopia or ghost images,
halos, glare, and decreased visual acuity. These procedures do not
cause excessive tearing or result in cataract or stye formation.
A client has undergone enucleation. What complication of enucleation
should be addressed by the nurse?
Hypotension
, CH.58: ASSESSMENT AND MANAGEMENT OF PATIENTS
WITH EYE AND VISION DISORDERS PREP U & TEST BANK
EXAMS WITH 100% CORRECT DETAILED ANSWERS
UPDATED 2025/2026 BEST SOLUTION RATED A+ FOR
SUCCESS
Nausea and vomiting
Hemorrhage
Pneumonia
Hemorrhage
Explanation:
The nurse should take measures to prevent hemorrhage, a complication
of enucleation, by applying a pressure dressing. Nausea and vomiting
may be common side effects of surgery.
Enucleation does not increase risk of developing hypotension or
pneumonia.
A nurse is performing an eye examination. Which question would not
be included in the examination?
"Are you able to raise both eyebrows?"
Explanation:
Asking to raise both eyebrows is a test for cranial nerve VII, the facial
nerve, and would not be included in an eye assessment.
Which type of glaucoma presents an ocular emergency?
A)Normal tension glaucoma
B)Ocular hypertension
C)Acute angle-closure glaucoma
D)Chronic open-angle glaucoma
WITH EYE AND VISION DISORDERS PREP U & TEST BANK
EXAMS WITH 100% CORRECT DETAILED ANSWERS
UPDATED 2025/2026 BEST SOLUTION RATED A+ FOR
SUCCESS
Which surgical procedure involves flattening the anterior curvature of
the cornea by removing a stromal lamella layer?
Laser-assisted stromal in situ keratomileusis (LASIK)
Explanation:
LASIK involves flattening the anterior curvature of the cornea by
removing a stromal lamella or layer. PRK is used to treat myopia and
hyperopia with or without astigmatism. Keratoconus is a cone-shaped
deformity of the cornea. Keratoplasty involves replacing abnormal host
tissue with healthy donor (cadaver) corneal tissue.
Which client statement would lead the nurse to suspect that the client
is experiencing bacterial conjunctivitis?
"My eyes hurt when I'm in the bright sunlight."
"It feels like there is something stuck in my eye."
"My eyes feel like they are on fire."
"My eyelids were stuck together this morning."
"My eyelids were stuck together this morning."
Explanation:
Burning, a sensation of a foreign body, and pain in bright light
(photophobia) are signs and symptoms associated with any type of
conjunctivitis. The drainage related to bacterial conjunctivitis is usually
present in the morning, and the eyes may be difficult to open because
of adhesions caused by the exudate.
,CH.58: ASSESSMENT AND MANAGEMENT OF PATIENTS
WITH EYE AND VISION DISORDERS PREP U & TEST BANK
EXAMS WITH 100% CORRECT DETAILED ANSWERS
UPDATED 2025/2026 BEST SOLUTION RATED A+ FOR
SUCCESS
Which of the following medications decreases the production of
aqueous humor?
Beta blockers
Miotics
Sympathomimetics
Mydriatics
Beta blockers
Explanation:
Beta blockers decrease the production of aqueous humor, with a
resultant decrease in IOP.
Miotics and sympathomimetics decrease the size of the pupil,
facilitating the outflow of the aqueous humor, which decreases IOP.
Mydriatics dilate the pupil.
A client with multiple sclerosis is being seen by a neuro-ophthalmologist
for a routine eye exam. The nurse explains to the client that during the
examination, the client will be asked to maintain a fixed gaze on a
stationary point while an object is moved from a point on the side,
where it can't be seen, toward the center. The client will indicate when
the object becomes visible The nurse further explains that the test
being performed is called a:
a) retinal angiography
b) perimetry test
,CH.58: ASSESSMENT AND MANAGEMENT OF PATIENTS
WITH EYE AND VISION DISORDERS PREP U & TEST BANK
EXAMS WITH 100% CORRECT DETAILED ANSWERS
UPDATED 2025/2026 BEST SOLUTION RATED A+ FOR
SUCCESS
c) slit-lamp examination
d) color vision test
perimetry test
Explanation:
A visual field test or perimetry test measures peripheral vision and
detects gaps in the visual field.
The nurse should monitor for which manifestation in a client who has
had LASIK surgery?
Excessive tearing
Cataract formation
Halos and glare
Stye formation
Halos and glare
Explanation:
After LASIK surgery, symptoms of central islands and decentered
ablations can occur that include monocular diplopia or ghost images,
halos, glare, and decreased visual acuity. These procedures do not
cause excessive tearing or result in cataract or stye formation.
A client has undergone enucleation. What complication of enucleation
should be addressed by the nurse?
Hypotension
, CH.58: ASSESSMENT AND MANAGEMENT OF PATIENTS
WITH EYE AND VISION DISORDERS PREP U & TEST BANK
EXAMS WITH 100% CORRECT DETAILED ANSWERS
UPDATED 2025/2026 BEST SOLUTION RATED A+ FOR
SUCCESS
Nausea and vomiting
Hemorrhage
Pneumonia
Hemorrhage
Explanation:
The nurse should take measures to prevent hemorrhage, a complication
of enucleation, by applying a pressure dressing. Nausea and vomiting
may be common side effects of surgery.
Enucleation does not increase risk of developing hypotension or
pneumonia.
A nurse is performing an eye examination. Which question would not
be included in the examination?
"Are you able to raise both eyebrows?"
Explanation:
Asking to raise both eyebrows is a test for cranial nerve VII, the facial
nerve, and would not be included in an eye assessment.
Which type of glaucoma presents an ocular emergency?
A)Normal tension glaucoma
B)Ocular hypertension
C)Acute angle-closure glaucoma
D)Chronic open-angle glaucoma
